HomeMy WebLinkAboutBuilding (Demo) Permit 09-0591
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
I PERMIT NO. Ol.. ~q I
ADDRESS
Ib 188
ZONlNG (office use)
~.J::A
c.::il{J-c'E;T :S 6
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
Pill
OWNER
(Name) J..tni..-'1 ~ U";;;t:'5"'t;'o Mt::7Ho6.:r-'Sr CUldeN (phone) ::;-5. 2' -.:.1d77-2<99o
(Address)
/6 (50 A~CA.J)..t:A
('-:;;;1YJc"'C'"'$ ~t:-
ilJ~ f;.. (..1~' C I :I", ...J
CONTRACTOR
(Company Name)
(Contact Name)
(Address)
.:
(phone)
(Phone)
Use of Building:
1-h.n1 E
V A B
M R S U
4 5
INTERNATIONAL BUILDING CODE
Type of Construction: I IT III IV
Occupancy G1:'oup: A B E F H I
Division: 1 2 3
lZ! MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLrrION
I hereby certify that I have furnished information on this application which is to the best of my lmowledge 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 t~ official or a designee may enter upon the property to perform needed inspections.
c....,-- eLL 1'/'//09
. Signature Date
Becomes Your Demolition
t en AMJroved
111~~I~~7~T,l.1
~.et) CA5l'f,bA S. C!...l~
ft-.j' VA-<) '- T Jt ~B S~
~
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested,
" 9-7-t:J~
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:
t-k <-'-1 Jf2.::1..~.J::5-~ UN~ rfi-(;7tJO 6'J..t., ('(1...( t rl!
Address:
J61B8
p\1;I~. A.e:...b\
S.~,[l'.,
~t'
Check boxes below:
;EJ Fill Excavation to grade
~ Sod or seed all bare soils
)if Erosion control (see handout). Maintain erosion control until turf is established.
~' Cap sewe! below grade. * Mark location. Licensed contractor required.
)!(. Cap water below grade. * Mark location. Licensed contractor required.
..~ Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844) for water meter removal.
,J / A t Cap gas line. * (By gas company)
:El Disconnect electric at meter. (By electric company)
IJ 1(\ l:J Pump and fill cesspool/septic tanle Certified contractor required.
,.J)I\ l:J Abandon well. Certified contractor required. Existing well
;Q. Remove existing structure foundation and footings, materials, and debris. **
;a. Provide dust control by following means:
(f) Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
Comments: (provide surveyor draw site plan)
A:n-p" c 1t~
*Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
~_ -1~
Signature
j' /7/09
Date
J:\HANDOUTS\Demolition Restoration.doc
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ( (/) ( 9J B ~AIJ (~ ~.
NATURE OF WORK ~<.., (O~
USE OF BUILDING ~Co
PERMIT NO. ,. 5t:::t DATE ISSUED S -z
CONTRACTOR r-k.~ 'tltCIV 'l1t ~ PHONE -7. (:;'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER J.fi,;;Vl1C - CI'\:;?
(if required)
GAS LINE AIR TEST - 0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
rlt-J-AL-
=:.i iiii. Il'j 1_' h..~ i
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850