HomeMy WebLinkAboutDemolition 02-1077
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. ..~. .Jo ~r CITY OF PRIOR LAKE
. () 1/ DEMOLITION PERMIT
0'
.If11! '6 " 3
1. White - File
2. Blue - City
3. Yellow - Applicant
Permit No. (J Z ~/() 11
DIRECTIONS
1. DATE 8 - 2-(, - (.1
BUILDING INFORMATION
2. SITE ADDRESS
4," tj z-
p,4-~ 77T S-I.
56
7. SIZE OIF STRUCTURE
800 5~
8. NO. OF STORIES
Z-
9. TYPE OF CONSTRUCTION
.::::; ; l'. \t. ;:- i'''''' - ~ <-
10. COMPLETION DATE
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSuED
(Please print or type and sign at bottom).
3. LEGAL DESCRIPTION
LOT
BLOCK
PID
2S-()~/-()67- 0
ADDITION
t/J3-02
4. OWNER (Name)
(Address)
(Tel. No.)
Lo.
LJ( '1
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 ove mentioned property and that all construction will conform to all existing state and local laws
and will proceed in acco a wi itted plans. I am aware that the building official can revoke this permit for just cause.
Fur reb gre th e Ity official or a designee may enter upon the property to perform needed inspections.
/
tf'- .2 7-02
Date
(Address)
87DO ,~+~~ AVf
(Address)
x
FOR ADMINISTRATIVE USE
B'27~{)Z- U- #{)/L!7t,3 IN r/J&tvL-T ~
METRO SAC UNIT DETERMINATION ~ MATERIAL FILED WITH APPLICATION
o Site Restoration Plan
o Utility Abandonment Plan
o Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PL,f.~
Accepted by ~ tt
Rejected by
o Water Abandonment
o Electrical Abandonment
o Other
Occupancy Group A
B E
M
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
95"0
l'LOo-
I "Z...oo.-
100-
TYPE OF CONSTRUCTION:
II
III
H
2
IV
R
V
Division
3
4
This application becomes your
::moliti~~ed
$f,i
Other .................................................................. $
TOTAL CREDITS ........................ $ ~0 ~--
Issued by ~ Date
Date
CI9-
Special Conditions if any
White - Building
Canary - Engineering
Pink - Planning
The ('rntt'f of the Lab ('ounlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
., '// ////"
,/
: ,/ ~
/~<- /' / ",- .
i ,,/ l' ~ {'
~, '-
/:.~ . ~-?':f . (~_, ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(OJ '_,
.,t-.l.. I..
I ~/ I t:-......
.. /'! Ie/' (.'.- I;>;
, .,' i" ,/.... _ -~_
~:-./ C. c. 7-
Accepted
Accepted With Corrections
Denied
Reviewed By: e~.rxr~
Comments:
Date:
0.~. Q{)--
"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."
~~
White - Building
Canary - Engineering
Pink - Planning
Th(' Crntt'r (If IhE' Lib COUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT R.y/JN etJ/l/7z:rl~77 /V'.q e.LJ.
APPLICATION RECEIVED a - 'ZtJ. az--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~9z
~
DAK07/7
SI/Z66T
Accepted
Accepted With Corrections
Reviewed By:
Denied
/?IJtf
Date:
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."