HomeMy WebLinkAboutDemo Permit 05-0153
CITY OF PRIOR LAKE
DEMOLITION PERMIT
150-"
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Date Rec' d
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I PERMIT NO.Ob. 0/53
(Please type or print and sign at bottom)
ADDRESS
/ t? 5" i 7 f)LLtDfI
ZONING (office use)
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PRIOR, Lo.xe
LEGAL DESCRIPTION (office use only)
LOTI t J.. BLOCK
ADDITION P1.Q f ,').$099 ~pR.J ('Jq fD'R.rol<-
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PID t2S0q q 00 10
~=RPAT~[(~lL 5feJJBr0tS)JUNt !frODiK&fJ;Dllvi07AODikf.tJ(PhOne) 0 W.- 9dO{)()J~
(Address)
CONTRACTOR B +
(Company Name) G I (.'<p ScP-S
(Contact Name) :r;'tN1d 8evc.h
(Address) I / ~ 0 I Co ~ ~ 3 1tof k;.).J.s .
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(Phone)
(Phone)
S- r.::3 '" J.
9,~;)- 93~ -4f33
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Use of Building:
INTERNATIONAL BUILDING CODE
Type of Construction: I II ill IV
Occupancy Group: A B E F H I
Division: 1 2 3
V A B
M R S U
4 5
o MPCA NOu.nCATION OF INTENT TO PERFORM A DEMOLITION
I.f<.. C.
. 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 h~~y~ee that th~al or a designee may enter upon the property to perform needed inspectiOl1s ;
,p.A ~ 2. ..2&- ()~
. Signature
Date
~~~
Building Official
This Application Becomes Your Demolition
Permit When Approved
l>/CltS
, Dale
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested.
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
.....".._...,_~___~_...~~........h........_.~~..,_"'___.__,..".,~
Site Restoration Proposal for Demolition
Applicant: D~\ \c...\'A~",
Address: -1i ~)l l\LA..\-c..-L... Ao6" ~ S,
Check boxes below:
.~ Fill Excavation to grade
X Sod or seed all bare soils
y( 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.
1-. Call City of Prior Lake Public Works Department for water meter removal.
~ Cap gas line.* (By gas company)
~ 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
~ Remove existing structure foundation and footings, materials, and debris.**
"j( proV~.d us.t control by following means:
1. ater mist from a water supply (i.e. neighbors, water tank)
. Enclosure
3. Other
. Comments: (provide surveyor draw site plan)
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*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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Signature Date
J:\BUILDING\HANDOUTS\De:no Site RestoLdoc
CITY OF PRIOR LAKE
INSPECTION NOTICE
)? ~TE TIME
SCHEDULED .~ ~~
ADDRESS
IGS'/7 OJI-t h.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
O-c iA1 D
COMMENTS:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~TISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~ W;1R~OR REINSPECTION BEFORE COVERING
Inspector: V //( Owner!Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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