HomeMy WebLinkAboutDemolition Permit 08-0868
CITY OF PRIOR LAKE
INSPECTION NOTICE
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TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
)El.FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL i} 0 __
COMMENTS: A-,lJPi2vvco G~L hU:-.
PZWORK SATISFACTORY, PROG"EED
o CORRECT ACTION I ND PROCEED
o CORRECTf}>ft1'r.};:; FOR REIN~ECTION BEFORE COVERING
Inspector: r1 )~ OwnerlContr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
PERMIT NO~ "/368
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ZONING (office use)
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
C. /-('1 0((;- PIl-,i)fZ.. LA-ttff
4-fI2~ Z7.A--,~ I /. A~
(Phone) 'l<:)' L . 44 7 -'I !PO')
(Address)
CONTRACTOR
(Company Name)
(Contact Name)
(Address)
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(Phone)
(Phone)
Il.'u~KNATIONAL BUll..DING CODE
Type of Constroction: I IT III IV &/
Occupancy Group: & B E F HIM
Division: 1 2 3 4
'if MPCA NO Ill' ICATION OF INTENT TO PERFORM A DEMOLITION
Use of Building:
J<G.$ r J'lv4/V" r
AtJP
R S U
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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 authorized agen ti r the above-mentioned property and that all construction will conform to all existing state and local laws
and will proc in a 0 ce w: submitted pla'ils. I am aware that the building official can revokit . s permit for just cause. Furthermore,
I hereby agr at of!i' r a designee ~ enter upon the property to perform needed inspe on~./
~ ;C> Ib/05
I .~. "'-... I I Date
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This Application Becomes Your Demolition
R rmit When Approved
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This is to certtfy that the request in the above applicalton and accompanymg documents IS in accordance wIth the City Zonmg Ordinance and may proceed as requested.
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~ Planmng DIrector 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
Applicant:
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lc::'~ ~ ~ M~N Ave-
<;"'. 6-
Address:
Check boxes below:
-f Fill Excavation to grade
'P- Sod or seed all bare soils p,A-v6
~ Erosion control (see handout). Maintain erosion control until turf is established.
.1l5f- Cap sewer below grade. * Mark location. Licensed contractor required.
'f/- Cap water below grade. * Mark location. Licensed contractor required.
fr Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844), for water meter removal.
)f- Cap gas line.* (By gas company)
~. Disconnect electric at meter. (By electric company)
-s-PGThp and fill cesspool/septic tank. Certified contractor required.
~ -Abam.'tbn well. Certified contractor required. Existing well
{; Remove existing structure foundation and footings, materials, and debris. **
o Provide dust control by following means:
1. Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
Comments: (provide surveyor draw site plan)
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*Capping of utilities must be inspected.
** Final ins ection an\~approval of restored site required.
appro v J}: ; ?J;n. ~
Signauife ~
Deposit will be returned after
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Date
J:\HANDOUTS\Demolition Restoration.doc