HomeMy WebLinkAboutDemolition Permit 02-1078
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
1. White "File
2. Blue "City
3. Yellow " Applicant
Permit No. () 2- -.-( 0 7 fJ
DIRECTIONS
1. DATE
BUILDING INFORMATION
7. SIZE OF STRUCTURE
/8tA) jf-
8. NO. OF STORIES
"2-
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
2. SITE ADDRESS /&1.5<4- /"/ /9 / /\/
/7 J/8"/vUb
3. LEGAL DESCRIPTION
LOT
BLOCK
PID 25 -- 0 0 1- O' &:5 - 0
ADDITION
r~/5 '-02-
4. OWNER (Name)
(Address)
(Tel. No.)
5. ARCHITECT (Name) I (Address) (Tel. No.)
/2i,4#~4~~ Co. 8700 \:s 1:'" A",'-. F. 5bb~1UL lVW. ~L;57q '152- Ctlf-32-CJ()
6. CONTRACTOR (Name) , , ~ ~ LJ Vi' (Address) r-- (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 t ve mentioned property and that all construction will conform to all existing state and local laws
and will r in ac ' ce w' mitted plans. I am aware that the building official can revoke this permit for just cause.
er e g ee the ity official or a designee may enter upon the property to perform needed inspections.
8- '2 7-~ z..
Date
FOR ADMINISTRATIVE USE
~. '27." L (!#:.. #' 6/4 7tP3 IN ~/fC.LI
METRO SAC UNIT DETERMINATION
MATERIAL FILED WITH APPLICATION
CJ Site Restoration Plan
CJ Utility Abandonment Plan
CJ Sewer Abandonment
USE OF BUILDING
SITE RESTORATION PLAN
/Lit
CJ Water Abandonment
Accepted by
CJ Electrical Abandonment
Rejected by
CJ Other
B E
M
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
Water Tower Fee Credit .....................................$
B 5"0.-
, .....D().-
(z..OO. -
100.-
Occupancy Group A
H
IV
R
V
TYPE OF CONSTRUCTION:
II
III
Division
2
3
4
By
Bh)L
Other .................................................................. $
TOTAL CREDITS ........................ $ ~
Issued by -.d...~ Date
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
may proceed as reque ted.
e t() ,/~. 09-
Date
Special Conditions if any
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t'
The ("enfef of the Lake Counll1"
White - Building
Canary - Engineering
Pink - Planning
'iv
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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,..
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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:
, ,,..- /1
/ /~. / ..~j';;r--
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I
/:..'l~J / P ../
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Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
Date:
~- ~.O9-
/
"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
ThE' C"rnlf'r of lht' Lakt' Counl,.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT R-I/ FIN &J~e;TI;V q eo.
/
APPLICATION RECEIVED 8 . Z.e . 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0/54- 11/11 N /It/6NV&"
/
Accepted
Accepted With Corrections
Reviewed By:
t5/z7/07-
Denied
/f;J t t-
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."