HomeMy WebLinkAboutDemolition Permit 14. 0437 cs-cPRIO
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DEMOLITION PERMIT 5z 9 /54..rNNEs0
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PERMIT NO./
(Please type or print and sign at bottom) 4_37
ADDRESS ZONING(office use)
/ /e5 s///W y e&& r ---7-2?-4-76--- 4/so
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 25 930. 6 W 00
OWNER `O
(Name) / / /6(_-77-0 ��= (Phone) /Z. , �i
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(Address) 4't V>G-C-e-- .n5.:?0 C,
CONTRACTOR ,�}
(Company Name) .6 o/lN.s/ t I / J/UEJCi 4"¢7. 3 8 614-
_ (Phone)
(Contact Name) J/ 5' O/ n/166- (Phone) G/L - 3G q , I-/cf1
(Address) /10-7 Z �V�-12/6 f/✓n I P. L
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Use of Building: _ INTERNATIONAL BUILDING CODE
6 j N t�L �.e�( t�� 9�"�''G //C� Type of Construction: I II III IV d�� A (�}y
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
ryi 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,awith submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
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I hereby agree that the cofflc' r a designee may enter upon the property to perform needed inspections.
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This Ap•lication Becomes Your Demolition METRO (MCES) SAC'T3NIT` - .
DETERMINATION''-----' ,,.,.,- _ - , • -,;--'
/ PermW -n Approved
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Building Official Date
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zo g Ordinance and may proceed as requested.
/ '•'i g Direct°
Date Special Conditions,
Pif 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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Site Restoration Proposal For Demolition
Applicant:
Address:
Check boxes below:
❑ Fill Excavation to grade
❑ Sod or seed all bare soils
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.
24,Call City of Prior Lake Public Works Department (952.447.9898) for water meter
removal.
Cap gas line.* (By gas company)
:XT 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.**
XProvi st control by following means:
`Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
Comments: (provide survey or draw site pla / ,.
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0110011MEDINM4 CORRECT -ASS
CMOT C ED ECT$
romperovits * yo.t mon. 1rR M1M b�NlwMMlt
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*Capping of utilities must be inspected.' `1"" "AU'alIN
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
Si Aur; Date
J:\BUILDING\HANDOUTS\Demolition Restoration.doc
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,y,,, Memo
Date: Wednesday,June 25, 2014
To: Janet Ringberg
From: Lynda Allen
Subject: Demolition Permit #14-0437
14185 Shady Beach Trail
The demolition permit has been closed on the above referenced project. Please
return the $5,000.00 demolition deposit to:
Tom Keohane
14808 Autumn Place
Burnsville, Minnesota 55306
Thank you.
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L da . Allen Lar, Poppler
Building Services Assistant City Engineer
Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com