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HomeMy WebLinkAboutDemolition Permit #12-0951 y ❑❑❑ c� ❑aoa = o o N� n � Q o 0 0 3� z�� mp m c �� m m n 70 � � � m m y m y � t 0� � � C � � n y N � Z = �� �° o J � o c� Z ` m x z m � � > z � � � v �v � �v � Z ° � � � oaaoao � '+r X � m m �r m ° -� y ° ° 3 �� >�� � �e � �a�� m p � c� � � � � y�c'�1 � � m � � � A O �I r�n O O � � � � � Z �l Z7C 7C C O Z � C D �� O �� � � o -� � � = m � c n � � y m 00�00❑ " � � D � ����� � ` � � �" y m��s; � N � n >mm�� � � m � � � � � � �� � , � : ._....._ . \. ' �-'' P R I ��� CITY OF PRIOR LAKE Date Rec' d � � DE1I�OLITION PEl�IT . � � E S �� , - - PERNIIT NO. .�Z ,ll� � < Please e or rint and si at bottom) ADDRESS . ZbNIl�TG (ofl�ce use) � 2- �3 7 a. i v � a.�n 1r�,�' `'�',, � � . LEGAL DESCRIPTION (off'ice use only) . LOT BLOCK ADDITTON S<< S�«� PID OWNER y � n . r �/_ r q (Name) L� vC +�C� �c K�-� ��`i � IJ �'l �� (Phone) �S Z'" Z 3 I" OL 3 J � (Address) �,� 2' � 7 1 Q � , �' b� � �v �-�, N 1� CONTRACTOR n 9S � ���^ ,�� (Company Name) � -1 .,�'^� (Phone) (Contact Name) �C��— (Phone) �o I 2- GG 9 � l g 2� (Address) (D � s� � ' - (� / 2- � Use of Building: INTERNATIONAL BUII.DING CODE � '� � Type of ConstrucCion: I II III IV � t�i � �t.w. � Qccupancy Group: A B E F H I M�t? S U �. Division: 1 2� 4 5 NlPCA NOTIFTCATION OF INTENT TO PERFORM A DEMOLTTION • � � ,� -„ - . � I hereby certify that I have fumished informarion on this applicadon which is to the best of my knowledge true and correct..s also certify that I am the owner or uthorized agent for e above-mentioned property and that all construction will c�nform to all existing state and local laws and will proceed ' acc ance with su 'tted plans. I am aware that the building official canfevoke this permit for just cause. Furthermore, I hereby agree the ' ' or e may enter upon the property to perform needed inspections . � , 8 � I Z-- • Signature ate ZO � y . • . ���� �: ���� ���"'� . ,� ��`� v _ This A plicaf n Becomes Your Dem litia �����'. � �;� ���� u � ,�;� �, `" e it � hen Appr�oved . . . � 66 9��" r ' � O � O / � �. . Buiiding Official ate �/��� 4 � � � �l (1. O�U This is to certify that the quesc in the above applicadon and accompanying documeats is in accordance witli the City Zoning Ordinance and may proceed as requested. �� �_�o_r� P[anning Direc Daze Specia! Conditions, if aay 24 hour notice for all inspections (952) �W7-9850, fax (952) �47-�245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 LEGAL DESCRIPTION DEED DOCUMENT N0. 193079 � (PID #25-036007-0) . That port of Lot 7, Maple Pork Shore Acres, lying easterly of the following described line: , Beglnning ot a point 'on the southerly Ilne of said Lot 7, � distant 6.23 feet northeosterly of the southwesterly corner of said Lot 7, thence northwesterly to a point �n ' � the northerly line of said Lot 7, distant 7.60 feet eosterly of the northwesterly comer of said Lot 7, and there • terminating, Scott County, Minnesota. " DEED DOCUMENT N0. 192513 (PID #25-036007-1) • Lot 8, Maple Park Shore Acres, Scott County, Minnesota, and that part`'of Lot 7 of soid plat lying westerly of the foliowing described line: Beginning at a point on the southerly line of soid Lot 7, ' - distant 6.23 feet northeasterly of the southwesterly corner of sald Lot 7, thence northwesterly to a point on the northerly line of soid Lot 7, distont 7.60' feet easterly of the northwesterly corner of said l,ot 7, and there � termiriating, Scott C'ounty, Minnesota. ` NOTE: THE EAS'FERLY PARCEL FlRST DESCRIBED ABOVE (PID /25-038007-0) IS DESCRIBED IN DECLARATION OF COVENANTS. C�JDI710NS AND RES7RICT10NS DOWMENT N0. 