HomeMy WebLinkAboutDemolition Permit 16-411 CITY OF PRIOR LAKE DATE TIME el
INSPECTION NOTICE
SCHEDULED 9 -1
ADDRESSal /
OWNER
CONTR.
PHONE NO.
PERMIT NO. (�
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ OMPLAI FILLING
0 COMPLAI
0 FRAMING 0 WATER HOOKUPNT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE
❑ FINAL 0 PLUMBING FINAL 0 FIREPLACE FINAL
❑ SITE INSPECTION 0 MECH FINAL ❑fGASLINE AIR TST
COMMENTS:
t$KWORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
..c....(2ata.a.w_____
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
c PRI0.
�,� CITY OF PRIOR LAKE Date Rec'd
DEMOLITION PERMIT S. 4-. /b
l'�'NE SOS
PERMIT NO. `6.41
Skase type or print and sign at bottom)
ADDRESS ZONING(office use)
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LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
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(Name)R Sl 1 &0.�� 1'e,LA... (Phone) CO' a- 3(.3-S I al
(Address) I \p fbak, FS C). I ro, k
CONTRACTOR
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
Use of Building: INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV V A B
5t Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
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 proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereby hat the city official or a designee may enter upon the property to perform needed inspections.
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sy
Signature Date
METRO (MCES)SAC UNIT pi
This Applicati.n Becomes Your Demolition DETERMINATION
e
.t When Approved
tig ...Fr �_/b , `i2 ediez„,t_41r 6-f00 Si
Building Official Date
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This is to certify that the req tin the ab. - ..plication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
ir'
g Director Date Special Conditions,if any
41110 24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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MEMORANDUM
DATE: Friday, October 21, 2016
TO: Janet Ringberg
FROM: Lynda Allen
RE: Demolition Permit#16-0411
1781 Shoreline Drive
This memo authorizes the return of the $5,000.00 demolition deposit. All requirements have
been complied with and the file is closed. Return to:
Lesli Beaulieu
15166 Dakota Trail
Prior Lake, Minnesota 55372
Thank you.
I' it
Lynda S. Allen S
Building Servi e es Assistant
of "4
e Site Restoration Proposal For Demolition
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Applicant: LQS 1 1 €0.vv.
Address: I (0 (47 \Ko-k-C C ) ) 0 \e\ c c ; Ji 'la
Check boxes below:
Fill Excavation to grade
jai Sod or seed all bare soils
,1/Erosion control (see handout). Maintain erosion control until turf is established.
❑ Cap sewer below grade.* Mark location. Licensed contractor required.
NA o Cap water below grade.* Mark location. Licensed contractor required.
/✓4 ❑ 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) 7ou. ���
Pump and fill cesspool/septic tank. Certified contractor required. -- vir)
• itz,-/ a. Abandon well. Certified contractor required. --E c, kir F rtd.9k N6"
Remove existing structure foundation and footings, materials, and debris.
Provide dust control by following means:
.Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other CITY OF PRIOR LAKF,,
INSPECTOR
Comments: (provide survey or draw site plan) 9/ow
ACCE � 1tYITH CQRRECTIONS AS NOTED
C7 NOT ACCEPTED-CORRECT'&RESUBMIT
These comments are for your infor enation.AH work shall be done
',.dl compliance with all applicable building&zoning code
r:?n,. 'Pts innludinq hems not s'.;eCt'i^a _,-A o;; _, w.
*Capping of utilities must be inspected.
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
/ l�
Signature Date
J:\HANDOUTS\Demolition Restoration.doc