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HomeMy WebLinkAboutDemolition Permit #12-0989 y o❑❑ c� �000 =� o y� n c� � �� 0 3 y � y � °p o m "' m c m y �� c O � D o ��� 3 r � y ,��n t� � � m m N 1T1 N SZyz O y O� � � "{ � � - m ��=�� Z O b v � n y N n Z = �� � � � O n = n � z -� � m m � O � v � '� � _ " � � b J � m � �j (t O�ODO❑ � m m m m � �vrng�� � - y v o � �c '�c (��j .,� z v C����_� m � ` n � C m � � ; A�xx�°� � � L v '° a o J ��gg � a. (_ � � 0 � � Q � C C Z 1 � �'„ _ � m � ��� � � v � � ° � = m � o � � C � \ � y m ❑OOO�O R. > Gf y��n�� � � � � � � ��55� � ' N < Z m Q� � � >mm� � m �,�� � � -�'+ � c=i � ❑ O� n ❑ODO00 � O > =c� � � �� O N„=„o,� p � ° v �� n n � ��� 3 rt��c�cg m � m n� � D o ��� 3 r 3 z-� tn -� � � � m m y m y �Zy= O y O� �, � � y Z � ��� Zp � � .� -� m 0 0 V � n�/! (I� � Z Z �� � � � O � �' Z nD o Z , mm ►� O � Z °� � � r � � y � � � � � m 7�0 � � "� OODOO❑ '� m m m m � m� �sm � O Z m v o '����P� � � ", x � � n � Z� � � Z m n O � ��SO � � � � C �° z ,�m� d ���v o � v � _ �° � � � � � � � � c o y � 000�0❑ � � Z Z ���o�n � � �, o c� ����� a M n s�m�� � m ��� r � m �� � d � �� � CITY OF PRIOR LAKE Date Rec d � D� DElVIOLITION PEl�I'�' g �.36 ,/ Z �- r� E S �`t + - - PERNIIT NO. fZ . ease e or ' t and si at bottom I ADDRESS . ZONIl�T ce use) �/7 (/i'� O� ' / � �' r ,y� �.Z LEGAL DESCRIPTION (office use only) , LOT BLOCK ADDITION pID OWIVER � - (Name) _ - u�i�tJ G,/�Af�� �i�:rP t,�tl�� �' ��l �'/P �PJ 1 Y'Tl /j✓G� (Phone) �/� ' 3�• �°g6 (Address) ,30 0 � AJ.0 AC�/3 �/�`�� � CONTRACTOR (Company Name) �S �RaBGA-5e' .S�iC.!/iG� ���i� (Phone) ����'y�' �� .. (Contact Name) ,/���/1 kJ�}'A1 !�[ i/� (Phone) �/.2 36� 9.2.3�f �'�tG ., ddresS) / 766 � /!?GC� �sYcJ/v yQQ l i¢ �C� �?iVr �� Use of Bu�ding: � INTERNATIONAL BUII.,DING CODE l �/NC9l.c,�' l�1�t t� ��.--.�," Type of ConstrucCion: I II III IV � A � --- --7�fltcupaacy Group: A B E F Ii I M� S U �/" _.. _� Division: 1 2� 4 5 �y�a MPCA NOTIF'ICATION OF INTENT TO PERFORM A DEMOLITION • � I hereby certify that I have furnished informarion on this application which is to the best of my knowledge true and correct. I atso 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 th city ' or a designee may enter upon the property to perform needed inspections. � --�- � � �� 12 gnature Date � � 4l'u`�t c7 �`" � ��'ES �€ "'s.r �. _ This Appli ation Becomes Your Demoli n ���� .. �` .� �t,��� n � : >� � � � ,, . w . � . ,.,. � : �< �.� . ��..w 14',� n. .�.'� F Y `' t � G .'3;,,x v k � ` .. a��.� ermit iNhe� Approved . S. =3,0. /Z . ( Z_ � /�'t�'� . �� 63z�5o � .�7 Z � u ci ate This is to certify that the request in tha a ve application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. f-�Ill-/a � Planning D' or Date Special Conditioas, if eny 24 hour norice for all inspections (952) 447-9850, fax (952) �t47-4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 i w . � " � . ..ri�'s:�� � . �.. . ...' . ' ... , . : .x - 1 ' .. .. � , .. *. � . 