HomeMy WebLinkAboutDemo Permit #03-1220
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3(020
/54-1#+ ~ I
~ ' ,.., (.,; l$ "y
63. /2-Z0
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
D6no F/NrtL-
~j
.~;jf.V )
\}I'\.~,^~ ~u
1/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ('/h Owner/Contr:
CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
, .
CITY OF PRIOR LAKE
DEMOLITION PERMIT
,. White - File
2. Blue - City
3. Yellow - Applicant
Permit No.
05 -llZ(J
DIRECTIONS
1. DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
9 12. 03
BUILDING INFORMATION
7. SIZE OF STRUCTURE
8. NO. OF STORIES
2. SITE ADDRESS
3~ZO
3. LEGAL DESCRIPTION
/54 771
5T NN
zS: C13<t-.
9. TYPE OF CONSTRUCTION
LOT
BLOCK
PID
02+.0
10. COMPLETION DATE
ADDITION
4. OWNER (Name) (Address)
2/2- t:::>I:3V G..!efi. .350 5. I..fiVV z 12- j
5. ARCHITECT (Name) I (AddrJ'S)'
f)cNNIj .J,:jr~
(T eL No.) .
~ :5..D/8 V-;2-9y7~/~:
(Tei:No.) ..
6. CONTRACTOr) (Address) (Tel. No.)
I hereby ce lfy I h e furnished info~'on which is to the best of my knowledge true and correct. I also certify that I am the
owner a thoriz agent for the ab e . entioned property and that all construction will conform to all existing state and local laws
and II p oceed n accordance with su mitted ans. I am aware that the building official can revoke this permit for just cause.
:"' e' ,e; I;; ;~~_:!;7, o~ ::a designee may ente, upon the p:;%Z;;ded inspections.
V/t/ t/[7l/~i~ / L---' ~ / ( ~ate .
\..../
"{
FOR ADMINISTRATIVE USE . f'
~'rJ '-.0. & 11Z,o..:r (INS"",e) ~
MA TERIAL FILED WITH APPL/CA TION
METRO SAC UNIT DETERMINATION
o Site Restoration Plan
o Utility Abandonment Plan
o Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PLAN
o Water Abandonment
Occupancy Group A
E
Accepted by
Rejected by
II III IV
H @
2 (JJ
o Electrical Abandonment
o Other
Division
4
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
Other .. ......... ............... ..... ......... ................. ......... $
TOTAL CREDITS ........................ $
Issued by ..n'/11d-;::-/J [lJ Z/Z oEJ/. Date
B
V
M
TYPE OF CONSTRUCTION:
This application becomes your
demo" n permit when~p roved
. f'
By
_ Date 9;7 ~/o J
q .\~.OQ
Date
Special Conditions if any
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
ADDRESS 3C,l,O I;-'fi:' -~ I~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.JJ../ ( at..
DATE TIME
'1-1f)~
("i3 -IUo
rll=)(~ILLlNG
~O'Ir:::,~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!