HomeMy WebLinkAboutDemolition Permit 14-0579 DATE TIME
CITY OF PRIOR LAKE 4,,,h,INSPECTION NOTICE SCHEDULED
ADDRESS )CO (2aAAes V-,d,
OWNER CONTR.
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PHONE NO. PERMIT NO. /cf —j 77
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
,FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ' €4 ' t1 (/ -"—
(2c )a)
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WORK SATISFACTORY,PROCEED
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CORRECT ACTION AND PROCEED
❑ CORRECT W K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI a
p4 pR1O4, CITY OF PRIOR LAKE Date Rec'd
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U DEMOLITION PERMIT
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s',.:- So * PERMIT NO.
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/4_, ,,45-7-7--
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(Please type or print and sign at bottom) PDO Z.W.I.
ADDRESS ZONING(office use)
/3700 i i'er b&r y At Ad 5ted vea 44/1/ .c5-37?
LEGAL DESCRIPTION(office use only) .
LOT . BLOCK ADDITION • PID Zr?2 /00 3
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OWNER
(Name) ,..51415' G . 46v; 1:+;•r/ 4L.,' (Phone) 9S7.--Z33—el2-44
(Address) 2 330 .5;13.4.4.4c Tv' Nut Prof tee Ke. Y42.1 55-.3 7 Z (
CONTRACTOR p
(Company Name) Si"S G PU-.ot, ocirks P€)o 1 (Phone) ' 5Z 4(0- to I ]
(Contact Name) aje/'€- -'( C5 - S ---'a (Phone)
(Address) 2fZ-C hatkOla /k ?lOb' A44 �� 372-
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV V A B
/'gken /-yard 54,QC1 I�� 44:14 Occupancy Group: A B E F H I M R S U
/ ( I -S:(co Division; 1 2 3 4 5
KMPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
I hereby certify that I have Cumished 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 or a designee may enter upon the property to perform needed inspections.
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•Signature .
:F+srt?v ba eY tW� t��l ��G J.e,�wf 4�YC �,`��-�,
ACJ°! °- 14 c,,;�
This Applicata n Becomes Your Demoliti n v;- ,, ,_, •;. FM wit �` ._. t*.
6 I it When Approved
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AIIRA2116k-- 4°* 24 119-1e.C7-11- td.. 417a-."
Buil.ing•"teta 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.
Ai �� Z. 0257—
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!, . g 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
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Site Restoration Proposal For Demolition
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Applicant: SA/5 -
Address: 2330 .5;ou pc TK. 16-0 Pr tr OW 5-537 7.
Check boxes below:
• Fill Excavation to grade
Xfiod 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.
o Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844) for water meter removal.
a Cap gas line.* (By gas company)
Disconnect electric at meter. (By electric company)
a Pump and fill cesspool/septic tank. Certified contractor required. .
o Abandon well. Certified contractor required. Existing well
j(Remove existing structure foundation and footings, materials, and debris.**
,g Provide dust control by following means:
C. ater mist from a water supply(i.e. neighbors, water tank)
2. Enclosure
3. Other
CIT• NG PEY OF PRIOR LAKE
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Comments: (provide survey or draw site l ' REW
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GATE %�i'�� PER -
❑ACCEPTED A. SUBMITTED
('ACCEPTED WITH CORRECTIONS AS NOTED
❑NOT ACCEPTED-CORRECT & RESUBMIT
T sse comments are for your information. AN work shall be done
in full compliance with all applicable building&zoning code
requirements including items not specli3cailymoted in this revist
*Capping of utilities must be inspected.
KEEP THIS PLAN SET ON SITE AT ALL TIME
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** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
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Signature Date
J:\HANDOUTS\Demolition Restoration.doc
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