4 .. .. o k � � . � . ♦ o� P �°�A � . � `� �' � Site Restoration Proposal Far Demolition �, � � u r � '�i��so'��' � , Applicant: ��kS` ���� �j�/G�' //�G; Address: �1��13' /�Ce�Yd�/� �� �� /�//�/� ,5��� Check boxes below: � Fill Excavation to grade � � or seed all baxe soils .��/ Erosion control (see handout). Maintain erosion control until turf is established. �. Cap sewer below grade. * Maxk location. Licensed contractor required. a 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) � � . t�► ❑ Pump and fill cesspooUseptic tank. . Certified contractor required. �/e, a� Abandon well. Certified contractor required. Existing well � Remove existing structure foundation and footings, materials, and debris.** �. Provi dust control by following means: � l: Wat�r mist from a water supply (i.e. neighbors, water tank) . Enclosure "� 3. Other Comments: (provide survey or draw site plan) u�+�n `,�� �.;,;� . r �,;;,� � INSPECTOR DATE y PERMiT NO._. f,�_ '�� � O ACCEPTED S SuBMITTED , � � ACCEPTEb WITH CORR�CT,I4NS��AS NOTED -� {3 J�1' A�CC€FT'ED-0OFtAECT d REStJ�MIT , �`� � � TheM oOnxnNN� �n ta your i�Mnn�lo�. Alt wak �N b�done o�; �� in fuN�ooAlpN�nd� MAMt M aPPMt� buf�p s��rp a9�M`` . cequire�rienis Mdudinp items not tp�iqily no1�cF In lMs,�Miw. * Capping of utilities must be inspected KEEP THlS PLAN SET ON SI'F� AT ALL T�MES. ** Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. ,� � - . ,,��./ 9� �?D'�� Si ature Date J:`�BUILDING�HANDOUTS emolition Restoration.doc , ¢ .. . . . . . . y . . . y . y:�� � . . , , • .. ~ A � ., f � R'' , . ' ... . :' .. ; x _ . .� .. . . �.! � ... . . - • ...... ....�........ ......... .. _...' .. ..+..�. - " :=� � �"tMBJ��' ?�41�13T`i��',�� :.�. �:���av� �A �v�u� � ;� ���r+.l rfr:w a�nrq��.J� ;: TIM8t183A ,6 3'��A�1f?�-+��79��3A 7Gi�� °.. 3�+c;r � !1i!ia �+ow 1iAA .t�cn.+am�otrsr nioy 7at �s� �atryrnr,rr,,, �. . i�Y�: tl�!���' � �ntCtiit�v 7w�L`?�{�pf� '!'ts �l�Mt d9Ab�h'br�lti� . , -. • . .. � {">"1' • . �ai;')': 4 4 ��: ���!S :%r{• �. �� .,r,. ..��� 2,�1$...�.�... ,. , �1 : . 1 � . . . . .. ` � µ . � . . � . DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS �v c Z� cv.ar� s,-�� Qtv� TYPE OF WORK p�.r►�.��T«.� USE OF BUILDING cZ�s o�.� PERMIT NO. (z• qb5 DATE ISSUED � o�2 BUILDER �s l�i6c.4r �c�% PHONE # �Iz•3�.•�z34 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE C �}' l 7 �G••�,i`' ' �'r � . PLACE NO CONCRETE UNTIL ABOVE� HAS BEEN SIGNED FINAL FOR ALL INSPECTIONS (952) 447-9850 ., .' , o � Pxto� N � � U Memo ��SO�P Date: , Thursday, November 8, 2012 To: Janet Ringberg . From: Lynda Allen Subject: Demolition Permit #12-0989 16179 Evanston Avenue SE The memo authorizes the return of the $5,000.00 demolition deposit. Please return the deposit to: Mark's Bobcat Service 196051VIushtown Road Prior Lake, Minnesota 55372 Thank you. ,�, L — . Allen Y-- -- _ uilding Services Assistant Phone 952.447.98Q0 / Fax 952.447.4245 / www:cityofpriorlake.com