HomeMy WebLinkAboutDemo Permit 15. 0825 CITY OF PRILAKE • �
UN pE MIT 1Datelltec',dL9
o� YRIO•� DEMpLITI
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' PERMI
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ZONING(office use)
• ease /e of
d at bottom)
ADDRESS
PID
DESCRIPTION(office use only)
LEGAL ��S
ADDITION z �'"''
LO,I, BLOCK
(phone)
OWNER (eD / (J,
(Name)
(Address)
CONTRACTOR �Led (Phone)
1 ( , (phone)
(Company Name)
(Contact Name) IN, ATIONAL BUILDING CODE v A B
II III N M R S U
(Address) Type of Constru' ° A B E 1 2 3 4 5
Ai
Occupancy Group:
Use of Building:
Division:
•� I also certify that
ORM A DEMOLITION e and corre�•
lniowledge tru existing state and local laws
just cause. Furth1Ore,
OT�CATION T TO PE hick is to the best of my COrtform to all
OF INTENT t , CAN licatio construct1On r`oc e this pelt for
►• on this app •_m,a,d that all official can
• ormbove ons.
furnish- • e above-mentioned
bove,-., ,_ .4, awTO e that e building of needed voke this
I hereby certify that 1 have fu nt for I� to perform
or authored a'' .milted• n the p •pertY
I he the owner accorda ,.with s
oil
' ,�j er up' Date
and will proceed
the city• ficial•• a desi''
Vine
Thereby atif.„,A4r,
r..
METILo (1vtcEs)SAC UNIT
oN
es your Demo ition DETERMINATION
_
This Application BeCit When AP•r• i
ge '-t
•
�1� ed as requested.
,i , ,
Bt Official Ordinance and may proceed on and accompanying documents is in accordance with the City Zoning
application Special Conditions,if any
This is to certify that the request in the above app
Date 447 4245
inspections(952)447-9850,fax( 52)4nnesota 55372
PlanningDuector reef p Lake,24 hour notice for prioY L
4646 Dakota Street S•E
V
CD
tSite Restoration Proposal For ' •
p Demolition
Applicant: C e p 4, ,_�
Address: 70; ,i,t A'
Check boxes below:
❑ Fill Excavation to grade
❑ Sod or seed all bare soils
u 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 DepartmentCall 952.447.9843 or
952.447.9844) for water meter removal.
❑ Cap gas line.* (By gas company)
o Disconnect electric at meter. (By electric company)
❑ Pump and fill cesspool/septic tank. Certified contractor required.
o 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 ins.- on and app •val of restored site required. Deposit will be returned after
appro7• al 'i •:0-'o' .
(,/, ‘A / ,
'e/
S gna l lie-
Date
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Disclaimer_Map and parte/'data are#relieved to be accurate,but accuracy is not guaranteed. This is not a
document and should not be substituted for a title saarch,a leDal Map Scsie
pprasal survey,or forrondng+�eriFrcation. 1 i_'-
7/13/2015��feet
7/13/2015
http://gis.co.scoff.mn.us/ScottGIS2.0private/WebForms/Print.aspx?img=http://gis.co.scoff.... 7/13/2015