HomeMy WebLinkAboutDemo 99-1274
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/~'t'1 Z:Od
ADDRESS
522 7 ~/Z o...s, PT'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cf7'- /2- 71-
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL )l/ ,f)Ei:MtJ
COMMENTS: /.. De""o ~,r ~/4... 8.: 155~ Ar
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o WORK SATISFACTORY, PROCEED
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! ~ORRECT ACTION AND ~ROCEED
o CORRECT wOItK)C~lL ~OR R~!NSPECTION BEFORE COVERING
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Inspector:,''<- _ \J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1, White . File
2, Blue - City
3. Yellow - Applicant
Permit No.
Qtf-IZ-74
DIRECTIONS
1, DATE q-d-f-tf9
BUILDING INFORMATION
7, SIZE OF STRUCTURE
;){;tt 7)-
8. NO, OF STORIES /
9. TYPE OF =dCTION
10. COMPLETION DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
2, SITE ADDRESS ~__ (l ~
S'2.'G r-t T"1<D-:n m\. 1\; ultde
3, lEGAL DESCRIPTION Q ~ "...._ .
LOT"IMd L BLOCK ~ ~~~ "lCf
telft)
2.5-0~O - 0/2--0
ADDITION
IO-c~~ f?
(Address) n el, No.)
1</'2Go [)Q~ ~\Let ~ It:Va.l(OA,t11W 'iS12'! hi7.. ~3Z' 313'
(Address) . ~- (Tel. No,)
/ -?t(-5S- (2.u,. /:C.INT' Ci 1!-4PJ.!k.ayt/ hl,J. -4:5.) - d-d-8'/
6, CONTRAg,.,o.R jName) (Address) ~>Id--f I, (Tel.jro,) r
&'t-/7.P <5 ~O (.)t!J'?'f /
I hereby certify I have furnished information which is to the best of my knowledge true and correct. I also certify that I am the
owner or authorized agent for the above mentioned property and that all construction will conform to all existing state and local laws
and will proceed in accordance with submitted plans, I am aware that the building official can revoke this permit for just cause,
Furtherm~re agree that the city official or a designee may enter upon the property to perform needed inspections,
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4, OWNER (Name)
L~-e~" ~. ~'CV"t~
5. ....,. _ _ .' c e) (C:)(,.I '" 6I"7'L
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FOR ADMINISTRATIVE USE
'\ METRO SAC UNIT DETERMINATION
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MATERIAL FILED WITH APPLICATION
'1_,
o Site Restoration Plan
i. ..... Pe?O'-s/ r ~ $6; r?JV - d()
..~ 1/'11 V I'flJVI
~ USE OF BUILDING
Q.,~-# ..3~si)
o Utility Abandonment Plan
o Sewer Abandonment
SITE RESTORATION PLAN
o Water Abandonment
Occupancy Group A
o Other
~::~::. Credit ..,............................................. $(
SAC Credit .......................................................... $(
Sewer & Water Connec, Fee Credit .................. $,
Water Tower Fee Credit .........................,...........$
Other .... ,........,...., ...........,.... ............ ............ ,...... $
REDITS ......................., $ I
\, 4A~ lI/o.lqa
(; Date \. ~ ... v "- Issued by Date I . I
This to certify~at the request in the above and accompanying documents is i accordance with the City Zoning Ordinance and
ma~~~ I t -L{~~'1 ~eA?- lA.ao~ 'L~
City Planner . v Date Special Conditions if any ~ v
Accepted by
Rejected by
o Electrical Abandonment
TYPE OF CONSTRUCTION:
II
III
IV
V
B E
H
R
M
Division
2
3
4
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White - Building
Canary - Engineering
Pink - Planning
The erntrr of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT LW"(j S~
APPLICATION RECEIVED (() - L3 - 7' /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S7J7 h-ast ~ - G---,
Accepted
Accepted With Corrections X
Denied /}/)/? ^
Reviewed By:~(t)/r--
Comments:
Date: j I--if ~7 r
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u\~~~ a.. Sa.~~ klAR. ~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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