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HomeMy WebLinkAboutDEMOLITION PERMIT TIME 71—_____DAT:1 WCITYOF PRIOR LAKE SCHEDULED INSPECTION NOTICE 1 2/ 95& ADDRESS CONTR. (� OWNER /�o G� PERMIT NO. 0 'GRADIFILLING PHONE NO. ❑ COMPLAINT 0 PLUMBING RI 0FIREPLACE RI 0 MECH RICE FINAL ❑ FOOTING ❑ WATER HOOKUP 0 FIREPLACE❑❑ FRAMINGION ❑ SEWMB HOOKUP ❑ GASL NE AIMS_ ❑ INSULATION ❑ PLUMBING FINAL �� T ❑ FINAL 0 MECH FINAL ❑ SITE INSPECTION COMMENTS: �%. el _a 1ORK SATISFACTORY,PROCEED 0 CORRECT ACTION AND PROCEED 0 CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING /er!GOfltI. � ��� � HOURS IN ADVANCE. Inspector: ��' ' INSPECTION 24 � 9850 FOR THE NEXT HEALTH&SAFETY!' TS ARE FOR YOUR PERSON CODEE REQUI MEN INSNOn o PRro� CITY OF PRIOR LAKE Date Rec'd •Z 9 U DEMOLITION PERMIT v_ I O.. l&' rl.e ,Q' it'NEs° PERMIT NO. /6, / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1 51) /4/ Yise L/171- i›z‘ S Z - i 5 b LEGAL DESC TION(office use only) ' ' 1 q/ —t ' ��'� � PID 25 .04/7- ©/ - 6 LOT BLOCK ADDITION " �� etc. \ OWNER ! ps37 ( �(Name) / l , 9G/i (Phone) y (Address) f4`� ,k C CONTRACTOR6/01 fJ %� 3JC Q� �/ (Company Name) ' ,4 _ i t 4 _ (Phone) (Contact Name) -0 _ , - ,� ,v1 (Phone) (Address) 'G/0 2V Il 7 2111 s4 l)Q c4 4/14 i! , 5- -Use of Building: INTERNATIONAL BUILDING CODE Type of Construction: I II III IV V AB .S/ ./1'-'(>C-.I.— ')I(.( .-15e, Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 IN.MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION 1 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 ag •: , -the o tial or A5 < i gnee may enter upon the property to perform needed inspections. ` if— ; g/‘ Signature Date METRO (MCES)SAC UNIT i This Applicatio Becomes Your Demolition DETERMINATION / • •rm When Approved J / ��6,`p $.5-,,c,o U ' 1Cdie-- -6r.-/ 41 0 3 ly- ilv ci �,t//JC6 ID tiff/c kV ccur L o,,.l Building Official Date 2 w . ie, C/L >;_52-9 2 • `Lt!- 'r vet 4-123 This is to certify that the request in the above a.plication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. 3 - /Y-// /-,./n ing 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 Lalce,Minnesota 55372 0 4. /re, 41AINsse MEMORANDUM DATE: Friday, September 16, 2016 TO: Janet Ringberg FROM: Lynda Allen RE: Demolition Permit#16-98 14956 Pixie Point Circle This memo authorizes the return of the $5,000.00 demolition deposit. All requirements have been complied with and the file is closed. Return to: Greenwood Design Build 4820 West 77th Street, Suite 150 Edina, Minnesota 55435 Thank you. Lynda S. All- 2C46fitfijil:c Building Servi es Assistant k (------- 1 Site Restoration Proposal For Demolition 1( 1A ....______),,,x Applicant: 1.P,° "V Gni( 4.cI 'C IL-111 Address: 1 �g / cí, A,11 (,� LC( Check boxes below: ❑ Fill Excavation to grade a Sod or seed all bare soils Erosion control (see handout). Maintain erosion control until turf is established. " Cap sewer below grade.* Mark location. Licensed contractor required. Cap water below grade.* Mark location. Licensed contractor required. A.,9 Call City of Prior Lake Public Works Department (Call 952.447.9843 or 52.447.9844) for water meter removal. Cap gas line.* (By gas company) °,.) Disconnect electric at meter. (By electric company) a Pump and fill cesspool/septic tank. Certified contractor required. a Abandon well. Certified contractor required. Existing well Remove existing structure foundation and footings, materials, and debris.** __Provide dust control by following means: 1. I ater mist I. om a water supply (i.e. neighbors, water tank) 2. Enc osure 3. Other CTII' •F PRt©R LAKE BIITCIN P£. T • NR VI W Comments: (provide survey or draw site plan) _: c QTE 23 .. r� y,�.r..}.,—,"rte, #M1 CoNlIECTiONSAS NOTED Qty i IIS Tp$ r ... s aa44he int CON01 00.141 G-0 ,____ p i sorarcl cede,. requirefikentsirichochniaitems tick 1pecifics 4y naked in'this review. KEEP THIS PLAN SET ON SITE AT ALL TIMES. *Capping of utilities must be inspected. ** Final inspection and approval of restored site required. Deposit will be returned after approved final inspection. i 1- / tr • ' ASkilli- 9-ct--7‘ Signature Date J:\HANDOUTS\Demolition Restoration.doc