HomeMy WebLinkAboutDEMOLITION (ANNEX) 06-0879
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12: 17 PM
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No.2304
p, 2
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec'd
rz5. OCP
ADDRESS
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LEGAL DESCRIPTION (offie\!' use only)
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BLOCK
APDITION
OWNER C
(Name) .', (r
(Address)
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(phone)
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CONTRACTOR
(Company Name)
(Contact Name)
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Use of Building:
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INTERNATIONAL BUll..DING CODE
Type of Constmction: I IT ill IV
Occupancy Gl:oup: A B E F H I
Divisio~: 1 2 3
V A B
M R S U
4 5
!\-fPCA NormCA nON OF INTENT TO PERFORM A DEMOLmON
r hereby certify that I have: fu.mishc:d information on this J.pplicarion which is to the best of my knowledge true and correct. I also celtify that
r am rhe OvmCT or authorized agent for the above .mentioned p.ropertY and that all comtruction will conform to all existing state and local laws
and will proceed in ccordance with submitted plans. I am aware that the building official can revoke this permic for just cause. Purthemlore,
r hereb agreJ<lJ3 )... e cicy official or a designee may (Ot/1' upon the propeny to perform needed inspections.
L I . \. q.. '7S-()/
. /." (-<.. --l,;'
f,) Signature Date
This Application Becomes Your Demolition I
Permit When Approved
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Thi. is 10 e<11ify thQllht f"'lUCgt ill th. abov.. 3pp!ic>holl and .c.ctlmpanying documenls ill in llCcDrdan~ WIth th. City Zo1'llng O,dln,ncc ."d mny proccl',d as fe<juenll'd.
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24 hour notice ror all ill~pecdolls (952) 4-17.9850, fill: (951) .i47A2-iS
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
Site Restoration Proposal For Demolition
Address:
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Applicant:
Check boxes below:
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NA 0
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~ Fill Excavation to grade
~ Sod or seed all bare soils
J( Erosion control (see handout). Maintain erosion control until turf is established.
~ Cap sewer below grade. * Mark location. Licensed contractor required.
)l{ Cap 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:
(!) Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other rA.lAST CO ~ -rn..o L.
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Comments: (provide surveyor draw site plan) r ,
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*Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
Signature Date
J:\B UILDING\HANDOUTS\Demolilion Restoration,doc
~itA - Buildina ~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LLOYDS
C/. 25. 0"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
+~~ O/f/arn S7726eT s.6.
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
Date:
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Comments: ~ ~ ~ ~~ '/&
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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."
White - Building
Canary - Engineering
~,"k - Plann"~g)
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:
/
Accepted
)1
Accepted With Corrections
Denied
Reviewed By:
d~
Date:
f?-;l.B --V' 6'
Comments:
4
"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."
------...-,. ..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LL uVD':::
r; 25 ore
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
0/1 Ie-Oi?) Si7c6E T ~,E.
4-??-C;
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Accepted With Corrections
Accepted
Denied
Reviewed By:
/lIKl1!>
Date:
r-~)-c9'
Comments: . See Reverse Side for Additional Information!
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See Attaclnnents: 1) Grading Plan, 2) Erosion Control Measures
"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."
/