HomeMy WebLinkAboutDemo 99-1133
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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ADDRESS 145 30 ~n(. ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'1<f. 1\ 33
/d FOOTING
\\-"/ 0 FOUNDATION
\ 0 FRAMING
\ 0 INSULATION
o FINAL A.-
,..,cuITE INSPECTION IT
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: -
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ECTION BEFORE COVERING
ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
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CITY OF PRIOR LAKE
.
DEMOLITION PERMIT
1. White . File
2. Blue . City
3. Yellow . Applicant
Permit No.
9~ -//33
DIRECTIONS
1. DATE
, ,
r/;'I/7?
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).
8. NO. OF STORIES
2. SITE ADDRESS /J
1~6'30 ,lIVE
3. LEGAL DESCRIPTION
S
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Pfl~f'L~kel MAJ
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9. TYPE OF CONSTRUCTION
10. COMPLETION DATE
LOT
ADDITION
4. OWNER (Name)
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5. ARCHITECT (Name)
(Address)
/3{)() 8' .r /!... V l,u 6- A-rH 5'0
(Address)
/) (T el. No.)
j)ltL.~ II' 'J! 'f
(Tel. No.)
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6. CONTRACTOR (Name)
5.4'7l ~
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.
Furthermof\' I hereby agree that th~ citlf']'fficial or a designee may enter upon the property to perform needed inspections.
x .v~ S" ~ ~ 9-/~-99
Signature ~ Date
(Address)
(Tel. No.)
FOR ADMINISTRATIVE USE
METRO SAC UNIT DETERMINATION
/
MATERIAL FILED WITH APPLICATION
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LJ Site Restoration Plan
I:J Utility Abandonment Plan
LJ Sewer Abandonment
USE OF BUILDING
SF-I:>
SITE RESTORATION PLAN
Accepted by /!()/.J .
I:J Water Abandonment
LJ Electrical Abandonment
Rejected by
LJ Other
TYPE OF CONSTRUCTION:
II
III
IV
R
V
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
8',)0 .
I oS-o
Occupancy Group A
B
E
H
M
Division
2 3
Sewer & Water Connec. Fee Credit .................. $ /'z... 00,-
4
Water Tower Fee Credit .....................................$ l 00. ~
Other .... ................... ................. ............ .............. $
TOTAL CREDITS ........................ $ 3, BoO. 00
Issued by rto! d Date 71 f/ ,fry
1/'+/r<;
Date
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
m~oceed ap 04:tquested.
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oftY Planner Date Special Conditions if any
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