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HomeMy WebLinkAboutDemolition Permit 12. 1459 a -� eu.i w CC \ \ \ O • \ g a a ai • 0 o ■�� 0 « ® - CY § , §q��0 § ? 2 � 000000 \ J > & § .. § 0 � } nt. • \ MI - z § \ § § I.: 0 § yc E e oo = u o 0 ; x z ce 2 ?27 0 ° ) Q 0 w 1� XrGm"- a / 2 2 III \ � 0 } k /} W .. ww X ot % OOOOEO C) C) 0 w • a a 1 \ ' _ w 0 \ m w w z u . © 0 « m z o g 2 CC Z § § _ § § / a � n 2 § W § § k � � z w z k \ §�zd 2 0 0 \ 2 q % c§ o u. u. u. 2 EC u) 0 0 0 g 5 ? 2 o a 000000 0 - o £ 4 PR / CCITY OF PRIOR LAKE Date ' is.:( Rec d DEMOLITION PERMIT r B s o � PERMIT NO. 12-/45y (Please type or print and sib at bottom) ADDRESS ZONING (office use) 3'6(3 R pos et. ._ i i- 5 -f. S(,l/ r Pv jr L.a &p N A / S$ 3 Z LEGAL DESCRIPTION (office use only) . LOT 2. ADDITION G reek M 2 i � PID 2S ^ 0 9 ` fof90 OWNER r ` (Name) A K G L.'t In l' y 1 Ct 0 te D 1/ (Phone) 9 5 - Z 2-0 "'6 3 6?; (Address) L 3.6 6 A c 51, Lk , C0 lJ f it. 5 Vt Gi 12..4pe e t 1 AI c S 3 493 CONTRACTOR (Company Name) 4 t.1., E (Phone) (Contact Name) (Phone) (Address) Use of Building: INTERNATIONAL BUILDING CODE SF- D Type of Construction: I II III IV V A B I Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 ` - [MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION I hereby certify that I have forms . • information on this application which is to the best of my knowledge true and correct. I also certify that I I am the owner or authorized ag v� • , the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance -! -f bmitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the cite. • % „ a designee may enter upon the property to perform needed inspections. ' /` S' nature I z// 4 / 1 Z r Date 4pplication Becomes Your Demolition METRO (MCES) SAC UNIT This f pp DETERMINATION P: it When Approved I II ..el1 . fciak — t 2_7 / Z • I�2604.5 . Buil ding 0 — ` a 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. il fr� /GI / / -/ (Planning Dire .r 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 ,1'4°--p1-2 R I94> '4 4 fi e j Site Restoration Proposal For Demolition s 1 p \,, ' ' ,--,,,, wko , ,.‘ ) IZA , 7 „, N NESQ • Applicant: A I,` 4 n Q f L ) 4 ha fZOv Address: 3t /3 g d'O 7 v e /4 s 4 5 iI/ Pr; o r 14 /(2 ) h,r/ r61.7/ Check boxes below: Fill Excavation to grade v° t I rev., UT I- r( ;1 Sod or seed all bare soils v 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 (952.447.9898) for water meter removal. Cap gas line.* (By gas company) isconnect electric at meter. (By electric company) - - lump and-fill cesspool /septic tank. Certified contractor required. a Abandon ,we11. Certified contractor required. Existing well K Remove existing structure foundation and footings, materials, and debris. ** ❑ Provide dust control by following means: 1 Woter mist from a water supply (i.e. neighbors, water tank) 2. Enclosure 3. Other Comments: (provide survey or draw site plan) CITY e F PRIOR LAKE • BU + f PERMIT PLAN REVIEW INSPECTOR i'/) /. DATE / / - i _ ::-. " ! . / 4r ACCEPTED AS SUBMITTED ACCEPTED WITH CORRECTIONS AS NOTED ❑ NOT ACCEPTED - CORRECT & RESUBMIT These comments are for your information. All work shall be done in SUN Compliance with all applicable building & zoning code *Capping of utilities must be inspected. requirements including items not specifillynoted in this review. KEEP THIS PLAN SET ON SI AT * * Final inspectio • and approval of restored site required. Deposit win be reuurnafter approved fit irispection. -. 124 1 c z_ it ature Date J: \BUILDING \HAND 0 S \Demolition Restoration.doc . . • • VIA.J OIH Q YTI3 W3IVIR 11MC-139 votailue ov TMI 3TA0 03111M8U8 eA (331° cr 03-ro4 2.A 81401133111400 Cart:1333AV TIM8U23fil TO3HACK)-031-9330A T011 0 ant* ed tts.i.,! Mow OA lottprmitni ltioy 1z iOneton'to* SOW eta) potnos S 'intialtod ErtlficnINE flB dtw pansikynoo m firdmviii aril bolOtIVII6Oaso,Not ton ittottil goebotoni einerteltafir 2,3111VT AA TA 31 140 T3 OAP F1HT 931)1 Oo PR/04, IV ny Memo Date: Thursday, July 11, 2013 To: Janet Ringberg From: Lynda Allen Subject: Building Permit #12 -1459 3813 Roosevelt Street S.W. The memo authorizes the return of the $1,000.00 demolition deposit for permit #12 -1459. All requirements have been met and the file is closed. Please make the check payable to: Anatoliy Tabakov 2366 Alysheba Court Shakopee, Minnesota 55379 Thank you. / — ii - - -- -- - - - - -- :l: S Allen ding Services Assistant Phone 952.447.9800 / Fax 952.447.4245 / www.cityofpriorlake.com