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HomeMy WebLinkAboutDemo Permit 13. 0430 • , 9, , m �J z aN 2 CO J Fe LL W h LL Z U U 4 0 V °� 5 5 > o� aaa0 0 w co 2 W WN Z a < W0a.LLo 2 Z F" o ❑❑❑❑❑[yk ( 0 IT U O w o n Illi w L., z o Ca 0 o _ z 0 y w • 11 `\ J p V c2 z 2 0 0 LL Q 0 0 j W 2 ce Z_22Z 0 c C y U 0 W m�Ce 20 w 8 � z F i U) ���CCCI!! U a = U� ?( 0 0 Z O JWajJW tt W W W W a2 3 v�a2 1 W 0 a w 0 00000 0 0 0 p QC �) ° J . 4.1 ^ 0 a J . IL • W V�) 0 o o_ 'Y ` c, P • . O z H N N a � ..... n v 02 0 Z w F- a h h 1 44 2 (� � t7 h a Z 0 U U J W d� N z F Z _ - zEg J ? w re I Q Q O ix ce ow z W z O°� 2 Q oo oo ° L) 5 o 0 0 OOLLZLLin 5 0 0 a z a o a 0 000❑❑ t� ; 4 0 0 s. ILI z - a , r f .I Q' t L �' LL1 }� WWI N O Q ._ ` W Uliti 0 z CY 0 0 0 0 ❑❑ Y ] 0 O re i � i 1 j ■ 4 -41. w 0 r ,A' O `' O LL O n. 0. 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A N F- a tL N z H Z � � J Z 2 ■ ` � \ Y Q q Pr; o 3 00� ?LL U ~ ii . • z o o a V V U? < 0 a. 00000 0 0 1 0 0 —` CsOR I0 'f ' � CITY OF PRIOR LAKE Date Rec'd DEMOLITION PERMIT 0_ . /J E S O � � - PERMIT NO. � '�, (Please type or print and sign at bottom) ADDRESS 1 ZONING (office use) 8' ,-3 iS (5c1# J r 12.crzi -r AJL , PR 1 on L-1 LEGAL DESCRIPTION (office use only) . LOT 1 BLOCK 1 ADDITION c E R &G1 R EN I E./4 C +4 PIDZ _ 4-95 00 I _ 0 OWNER ,—. (Name) J AAid A S COA.)'T/14GT6 YL (Phone) (Address) CONTRACTOR I I (Company Name) Q W 0 ©D F 1? 7ia f L (Phone), S. - 4 / 4/ 7 — c i rU (Contact Name) - 3 - o a F u n y (Phone` Cr 1 2 - 7 9 1+ 9 6 A S (Address) P. O . Q a x I 0 Z 8 / Pm_ on (..A-A.L.f 41 nJ S5 3 7 2. 6, le_ 3j 3i: z ..-s7 C7ff o , y Use of Building: INTERNATIONAL BUILDING CODE r Type of Construction: I II III IV V A B Sti Yl tt -fit ml l y V o 1'►'1.€- Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 iv PCA 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 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 that the city official r a designee may enter upon the property to perform needed inspections. 6 -l3 -13 • Signature Date '- ;ZSi � EaAr i 1 ZA:4, � 4j � ,ykv w4' n d� 1 ;, This Appli ation Becomes Your De oli "on 40 � ; , o1� [ =a �a � � �` r ,� ermit When Approved - �,�, ��yy�� , .�., �� .�, > � ... ;� I,ur� C- k.. (ii .e. ex,* z 4-21 Building O ate �2r� This is to certify that the request in the application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ,/ i . --5` /‘ i �', `, ng Director 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 oe °.4P 4 AL c Site Restoration Proposal For Demolition U r ` Applicant: -- B G o r Fir rz Address: q i S 3 g 6,9-c /-1 S7/Zed7 6,4, pKi orz c. A —rcr Check boxes below: IlL Fill Excavation to grade K Sod or seed all bare soils bg' Erosion control (see handout). Maintain erosion control until turf is established. NI_ Cap sewer below grade.* Mark location. Licensed contractor required. tit-- 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. Cap gas line.* (By gas company) Disconnect electric at meter. (By electric company) !) ❑ Pump and fill cesspool /septic tank. Certified contractor required. 2 ❑ Abandon well. Certified contractor required. Existing well ist Remove existing structure foundation and footings, materials, and debris. ** t®►- Provi , dust control by following means: . Water mist from a water supply (i.e. neighbors, water tank) 2. Enclosure 3. Other ""`flit Commen • p iciejiciaor draw site plan) iiiirecacei 1. OW :jam _ lliN_ ".' , _ AMP , _a A00111410 , , UA0 VIM 001 .4004$ ai NOD titer_ _ _ACCOIMICONNierlittar t . &Oft LM Alit Oita t�t` ted. * Capping o u ili ie ** Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. ' ' ' — .7 - 6 Signature Date J:\HANDOUTS\Demolition Restoration.doc istrolovto "Oft 101113.6114 Ro MON SHOP1110240 OM St 111111011=1.103 01111 0 /11111111101011410111100.01M004 7000 sassier* gift. Ammo lot go ipo firwrats son n mosemleratio OMR 40011000 SOW areira0Mimpso oso via* Olumolo NW Aga& 11110012111004106411101 4 MBERSCAPES INC. ROB @TIMBERSCAPESINC.COM • ROBERT A. MMUILLAN • 612- 363 -1978