89174. (OWNER TO.VERIFY CURRENT STATUS) PRFPARFn FOR: , ' w ; . ; , �- _.. � c \ . 1 . . _ � . . . . . . . ' :,. �; : ;. .,,;:.� _ o� P �O� � . ��. ��� Site Restoration Proposal For Demolition � � . u �Nr+�so�¢� . Applicant: R , /4 . ��� � S �,,� L Address: � S� Z- � 7 �a��r,�, a+� k.. � �vu-�, � �/L�, Check boxes below: � Fill Excavation to grade � . � Sod or seed all bare soils ��a''-�- e�'"jr ��`� � Erosion control (see handout). Maintain erosion control until turf is esta.blished. Cap sewer below grade. * Mark location. Licensed contractor required. � Cap water below grade.* Mark location. Licensed contractor required. ya' Call City of Prior Lake Public Works Department (952.447.9898) for water meter �� removaL -� Cap gas line.* (By gas company) �j Disconnect electric at meter. (By electric company) � . N`�- o Pump and fill cesspool/septic tank. . Certified contractor required. N� ❑ Abandon well. Certified contractor required. Existing well � Remove existing structure foundation and footings, materials, and debris.** �f Provide dust control by following means: � �� � Water mist from a water supply (i.e. r 2. Enclosure �� � �„�KE 3. Other B���� REVIEV1l � � MISPECTi01t Comments: (provide survey or draw site pla�� � /`'� � rL - �S ❑ ACCEl�I�� ❑ NO , n � M�IIk �11�N De donA � 4 d�1�1�r�Mr��,saip ca� r �� M � uoMld In wia �fe� *Capping of utilities must be inspected. ������A�� �S ** Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. g Ltl z Signature Date J:lBUII,DING�3ANDOUTS�Demolition Restoration.doc 3��4.! � ��� ��� . �� ;������ .. . . . � �.C'y . 4'li � ...�,_ . �N1�... _._...,.:��x� a � r � '"" r► ' �► � � -�� �� - : z .� a�N01���M A � ;����uBJI�r�1��MIa�1�M►TO� Cs ,.<<<,� ���r�e�MrM w�t �� ,�c, ;pnr�as s �i�M��l��r�m � a �sn �1 ni erbn �I��A iM�M��� �� i��tt .l.M► TA �liN 1� f� iM���� O� ����' � . -� `�" � Site Restoration Proposal For Demolition � � � . U � - �N�so`�� � l� � Applicant: R , /4 . � �. �' � C Address: � S� Z- ��] �a�ir,b a h�, f �v-�•.�, � �L� � Check bozes below: � Fill Excavation to grade � < . � Sod or seed all bare soils p�p'' ea �"r�` � Erosion control (see handout). Ma.intain erosion control until turf is established. Cap sewer below grade.* Maxk location. Licensed contractor required. � � Cap water below grade.* Maxk location. Licensed contractor required. �a' Call City of Prior Lake Public Works Department (952.447.9898) for water meter �� removal. �. Cap gas line.* (By gas company) .�j Disconnect electric at meter. (By electric company) � � . N��- o Pump and fill cesspooUseptic tank. . Certified contractor required. ,�/,� o Abandon well. Certified contractor required. E�sting well � Remove existing structure foundation and footings, materials, and debris.** � Provide dust control by following means: � � Water mist from a water supply (i.e.�i r . 2. Enclosure ; V� �' �„��,KE 3. Other B�� �„� REVlEVV � � nvs�croNc Comments: (provide survey or draw site pZa�.�. ��y � L _� - � ���M1.O��B AS NOTEC � � . ��UBMIT - n''�"' M� M�r es do�►A ����a��11►���Illrlr�ari�p �orr n � �'��AN�'ldr�AT�i.t. T�s. � Capping of utilities must be inspected. ** Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. � Ltl � Signature Date J:`,BUII.,DING�HANDOUTS�Demolition Restoration.doc O � PRip� h ..� � U Memo ���so�P Date: Thursday, November 8, 2012 To: Janet Ringberg From: Lynda Allen Subject: Demolition Permit # 12-0951 _ 15287 Fairbanks Trail N.E. The memo authorizes the return of the $5,000.00 demolition deposit. Please return the deposit ta R.A. Kot Homes, Inc. 7694128"' Street West Apple Valley, Minnesota 55124 Thank you. � L � d S. en -------- 'ng Services Assistant Phone 952.447.9800 / Fax 952.447.4245 / www:cityofpriorlake.com