HomeMy WebLinkAboutDemo Permit 99-0018
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White - File
2. Blue - City
3. Yellow - Applicant
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Permit No. 9,9:fLJO/8
1. DATE l).jJt!J/98
BUILDING INFORMATION
7. SIZE OF STRUCTURE
CerT/)f7e. .,!O' 50,. ,=-r.
a R ~ I!!- .!r.z...2. n-..' , ,
i \ t\ \" 18\ ~O./ ~~~2")/', ,~.....
2. SITE ADDRESS .10/3 SI'/<IN 7 LII~,(ld ~~/41A. Ild<'t!:,' /{Jill'S"f]?1-' 9'~;>~~~}d)I~~ ')
3. LEGAL DESCRIPTION ^..:J ,)
LOT , BLOCK .5" / PID Q t::; ~ I :z, ~ .. 0'( () _ 0 10. COMPLETION DATE \. .'
-r;, r ~ / - J p ~ 99.,
AQDITI6N()WN (J qIVNf/ Ljl/.(~ ~lf/ SCeJ77 C4'vA'..1"'v G..
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4. OWNER (Name) (Addr~ss) ~ /J I J n el. No.) ~ /.
t<otJfJ.ld W.l;AAtJ<<.tt IC/~./J.ff/'Jf /J'I/INJII,'/fl /fJ1V S.Uot -I.Jr.$l2-2-
5.~RCHI~E.9T (Name) p _. ~~ddress) A 11. 1 (Tel. No.)
70M ,I"iott];. LA N Co" JIJ t~'f?>S WA<J,'ufi1'b,J ])p.. t;~9/HJ/V/~ S:fO..).. ....... 'ISz -07;"'1
6. CM~k~,oMN~mD~VI7T ~S 1'^'t.ddressJ~O~~ ;;(/^/f~rJ A(~ Ar7l1g~j~O)k~ Ill;) g'1/-S7Jo
I hereby certify I have furniShed information which is to the best of my knowledge tru: ~~: (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.
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Signature
161 -J~- YA
Date
FOR ADMINISTRATIVi: USE
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METRO SAC UNIT DETERMINATION
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USE OF BUILDING
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MATERIAL FILED WITH APPLICATION
CJ Site Restoration Plan
\ ,'~>"., I (>~ CJ~nrnent Plan
CJ~donment
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SITE RESTORATION PLAN
Park Oed. Credit ................................................ $ ,) ~-- (
SAC Credit ......................................................... $ I (, C) ()
Sewer & Water Connec. Fee Credit .................. $ /, 7 I) c.)
Water Tower Fee Credit .....................................$ 7( ')
Other .................................................................. $
SCXA..) '. Ft ":,'" - TOTAL CREDITS ........................ $
,. ,~!' ,'- I t-1 V I' .) ~\
Issued by Date
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TYPE OF CONSTRUCTION:
Accepted by
Rejected by
II III IV G'
H @ M
2 ~ 4
Occupancy Group A
B
E
Division
This 8P"P1ica7?:-ion co_~efour
demolitiO:r~ j"wh:;r-
By. / J -,., ."_.
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1...:1'\ I .Iac
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Date I " '; '(
CJ Water Abandonment
CJ Electrical Abandonment
g' Other t-J<<'I.tJ h,,1Y>c PIC,~C7
CREDITS
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~~;~iSr~O ~:~i~~~~=~~~u:t in the abov~/a~)cc:mpanying documents is in accordance with the City Zoning Ordinance and
/ -/)-~J 71
~ anner Date . Special Conditions if any
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
ADDRESS 5() 1 "3
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CONY'R.
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OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
3 0 MECHANICAL
- 0 WATER HOOKUP
o SEWER HOOKUP
( 0 SEPTIC INSTALL
o PLUMBING FINAL
~ SITE INSPECTION
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COMMENTS:
ty/~~r~
79 -'- If{;
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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J{ WORK SATISFACTORY. PROCEED
I~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
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Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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