HomeMy WebLinkAboutDemo Permit #00-0296
CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White - File
2. Blue - City
3. Yellow - Applicant
perm~No.j)f) ~OZr~
DIRECTIONS
1. DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
I B /-ll?~ : I (. cJ lJ U
BUILDING INFORMATION
7. SIZE OF STRUCTURE
S~e A~i1-( ~ ~
8. NO. OF STORIES
2. SITE ADDRESS
t-'11o
See
1-'11 ~ T f C l..AItJ'"... prz- .~. W ·
A+.{a.(~~d A5-~""CL
PIO ~L , t:-(/ "'ooz,.. -0
it()p (~
9. TYPE OF CONSTRUCTION
wO(.J~ fy- (J.. ~-e
10. COMPLETION DATE
3. LEGAL DESCRIPTION <I
LOT
BLOCK
ADDITION
~. 7-$
3 C) M 1..'-1 l 00 0
4. OWNER (Name) (Address)
S h v.. k4.", ~ -< M c:\ e .:..v (.(. k:. 11 "'- -4. IJ-. S,' '\A,. Y Co~.
5. ARCHITECT (Name) (Address)
z..l3l.:;> ~ (u'^-~ {~IA\' \ (leI. No.)
. {)y ':.~v- LtA ~ . M N ~r 1:J- ~ cf rz.. - 4 q" .- (0 t.s-<c;
(Tel. No.)
6. CONTRACTOR (Name) (Address) (Tel. No.)
, S 1'1 ~c - j)IA ~ l tc.. Lv(,,\,- k ~ Z ~ SC) So ,u'v...'I- Thl\.:' "-I c.-u C} S'"2 - <i ea b - 'i .-:::j Co
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.
Furthermore, I hereby agree that the city official or a designee! may enter upon the property to perform needed inspections.
X ~ H \ 0.' ~ - 1-2P-()()
.- , ~~ffi D~
USE OF BUILDING
~~S7/l^,,(,-r'r ~o~.s' FOR ADMINISTRATIVE USE ,€E(!,IO DGPasl1 _
CONTAc--r-tl- JeR.E-M 'i ~OSCt.A/15c.H 41~7 - ~/7~ ~~ (!,Heq:::: 713934.-2- ~~,
METRO SAC UNIT DETERMINATION 0 MATERIAL FILED WITH APPLICATION (.v SH,& ~
~estoration Plan
W-4!..l\ ~ ~4.&~ /G~ bandonment Plan
~ ~andonment
rrandonment
Electrical Abandonment
SITE RESTORATION PLAN
tb~~~~~
Accepted by
Rejected by
CJ Other
TYPE OF CONSTRUCTION:
II
III
IV
R
V
M
CREDITS
Park Oed. Credit ................................................ $
SAC Credit .............. ............ ........................ ....... $
Division
2
3
4
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit ................. .......... ..........$
o
C;
()
(b
Other ............................ ............ .......................... $ 8
ITS ........................ $ ~
Occupancy Group A
B E
H
Date c.f.. 2~ -,00
ISliued by
Date ~
ordance with the City Zoning Ordinance and
Date
~&e-.^~fJ:-r~~ ~~,
Special C~s if any
J) - \-&0
2 '5 - c?; 2 1"" ,;)e) 2 ./ 0
..'-
V6'DZ~0
White - Building
Canary - Engineering
The Center of the Lake Country \"Y'I \ L\ I ('-:~\ ' L~ .. _, Pink - Planning
, . \ ... .. . \ '. ',: '1/' ... _
" \ \' l. ,.1' ~.) ~ ~('\i 0 ':> ,~," 'I I-j '-; {. ... b 1 ,b .), ! (_C'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'I ~ Ie" pe>- e I't\ Co; E' \l:J (~ (j, (\t" 0 () ~,\., ~ ll~) Yr'i n.
"
APPLICATION RECEIVED 1-\ ~)'r\ ;;)L~) \~~ ()()()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/77{,
,\ /\ ~ I i j
f v \ \ / <\ t 1 Co' L C~ Jc..e~
!
(\.( F
f f \ !
tl\ J li\ I
'j , \i
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ ~
Date:
If' - J-€>~-ct.?
Comments:
,,~. ~ ~~'iD-br1_ Aw~1 - /A-<--#~1
J:~ ~ ~~ iPT~1~ ~.~~"<2)~t-~ \,O~
~~ (~ f4t;v,( 26l9D_
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
00 .OZ,1C,
White - Building
Canary - Engineering
~ l~. '" h \' r. -~ C1 Pink - Planning
Tht ('tnltr of lht Lab Country ~~ 'UL.A..f '-" UU ~ ,.
Lc""tcu..:t: 'J.u--UY\ Y (;J O~e- W\ bU1 q q 6 - 6; 7 b 0 F F JL€
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ 't.Clpe-e.."'~\(o.()tOf) <s. \ ()l JK lorYVl1.
APPLICATION RECEIVED A pn QLj I ct U ( )0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lf77(J M~hL Lake )riVF N'~
Accepted ^
Accepted With Corrections
Denied _
Reviewed BY:' ~ \~~~ Date: Ll'1.1;lOacO
Comments: Je::.g,,&I\.<'" 6~ {j'ZlJo. TI'-\I& PL.
IPrf2r D6fJi: (5 ~/M2 A~ ~ ~ o~ t-~JS6.
~'TE. Def,~s W l~ B& REM~. ~lA-
,. ?Q.~ FGu~'-"'- I ~ ~\c.. +.......I.::'!o
"
2. W\ ~ be. ~\-c.J ~'j- \tc...","~ ~~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ,.,t\~~ La \.~r-i\J-.Q..
TYPE OF WORK ~"""ol;t,~
USE OF BUILDING SF'D.... ~IM. --g\j.,cs _
PERMIT NO. {)()- 07..70 DATE ISSUED l/.:;e.2!:Joo
BUILDER S~~(JU- ~~wc..\<O\.Gt~ SI'OUX ('a--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARA'TE DOCUMENT
INSPECTOR
DATE
FOOTING Rp\N\ov&.\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL Si+e.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED l?~f
111 0 M. '-f <:..rt <:.. I ArcS
, "
TIME
ADDRESS
4~~
Lx<-
OWNER
co~nR.
PHONE NO.
PER:MIT NO.
00 - 2L'='
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULATION 0 WATER HOOKUP
o FINAL 0 SEWER HOOKUP
o FOUNDATION ~ 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREV. 0 SITE INSPECTI
COMMENTS: . w8-L-
o EXC/GRAD/FILLlNG
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
...~ ~o FtNA--
~
o WORK SATISFACTOR"Y~ P
~CORRECTAC~N~P
o CORRECT ~/ L R REINSPECTION BEFORE COVERING
Inspector: : --.s Owner/Contr:
\t
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!