HomeMy WebLinkAboutDemo Permit #03-1219
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3" 00 /54- -n1 sr:
PHONE NO.
PERMIT NO.
~-'71'tL- 81fh/
03.lz,Q
OWNER
CONTR.
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/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
D6t10 ~/NFlL-
j/
(I /"11'7 Q t/
~_ tJ t,q) / . I
\ ' ~zJt;~"
J\ v'
~~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ /; Owner/Contr:
fJ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNon
, ,
.....
CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White . File
2. Blue . City
3. Yellow . Applicant
Permn No. -.a3 -/2 I q
DIRECTIONS
1. DATE
BUILDING INFORMATION
7. SIZE OF STRUCTURE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
C/. I 2- ,03
8. NO. OF STORIES
2. SITE ADDRESS 3~OO
3. LEGAL DESCRIPTION
LOT
/S4'771 ..> I ;\111/
PID --2..5. 93~. () Z 7. cJ
9. TYPE OF CONSTRUCTION
10. COMPLETION DATE
BLOCK
ADDITlON
4. OWNER (Name)
ZIZ- D6v: GJe.P.; 350
s. ARCHITECT (Name)
(Address)
6. Hwl/. 2AZ-,
(Address) ,
/A'-:7JN'I S/Jr~
(1 el. No.)
tI#U'J:::4q 653/t} Qs-;).-9V7- f/dJ45
(T el. No.) .
(Address)
(T el. No.)
I also certify that I am the
Date
FOR ADMINISTRATIVE USE
a~'o
-1&
6. O. (!., . 9.12, OJ (lrJ J'/1 -
MA TERIAL FILED WITH APPL/CA TION"
o Site Restoration Plan
METRO SAC UNIT DETERMINATION
o Utility Abandonment Plan
o Sewer Abandonment
USE OF BUilDING
SITE RESTORATION PLAN
o Water Abandonment
Accepted by
Rejected by
TYPE OF CONSTRUCTION: II III IV V
Occupancy Group A B E H @ M
Division 2 a:> 4
o Electrical Abandonment
o Other
This application becomes your
demolition permit when approved r /
By ,~~ -:?~Date f;;'(~.?
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credn .................. $
Water Tower Fee Credit .....................................$
Other .. .............. ..... ....... ..... ................. ....... ......... $
TOTAL CREDITS ........................ $
Issued by /J11/t..-6.LJ 7lJ ZI z o&v. Date 9. 2Z..fJ3 :jitt
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
may roce d s request
Q{.I0t.O~
Date
Special Conditions if any
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l/ ./tJ__
ADDRESS .. 3f&i; lS'fItJ-s/.
OWNER CONTR.
PHONE NO.
PERMIT NO.
(,J..tll!
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
;(.EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
II-~l
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o (;(JlW;~':' RElNSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lMNOTI