Loading...
HomeMy WebLinkAboutDemo Permit 05-0075 CITY OF PRIOR LAKE DEMOLITION PERMIT Date Rec'd 1.2$ oS I PER'\fITNO.OS: 00751 (Please type or print and siJm at bottom) ADDRESS =- /7/90 1.-/9 NqrOR.O BLVD ZONlNG (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION srl'!;ej::. /IDDtJ. PID .2.5. 4-23. 001.0 OWNER / (Name) 1 DI'1/V16L.' ~ \ (Address) K/imt6eA/ 130Ie4Hh,e,OT) / (Phone) CONTRACTOR (Company Name) (Contact Name) (Address) 17271 /"OL.tA3FS();V Dev. /C..6NVOA/ i'1V6., SUITE: 103, (Phone) (Phone) L.A;e;6 V'ftA_e: j /"f/ll 5.5044- Use of Building: INTERNATIONAL BUILDING CODE Type of Construction: I II III IV V Occupancy Group: A B E F HIM Division: I 2 3 4 A B R S U 5 D MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION I hereby certifY that I have furnished information on this application 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. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. . Signature Date This Application Becomes Your Demolition Permit When Approved t=t Building Official Date This is 10 certify that the request in the above application and accompanying documents is in accordance wilh the City loning Ordinance and may proceed as requested. Planning Director Date Special Conditions, ifany 24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 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 COMMENTS: ,/6r70 T- (( / ~~X,-,,- l / l ~ Q~ ;-- 75f o EXlGRADIFILL/NG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL }<;?~ V/J I 4 1'-1 L0- r ~RKSATISFACTORY. PRO EED o CORRECT ACT A CEED o CORRECT REINSPECTION BEFORE COVERING Inspector: ... Owner/Contr: CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. l/'iSNOrl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/