HomeMy WebLinkAboutDemo Permit 01-1020
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
DIRECTIONS
1. DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
f-/7-01
7. SIZE RUCTURE ,
I-\c:lu.'i ~ C> u.~ Ie:l \cl"l c;
8. NO. OF STORIES 2
9. TYPE OF CONSTRlJCJION I
(2.c.~ ..01...11+"....
10. COMPLETION DATE
~E ADORES;$" 2 go
3. LEGAL DESCRIPTION
LOT
646-IE C/L~ E Ir- A-ve
PID 1..6.-Q34-. Ontj... 0
J- 30-01
8LOCK
ADOITION
4. OWNER (Name)
lJ..->a1\. '$ ~ "'-A. l~-.e. S
5. ARCHITECT (Nama)
(AddreSS)
rTel. No.)
(Address)
(Tal. No.)
-
6. SiONTRACTOR (Nama) (Addra..) L L (Tal. No.)
,.....~....u (.DN~;"C'\IN;r c..O. f!~OO j~+;!J. ~,,<.. E "fflI(C~O!' 9SZ-89~-"52.00
I hereby cerlify 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 age he above mentioned properly and that all construction will conform to all existing state and local laws
and will proce~i rd ~ith bmitted plans. I am aware that the building official can revoke this permit for just cause.
~~ I re y. ree t city official or a designee may enter upon the property to perform neJded inspections.
X ~ ~ ~-/7--/
-" 1 t / Signature Date
METRO SAC UNIT DETERMINATION
CJ
FOR ADMINISTRATIVE USE 1J.
~-17-01 ,f?6t/D 4'I~()OO ~ (II Shre)ik.-
ILED WITH APPLICATION
c:'lV\.
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USE OF BUILDING
SF~
SITE RESTORATION PLAN
Acoepted by
Rejected by
andonment
Water Abandonment
~eal Abandonment
. Cl Other
TYPE OF CONSTRUCTION:
II
III
H
2
IV
R
3
V
M
4
CREDITS
Park Oed. Cred~ ................................................ $
SAC Cred~ ......................................................... $
Sewer & Water Connec. Fee Cred~ .................. $
Water Tower Fee Cred~ .....................................$
Other .................................................................. $
TOTAL CREDITS ........................ $ ('J
Occupancy Group A
B E
Div;sion
Date 9-17 -1.4" I
I
at the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
uested.
-~--~
Issued by
Date
City Planner
Date
~A~~,r~
q/n/~(
Special Conditions if any
i
Applicant:
Site Restoration Proposal for Demolition
Ic.;/I-,V (;4.Jr4lcT"VC- Co
~70) I~& Ave E: s~,6;/~.e' #fA/. ~~?"7r
,
Address:
Check boxes below:
~l excavation to grade
~ Sod or seed all bare soils
llYErosion control (see handout) Maintain erosion control until turfis established.
B" Cap sewer below grade.. Mark location. Licensed contractor required.
lZYCap water below grade.. Mark location. Licensed contractor required.
~ap gas line.. (By gas company)
G-1Jisconnect electric at meter. (By electric company)
liJ...Fump and fill cesspool/septic tank. Certified contractor required. -1!-v"..N, e o~ -r.
~andon well. Certified contractor required. ~isting well- Ht+IL-r,..A-tV e"...>.e I I
~emove existing structure foundation and footings, materials, and debris...
Comments: (provide surveyor draw site plan)
Deposit will be returned
t-/7-c7/
Date
DEMO. DOC
u~
White . Building
Canary . Engineering
Pink . Planning
Thf' (""nltfof lhf' I,.kr Coonlr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CI-(ECKLlST
I<fElN etJN7l2Ae:n+NsI'1ANA!
Ci-/4--()/
APPLICATION RECEIVED
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.5Zt80 Vltqw CL!E~ AI/F;A/IJ6
Accepted Accepted With Corrections ;:J-
Denied t),1/f ~
Reviewed By: lt4lJ..;/ -
~m:n~s:
~~~ w.Ji ~o....0.1"0 00 ()c,_lIL....... ~_
Date: 9 - ) '? - /t:SeJ I
"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 OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
\, "
ADDRESS
/oc:;.?tJ
&t-
CONTR.
OWNER
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
o INSULATION
~ FINAL
D SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: J>er-.c--
OA TE TIME
Ld//~I A",
""'
Uu4 lYJ,
o EXlGRADIFILUNG
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
o
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~RK SATISFACTORY, PROCEED
. 0 CORR A TION AND PROCEED
D CORF CT . CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Y Owner/Contr.
CA'tl..w \ rOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODe;:? IlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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