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Home My WebLink AboutDemo Permit 04-0097 .f _ CITY OF PRIOR LAKE DEMOLITION PERMIT 1. WhIle . Ale ~: ~:1Ow : ~I AdOO S.AIIO z- Vi-o'f 1. DATE~. Perm~No. 04-.()091. . DIRECTIONS 2. SrT" AUUA"SS \ 'S ~ l.\ ~ 3, LEGAL DESCRIPTIO~ Lcr'I l.&> LOT" ~ ~~ 'b' ORLOCK ~C Oo.\\~ ~l..d OO'nS \\d. Sf.. PID ~ ';)..'SO\..\""L00~O BUILDING INFORMATION 7. SIZE OF STRUCTURE r '2..400 ~ ~-\. e. NO. OF STORIES 2. Q. TYPE OF CONSTRUCTION Wood 10. COMPlETION DATE ~ c.o~W\Q.,W SPACES NUMBERED 1 THRU 10 MUST BE FillED IN BEFORE PERMIT ISSUED (Please print or type and sign at boftom). ADDITION 4, ~~*;me) ~ \)~ro.. t... S~QX 5. ARCHITECT (~) (AddresS) \..\'tOO (Address) () (Ter. No.1 ?or\o.n <!.,rc:.\Q. '5"- , "rlol' Lo.~ (Tel. No,) a.'5)'-Y41-Co 13~ 6. CONTRACTOR (Name) (Address) (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 a~rdan with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthe7phmo ,1 hereby a ~ t"'tthe city official or a designee may enter upon the proprrty tr perform needed inspections. X ~'. I\\~\OL\ - ~ [/ Signature Dale METRO SAC UNIT DETERMINATION FOR ADMINISTRATIVE USE ~/P 15')::" P6U 0!J7'f1-/ cm;~ Z.Z-C.(J4-' //1/ SAPo MATERIAL FilED WITH APPLICATION IJ Sile Restoration Plan IJ Utility Abandonment Plan IJ Sewer Abandonment USE OF BUilDING SITE RESTORATION PLAN Accepted by Rejecled by IJ Wale' Abandonment IJ Electrical Abandonment IJ Other Occupancy Group CREDITS IV (!) Park Oed. Cred~ .....................,.......................... $ B<:;o.6tf H ~ M SAC Cred~ ....,..............................,..,......,........... $ I'3S(l.Ge I':'ls Sewer & Water Connec. Fee Cred~ .................. $ j l~o.tJl Division 2 \.:J 4 -# I f.C,. f' -0 ft ... Water Tower Fee Cred~ .....................................$ 7tla 0-0 . . Other .................................................................. $ This application becomes your ~~REDITS ........................ $ demolition pennit when appro~ed By ~ ~ Dale ~~/,/~ tI Issued by r Dale -Z.7.1. 0-1- This is to certify that the request in the above and accompanying documents is accordance with the City Zoning Ordinance and ma~.proceed as requ ste II '" TYPE OF CONSTRUCTION: A B E iJ.-.81Q,(}t/J Date &-u ,,&-, )/; -~II!1.+~ ). Special cinditions if any , , , ,,(~, ~~ CITY'S COpy While - Building Can,,'1' . Enaineering ......-t'ink - PblIl[lIn!J"":) Thf ('fnln of lhf L.1if (:ounln BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /J ,x./'fI:,\t/~ 'y (/, , .r APPLICATION RECEIVED . Y-,;)3 6M The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IS!i"C4/y ;;;~_dI O~K~ pJl Accepted 'i Accepted With Corrections Denied Reviewed By: ~~ Comments: Date: O-.~Dlt "The 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." CITY'S COpy Site Restoration Proposal for Demolition Applicant: \ 5l?-~.\'~Clj ). ~ \:)<L\X<L E. ":>ch er e.r ~cc ~ d.\'\o..f\ Q..\\d<L ":>€. ?t"lor La.~ Address: Check boxes below: o Fil1 Excavation to grade o Sod or seed all bare soils rs;/ Erosion control (see handout). Maintain erosion control until turf is established. .! Cap sewer below grade. * Mark location. Licensed contractor required. sf Cap water below grade. * Mark location, Licensed contractor required. o Call City of Prior Lake Public Works Department for water meter removal. sf Cap gas line.* (By gas company) .I Disconnect electric at meter. (By electric company) o Pump and fill cesspool/septic tank. Certified contractor required. o Abandon well. Certified contractor required. Existing well ~ Remove existing structure foundation and footings, materials, and debris. * * ~rovide dust control by following means: reD Water mist from a water supply (i.e. neighbors, water tank) 2. Enclosure 3. Other . Comments: (provide surveyor draw site plan) ~ e.r- L 7<~ ~ ~~~1 ~~. * Capping of utilities must be inspected. * * Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. Signature \\n\oLl Date J:\BUlLDING\HANDOUTS\Demo Site Restordoc ~1 CITY'S COpy ----White - Buildi!iS::> ~M"~" ::..:JIIf88ring Pink - Planning Thr C'rnlrr of lhr "Ill, ('uunlry BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST NAME OF APPLICANT 9 t1(J y3~VI.J APPLICATION RECEIVED d - d 3 -0(/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5"5 L/g- -Z;;bd Oa t:} Rei Accepted Accepted With Corrections /" Denied Reviewed By: ~ ;$.OA Comments: tJ~ to e. .t..f' ~ ....a-,...... p , -A. ~.' ~ t!j ~ o-rlZ ~ L ~7?'~'" 1<.1/ ~ .r!.. . --4.. ~~<.;. ~_ -4 cf".~'i'I~~./ 7 ~f? .~~ ' J Date: cXI~(o 10 t/ , .. ~~ "The 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." '. ~~" .'" ... - . ~ ~~ ~ W~!~-t',: ~~~~.~~~ Pink - Planning Tht' {'t'nln of lilt' I..kt' ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~,~ / ' ;J >' I, ) L.~.l/'-</} :' '7..-" NAME OF APPLICANT ( y'(/ ./ ,Ii ,,'/ / ) .. <7 _ ,::;) 3'0(/ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , ~._, >.. / ,-'.:tV"" ,.- ,,7 /r - /y. . #-. ~'. .-;....; ,'....J_ -- ,':.; /,./i_ (,. S /~, (' /'<-.... ,'-^' > '- , Accepted x Accepted With Corrections Denied Reviewed By: /J?'1-i3 Date; 2 -2-7-011 Comments: ~.... Reverse Side for Additional Information! cv to1 -J., ' I c./I SUVI'(t< .rl7d~11 E/o.s/o.. Va;/., I,d" ,.) ~~ I"tl. 'r,J,,/ - Ct, "" I-,,<J J , See Attachments; !) Gradinl! Plan. 2) Erosion Control MP'lI!<11T"P" "The 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." ADDRESS /554g DATE TIllE SCHEDULED ~ aD oAKS IelJ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. 04- . Q()q, I o EXIGRADlFILUNG o COMPLAINT o FIREPLACE RI o FIREPlACE FINAL o GASLINE AIR TST o 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 ANAL o MECH FINAL COMMENTS: Of5MO {'~OJ6 PIUb o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. OwnerfContr: CALL "7.9850 FOR THE NEXT INSPECTION 201 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """"" ~\~t. ,~ CITY OF PRIOR LAKE lNSPECT10N NOTICE SCHEDULED ADDRESS /55"'11 #J or,Ks f(J. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: A/I el- CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE TIME l./~ /IIa, 61./-17 ~ILLING -0 C~NT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o ...P(...WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector:~~..- vwner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY! INSNOTI