HomeMy WebLinkAboutDemolition Permit 07-1000
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
/4~ /1YOI )14
.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'7- fWD
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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~ORK SATISFACTORY, PROCEED
-1b ~ORRECT ACTION AND PROCEED
o CORRECT WO 0 REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYl
INSNOTI
at bottom)
CITY OF PRIOR LAKE
DEMOLITION PERMIT ~
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t ? lr I PER1\1IT NO. 07
Date Rec' d
/0, 8.07
1000 J
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ZONING (office use)
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LEGAL DESCRIPTION (office use only) .
LOT & BLOCK (p ADDITION
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OWNER
(Name)
.
(Address)
Ho~'f ~=" u,;;."'>C.... Mt:71f'","~T C(j'/)CH (Phone) ')~? -441. 7'110
16 I'S 0 Ac:..c ,A:~ ~LA S; Ifc-~.t" :;;:. €
CONTRACTOR
(Company Name)
(Contact Name)
5TQ~ ~~ .J:lv'C-
,
t.2'~' r-~ '..- ~S-nc1~L
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(Phone) c}5;Z-870-C,"24J
(Phone) .,.~
(Address)
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Use of Building:
INTERNATIONAL BUILDING CODE
Type of Construction: I IT ill IV
Occupancy Group: A B E ~ H I
Division: /.~ ' ~ 2 3
J\-IPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
~II'.G
V A B
M R S U
4 5
I h~eby certify tha' I have furn;,hed infonnation on "'" '!'Plication which ;, '0 'h, b", of my knowledg, true illd 'OITect, I aho certify tha'
I am the oWn~ Ot authorized agon' fot the above-mentioned prop,"", and that all LO",truLUon will 'onfonn '0 all ,"",ting "ate illd local lam
and will pro"ed in "'Ot<un" wi'h mbmitted pi"", I am aW"'e tha, 'he building off",ial can revoke <hi, permi, fot ju" cau"" Furthermore,
I hereby agree at the city official or a designee may enter upon the property to perform needed inspections.
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This Application Becomes Your Demolition
Permit When Approved
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Building Official , Dati
10 f Cj /0 "/
Date
. Signature
est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and
loA~~ 1
~ Date
tCe:c-'.o ~S~ e;!JHI,&rz..s e#Gr!K-
1()..tJ~07 (/NS/lPe.) -M ,
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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
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Special Conditio"", if any
CITY OF PRIOR LAKE
APPLICATION FOR
EXCA V ATING/FILLING PERMIT
Permit No,
Date
/
/
447-4230
Applicant
Address:
Ib '- '1
Ii:. I~O
'~ tJ~.:rn:so m~6zsr CH1A.P-CfJ
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Phone II ~2-~447-291o
Property Owner: ~ L'-1 ~:n'Y (},..J~ fill h'tto O:z::.:srr Ctft~
Address: Ib 1St;) A-.ik.:-A.l\~ S~ -~ G
Contractor: mc~- GrCf't-./~. ~
I
Address: '~~b ~b t1Je S:A-J~ ~
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Phone /I q~z -44}-~9o
Phone II 9SZ -!3tf'o~24-t
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Consultant Engineer/Surveyor
Address:
Phone /I
Location of Property:
Legal Description:
1/,I'?Jb ~ ~~ ~<;;e
Lo-r b l!- OL....7Z<::>-r- "J'O $'t,v.:n-t ' gu:.C(.L b I C:rs-t oF' P~2CA-tJ.€
Will the excavation or filling be in a: Watercourse
"';0
Wetland
IVO
Upland No
Purpose for the proposed excavating or filling:
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Completion date: I ( I J sl--:> "7
~o JIrL of:=-..><>.Tl.-- Aco(~ IOOOY.h5
Estimated start date:
What is the type of material to be removed or deposited:
In what manner will the material be removed and/or deposited?
R'EinDI./'rl....- lh-k 1J,.~~'C A"....I.1
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What highway, street, or other public way will material for removal or depositation be hauled or carried? Jtw'l Zi
What, if any, street, avenue, lane, alley, highway, right of way, thoroughfare or public ground will be obstructed?
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IT SHALL. BE THE RESPONSffiILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE SATISFAcnON OF THE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V A TION AND/OR FILUNG COMPUES WITH THE OVERALL CITY
OF PRIOR LAKE STORM WATER MANAGEMENT PLAN, SAID BURDEN SHALL INCLUDE THE FURNISHING OF A REPORT WITH SUPPORT-
ING CALCULATIONS OF A REGISTERED PROFESSIONAL ENGINEER.
Will proposed excavation or depositon affect the City of Prior Lake overall stonn water management plan? Yes _ No y" If
yes, show proposed effect.
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
: /
,
"
(
Accepted
Accepted With Corrections
Denied
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Comments: I1ffJre;vcL rcn- demo ~.f1 SrrIA-C-T::/A...Ye.5'" 0'71 t '
E;L_Vc;.-~;(J /Gf'6e/'cJ ferYV\''-c:: lYIus-c 6e. <yJj?r~ve~ f;;r
yYJC/VeW\~ orP .501'/
Reviewed By:
Date:
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tMlV
,
"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,"
.....---
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White . Building
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Pink . lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT -..J I t)(' Ie't;<.::.- E ,K C /1 1/14 TI tJe:, 0 U C
APPLICATION RECEIVED /0/ [? /0 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ Co I 7 (" A /2 C' /1 0 ; A ::;T; s-: t: ,
Accepted
Denied
Reviewed By: ~
x
Accepted With Corrections
Date: !CJ-/I- 0"1
Comments:
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"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."
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<White - Building:)
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
SJrtJcK t5Je.., EXC!."1 t/ A n ~G, . 01/ G
.
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ /1er
ARf'7-A-O IA. S?7 ~ e ,
Accepted
Accepted With Corrections v
Denied
,..
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Reviewed By:
Comments: ~ .r
.
Date:
/~hA7
. .
"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:
1-10 (....i-( T1:;;;J..)J:::I:"YL.f () tV :;;;i:""i~~ ,,!It €-n+'O <1..r 40--;- {" f+r-,!:':2 C~H
Address:
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A,,~:i\.6..:t~ e;,."'t);(=:.t::--r ~ ~.
Check boxes below:
,Q( Fill Excavation to grade
)f Sod or seed all bare soils
)(' Erosion control ( see handout). Maintain erosion control until turf is established,
K Cap sewer below grade. * Mark location, Licensed contractor required@ ~
X Cap water below grade,* Mark location, Licensed contractor required,@ ~
)( Call City of Prior Lake Public Works Department (952.447.9898) for water meter
removal.
)( Cap gas line,* (By gas company)
)( Disconnect electric at meter. (By electric company)
rJ \A. 0 Pump and fill cesspool/septic tank. Certified contractor required,
,J I A 0 Abandon well. Certified contractor required. Existing well
~. Remove existing structure foundation and footings, materials, and debris. * *
)!( Provide dust control by following means:
~ater mist from a water supply (i,e. neighbors, water tank)
Y 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,
~~ &d!~
Signature
/0 Iq ItJ7
Date
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