HomeMy WebLinkAboutDemolition Permit 13. 0085 v
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o. P R I ��, CITY OF PRIOR LAKE
V Date Rec'd
r. DEMOLITION PERMIT /. 2e-. /3
4'IVES. -
PERMIT NO. 4 _ 05
(Please type or print and sign at bottom)
ADDRESS . ZONING (office use)
C 666 g itioofrDO v s w
LEGAL DESCRIPTION (office use only) ,
LOT BLOCK ADDITION PID 9a3 007.0
�WNBR Vr l C v` <_ .4-- U\ (
n.l (Phone)
(Address)
CONTRACTOR r? [i ' c-6(--3 3
(Company Name) L x 1 l ( -3J S 3 • (Phone) � ���
(Contact Name) -/4 ( -).-t S /3 c- (Phone)
(Address)
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV V A B
. Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
❑ MPCA NOT7 t 1CATION 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 • : ee that the city official or a designee may enter upon the property to perform needed inspections.
f / - .A .-- -0 (
/ • Signature Date
METRO (MCES) SAC UNIT
_ This Applicati • n Becomes Your Demoliti n DETERMINATION
h-r it " hen Approved
ii fee;D jr6 /c- / 77-5¢0
Building Official — to /. Z v . /3
This is to certify that the request i the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
/- 0 -/3
Planning D' tor 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
pO
e Site Restoration Proposal For Demolition
v
Applicant: cs i—JO ((K, +
Address: ( e �.
Check boxes below:
c; Fill Excavation to grade /HA' ST in-eSS ( N.'
cr Sod or seed all bare soils
,Er Erosion control (see handout). Maintain erosion control until turf is establi
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)
x( Disconnect electric at meter. (By electric company)
Pump and fill cesspool /septic tank. Certified contractor required.
Abandon well. Certified contractor required. Existing well
/ er Remove existing structure foundation and footings, materials, and debris. **
"' Provide dust control by following means:
1. Water mist from a water supply i.e. neighbo :, water tank)
2. Enclosure
3. Other
Comments: (provide survey or draw site plan)
*Capping of utilities must be inspected.
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
Signature Date
J: \BUILDING \HANDOUTS \Demolition Restoration.doc
of 'Ri
ti
u
Memo
44 so zP
Date: Wednesday, October 9, 2013
To: Janet Ringberg
From: Lynda Allen
Subject: Demolition Permit #13 -0085
16668 Inguadona Beach Circle
The memo authorizes the return of the 55,000.00 demolition deposit. The work
has been completed and the site is restored.
Please return the deposit to:
Bollig and Sons, Inc.
11401 County Road 3
Hopkins, Minnesota 55343 -7423
Thank you.
i i l------
L t o a S. Allen
Bu ` ding Services Assistant
Phone 952.447.9800 / Fax 952.447.4245 / www.cityofpriorlake.com