HomeMy WebLinkAboutDEMOLITION PERMIT 16-0736 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �I Ci-/0
ADDRESS / 20/7 /. AILLI- ` ..
OWNER CONTR.
PHONE NO. PERMIT NO. l4 . —7J('
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ ASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL l t) .-7"/C)
COMMENTS:
CL-0J-E-
16;v4 SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC S, ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: F Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of PRID�
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c CITY OF PRIOR LAKE Date Rec'd
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DEMOLITION PERMIT
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PERMIT NO. (b ,7 ?6.
ease type or print and sign at bottom)
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ADDRESS
ZONING(office use)
I.Air _I - ,_I .k
LEGAL DESCRIPTION(office use only)
LOT 14 BLOCK ADDITION PID
,..2sy3ff00J
(Name) '�1 tkt i++ ra SARI- (Phone)
(Address) /0() c am , jiaklee_ � ,S-5 7 C
CONTRACTOR
(Company Name) % r)%lll e.s.:4•-• 0-Z r it 54.w J ( (Phone) 611-9 V-4/9v41
(Contact Name) 244-tr- Mar (Phone)
(Address) 14(,7 Ile. 44. -5 40,-.51...d,_ fh rt) 3-3-35,2_
Use of Building: INTERNATIONAL BUILDING CODE
I Type of Construction: I II III IV V AB
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
MPGA 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 ns. I aware that the building official can revoke this permit for just cause. Furthermore,
I hereby agree a ' offi lal or a desi may e er upon the property to perform needed' spe 'ons
zi72i,
76 l(o_- Signa ///!
Date
This Application Becomes Your Demoliti n METRO (MCES) SAC UNIT
DETERIVIINATION
"erm. When Approved
/� 0II 41/ --) le r- z/o" O( 4_
Bu ding Officia_, i tci
D• ate ti -) / e
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This is to certify t the request in the abb000ee application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
411
Planning Director 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
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MEMORANDUM
DATE: Friday, September 16, 2016
TO: Janet Ringberg
FROM: Lynda Allen
RE: Demolition Permit#16-736
17011 Sunset Avenue
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:
Mark and Margaret Sailer
17011 Sunset Avenue
Shakopee, Minnesota 55379
Thank you.
Lynda S. Alle
Building Sery ces Assistant
0i P ROS\
E.t r e Site Restoration Proposal For Demolition
v
1111
jNNEsco
Applicant:
Address:
Check boxes below:
Fill Excavation to grade
X Sod or seed all bare soils
Erosion control (see handout). Maintain erosion control until turf is established.
Al Cap sewer below grade.* Mark location. Licensed contractor required.
Ali Cap water below grade.* Mark location. Licensed contractor required.
A-64 Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844) for water meter removal.
X Cap gas line.* (By gas company)
( Disconnect electric at meter. (By electric company)
Ili Pump and fill cesspool/septic tank. Certified contractor required.
Abandon well. Certified contractor required. Existing g well
' Remove existing structure foundation and footings, materials, and debris.**
Provide dust b following means:
1 er 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 inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
•
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SCOTT COUNTY, MINNESOTA
INDIVIDUAL SEWAGE TREATMENT SYSTEM (ISTS) PUMPING PERMIT
T
Address
Pumper
No. of Tanks Pumped Total Gallons Pumped
Check all that apply: ❑ Residential
❑ Commercial ❑Rental
❑ Septic ❑ Holding ❑Pump Chamber
Condition of Baffles ❑ Cesspool ❑Abandoned ❑ Other:
(baffles must be inspected) ❑ Acceptable ❑ Unacceptable
❑Replaced Baffles
Depth of sludge layer
inches
Disposal Location (be specific)
Did you observe a surface discharge? ❑ Yes
❑ No
Pumped From: ❑Maintenance Hole
❑Removed Tank Lid (stave, for example) ❑Inspection Pipe(see below)
I have been informed about the correct tank cleaning procedures and understand that I risk having my system failrematurelY
if the tank is not pumped through the Maintenance Hole/Tank Lid to enable the removal of solids. p
Signature of Owner/Owner's Agent Reason for not pumping through the Maintenance Hole/Tank Lid
Comments
Pumper/Inspector Signature
Date
Only one permit is needed per ISTS.If there is more than one ISTS on a property, submit separate permit for
each ISTS.
Submit a permit whenever a tank is pumped for abandonment. Pumping the tank does not constitute a compliance nspection.
Canary-Countyp
-Homeowner Pink-Pumper
Form#1'