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CfJ m C ~ ~ _"O"O"S! ~ ~ z ril>>>c 0 >ooz:;; 3 ~ _mm-l_ -1 ::0"'::0 r -1-- r- i enZ z m -I~ (;') CITY OF PRIOR LAKE DEMOLITION PERMIT Date Rec' d 10. 12... (14- FIve tAl Ob.oOz.3 PERMIT NO. (14 ./o3C. (Please tyve or vrint and silm at bottom) ADDRESS ZONlNG (office use) Jf2/S 0 507c) (I.()/J 0 (I tV s sT. LEGAL DESCRIPTION (office use only) LOT D BLOCK ADDITION (!,f) tJ f) (I Iv'.r 1-1./ () (l 0 fflh PID 25. () 2- q 0 (J(.? 0 OWNER (Name) (Phone) (Address) ~~:~:~~~~ .I-b~;s~ ./-br~J. ~~~ (Contact Name) Mti't./... 4.1'''; ~ '" (Address) 6b70 SE' _S::;k (Phone) (Phone) t"',.L'- L,k 4~~t/ .S>-'('72- Use of Building: INTERNATIONAL BUILDING CODE Type of Construction: I II ill IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 t. 6 /7l57G. e'r tf"tt:..c;.l:J / ., NIPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION. ~-~f' 0 / O. /I. (.'4- I IV j/ I"J b (., r 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 accord nce with submitte plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that offi,eial or ad' ee may enter upon the property to perform needed inspections. "/~ ~~ {/'7 . Signature I ?'/ t).:"/- {Y/ Date This Application Becomes Your Demolition Permit When Approved ~ ~ /O/;~,/ Building Official 'Date ~.;~~~~~~ ~~~' ~~/o'i Date i ~. (' 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. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 c:white - BU~) Canary - Engineering Pink - Planning Tht' ("('nlef of Ihe tab Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT NIhVIs-H fIo/1llE5' r IAlc i . /0/ / 2-- /0'-( ~6Mo / /. APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5D 7 0 ~A.JOt1~S S'f; Accepted / Accepted With Corrections ~ Denied Reviewed By: ~ ~ Date: /O/;;:t/tlf" I . comme~ts: ~ /!J.c...J ...r ~ ".., ~ <., ~ ~~~. ~.Lt ~~ ~ ~ 'fk ~~ .:.;. ~ ~. o,-/l yk, ~ of ~ ~ --Jl. ~ ~'-: 4L ~ ~ J rR' "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Site Restoration Proposal for Demolition Applicant: !-iz,Ji51, /-L~-vrJ;;[. I Address: 5';t) t:VIJI''''; st.IE #;/1'- L'k /fv 5',5-]7 Z Check boxes below: :I Fill Excavation to grade :I Sod or seed all bare soils w Erosion control (see handout). Maintain erosion control until turf is established. ~ Cap sewer below grade. * Mark location. Licensed contractor required. :I Cap water below grade. * Mark location. Licensed contractor required. ::Y Call City of Prior Lake Public Works Department for water meter removal. cY"Cap gas line. * (By gas company) ~isconnect electric at meter. (By electric company) :J Pump and fill cesspool/septic tank. Certified contractor required. :I Abandon well. Certified contractor required. Existing well Ci'.. Remove existing structure foundation and footings, materials, and debris. * * ar-- Provide 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) e./~f;v.~'L s:, IJ~."u ~i~r ~Ae &dr~ " ~ ~.r ~ ~~I( ~~. *Capping of utilities must be inspected. * * Final inspection and approval of restored site required. approved final inspection. ~41~ Signature Deposit will be returned after / Z Oc-lOy Date J :\BUILDING\HA~DOCTSDemo Site RestoLdoc Thr ('rntn of Ihe takE' Conntl")' White - Building ~n~r~ I=naineering Pink - PlanninD NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 1'//llt//:':i-( / <"'/t'? t. ~.. .;; ,,- '/j'(' APPLICATION RECEIVED . i / '- c , / ,'/' f .:.. ,J -'D C)v'.. C ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ...--i () ('I C f.._) OtJI--Lj-' '7" Accepted --tL- Accepted With Corrections / J) e . ("l. ~ '1 ". ~) >.'1 ,,;t.;f.,-' J'" / <.,.1:.. . Denied Reviewed B~ m I ~ Comments: ~ ~~ ~rwr ~' ~~ ~ ;t~ Date: IOf I~/O l( , t~ ~ ~I:zi..- OL~ l> J ~ ~. 2~~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." /'" .,// .. White - Building ganary - En~lne~ Pink - Planning fhe ('rnlrr or Iht l.akr ('ounlr)" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST I / '1'/ i '("'-.1 J f I' ., NAME OF APPLICANT Fv 171/ / .,> /r-' /'l~~j n1 (. S' / /J'( APPLICATION RECEIVED . I,', / I <j /" r I ..~) / (, j /i' I.. l /./ -I '~D ".''t. '~""-"'. ~__.. .,"...AA _./ t \_-- .tv ';"~_.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,I:"; t) "7 () /; /)~. \ /) .1' J (.- r::-"7'~, ,._,.... / 1.../.... j ,../ & t:. ~...j '.....-, Accepted ~ Accepted With Corrections L/)..e. ,\,0 \.... <1 'f -, .tt- . '// ':/t ij,,f ,.JL r~'" Denied Reviewed By: /YJ'13 Date: 10 -/z-o,/ Comments: fr,'Of +0 D(I"ID />>11(, 5u{t cd/ SUII/<.6 err, IL C21ful.. "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid."