HomeMy WebLinkAboutDemo Permit 05-0411
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
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I PER1lIT NO. O~ .04/ (
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(Please type or print and sign at bottom)
I ADDRESS
I /5,502 FL.//l/T /20riD sE
! ZONING (office use)
I )C/SD
I LEGAL DESCRIPTION (office use only)
LOT'/SBLOCK ADDITION ,M/1t/ES 1ST L/J,e~ ACJLJj't/'
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OWNER
(Name)
PO-TTS
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C~rJIEy
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(Phone(wl~) q1JL./~-r7 ~
(Address)
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(Phone) t?/;. - 9/1 - sJ1& <
(Phone)
(Address)
Use of Building:
INTElL~ATIONAL BUll.DING CODE
Type of Construction: I II ill IV
Occupancy Group: A B E F H I
Division: 1 2 3
o 1-fPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION /,.
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I hereby certify that I have furnished information on this application 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 'b""", ,that tr~cilli Ot, ,""ign" =y ,m" upon th, t rty to p"'orm n'G/7is7t:Js
, Signature ' I Date
,
This Application Becomes Your Demolition
Permit When Approved
I :METRO .(MCES) SAC UNIT
DETERMINATION
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Building Official
5/5/05
. Date
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cenify that the request in the above application and accompanying documents is In accordance WIth the City laDIng Ordinance and may proceed as requested.
"5/ S(or
I Date
Special Conditions, if any
:24 hour notice for all inspections (95:2) 447-9850, fax (95:2) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
White - Building
Canary - Enaineering
C "Ink - Planniri'Q)
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:
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Accepted
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Accepted With Corrections
Denied
ReViewed~-[f.JI. , YY}.~
Comments:
Date:
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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."
White - Building
Q;anar:y - Engi~::;.~
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT / \ ,Ie, i ,) ! r I .
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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:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
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Date:
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Comments: See Reverse Side for Additionallnformationl
Up Wc.kr rf {;e I/7IU ,~v II ,~c
See Attachments: 1) Grading Plan, 2) Erosion Control Measnres
"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."