HomeMy WebLinkAboutDEMOLITION 06-0205
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CITY OF PIllOR LAKE
DElVIOLITION PERMIT
Date Rec' d
3\ZIIO~
C~TY'S COpy
I PERiVIIT NO.O~. 020st
(Please t e or
ADDRESS
I" Z~I
oe
.t-.t~
LEGAL DESCRlPTION (ollice use only)
LOT :5'BLOCK
ADDITION
/t/oemNoOD
p!DZ5; (4/.01+.01
OWNER ~ II A '.~
(Name) ~TT IVlfrIZ;;-4.-
SYDtS
(Phone)
J
(Address)
~ EoIU)~
(Phone) &i5l' ID~oqs5
(Phone) '152, 447 ,OCf>--;;;-
(Contact Name)
(Address)
Use of Building:
01lJ~ ~Il,(
.DW/:;:LLJN(,
INTERNATIONAL BUILDING CODE
Type of Constmction: I II III rv
Occupancy Group: A B E F H I
Division: 1 2 3
I ((, C '
V A B
M(!:)S U
4 5
l'vIPCA NOTIFICATION OF INTENT TO PERFOJUvI 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
at)nill proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore.
I er by agree tha~e city official or a designee may enter upon the property to perform nee7d d insPfctions.
~ ~--- '3_20/0(::;
. Si ure f
This Application Becomes Your Demolition
Permit When Approved
Building Official
3/"2. 7/0 ~
, Date
~ ~ ~lt--- - ~ LOC.
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ve applicalion and accompanying documents is in accordance with the Clly Z01l1l1g Ordinance and may proceed os requested. M
3 - :1.7; 06' t tI~ A,~re", LJ/".tf C.,,),'-b"ns M..y 6ts"f: Co::' ~
Dale ~ Special Conditions, if any , ~~
24 honr 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: _~ ~L ~1(1l)L~S 1 &lW~CS
Address: J~/l "D1JI_.lJ1\1 A\t~~ -s6 I \1Z-\OR- ~__ I M~ 5537?
Check boxes below:
o Fill Excavation to grade
o Sod or seed all bare soils
~ Erosion control (see handout). Maintain erosion control until turf is established.
o Cap sewer below grade. * Mark location. Licensed contractor required. ~. R-t.
o Cap water below grade. * Mark location. Licensed contractor required.~. ~,
~ Call City of Prior Lake Public Works Department (952.447.9898) for watcr meter
removal.
r/ Cap gas line.* (By gas company)
~Disconnect elcctric at meter. (By electric company) tJo~;
o Pump and fill cesspool/septic tank. Certified contractor required.iJotlG . .'- . )
o Abandon well. Certified contractor required. Existing well (~"..J.. p~ ~~.
r/ Remove existing structure foundation and footings, materials, and debris. * *
o Provide dust control by following means:
((i)Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
Comments: (provide surveyor draw site plan)
~ r ~..AA ~ ~_eJ ~e>v-f)
~ ~ o-JL ~~~~"tr-7d-J 1 ~
*Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
~JC 1~
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