HomeMy WebLinkAboutDemolition Permit 05-0138
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec'd
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(Please type or print and sign at bottom)
I ADDRESS
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ZONING (office use)
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I LEGAL DESCRIPTION (office use only)
I LOT ~ BLOCK ADDITION LAtf -:;1 U(
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PID 25. tJ9?~()o4-. 0
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(Address)L....( loB (21. 0.,../ C D!.JC"T
CONTRACTOR \'.... r
(CornpanyNarne) UArlL<; ,,-rr~"S-'(.
(Contact Narne) M~ K- DA-NlS
(Address) It 0\) (5,,\ ~+" LN., Jct'DA,J
(Phone) (<1$ 2 -'J '-f<:tl-- ~t /)~
(Phone) (c::'12 ') '-Ie; D - ~ D f.c;z.
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Use of Building:
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INTER...~ATIONAL BUILDING CODE
Type of Construction: I IT ill IV
Occupancy Group: A B E F H I
Division: 1 2 3
V A B
M R S U
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o MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
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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 thatl
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 agre that the ci ial or a designee may enter upon the property to perform needed inspections_
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. Signature
Date
This Application Becomes Your Demolition
Permit When Approved
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Building Official
I METRO (MCES) SAC UNIT
DETERMINATION
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certify thai the request in the above applicanon and accompanymg documents IS in accordance wnh the City Zomng~' inance and may proceed as requested.
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:24 hour notice for all inspections (95:2) 44i-9850, fax (95:2) 44i-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
Site Restoration Proposal for Demolition
Address:
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Applicant:
K- bJl/~ AN. \) Lee- (
Check boxes below:
:J Fill Excavation to grade
o Sod or seed ali bare soils
J.11L. Erosion control (see handout), Maintain erosion control until turf is established.
~ Cap sewer below grade. * Mark location, Licensed contractor required.
Oil Cap water below grade, * Mark location. Licensed contractor required,
~ Call City of Prior Lake Public Works Department for water meter removal.
"fi( Cap gas line. * (By gas company)
Diil:.. Disconnect electric at meter. (By electric company)
o Pump and fill cesspool/septic tank. Certified contractor required, ^,-" St:.pi-tL
o Abandon well. Certified contractor required. Existing well No w..1 I
!8.. Remove existing structure foundation and footings, materials, and debris. * *
jit Provide dust control by following means:
(Y Water mist from a water supply (i.e. neighbors, water tank)
2. Enclosure
3, Other
Comments: (provide surveyor draw site plan) / . ~
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~apPing ofuUities must e inspected. ~ 1-> r.i'~()"o.oo ~ ~
** Final inspection and approval of restored site required, Deposit will be returned after
approved final inspection.
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( Signature
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Date
J:\BUILDING\HA0iDOUTS\Demo Site Restor.doc