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Home My WebLink AboutDemo Permit 03-1197 CITY OF PRIOR lAKE DEMOLITION PERMIT 1. White - File 2. Blue - City 3. Yellow - Applicant Permit No. 03.. I It:; 7 !" DIRECTIONS 11. DATE BUILDING INFORMATION 7. SIZE OF STRUCTURE , SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN BEFORE PERMIT ISSUED (Please print or type and sign at bottom). 9~ '1_ ()3 8. NO. OF STORIES 2. SITE ADDRESS ..:;J~ / S If tJte6" 3. LEGAL DESCRIPTION LOT BLOCK /VtJeiJ/ S'lttJdb /~/'-- /\/(5' z 5". 0 4<J. 0 ZEJ _ 0 ~ 9. TYPE OF CONSTRUCTION 10. COMPLETION DATE PID ADDITION 4. OWNER (Name) (Address) (Tel. No.) 5. ARCHITECT (Name) (Address) (TeL No.) 6. CONTRACTOR .1tlame) (Address) p. (Tel. No.) l.:A.JytoJON C;61W1~~ IN JJ'1c~ ~~I'f.,.~"K(J . L. (,Fl, 32.~ ~ 9j'2"";,rr~, 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 agree t at the city official or a designee may enter upon the property to perform needed inspections. xc.-#~~ 9.~- 1_" , 7 t;/Signature ~ Date METRO SAC UNIT DETERMINATION FOR ADMINISTRATIVE USE {)01 () /./GPaf I r 4.h~.' 9. 9. a:J -IN f,errG- MATERIAL FILED WITH APPLlC TION CJ Site Restoration Plan CJ Utility Abandonment Plan CJ Sewer Abandonment USE OF BUILDING g,F, D, SITE RESTORATION PLAN CJ Water Abandonment Accepted by Rejected by CJ Electrical Abandonment CJ Other TYPE OF CONSTRUCTION: \I III H 2 IV (9 &J M (!) 4 CREDITS Park Oed. Credit ................................................ $ SAC Credit ......................................................... $ Sewer & Water Connec. Fee Credit .................. $ Water Tower Fee Credit .....................................$ Other ......................... .......... ............... ................ $ TOTAL CREDITS ........................ $ ~f~ I 2.. 7~ IU, 3S. S-o 'co, '0 Occupancy Group A B E Division This application becomes your demolition permit when approved By ~ ~ Date /oj.h:r Issued by Date This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and m~ proc~~ as _~S'..J ~eAnff"\..f2E lor?J IO? ~Planner Date Special Conditions if any '. . . Site Restoration Proposal for Demolition Applicant: LANI\10~ ~6~vILC5 . Nt... .)b~ Address: 555 I ~H--m.c;~, Check boxes below: ~ ~:l~ !:}xcavation to grade ,J ~ iIov~ d' n Sod Qr seed all bare soils o Erosion control (see handout). Maintain erosion control until turf is established. ~ Cap .s~wer bdow ~rade. * Mark location. Licensed contractor required. v-CaD water below grade. * Iv1arklocation. Licensed contractor required. ~l City of Prior Lake Public Works Department for water meter remov3lJ Q,/Cap gas line. * (By gas company) . VDisconnect electric at meter. (By electric company) ~ P'.l:nf and fill cesspool/septic tank. Certified contractor required. -=.l ~andon well. Certified contractor required. Existing welJAO~ VRemove existing structure foundation and footings, materials, and debris. * * -.... LJ\!ide dust control by following means: 1. Water mist from a water supply (i.e. neighbors, water tank) 2. Enclosure 3. Other . Comments: (provid,e ~su,:~ypr draw site plan)C ~ ^ ;1IGw $lJ~sec.u6L JC7'~l//~ ~ ~ y&.. . I" ~ K ~ ;Zr~ "l ~. +_ o.-IL ~'1~'~ ~. ~ ~5?6r~ 1~ ~ &,.~ <1/ * Capping of utiiities must be inspected. * * Final inspection and approval of restored site required. Deposit will be returned after appr ed final inspection. / /\ 0d/OL ~ "Signal,"e {/ CJ/IY1It')~ bate { - J:\BUILDING\HANDOUTS\Demo Site Restor.doc ~e - BuildfiiiD Canary - ~ngineering Pink - Planning The ("f'nltr of thr t.kr ('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L-A AlIlI 0 IV J'EJe1j1 ~ APPLICATION RECEIVED 9'. 9. 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 555/ s-1-Io1t6 ~/ L N 6 Accepted Accepted With Corrections ~ Denied Reviewed By: ~. ~;;~ ~ Date: /d~/c5 / / &-Lt ~ ~CL-~~ tr1 ~'J- v --- v~-- V " . _ I:- /J; -+ ' , '. -Jl. /J '.L '" ~ -tA.~.. ~c..~~ ./) ~ . / (,f ~/-~~ ~.~ ~~, ~--__f- ~'~f ~ ~~~, Comments: ~<i I ~ . / 0vJ2 "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." Thf' Cf'nlf'r or Ihf l.akf Country White - Building ~na~ - t:.ngmeen!l9) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I . i . j J : r ... I :-.~-'r.""", i ,. L... ,..... L_.l--I JV.tV Ci 1"/ ..,) C../,:..'t-' / t..:.--c>.J .;? . {L.3' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " I r. -_. ;::::r.c.- I "--'1 "'., . ,'''- ..'--;-Z,?".J:-1/' / I 'i/ ,t:-- .J ,~).:; I.-~) I~.( ,Jjl>t.;:. " "... "/. I __ I, (___"' Accepted x Accepted With Corrections Denied Reviewed By: ~ /J?JI13 (~ utI E~,.~!.JI'~\ Date: 9-~3 -oj Comments: SU'V , '(t' .5. pI/V/' 1-0 Jl t',.., I J. "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." The eenl.. of the take Country White - Building Canary - Engineering c:- r:;.ini( ~ PI"mmn9::> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L-~j N /V (; IV ~D(/V/~.s- APPLICATION RECEIVED t? Q. 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5551 Sllo/~ //,2//11 L ;V6 Accepted ')() Accepted With Corrections Denied Date: Ct. I L?' V2::; Reviewed By: Comments: '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 ADDRESS ~~\I ......., OWNER PHONE NO. [] FOOTING o FOUNDATION [] FRAMING [] INSULATION [] FINAL o SITE INSPECTION DATE nilE SCHEDULED to! ~J ~bY~~ ;~. CONTR. PERMIT NO. ()~~II {(7 [] PLUMBING RI o MECH RI ~ WATER HOOIU:lP )iiP'SEWER He~ .. ,. o PLUMBING FINAL o MECH FINAL [] EXIGRADlFILLING o COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL J1l GASLINe AI" Tsr o Y.)/..~ COMMENTS: '5 PI · '-'-- l\r<~.p,~ J- c.q~e L.. Tl ~ ()\1 G , ) r/' . ,/ .L WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED [] 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! IN$NOTl