HomeMy WebLinkAboutDEMOLITION 06-0336
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
5/7- / () (",
I PERMIT NO. OW. 03310 I
(Please type or print and sign at bottom)
I ADDRESS
\ ~ 7 00 (:a. Vl-\.e Y' '<0,,1.. \r '-I
\
ZONING (office use)
~c\
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
PID d5-
OWNER <:. .
(Name) J'M~
(Address) 23 '3 0
1'-'
f (t.A~(L L
(Phone) 01 d-Cj" Y - 09 &''1
72-
.
51 0 \J.
CONTRACTOR
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Use of Building:
INTERNATIONAL BUILDING CODE
Type of Construction: I II ill IV
Occupancy Group: A B E F H I
Division: 'I ~ .C-I 1 2 3
MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
V
M
4
A
R
5
B
S U
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 a owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and loca11aws
will p ceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
eby ag e that the city r a designee may enter upon the property to perform needed inspections.
. Signature
5 . d- 0~
Date
This Application Becomes Your Demolition
Permit When Approved
~~
Building Official
512-~G.
· ~ate
This is to certify that the request in the a ove application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
f~.2"'6
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
Address:
SMSC
;JY3CJ
I
S/04)(J
.
~,.f?~~)
fl.,t. ~-) ,
'V~
S-~3 7..J-.
Applicant:
Check boxes below:
4'ill Excavation to grade
ct Sod or seed all bare soils
~prosion control (see handout). Maintain erosion control until turf is established.
~ ...rap sewer below grade. * Mark location. Licensed contractor required.
~ ~ap water below grade. * Mark location. Licensed contractor required.
~ Call City of Prior Lake Public Works Department (952.447.9898) for water meter
,removal.
~ Cap gas line.* (By gas company)
~ Disconnect electric at meter. (By electric company)
~Pump and fill cesspool/septic tank. Certified contractor required.
~ Abandon well. Certified contractor required. Existing well
~ Remove existing structure foundation and footings, materials, and debris. * *
~Provide dust control by following means:
1. Water mist from a water supply (i.e. neighbo~r ~nk)::)
2. Enclosure
3. Other
Comments: (provide surveyor draw site plan) r
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*Capping o~utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
~~ .s;-J- o/'
Signature Date
J :\BUILDING\HANDOUTS\Demolition Restoration.doc
Doolittle
13700 Canterbury Road