HomeMy WebLinkAboutDemolition Permit 08-0211 � ❑ ❑� t7 ❑�OO�❑ 'o O D Zc�
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O F P R Ip�
CITY OF PRIOR LAKE Date Rec'd
� � DEMOLITION PERMIT � . �. , �
--- �
� E s��
PERMIT NO. � 8 , � �
Please e or rint and si at bottom
ADDRESS ZONING (office
/ `/3 6 �-� �� TG .�.� s �r� ��T u�,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDTTION PID
OWNER �Q
(Name) ,�.4>2T y'- L�'/`f�.� Y�- /� Yrv l9/� (Phone) '''•¢ierf ct«-
�/L-7a/-�
(Address) /, 3,� y u 76 t.2 s S7�LLT
CONTRACTOR ,/ ��
(Company Name) /7 va•� S � /`7b �'► � S �.e7'7Y (Phone) �'!5 z - Z 9► z - / 9 �/O
Contact Name �N.9-2 K /Yr9 tio� s o.✓ Phone 9� z-2 4' L-/ 9� �fo
� ) � )
SS) 90 s z „2 w.� Y .<< ,��. �� � o k1�v �Sa z c�
Use of uilding. INTERNAT'IONAL BUILDING CODE
Type of Construction: I II III N V A B
f` •�� Occupancy Group: A B E H I M R S U
Division: �/ 1 J/ 2 3 4 5
� `— J
MPCA NOTIFICATION OF INTENT TO PERF:ORM A DEMOLITION
I hereby certify that I have fumished 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 plaris. I am aware that the building official can revoke this permit
for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed
inspections.
!-�� v Z O8
Signature Date
� This Application Becomesyour Demolition � � �� ,' ,
;s
Permit Whien=Approved
� f�i{�ol� 7� al Q�u�-
���l.r.�.t- � S z a p' �j�y id ,... /�'��
Building Official 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.
/��' .5=�3�0�
Planning Di or Date Special Conditions, if any
�5/�5/2�08 2�:55 7532538847 SIJIFT H�USE��1���,rERS PAr,E 02
� �
�F PR,��� �� .,
� q 4646 Dakota Street S.E.
v 7r Prior l..ake, MN 55372-J.7J,4
� - -
�'�Mveso�c �
�OUSE 1v�UVT1�1G IN �'�OR LAKE
❖ A Demolition permat is requixed.
❖$5,000.00 Non-revocable Letter of Cxedit is requxred. :
'`' •"• Site restoratxon plan is required, or ar� approved bux�dx�g permit applicatxoz� for a new l�ouse.
.
� � ::;�
❖ Damaged sidewalks, stXeet or curb s�all be repaired i� ar� approveci mar�oc with all costs to be paid <
by tk�e permit hotder.
❖ T�e structure to be removed shall not be stored on the stXeet ar �ther public properry.
❖ The pern�it holder sk�all controi erosion on the property.
❖ Open fouz�dations or other haaazds shall be protected with an approved sa�'ety fence.
•'• The perm�t holder sk�a�� comply with the Tree Preservation Ordi�an�ce. All work shall be done :
.
outside the drip liz�e of all protected trees.
CO1��PLETE T�� FOLLOWING �
1) Proposed house move date (24-hour Folice notice requa�red) _
2) Scott County Highway Permits �� Yes No (Fo�Cau�,t Roads)
3) Site Restaration Plan� Xes No
4) Utilities sk�ut offnoti�cation:
Electric _,,,?� Yes _ Na
Water Xes _ No
Natural Gas _� Yes No
Telepl�one Compan� __� Yes � N'o
. S) Tree removal ar cutting Yes No
6) Proposed route diagram .� Yes _ No (Locate on City map)
Name of l�oving CompanY _..,.��.. .� -� T _�a.�.a..��F�,> > �� � �
,Address �! c � x r 4 � � � .5�.��
City, State, Zip � �
Contact Person ,; Phone Number 7 — �� 7
State H�use Mo��er's License No. ? Date of Expiration a 2 0
Property Qwner Name � Phone Nw�zxber ro I �ni s"3 ys`
Pro�erty :4dclress (kiouse to be moved) l4 � <! g •• �...�.� c_�' �� '�' pr ' �
Signature of Arplicant: ' .. lJate:
unuu,.cityc!rrio: �ake.com
Phone 952.447.y800 / Fax �52.447.4245
O� P ���i''
� �" Site Restoration Proposal For Demolition
� �
u r�
�INNESO��
Applicant: /%i9-,2 i � ¢ ���.� �� �y,��9�c
Address: / �/ 3d � ✓�u T� � � s Sr2 .E,�7'
Check boxes below: � - �� � y�'Ft�
�' � ill Excavation to grade
� Sod or seed all bare soils
� Erosion control (see handout). Maintain erosion control until turf is established.
�� Cap sewer 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� � Cap gas line. *(By gas company)
v/Disconnect electric at meter. (By electric company)
� Pump and fill cesspool/septic tank. Certified contractor required.
rpt Abandon we1L Certified contractor required: "Existing well
�Remove existing structure foundation and footings, materials, and debris. **
�Provi dust control by following means:
�l Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other _�eeP a�6��e<s C����b aP a Ce �ri ��;v�o
Comments: (provide survey or draw site plan) oF ��
1r1�,f'1 Chcc �c,�- /NSP�T`!o � 7a dE�tiFY �1,s�aN�6'�7'ta rJ .
uriuries �4� C�PP�iNd:' aF 5�+� � wo,.t�. Gr�� �3�.e.e�' �-�oy'��
��,�. �d � �,✓ �4 Nr� l�o.M-�. �'La/� �G P��- ! r �s �Ea �c i�c� T�+ �
� rwE o �e r o F G TY: /��p L�7to r eo .� e,eus7t,� a; j'T1l�c.TZ"7T t D��
*Capping of utilities must be inspected.
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection - oa.. -�F-`r�-- -!"ak�+.��r�a.� ��Fi.� P��-s ,
jNSr�e nro� 4c� �ie� By J'zc2v�'r�a �e �a BE �4d,,� 9Q 9 9`�.ar�.� .
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