HomeMy WebLinkAboutDemo Permit 03-0879
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
(p- ~ 5-6~
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,. White
2. Blue
3. Yellow
. File
. City
- Applicant
DIRECTIONS
1. DATE to . i 7 -us
Permit No. 03 -Of/7Cj
I'lf/G wi oJ. {Of&, I
BUILDING IN~ORMATlON
7. SIZE OF STRUCTURE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
8. NO. OF STORIES
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3. LEGAL DESCRIPTION
LOT 7 SLOCK
ADDITION Ko fJ ,is'
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~A (Name)
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9. TYPE OF CONSTRUCTION
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10. COMPLETION DATE
952-'140-'2<.."1)
(,,12' 119 - .JZ6'7 IJ.
(Tei. No.)
(Address)
5. ~CHITECT.(Nam~" ,.-;-
l )ArJl--'1 ( I.'''''~ ( .
6. CONTRACTipR (Name)
(Address) .
I , f:i)~u ~r f-LJ .
(Address)
(Tel. No.)
(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 accordance with submitted plans. I am aware that the building official can revoke this permit for just cause.
Furthermore: I hereby'~at the city official or a designee may enter upon the property to perform needed inspections.
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FOR ADMINISTRATIVE USE
METRO SAC UNIT DETERMINATION
MATERIAL FILED WtTH APPLICATION
o Site Restoration Plan
o Utility Abandonment Plan
LJ Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PLAN
o Water Abandonment
Accepted by
~"~-(In~ ~ ~ Rejectedby
j
o Electrical Abandonment
o Other
This application becomes your
demOI~ perm~t when sJfProved
BY~~
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec, Fee Credit .................. $
Water Tower Fee Credit .....................................$
Other .................................................................. $
TOTAL CREDITS ........................ $
TYPE OF CONSTRUCTION: II III IV @
Occupancy Group A B E H @ M
Division 2 @ 4
Date~~~3
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
~ pro :e~as r qu sted.
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Issued by
Date
Special Conditions if any
'~~ PH/OIi'.(
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Canary - Engineering
Pink - Planning
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1- CIRA?P/() ~ /
0- ,;? S - -3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5't?S9 7Il~Z{ l?d
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments: ~.
_~ d<d.IJ ...-./41 .;0-
Date: &, / .;l 7/0..:;>
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"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,"
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White - Building
Canary - Engineering
Qink - Plann.!!!9=>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
,
/
Accepted
v
,
Accepted With Corrections
i:
Denied
Reviewed By: ~96
Comments:
Date:
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"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."
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
/50.5:9 /Z1/t7V'/ 17J t/ /U:)
,
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
3.B7Cf
I
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 FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLlNE AIR TST
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COMMENTS:
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~.~~OR REINSPECTION BEFORE COVERING
Inspector: ru~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
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