HomeMy WebLinkAboutDemo Permit 03-1196
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White - File
2. Blue . City
3. Vellow - Applicant
CITY'S COpy
DIRECTIONS
1. DATE
?/9/03
Permit No. ..f).r - / /?"
;:t f.,,1:;-W / (j J ./ * 1
BUILDING INFORMATION
,'7. SIZE OF STRUCTURE
Ii UJCc8 ~.A..
'8. NO. OF STORIES - ,
i: ~\o\a.r w/~ ~~I
II "
I 9. HPE ~ CONSTRUCTION .
11S.'~l&..~;'1 ~N\oL
Ii 10. COMPLETION DATE
ii1).~O- ii/,3/o3 u-I
,i ~~'"'" -\-<,) rol~
~"~'21J 9rz. Z~(). ?f484-
4. OWNER (Name) (Address) ~
~e."I'1"\ :3". ~~\.. SS3S""~I'-(.-r,..",,-~\ ~ Yrt:>'" ~~ (.I{) I~S2.-1.j'1S"'"-"''"L'1
5. ARCHITECT (Name) (Address) (Tel.,INo.)
Ja.rp\~ ~n ~~ ,4x~5wJ.<.-'01. LA~"<..MN 'SSOff . (In- - cftt - ?::iZ-O
6. CONTRACTORM~e) (Address) . (Tel. No.) .
~rc)\c.\l ~~.S UorM-~ f'U-?I K.l'l~~ lVl...l.A'tw'\\c...MN s-rcHi qrL- ~g- 1020 .
I hereby certify I have furnished information which is to the best of my knowledge true and cortect. I also certify that I am the
owner or authorized agent for the above mentioned property and that all construction will conforml! to all existing state and local laws
and will proceed i7f;nc ance with supmitted plans. I am aware that the building official can I"l'",revoke this permit for just cause.
Furthermore, I hereb gree that the, :ity ~ial or a designee may enter upon the property ~o perform needed inspections.
x ! ! b~ ~- ~ qAI~/o3
~ignatu~ I' Date
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FOR ADMINISTRATIVE USE II, lfJf:-
~'t) L-. h. (!,. r. 9'. 03 ~li
(1/1/ ~It&)
MATERIAL FI~1:6 WITH APPLICATION
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
2. SITE ADDRESS SS~ S~or~ '1;-41\.~ \
3. LEGAL DESCRIPTION
LOT 0 I ~ BLOCK 00 "1.....
.&" 6. 15 I O~ IS"' 4' VJ~'t:/ ~ n
ADDITION
~ 'Yr;or~\.c... ,}NJ SS372..-
PID R zslOL.J~2-7~
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METRO SAC UNIT DETERMINATION
o Site Restfation Plan
o Utility Abtclonment Plan
o Sewer Ab~nclonment
!!
USE OF BUILDING
SITE RESTORATION PLAN
Accepted by
Rejected by
o Water Ab,ndonment
Ii
CJ Electrical ~bandonment
CJ Other
This application becomes your
demolition permit when approved
By ~ -:;.~~
Date~D3
CREDITS
Park Oed. Credit .................jf............................. $
SAC Credit ..........................jf............................. $
Sewer & Water Connec. FeellCredit .................. $
'I
Water Tower Fee Credit .....i~..............................$
jl
Other ........... .......... ............ ..i~.......... ..... .............. $
TOTAL CREDI~S ........................ $
"
TYPE OF CONSTRUCTION: II III IV 1])
Occupancy Group A B E H 0 M
Division 2 4
"
Issued by
Date
This is to certify that the request in the above and accompanying documents is in accordance wit~ the City Zoning Ordinance and
~~~~~~ .
, - C1.".LY2
Date
"'PEh--OI.. l"~ ~ b~c..Y
il
Special Conditions it any'
CITY'S COpy
Tho Conlo, of tilt tlke Counlry
White - Building
CtpRrv . EnainH~
(PinK - Planning
B..U.JLDING PERMIT APPLJeATION DEPARTMt:NT CHWKL.IST
NAME OF APPLICANT
APPLICATION RECEIVED
~ I A NEt(. j ~Gv , ~J
I
Q.Q.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5535 5/-'012.6 -nut}' L tJf;
Accepted K
(
Accepted With Corrections
Denied
'I
Date: q, Ie) (DO
tW- cku-cft~ II~.
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II
II
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Reviewed By:
Comments:
V'~yY)~
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
CITY'S COpy
~nite. .. - auilmfilp
,i Canary - Engineering
i Pink - Planning
The" CtnlC'f or thr Lake Country
NAME OF APPLICANT
"
,
BUILDING PERMIT APPLICATION DEPARTMENT CHEdKLlST
II
~ I A f'JeK} ILGVI rW
Q.Q.03 Ii
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APPLICATION RECEIVED
,
,
The Building, Engineering, and Planning Departments have reviewed lithe building permit
application for construction activity which is proposed at: II
5535 SHOI2E -null L fJr?;!1
il
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Accepted
Accepted With Corrections ~
Denied
r
Reviewed By: ~... ..~::j~ Date: q//1/6;
,"""I" _ . L~ ~ .... II
Comments: ~ ~ <U-~ ~ ~~
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UL. M F-~ "1 ~~~
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it
"The issuance or granting of a permit or approval of plans, iispecifications 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 J4risdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White . Buildina
l>Gan~llgliiMring ~
I! Pink . Planning
Th~ Cflnt..r 0' .h.. I.ake ("ount".
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BUI.LDING..fiRMIT APPlJC.ATION DI;fARTMENT CH~
it
~/ANE~,
,
q~q.03
~bV I ~
II
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II
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed V1e building permit
application for construction activity which is proposed at: I
5535 sf-/orZf: llU11 L 106 II
Accepted)( Accepted With Corrections
Denied
Reviewed By:
1J;Jff!:>
Date:
9-:l)~ Qj
!i
Comments: See Reverse Side for Adriitionallnformation!
Cc.P Ct 1/ ~/-V/ '{t..] (;;/0/ .J-O
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~ee Att~c.hment~. 1) Gr~c1;ng Pl~n, ?) FTo~;on r~p.~
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"The issuance or granting of a permit or approval of plans, ~peCifications and
computations shall not be construed to be a pennit for, or an approval :. f, any violation of
any of the provisions of this code or of any other ordinance of the Ju ,sdiction. Permits
presuming to give authority to violate or cancel the provisions of t is code or other
ordinances of the J"urisdiction shall not be valid." ,I
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
563~ s/lO/Z6 7l2H1 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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 EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
J GASLlNE AIR TST
~ I( OffltJO
COMMENTS:
~ore
,:::ivC
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/
INSNOn
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'I-loa
ADDRESS
~ SJ ~ 5 t,iJrc T,t., '/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
--DJ...IIf~
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
~ILLlNG
"0 COwrAlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
till t<1L-
ftORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI