HomeMy WebLinkAboutDemolition Permit 15. 0321 0 0 0 i.ryu ❑ ❑ ❑❑ o C ti 153
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CITY OF PRIOR LAKE Date Rec'd
(...) DEMOLITION PERMIT 4 /4-. /5
it,Eso
1 PERMIT NO./5 3 a/
(Please type or print and sign at bottom)
ADDRESS 3 9 rb 6re r.,, it-efe-i -4-f-, -7-est', f S. Li..." i
ZONING(office use)
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LEGAL DESCRIPTION(office use only) .
LOT . BLOCK ADDITION PID
OWNER I,, ...i 44 , .„.., le°,%."-- fi44'1.."C"f
(Name) vi.-07-yr„sr 414.e 4.1 is"e J."44 4 I'.el r-.r cr e.....44 d- (Phone) ‘ 1.?— 9 i C.- C> .2 'O
(Address) -3 O 14--tat '4 .f-,t-r-r r It i 4-X e r 11-'4 e./ ,,,tt ro s--r-o 0/
CONTRACTOR ,,,
(Com ' 1— — F „ 9i cofftcr
1- C.. (Phalle) -7‘7— ,r 4,"S--- 7.1—.1— 7
(Contact Name) C 4 r-. j* V?e ,t 44. (Phone) 6 12- 2 e' -r"- 7 7
(Address) '2 22 .1-- Pe,,,, J../ t,...,4 a,-,A 44.,L .4, er.vr,A,
,di „ 127_r-i-e
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV A S)R e.r 4 rse,C.., I'4 ,,,,, it Occupancy Group: A16 E F H I I It S U
Division: I 2 3 4 5
fErCA 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 agree that the city official or a designee may enter upon the property to perform needed inspections.
64:a 2 .e.c
7--ea--e-c.. 411— 1 41— i J
.Signature Date
V11: ,,;11):00#$ ::Altt",tt:','' '',.,:
... This Application Becomes Your Demolition et; T;:iWirf:11,Wititfalt:`,. ..g.1,i-";
1 i Per it When Approved
ILint I /
I. hliffir— - T s, i\tO•
B d ng Official — Date
, co
This is to certify that e 1 req in .e above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested,
2.,/Planning D"• or Date Special Conditions,Warty
24 hour notice for all Inspections(952)447-9850,fax(952)447-4245
16200 Eagle Creek Avenue,Prior Lake,Minnesota 55372
P 10
Site Restoration on Proposal For Demolition
Applicant: r a L 4 ,
Address: ' ' r a y /i""4 Iv', ,,�,.V Cr-.1 r ,c
Check boxes below:
,G'u-a.ba Fill Excavation to grade
C°"'"``"`1'gf u Sod or seed all bare soils
Pg. to' erosion control (see handout). Maintain erosion control until turf is established.
- Cap sewer below grade.* Mark location. Licensed contractor required.
ca---Cap water below grade.* Mark location. Licensed contractor required.
ate-Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844) for water meter removal, Ca bed
--Cap gas line.* (By gas company) ATI 'l 1 e
cY Disconnect electric at meter. (By electric company) Xc r
a Pump and fill cesspool/septic tank. Certified contractor required.
wood deea Abandon well. Certified contractor required. Existing well
lemove existing structure foundation and footings, materials, and debris.**
yr-Provide dust control by following means:
Water mist from a water supply (i.e. neighbors, water tank
2. Enclosure
3. Other Ci -Ar ,'/ 'df•r-, tc✓ (IT-cl wft"f —merC/L 4S
Comments: `']ad, Uk6 Gtr
(provide survey or draw site plan) y Y A
CITY OF PRIOR LAkE
BUILD I - t I -LAN!REVIEW
INSPECTOR I
DATE, it I>_( PERMIT NO..
ACCEPTE m, . SUBMITTED
tirACCEPTED WITH CORRECTIONS AS NOTED
O NOT ACCEPTED-CORRECT"& RESUBMIT
*Capping of utilities must be inspected. These comments are for your information.All work shall be dole
*: Final inspection and approval of restor ' t &od
.: : It pb 3l ift it later
approved final inspection. KEEP THIS PLAN SET ON SITL AT ALL TIMES.
ii V/et— /s—,
Signature Date
J:\HANDOUTS\Demolition Restoration.doc
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