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CITY OF PRIOR LAKE Date Rec'd
/ DEMOLITION PERMIT67. j
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100 $
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PERMIT NO., 94.7
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
y3 /3 Cram won--4 Ciircl , 13r,or L tk, ss37? 2 l5 6
LEGAL DESCRIPTION(office use only)
LOT/ / BLOCK . ADDITION CdQZ PID 256330'10
(Name)OWNER.1 e'e.✓1 l-if t---e.L I . (Phone) 1-3O� CC9—G77/
(Address) 12 SI & a 'ala 5. z �, Di vey- , CO SS6.2. 3
CONTRACTOR a` I
(Company Name) t;,, f Odd PI Weir `t JcSC. (Phone) y"/7- 0 2S-Ci
(Contact Nae) (Phone) C-,702 - 3.2e9'--C)/60(Address) e 0, Oci, 10..2 ' Pr;rev, Lc.,k,r__
Use of Building: INTERNATIONAL BUILDING CODE
Src7 Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R SU
Division: 1 2 3 4 3
hl f, w°CA 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 th tt city official•: : design✓- r y enter upon the property to perform needed inspections.
`.. i �� � C ' /7 - Xs'
Signature Date
C,4-t 1 (or,(5-
1V1E1110
SCEs)SAC UNrr
This Ap cation Becomes Your Demolition DETE JNATION
e it When Approved
B lining tit • : 'ate —-I'2,S f 1--
. 7- ZSZ6
This is to oatify that the -nest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
' a
Date Special Conditions,if any -
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Rio
Site Restoration Proposal For Demolition
An t.„
Applicant: �� r-Wda
Address: 43 13 0(24A--u ) J
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 pi-- Cap water below grade.* Mark location. Licensed contractor required.
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)
Disconnect electric at meter. (By electric company)
o 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.**
itK_Provide dust control by following means:
6- Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
. 3. Other
commia:&i:cptilvaarkiim draw site plan)
�_EVIEW
INSPECTOR ad
DATE� - �5PERMIT NO
PA/ACCEPTED
.
ACCEPTED. SUBMITTED
C]ACCEPTED WITH CORRECTIONS AS NOTED
❑NOT ACCEPTED-CORRECT& RESUBMIT
TI::
hese comments are for your information.All work-shall be done
in full compliance with all applicable building&zoning code
re{huireem�ents i(ccluuding'tern n t` ` y� eI
Li** Final inspection an. a proval'orrestored site required. Deposit will be returned after
approved final inspection.
Signature Date
J:\HANDOUTS\Demolition Restoration.doc
rPRIp+
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Memo
Date: Friday, November 20, 2015
To: Janet Ringberg
From: Lynda Allen
Subject: Demolition Permit #15-0947
4313 Grainwood Circle
The demolition permit has been closed on the above referenced project. Please
return the $5,000.00 demolition deposit to:
J.B. Woodfitter and Associates
Post Office Box 1028
Prior Lake, Minnesota 55372
Thank you.
I,'
Lynd I S. Allen
Buil.ing Services Assistant
)6tiov,p- ik
O.'
Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com