HomeMy WebLinkAboutDEMOLITION PERMIT 16-0796 DATE TIME
CITY OF PRIORNOTICE LAKE SCHEDULED cl
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INSPECTION
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO.
0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOONINGDATION 0 MECH RI 0 COMPLAINT
p FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION
0 SEWER HOOKUP 0 FIREPLACE FINAL/ 0 GASLINE AIR TST 81 FINAL ❑ PLUMBING FINAL ❑
/❑ SITE INSPECTION 0 MECH FINAL
COMMENTS:
C
WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector� �' " Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
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PlzloC CITY OF PRIOR LAKE Date Rec'd
g, DEMOLITION PERMIT 7: t F_
NN ES ice796,6,
(Please type or print and sign at bottom)
ADDRESS '�` ZONING(office use)
t Ci(111 � )c\k\5� \cb, , V L
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /
(Name) C\ 0 k"" ( 0,I LGA (Phone) 15.L'40-IAI/l
(Address)
CONTRACTOR(Company
Name)
Y�c� QS -LQO C A 1-1iC- (Phone) e57 1/117- 33 5
Com an Name � hone
(Contact Name) NCAL 0 (Phone) 9 SIZ 7_ Z- 131'3
3
(Address) C't% \p�C 7 Z) ) yn tI 1 i v,e NW Ss-37 L,
Use of Building: / ,�y/ Type of Construction:INTERNATIONALI BUILDING
CO IV V A B
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iiil5.�M� v (c.9 ��� � Occupancy Group: A B E F H I M R S U
G /64) �1 Division: 1 2 3 4 5
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CA NO lINICATION 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 accor...• -r th submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
hereby agr-- .-:t th- ; offial or a des';•- ay enter upon the property to perform needed inspections.
Signature Date
METRO (MCES) SAC UNIT I
This Application Becomes Your Demoli ohn DETER_1VIINATION
Permit When Approved,,,iirk
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ivo 0E2-iv ,O6-Dos /7- /2�czvi 'b
Buildi 7 Offici. Date
This is to certify that the r est in the a ve plication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
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i„ , Tanning Directo. Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372