HomeMy WebLinkAboutDemo Permit #03-0849
ADDRESS
bY80
DATE TIME
SCHEDULED II tttd
/ ~O (1f $T.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER V().!.r Hdl"16
CONTR.
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PHONE NO.
PERMIT NO.
03,08+9
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M ..... Owner/Contr:
CALL 447-9850 FO\aJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE
DEMOLITION PERMIT
6---lf-tJ '3
. .
1. White - File
2. Blue - CilY
3. Vellow - Applicant
Permit No.
03-- 064q
DIRECTIONS
1. DATE
BUILDING INFORMATION
LOT
BLOCK
PID
25-'724-" OOI':J
7. SIZE OF STRUCTURE
<if 000 fr'"
8. NO. ~STO~IES \
'" 1"0 6ctse"t'Af)
9. TXf,PEE IOF lfONSTRUCTION
l)eMc:J. {..'Ol'l
10. COMPLETION DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Ple~~type ir:)~~ at~;:+- AJI.
2. SITE ADDRESS
3. LEGAL DESCRIPTION
ADDITION
JMi"J~r !)e~/Q~~.A.t-
4. OWNER (Name)
1"71.7/ Ke",vovt k ~/D7 ~h-Il II,. .<qyfO/ Q52.<jfttg. 7020
(Address) (Tel. No.)
5. ARCHITECT (Name)
O~ (- (QV1'fftuc..~'o.'1 ~N, c.-eS
6. RACTOR (Name)
(Address)
7 207 ~~s.+ 12~S': StVi\;t! 533 '7g"
(Address) -
(Tel. No.)
952, 7'16 -S~3' -<-.
(Tel. No.)
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.
Furtherle, 1;b~ ,agree that the city official or a designee may enter upon the property to perform needed inspections.
· / -('/~O-'
X ,_ j ..- b l5 .>
-- Signature . Date
METRO SAC UNIT DETERMINATION
FOR ADMINISTRATIVE USE
1, ?().e... p~;"tJU .::TV/VG /8, z-oQ.3
'P- /"v f /"?.P8
MATERIAL FILED WITH APPLlCA TIO~
CJ Site Restoration Plan
CJ Utility Abandonment Plan
CJ Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PLAN
CJ Water Abandonment
Accepted by
Rejected by
CJ Electrical Abandonment
CJ Other
Division
2
3
4
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
Other ................................... ............................... $
TOTAL CREDITS ........................ $
TYPE OF CONSTRUCTION:
II
III
H
IV
R
V
M
Occupancy Group A
B
E
This application becomes your
demol~ permit ~hen approved
BY~~
Date ~PS~ '3
,
Issued by
Date
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
m;~ rocee~ as r9~~ ~
~~'bti lO'n"Oo
ity P nner \ '-/ Dale Special Conditions if any