HomeMy WebLinkAboutBuilding (Demo) 05-0893
i DATE
I
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1-7-~(J
SCHEDULED 3 I rz. rr6..
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec'd
8~ 23 05
PERMIT NO. 05.08CJ31
(Please type or print and siWl at bottom)
r ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. c;Z/. 001.3
OWNER
(Name)
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(Phone)
(Address)
CONTRACTOR 0/ -1-1- r / 1
(Company Name) . ( (( ~ t7 ~'714~
(Contact Name) Ji-rLL d 15 tri ~;J
(Address) 1/ Cc;.O '- Z 7 ~ Cl/' {If ,-
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Use of Building: INTERNATIONAL BUILDING CODE
J / L:v h ~ -' Type of Construction: I IT ill IV
tI~V" Occupancy Group: A B E F H I
_ ~ Division: 1 2 3
rCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
V A B
M R S U
4 5
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 h:t~Z::; Offi7~;Y 'nt~ upon th, pmpcrt)' to p,",orm n"'W in~~2- '> 0 S-
. Sign~./ . Date
This Application Becomes Your Demolition
j} P miiwhen.APproved / /
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lCiaJ~ I Date (
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r This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
mJl~ "'- - ~
Planning Director
~(tr'l.r
Date
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
Site Restoration Proposal For Demolition
Applicant: n-~
Address: II 6'CfO .-'
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275 ~ e
Check boxes below:
~~~~
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o Fill Excavation to grade
o Sod or seed all bare soils
o Erosion control (see handout). Maintain erosion control until turf is established.
o Cap sewer below grade. * Mark location. Licensed contractor required.
o Cap water below grade. * Mark location. Licensed contractor required.
o Call City of Prior Lake Public Works Department (952.447.9898) for water meter
removal.
o Cap gas line. * (By gas company)
_ \ 0 Disconnect electric at meter. (By electric company)
.~ Pump and fill cesspool/septic tame Certified contractor required.
~ 0 Abandon well. Certified contractor required. Existing well
XRemove existing structure foundation and footings, materials, and debris."
o Provide dust control by following means:
1. Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3 . Other
Comments: (provide surveyor draw site plan)
*Capping of utilities must be inspected.
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
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J :\BUILDIN G\HANDOUTS\Demolition Restoration.doc
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Date
HOUSE MOVING IN PRIOR LAKE
.:. A Demolition permit is required.
.:. $5,000.00 Non-revocable Letter of Credit is required.
.:. Site restoration plan is required, or an approved building permit application for a new house.
.:. Damaged sidewalks, street or curb shall be repaired in an approved manor with all costs to be paid
by the permit holder.
.:. The structure to be removed shall not be stored on the street or other public property.
.:. The permit holder shall control erosion on the property.
.:. Open foundations or other hazards shall be protected with an approved safety fence.
.:. The permit holder shall comply with the Tree Preservation Ordinance. All work shall be done
outside the drip line of all protected trees.
COMPLETE THE FOLLOWING
1) Proposed house move date (24-hour Police notice required)
2) Scott County Highway Permits Yes No (For County Roads)
3) Site Restoration Plan Yes No
4) Utilities shut off notification:
Electric Yes No
Water Yes No
Natural Gas Yes No
Telephone Company Yes No
5) Tree removal or cutting Yes No c;y /21). +'2. WesT
6) Proposed route diagram Yes No (Locate on City map)(,;rt' S'Jt...v(;;.~ ?Ar~
Name of Moving Company ~;:(;t;:,-~ H~-
Address jJ {;cj.~ 7-7_C;- <,,;f P r / -
City, State, Zip _ ~L-.:. r~ ~ .b 5 0 q.. 4
Contact Person.;' ... Phone Number q;-Z 4(;,'/ -~2-.- {;~
State House Mover's L~se rjp:! ~ Lf!1 CO.BIt Date of Expiration ?1J()G
Property Owner Name~ Phone Number
Property Address (House to be moved)
Signature of ~PPlicant: 1 LJ;; ~ ~
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Date:
~ / 2 S - ()s
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16200 Eagle Creek Ave. S.E., Prior Lake. Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER