HomeMy WebLinkAboutBuilding Permit 00-1028
':
J CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White - File
2. Blue - City
3. Yellow - Applicant
Permit No. 00-' OZfb
DIRECTIONS 1. DATE I () - } - 00
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
2. SITE ADDRESS I j t... L [J I' ^ 1 /If)./\ ~ 0 (\. --r' I' P 1
-, LAJ \..--V''-'T]) ..>l~~ ( S S l . 1.-.
3. LEW~m~
lOT -_~BlOCK) PID
J'lw~ Au... 0 F' urr ~
ADDITION W 6 C-r ~ \ hE;
BUILDING INFORMATION
7. SIZE OF STRUCTURE
I s-f}<J I=' S ~
8. NO. OF STORIES
f)N~
9. ~()~ ~ONFtt~l;
1;. ;;;;ro~
4. OWNER (Name)
C \~~~\-\
5. ARCHITECT (Name)
(Address)
{)y g,. M\ e.\~L
(Address)
(leI. No.)
I ~1'11 J)ULlArl-f ttl!l;: ~~.I.!j L.
L111/-J-'11/
6. CONTRACTOJ} (Name) .~ .. , ,. (Address) :--11 ~J) ~ () (Tel. No.) \ J \ A "?
L..Ul'l n \ ~ F2f.-CAVH \ \", I? ~ 17S--: \" .:> \\~~ I F5. 1 "tJJof<.. UHL.I; vI VI \? - ~ Od-O
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 11. . proc;;eed in ac rdan e with submi plans. I am aware that the building official can revoke this permit for just cause.
Furt (i'mor4J, I here re that the ci~y icial or designee may enter upon the PFirty to perform needed inspections.
x \.4/\ ~ l G/I O~
I l Date
FOR ADMINISTRATIVE USE
METRO SAC UNIT DETERMINATION
MATERIAL FILED WITH APPLICATION
LJ Site Restoration Plan
LJ Utility Abandonment Plan
CJ Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PLAN
Accepted by
LJ Water Abandonment
LJ Electrical Abandonment
Rejected by
CJ Other
TYPE OF CONSTRUCTION:
II
III
H
2
IV
R
3
V
M
4
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ....... ............ .............. ........ ................ $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
Occupancy Group A
B
E
Division
ThiS1Bprf~n rSY r
demol' on hen aiR
By (v ~ / Date /7- G - ~ed by Date
This is to certi~t the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
may proceed as requested.
Other .................................................................. $
TOTAL CREDITS ........................ $
I
City Planner
Date
Special Conditions if any
,l"~;...s:;~""":.~'.:i - ;; ~'J;.'
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. ", bA~Yr." ! ! TIME
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C&>r,.~O
0- lozf;
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAM~NG 0 WATER HOOKUP '0,' 0 FIREPLACE RI
E)NSULA T 0 SEWER HOOKUP 0 FIREPLACE FINAL
It<-fINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE I . . TION 0 MECH FINAL 0
COMMENTS: C <...oS'C ~/&-~ OAJ 2 tfSJ-
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CITY~,,~~iA~"'~;J.
INSPECTION NOTICE
t"~' X
ADORES! " 4L/4 q
OlNNER ~ '( t~",
PHONE NO.
,,-~~UL!D
j;ji~~!g~
PERMIT NO.
)('WORK SATISFACTO~Y, PROCEED
/O"eORRECT ACTION AND PROCEED
o CORRECT M.T~fOR RElNSPE. CTION BEFORE COVERING
In,Spector. -"I (I/' \ Owner/Contr.
CAL.\. 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
":~i.f -
I COI?~REQUlREMElvTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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........
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1NSNOTl
'-."
CITY OF PRIOR LAKE
INSPECTION NOTICE
.SCHEDULED
el;~
~t ;(JQ
TIME
ADDRESS ~44q -. ~ 31
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI A
~WATERHOOKU~A
~EWER HOOKUP ,~
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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f ~ laJr lre-J~ tV\
() ~ _ bob( "is' J - \t\:Jt
-to r r?t- ( ,.t '. A..h
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~~
/
/
/
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O~KSAT'fACTO ,P
l'~ORRECT A ~TIO AND CEED
o CORRECT FO t REINSPECTION BEFORE COVERING
Inspector: 1 Owner/Contr:
CALL 447-~850 FOR T.Ie. NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ,hREMENIs ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
--V- INSNOTl