HomeMy WebLinkAboutBuilding 05-0013 (Demolition)
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
2./0.05
I PERMIT NO'05.'p 1/3
I ~isf?)~b"tt: I ~ 0
~~/;
I
I ZONlNG (office use)
I AISD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2E), Z
()tJ-f.O
~ r {/f1
~
'1'.'3- 42.\ - 3:')-oc
OWNER
(Name)
C / ("4-~'
(Address)
CONTRACTOR
(Company Name)
(Address)
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 agree .th~he city official or a designee may enter upon the property to perform needed inspections.
~~ 2-9'/ Ob-
Date
n Becomes Your Demolition
i When Approve
\ :ME'I'ltQlMGE:S)SAC. il.{Nl...... T
..DETERMINATION ..... ..
/C::~(!;riJ /-0 (!.- z..J () , 0 sg It'
(IN JI'1,:;.e) ~ / fA-
JoJ
This IS to certify that the request in the above applicallon and accompanying documents IS m accordance with the City Zomng Ordinance and may proceed as requested.
~~~ 2. 'OS'
Planning Director Special Condiiions. 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: O'T\v'-.J<-? ~ ~ (~~'2c~
Address: ?---~ <::~ t~rLA- t~
Check boxes below:
J1 /),/\,5
~jl""'\S
.
.~ Fill Excavation to grade . )'A--.
o Sod or seed all bare soils
o Erosion control (see handout). Maintain erosion control until turf is established.
[J 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 for water meter removal.
o Cap gas line.* (By gas company)
o Disconnect electric at meter. (By electric company)
~-i>ump and fill cesspool/septic tank. Certified contractor required.
K Abandon well. Certified contractor required. Existing well
o Remove existing structure foundation and footings, materials, and debris. * *
o ~vide dust control by following means:
1. "Vater 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.
approved final inspection.
Deposit will be returned after
~~~
Signatur
Date
J:\BUILDING\HANDOUTS\Demo Site RestoLdoc
HOUSE MOVING IN PRIOR LAKE
.:. A Demolition permit is required.
\~:~i $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
Proposed house move date (24-hoUT Police notice required) 2-;( ~ /0':;-
Scott County Highway Permits ~ Yes _ No (For County Roads)
1)
2)
3) Site Restoration Plan ~ Yes
4) Utilities shut off notification:
Electric =! Yes
Water Yes
Natural Gas Yes
Telephone Company Yes
5) Tree removal or cutting F Yes
6) Proposed route diagram Yes
Name of Moving Company &,...-r\J0u li-v use:--
Address \ l& 4-0 7.... L "5"" ~ ~ ~ _
City, State, Zip t-A-t:c U /U--c }IV\ rV
Contact Person ".boLo...,..-
State House Mover's Lic~n~ No.
Property Owner Name {.,?U
Property Address (House to be moved
Signature of Applicant: t.th.~ ~
C/
No
47- - ('7N
No
No
No
No
No
_ No (Locate on City map)
I~A() tCi%
Phone Number
Date of Expiration
Phone Number 74
Date: 2- - ?
oS-
16200 Eagle Creek Ave. S.E.. Prior Lake. Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER