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HomeMy WebLinkAboutDemolition Permit 13.0961 _ 0 1§ § i ] Wu.■ ui d §§o0 § g555■ > § _ e §w &k o 2 siv 2 w0 0 z ■ 000000 > o 2 �§ § D _ o ^ aa� 1 L z § _ ' Z oo§ Z Q § � 4 o u- z 0� 0 0 Lu x v 2 2 k 0 \ 0 0. §01-§§0] o o e o � ; a §§ ■ a te ` v § § w § cOOOOO q 0 § § % CL a o U. i_ S V 2 ; ~ \ x < o re z 0 u § lkh a. 0 z N I-§ i « S u- 0 0 \\ c k c4 z § z 0 D < ■ g 0 Z e I I z a « ■ U. 0 2 © 2 a . 5 � IC rt ce L % � & §k� 2$� 000 ° ° L) � 0 0 ���_I■ o 0 0 g . ■ 2 0 a 0000 0 0 ) c ❑ 5 P It I o � CITY OF PRIOR LAKE Date Recd F 4 U DEMOLITION PERMIT r*ism SOS PERMIT NO. /3 9 • (Please type or print and sign at bottom) ADDRESS ZONING (office use) j 6 e ld 7 /wit Woo ,! /L 1 1)/7.6,- Z.4 ke. 44 4/ J--..s--3 7.1 R 1 LEGAL DESCRIPTION (office use only) . LOT BLOCK ADDITION PID (Name) L" 14 It k t r ;i2 (Phone) ('/1 - 6eo— 3.3! CONTRACTOR �� ++ // ��'' / / (Company Name) ZCZ04..aek `�Y 7 e et .�'�lf(4,ac jl .�f (Phone) ld' * 3 b 9 — gi[ Q (Contact Name) 4i!k-G 8d % i-r' Gaff `// (Phone) �OAA' j' VV 9/ (Address) / ?O 7 01- / ,/91-44100.t. AL.,- 4 4e, ,* A/ .5 J 7 Use of Building: • INTERNATIONAL BUILDING CODE Type of Construction: 1 II III IV V A B 4 64/4x Occupancy Group: A B E F H I MR S U Division: 1 2 3 4 5 r 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 will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agre at the city official or a designee may enter upon the property to perform needed inspections. - ds /d/..T ND) ature ` Date 4. This Application Becomes Your Demolition airy ��`il ,, i `._,. 4) . 1 ' / Permit When Approved / / /1 i :f ildiag Official Da This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee requested. s r r( ‘- -( /3 tN.,l.st be e �ettol w ra e.w..a.:44.s tanning Di or Date µ Spe cial Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 To S(&M 6 F 01-I J AJ42_ q 4 ,` r t c 3 $ e 0 O oat > A r a 1 OI I LI x e. � Z' •a s S AL �� 1 � II is „e 7 ,, t/ 3 / a ' i 4.11 ee it ry X ■ e) °° fail ti r « : \ , , F" '� g i 1 1 � � A , °M � a � i t , , € § Y s a w ■ 9 r \ \,,.\- \ /, \ ."\ \ \\ \ ,, •U v v Z F �_ MP C Z� S INS F I - \x � � a j4a NO ea I.. 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UED DATE SS i RSV BUILDER � f f7) � PHONE • 6(7, ;730r-, 41/ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEC IONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR WTE 41 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED MEW 1 1 FINAL FOR ALL INSPECTIONS (952) 447 - 9850 A wir • • -4 .044 1 R/O �:, 0 1�' t� �" ' Site Restoration Proposal For Demolition U Y .trI \- . NNESO Applicant: , i Z a , r - ,4 4 Address: 8 9qc6 /tlit°- gfC(Avitr y. Check boxes below: Fill Excavation to grade Sod or seed all bare soils 10-. 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) ❑ 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. ** ❑ Provide dust control by following means: 1. Water mist from a water supply (i.e. neighbors, 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: \BULL DING\HANDOUTS \Demolition Restoration.doc