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Demo Permit 16. 0225
0 - � E § ■u. re B m - *Zook z tn « k���� z o ■ ■ « ■ W 2 — , U � � 0 © v OOOOO 0 0 m / w 2 \ re° N \ - < co •L 0 § 0 a § § $ o 0 b - ` E 2 o §`1 -1 i IX K / a 0 z & 2 � s12I � � § CO 0 S 0 a § § §§� w 0 02 .. § aw « a. w / w 2 § 12 a ■ ■ ■ a ■ 000000 LP oo re / 0 < ct/ u. 2 v « 2 0 a % 0 < Q o 0 c r- iii 00 � " ' 3 Lu z 2 Z U) � I0 C4 �k 2 ci, kZ2\ �� Z0 \ § ow 2 Ul z § o1Zeee a 9 0 0 E & § § 0 u. u. u.■ ■ ■ 0 O O f 5z « 0 a 000000 U 04 it"PRI�4 I CITY OF PRIOR'LAKE Date Reed �` DEMOLITION PERMIT 3 to /6 c.) 4.eiv:ArEsds-v PERMIT NO. Eco -'Lzc ase type or print and sign at bottom) DRESS ZONING once use) /7s5/ "144iow•✓_£.4 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER - (Name) 7:440 c (Phone) 1/I2-- "DS P? (Address) /7ss/ AfttIfe c,,., ' &,?m1 0,brl4kiii,v SS37:L CONTRACTOR la, (Company Name) ch•/IKS oar,F Di.r4 WW tic-s‘, . D (Phone) 9S2- 5'ST-d'/f8 (Contact'Name) '.4. >r,- j (Phone) (Address))12i,tty,Ced 9.Z k/ Sc /OS; `.d'ww.t ehG/f ,r1y SY 7 7-7 Use of Building: INTERNATIONAL BUILDING con kType of Construction:; I II III IV V AB VAc.r 4 — ©l� 4r1� Occupancy Group; A B E L' H I M R S U Division: 1 2 3 4 5 MPGA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION 411111 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. rte Signature Date This Application Becomes Your Demolition i 4,1",..„04440,4itita:mtn..1014,44441., ,...„. ...4,....5.L... 41,.._.„1...0.etnistptt.„4,33nv,+:,Inex.,:aointe,„.,0 Per it Whet A.proved �� J ,t/6 D&POs:i /Leah)(r2�1) — 4 ' Building O i'tial '� rate This is to certify that the request in the above application and accompanying documents is in aceordancewithahe City Zoning Ordnance and may proceed as requested: _ / ,.�! . 3--c2 /6 anningDirector 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 FRtq1 0 .4 Site Restoration Proposal For Demolition • 44NNES00 Applicant: /11tAhvEs.v,,-m lotbrks _ Address: G2sco &xy A 44.)_04, Si /os- NA/ Sr-7 37 Check boxes below: u Fill Excavation to grade D Sod or seed all bare soils D Erosion control (see handout). Maintain erosion control until turf is established. o Cap sewer below grade.* Mark location. Licensed contractor required. o 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. o Cap gas line.* (By gas company) o Disconnect electric at meter. (By electric company) o Pump and fill cesspool/septic tank. Certified contractor required. • o Abandon well. Certified contractor required. Existing well u Remove existing structure foundation and footings, materials, and debris.** o Provide dust control by following means: 1. Water mist from a water supply (i.e. neighbors, water tank) 2. Enclosure 3. Other ivilAkiers it4t. CITY 0 P111 KE Pr'E. T7frrio AWRY' Aii.agri Comments: (provide survey or draw site p1INVEcToR- 3, AAPONg• -e- SWOMMO. U NArTEPT AbCEPT1fAVITI4pTCORRep'efIRRECIT:SESuBASMN°11T7 Thewcormnents 4440'1*ff wowneeon, Aftwoeeebee be debt) in full cornfolianceviith a1Iapplie building&zoning cede rediiirernents'inciuding items not specifioatly noted in this review. -P THIS PLAN SET QN SITE AT ALL TIMCS. *Capping of utilities must be inspected. ** Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. • - 0011' Signature Date JAHANDOUTS\Demolition Restoration.doe