HomeMy WebLinkAboutDEMOLITION 06-0665
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
t!tIJ/:t Rec'd
\ PERMIT NO. Oft;. 0&"5 \
(Please tv e or
ADDRESS
ZONING (office use)
,e/SD
o
Co tiE
A tI~,
LEGAL DESCRIPTION (office use only) .
. c::.\\B
LOT BLOCK~ J ADDITION 'i,e..'" O~ ac.,~ c.. S
PID ~S.... \\~{)()a-C
(Address)
(--I':' r !~
OJ'() ') 10 __C 1\0'0'.
(Phone) j d<:J.-: ,,' C' I j
/' ,.'" ~,
!/r;"/ ,I" /-:'~) I J -
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OWNER
(Name)
(Address)
Use of Building:
51~O .
\tel
INTERNATIONAL BUILDING CODE
Type of Construction: I IT ill IV
Occupancy Group: A B E F H I
Division: 1 2 3
V A B
M R S U
4 5
MPCA 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 agree that the city -; ..-- a/~ptsignee may enter upon the property to perfo~ needed in~pections.
~ ( i '~L
'., - ) J '- J:....;
. Signature Date
~
Building Official
This Application Becomes Your Demolition
Permit When Approved
7/zcf)"
Date
~db--
/.... D.C.. ~ _
(!d )
'1/pf ~
~;
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
;1- c2l(-oC
Date
~e t:;;1t"~ .5k4"r:
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: ~\>J xi {\ S \" '< e.e. i(,. \.~<<'CO-'{}\ (\,(\. \ n <:
Address: \\1\' ~X\)\.\.'f~ Q.~ (".\\<0ili\'lee '1\\'\\ ')S~lq_
Check boxes below:
tJ~
tJA
~ Fill Excavation to grade
~ Sod or seed all bare soils
"til) Erosion control (see handout). Maintain erosion control until turf is established.
" Cap sewer below grade. * Mark location. Licensed contractor required.
)'t Cap water below grade. * Mark location. Licensed contractor required.
~ Call City of Prior Lake Public Works D~artment (952.447.9898) for water meter
removal. ~ ~ tI\Ji!u... ~ ~\L\ ~f:R...
'f.t, Cap gas line.* (By gas company) .
~ Disconnect electric at meter. (By electric company)
tJ Pump and fill cesspool/septic tame Certified contractor required.
o Abandon well. Certified contractor required. Existing well
Js Remove existing structure foundation and footings, materials, and debris. * *
){) Provide dust control by following means:
1. ater mIst rom a water supp y (i.e. neighbors, water tank
2. Enclosure
3. Other
Comments: (provide surveyor draw site plan) .
M In ~, -;. ~ ~ -J). ~ ~..... ":'-.
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~utilities must be inspected. ~
* * Final inspection and approval of restored site required. Deposit will be returned after
appro . diction.
Signature
1-a--r- O~
Date
J :\BUILDING\HANDOUTS\Demolition Restoration.doc
v
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT IJpvl::2Mto ~..L 'l-7:~q~a
APPLICATION RECEIVED /- ;;;"'0 ~ to
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1j/)3 () {' ~(J~ --/ frLJ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~
Date:
7.. l 7-<Jk
Comments: See Reverse Side for Additional Information!
. . .
. See Attachments: I) Gra,ding Plan, 2) Erosion Control Measures
.... '~:.. .
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."
White - Building
Can a 'neering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
l _. .._._""
Accepted
K
Accepted With Corrections
Denied
Reviewed By: ~ ~ Date: 7 - .J. r - 06
Comments: ~ h/A.11 tJC,-e/'c,V\ ~r b~l {;1(lI1usr: ~c.c.s5 ''".yee6;''11
A.C ;:'~.sr ~S-~.5 jJr,'or ~d L OC eJC/;,.t:>.:t:t'u,.. c1.re.
foe: eyres un oc;~. /;; ;2l7(Jb. j1/ew Loc w,/I be
r e. ".. /re ,.-f 10 oAl'\r/a.,-t:,""" ot:, e $ n crt. 1f..5
-Co Ocz. /1 ;)0'06.
,
"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."
c- White - ~Uildi~
Canary - ngineering
Pink - Planning
,
NAME OF APPLICANT ,J ~ ~ 'I- /{:0d<J/f II IY./Jf!j
APPLICATION RECEIVED /- ~O"' to .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'1/}'3 n (~()~ -' }4-LJe..J
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ ~
Comments: {i~
Date: h/~~~"
II
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"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."