HomeMy WebLinkAboutDemo Permit 14-1064 DATE TIME
CITY OF PRIOR LAKE SCHEDULED 3 -22. -_"_-
INSPECTION NOTICE
ADDRESS S 155 aiul . \rcv‘_A
CONTR. , C,
OWNER '� � I�
PERMIT NO.
PHONE HO.
0 PLUMBING RI ❑ �GRADIFILLING
p FOOTING 0 MECH RI 0 COMPLAINT
❑ FOUNDATION 0 FIREPLACE RI
0 FRAMING ❑ WATER HOOKUP ELNAL
0 SEWER HOOKUP 0 RPAL
AIR N
p INSULATION 0 PLUMBING FINAL 0
❑ FIRPACE FI
p FINAL
p SITE INSPECTION 0 MECH FINAL
COMMENTS:
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
ii
0 CORRECT a RK,CALL FOR REINSPECTION BEFORE COVERING
Owner/Contra
Inspector: I 41.
CALL I 7f 850 FOR THE NEXT INSPECTION 24 HOURSH NCE.
CO r REQUIREMENTS ARE FOR YOUR PERSONAL HEAL
INSHOTI
c .O- PRI0
. ,
CITY OF PRIOR LAKEDateDate Rec'
DEMOLITION PERMITd
j`�N E S o��
PERMIT NO.
lease type or print and sign at bottom) lC9
ADDRESS
5"�(�{ ZONING(office use)
LEGAL DESCRIPTION(office use only) ,
LOT BLOCK ADDITION
PID
OWNER ] /l�
(Name) �//''� < /Pe 14/4-M- kii oeD �+,�
/ (Phone) 11_ 7 0 p
r--- /
(Address) 6 3 4 I m EA} t)E.. i--ilf L RV Sir.?
CONTRACTOR
(Company Name) —rn 41
(Contact Name) (Phone)
(Phone)
(Address)
Use of Building: INTERNATIONAL BUILDING CODE
t.6- .r� G Type of Construction: I II III IV A
G b & ei
Occupancy Group: A B E F H I M R S` I
I `e-t, / '-r-(( .�q4, Division: 1 2 3 4 5
J'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 pro d in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereby gr at the city offici. •r a •-signee may enter upon the prop\*.( - • erty to perform needed inspections.
lire-81 .
Signature
Vi ,j, y
Date
This Ap• "cation Becomes Your Demolition �i t ;,- : '' �"` T p
Per ,it../)henAs•roved �.v .
r
A t� - 30 /4 l5 v,tr£� /.-moi �+ C ��
Budding Official Datee2)/1,41—
This is to certify that the request in the above application and accompanyingdo ti1501110)
cuments is in accordance with the City Zoning Ordinance and may proceed as requested.
....ng Direct.
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
Ploo
o
1Vc Site Restoration Proposal For Demolition
mohtion
110 NES
Applicant:
Address: At 4-)CAA-10
Check boxes below:
o Fill Excavation to grade
X Sod or seed all bare soils
Erosion control (see handout). Maintain erosion control until turf is established.
M4-
o Cap sewer below grade.* Mark location. Licensed contractor required.
o Cap water below grade.* Mark location. Licensed contractor required.
N4 a Call City of Prior Lake Public Works Department (952.447.9898) for water meter
removal.
A/A ❑ Cap gas line.* (By gas company)
Disconnect electric at meter. (By electric company)
• A-01-- a 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.**
❑ Provi e dust control by following means:
ater mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
Comments: (provide survey or draw site plan)
? n',
6"1104(.0c . ? (Vie,- � /�' t ,N 1�c '' � - ro 5e(5
62e4444--- A- vr 4-ffd/ 1/s"Sr�?
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*Capping of utilities must be inspected.
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
4110
Signature
Date
JABUILDING\HANDOUTS\Demolition Restoration.doc