HomeMy WebLinkAboutDemolition Permit 09-0453
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
1. I; 0 ~
P'~f~ Pt--
c ,,~_ _
I PERMIT NO.or.. f~ 3 1
I
zONING (office use)
(please type or print and sign at bottom)
I ADDRESS
~Oq
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
Pill
tl ~;;:; ;~:~~e~~
(phone(q<;'2)'" bq - 6 '111
CONTRACTOR
(Company Name)
(Contact Name)
(Address)
(phone)
(Phone)
Use of Building:
5(1\I{9r~~.~/(..7
~~
INTERNATIONAL BUll.DING CODE
Type of Construction: I IT ill IV (j
Occupancy Group: A 'B E F HIM
Division: 1 2 0 4
A ill
d['SU
5
CANOTIFICATIONOF~NTTOP~ORMADEMOLTI10N
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.
~1:)1'-::- . '" J~o JD1
. . Signature ' I Date
-{-
ecomes Your Demoli 'on
ed
t<G-~/ S-G)oc? - C/tS" ttt. .,.,)-f-S CI'f-~c;...K
(IV fAv '-,
This is to certify that the request in the above application and accompanying doc1Ullents is in accordance with the City Zoning Ordinance and may proceed as requested.
. #-.m~ .. 7-I-d!.
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
"',
I
Site Restoration Proposal For Demolition
Address:
13k<4Jr 7vt2-N6IL
14qOq ~~/~~~' e/~.
Applicant:
Check boxes below:
lJ. :Fill Excavation to grade #0 ;:brJ N eJ",.-rteJA/
o Sod or seed all bare soils ,'3V/t;A /#'~ C:;:~N
)t Erosion control (see handout). Maintain erosion control until turf is established.
f1 Cap sewer below grade. *. Mark location. Licensed contractor required.
.." Cap water below grade. * Mark location. Licensed contractor required.
~ Call City of Prior Lake Public Works Department (Call 952.447.9843 or
952.447.9844) for water meter removal. J;:t:)Nt::.
..,Q. Cap gas line.* (By gas company)
)z( Dis.connect electric at meter. (By electric company)
o Pump and fill cesspoollsepti~ tame Certified contractor required. UN~c.c../A/
lJ AbanaQn weli. Certified contractor required. Existing well - fks 16'-~t!J~
}Jlf... Remove existing structure foundation and footings, materials, and debris. * * IFf
~ovide dust control by following means:
1. Water mist from a water supply (i.e. neighbors, water tank.)
2. Enclosure
3. Other
Comments: (provide surveyor 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.
b/3D J01
r I
Date
~}-
..' Signature
J :\HANDOUTS\Demolition Restoration.doc
HOUSE MOVING IN PRIOR LAKE
.:. A Demolition permit is required.
.:. $5,OOO.OOT..Th-....~"nrI11]~I~u_",..P. J..1:.:,..."." {fl.
.:. Site restoration plan is required, or an approved building permit application for a new house.
.:. Damaged sidewalks, street or curb shall be repaired in an approved manor with all costs to be paid
by the permit holder.
.:. The structure to be removed shall not be stored on the street or other public property.
.:. The permit holder shall control erosion on the property.
.:. Open foundations or other hazards shall be protected with an approved safety fence.
.:. The permit holder shall comply with the Tree Preservation Ordinance. All work shall be done
outside the drip line of all protected trees.
COMPLETE THE FOLLOWING
1) Proposed house move date (24-hour Police notice required) . D 7 - DC """0 ~ ~#I'<JvtJ 1-(2
2) Scott County Highway Permits --R Yes _ No (For County Roads) .
3) Site Restoration Plan Yes ~ No
4) Utilities shut off notification:
Electric
Water
Natural Gas
Telephone Company
5) Tree removal or cutting
6) Proposed route diagram
~Yes
----L Yes
-X- Yes
~Yes
.' Yes
""ZYes
No
No
No
No
~No
_ No (Locate on City map)
"'
Name of Moving Company
Address &
City, State, Zip
Contact Person
State House Mover's Lice
Property Owner Name ' r
Property Address (House to be moved)
Sign,amre of AP;~ M ~ 7 t k
16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245
07-0/-olf
Date:
AN EQUAL OPPORTUNITY EMPLOYER