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E PR7 - CITY OF PRIOR LAKE Date Rec'd
N DEMOLITION PERMIT ?' Z Z 1,3 ES—
PERMIT NO. a , qie
(Please type or print and sign at bottom)
ADDRESS ZONING (office use) cccci_
LEGAL DESCRIPTION (office use only) ,
LOT BLOCK ADDITION PM ZJ - 9z 0 0"
OWNER �w l � \ I Q"`
(Phone) `961 - 4q(o - I) c I
(Address) qt;L- 500- to 72
CONTRACTOR �� �� �,l�C fi' I' C' . 1 433r
(Company Name) ( Phon e 1
)
(Contact Name) ....\--1_)C _ `-" _ 1 (Phone)9S2-7? ? ' 0 1
(Address) 9 � 1,c 7 R (1 �. t ! v v" 6,-3 7
Use of Building: INTERNATIONAL BUILDING CODE
\ e' Type of Construction: I II III Iv V A B
�Do l... - Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
24IPCA 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 co nstructi on will conform to all existing state and local laws
and will proceed ' • . . nce with submitted plans. I am aware that the building official can revoke this permit for just cause. Furtherm
hereby a_. , that the ci •- o 'a1 or a designee may enter upon the property to perform needed inspections.
_Ad
Date
This Application Becomes Your Demolition ,''
; , `�a ®; 1, ,,, a . , x
P -r it hen /approved ( 0 ei tAy ) 0 9 5 y
. / I I i awe g_ z 13 J1/44-ia Lie- 64 ' 64 V-
. ........5ada,Wtrail -- 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.
7- < -/3
fanning Di Dad Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Cre Avenue, Prior Lake, Minnesota 5537
of "1°4? ti s,
kl Fri Memo
INNES
Date: Friday, December 6, 2013
To: Janet Ringberg
From: Lynda Allen
Subject: Demolition Permit #13 -0918
13625 Crest Avenue
1
The demolition permit has been closed on the above referenced project. Please
return the $5,000.00 demolition deposit to:
Krueger Excavating, Inc.
Post Office Box 729
Prior Lake, Minnesota 55372
Thank you.
/Z-
da S. Allen Poppler
Building Services Assistant City Engineer
Phone 952.447.9800 / Fax 952.447.4245 / www.cityofpriorlake.com
P R I M
Site Restoration Proposal For Demolition
v v
SODA
Applicant: \ ag �S & S � J --
Check boxes below:
Fill Excavation to grade
i so Sod or seed all bare soils
■ / rosion control (see handout). Maintain erosion control until- turf is established.
Cap sewer below grade.* Mark location. Licensed contractor required.
Cap water below grade.* Mark location. Licensed contractor required.
e l Call City of Prior Lake Public Works Department (Call 952.447.9843 or
• 952.447.9844) for water meter removal.
Cap gas line.* (By gas company)
SY
Disconnect electric at meter. (By electric company)
Pump and fill cesspool/septic tank. Certified contractor required. IT "P � i�
Abandon well. Certified contractor required. Existing well (16
Remove existing structure foundation and footings, materials, and debris. **
a Provide dust control by following means:
1. Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
arr OF PFOOKLAKE •
• BL$ DI AEVH
Comments: (provide survey ontopratitke plat) ` _q
ATE '15 2-7- f PERMIT NO
ACCEPTED AS SUBMITTED
D ACCEPTED WITH CORRECTIONS AS NOTED
0 NOT ACCEPTED- CORRECT & RESUBMIT
Theis comments are for your information. All work shah be dons
In *I complance with all applicable building & zoning cods
rsquirentents including items not apeciillcaIIynotsd in this review.
KEEP THIS PLAN 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
approved final inspection.
•
S 2 2-
.. __..,.. Date
J:\HANDOUTS\Demolition Restoration.doc