HomeMy WebLinkAboutDemolition Permit 12.0294 H
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CITY OF PRIOR LAKE Date Rec' d
,ti DEMOLITION PERMIT 4-.18:12-
lkArESO� .
PERMIT NO. /Z , Z9¢
(Please type or print and sign at bottom)
ADDRESS f 57 0 . C o -o �� 6 sT.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 25 _ CO i . 12- _ 6
OWNER
(Name) r7 mom. Pg-/p iQ L9-Kt (Phone)
(Address)
CONTRACTOR ,/
(Company Name) f / f� ��rc 0._ ''t'C ? -tC (Phone) 9.sa- VT3 -r /S�
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(Con ct Name) (9li4.14( n (Phone)
(Address) q :>: `Ir 5 ,4 4/',, ,.?..S 4e/ I =<_. ""?it)
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV Cis A
(Ne.>Ce" FAO/ •A)6 Occupancy Group: A B E F HI MR S. U
Division: 1 2 3 4 5
Elili MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION -
I hereby certify that I have furnished 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 - aroceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereb ee that the city official or a r upon the property to perform needed inspections.
Signature Date
METRO (MCES) SAC UNIT
_ This Application Becomes Your Demolition
pp DETERMINATION ,1 a , .
-r it When Approved
/ ' i; 1 •71 1
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.
Planning ector 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
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',I, , e ' Site Restoration Proposal For Demolition
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Applicant: C `'�
Address: 4 c-- 0ACITO 0 S
Check boxes below:
tee,- Fill Excavation to grade
,` Sod or seed all bare soils
..>tq 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)
,' Disconnect electric at meter. (By electric company)
,LB) Pump and fill cesspool /septic tank. Certified contractor required.
: Abandon well. Certified contractor required. Existing well
Remove existing structure foundation and footings, materials, and debris. **
Provi dust control by following means:
1. Water mist from a water supplapR O) A KE
2. Enclosure BUILDING PE' IT PLAN �� REVIEW
3. Other iA
INSPECTOR :MAIIN...
Comments: (provide survey or draw si zn) 4 is /c pEr NO, t Z. • 47f
EN ACCEPT ' AS SUBMITTED
❑ ACCEPTED WITH CORRECTIONS A'' NOT TA
O NOT ACCEPTED - CORRECT & RESUBMIT
Theca comments am for your Information. A0 'm snap be dor
in full compliance Miith re appcable Melding R Toning code n
quimmen Including Kerns not specifically note in this revie.
DEEP THIS PLAil SET ON SITE AT ALL TIMES.
* Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
ap oved final inspection.
Signature ate
J :',BUILDING \HANDOUTS\Demolition Restoration.doc
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