HomeMy WebLinkAboutBuilding 05-1092 (Demolition)
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
/6,3/.05
(Please tv e or
ADDRESS
3~O/
I PERMIT NO. 05 /07'2..[
ZONING (office use)
/1/
IA/rlI10 O//t/vJO/v.o ~. ~ tJ.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 927. 003. ()
OWNER
(Name)
-5#/-1/"1 /C.c;r!/C- p~
(Phone)
1
(Address)
CONTRACTOR
(Company Name)
(Contact Name)
(Address)
27~
~
.--:Y'
Use of Building:
INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV V
Occupancy Group: A B E F HIM
Division: 1 2 3 4
A B
R S U
5
o Ml'CA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
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 hereby r~e t~ the ~ity official or a designee may enter upon the property to perform needed i~spections.
1-~ /(J- 31 ,-.. 0->
Date
This Application Becomes Your Demolition
Permit When Approved
~~
Building Official
11/0/105
I Dat~
/c::o-e,'O ~ #/882- .'
/# ~C /0.31. oS;- .-.~
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.
// - ~ - t1S'
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
~i
tr1J
~~
Applicant:
Address:
07/111IG; /ft)u'J e: I</'} tJ v~
3~o/ ft/H(.re;; {)I/-rY10fJD ;C/~ /Jt~.
Check boxes below:
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.
D Cap gas line.* (By gas company)
o Disconnect electric at meter. (By electric company)
o Pump and fill cesspool/septic tanle Celtified contractor required.
D Abandon well. Certified contractor required. Existing well
o Remove 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) ( ./
~r:.~~~~~'
o-v-il ~ pJ~ . ~~
~ -f-o er';-ado. Od ~ ~ ,
* Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
4~~V
Signature
/6- 3[
Date
o~
J :\BUILDING\HANDOUTS\Demolition Restoration.doc
Nov 02 05 11:22a Wm. Otting
10/28/2005 FRI 06:57 FAX 9524968365
9524613262
SCOTT COUNTY PuBLIC WORK
p. 1
~001
Oct 27 OS 09:13a
IJm. Ottinc:
952~S13252
p. 1
APPIJCATION FOR TRANSPORTATION PERMIT
SCOIT COtlNIY HIGHWAY DEPARTMENT
600 ColJ/ltry Trail EliSt
. Jordan, ~ 55352-9339
Phone - (952) 496-B346 Fax - (952) 496-8365
,/
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r.p~rNO'.:4~1:-:r.'" . ".:'1
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Wei ~ of Load
6- CDV
Height
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~-' ~'l ~0N~~X5~~_I.~t~~bf~~~~t~~',f.P{,~~{~~~;{:.(;l,::r;~~~; ;/~~'~~i:~~'fJ~~:~\~~~).
Movemenl From
Sc-c if" Wi,lir/L .
Entire Route:
SrA) if Lc....",I-'/ R.tf 'i 'J- - c..R.. I T-GR..Ii( - 5 fa k. I ~ 9- c.,e el_
I
CArv.uc. ell '-I
Movement to be during Datc(s) of .
/().- 1- O' --05
Has permit been issued ~ final location?
Section Township Range
I (we) certify that the above information is correct. If granted this pennit.l (we) do hereby agree to comply with
the regulations on the reverse side oCthis permit and with Minnesota Statutes, Chapter 160.26, Moving Buildings
Over Hi wa s.
App)jc3nt'~ Signature
'---
MovcmentT" G/)'
"AIQ.O/,,-'e.. Ln
Movcme1l1 Hours
I ~ = vV tJl - ?: a- A/Jr]
Planning, Inspections & Environmenll\l He:llth Pennit No.
No
TRANSPORTATION PERMIT
PERMlSS10N FOR TIllS MOVEMENT IS HEREBY GRANTED subject to compliance with the provisions of the
Minnesota Highway Traffic Regulations Act, and under the terms, conditions and restrictions contained herein and on the
reverse side of this permit and is subject to revocation upon non-compliance.
SPECIAL REQUIREMENTS: APPROVAL IS FOR COUN1Y ROADS ONt y
PLEASE REVIEW THE RESPONSIBILITY CONDITIONS.
Dale
. i:f'INt~Em€UajlJIUl"lGTBE'A:IJ.OVE:Mo.VE!\n1NT':':"'.
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
Water
Natural Gas
Telephone Company
5) Tree removal or cutting
6) Proposed route diagram
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
_ No (Locate on City map)
Signature of Applicant:
Date:
I () ,) 1- 0 )-
16200 Eagle Creek Ave. S.E.. Prior Lake. Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245
i'.N EQUAL OPPORTUNITY EMPLOYER
cWhite - Buildliig:)
Canary - Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT O'7TINrt HOC6E;t1oVI Ncr
APPLICATION RECEIVED I () .3/ OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
WHIfF D//If10NO eD_
Accepted With Corrections /'
/'/0/
34-0 /
Denied
~
.
~
Date: /1/ 1;;.s-
f
Comments: tU~ ~ ~ ~ /~ ~
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Reviewed By:
"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
~arv - Engineering
. k - Plannln]:)
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:
I i/ /1 li- -- L-' //--: /- / (. / /
/ .(.~)
,. I
I ' .
Accepted
Accepted With Corrections
-J.'
Date:
11/( / oS-
, /
Comments:
0: Jx.. llLOJYA-tJ
-- ()}~ uJL!LQ-+
",.r "b r:.~ A. . /;
+
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."
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