HomeMy WebLinkAboutBuilding 05-0373
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RPR-25-2005 12:21
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. <, NE S
CITY OF PRIOR LRKE
CITY OF PRIOR LAKE
DEMOLITION PERl\1IT
9524474245 P.01
Date Rec' d
I PERMIT ,NO. 05 () -373 I
ZONll'iG (office use)
(!,,/
3cP 75
14-0~ 57 A/W
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
PIDz5 9z7. 001. 0
(Address)
(PhOM) &$/-'-/06 - i40()
:i e - t;Z
CON'I'RACTOR
(Company Name
(Contact Name)
(Address)
';-\-
$.
(phone) l~- i' ?? 1/- ~55 n
(Phone)
cJ} - fh J4-
Use ofBu.ilding:
ALL BUI~I~S
2R€SI~
~ Tl2-V G--, S
INTERNATIONAL BUILDING CODE
Type of COD3U'Uc:tion: I 1I m IV
Occupancy Group: A B E F H X
Division: 1 2 3
V A B
M R. S U
4 5
MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLItlON
I herl!:by certify that I have fum.i.shed information on this application which is to the besr of my knowledge trUe and correct. I also certify that
I the: owner or authorized agent for the above-mentioned propertY and thar all consttucrion ",ill conform to a.U existing state and tocallaws
nd ' proceed in accordance ns. I am aware that the building official can rEvoke this permit for just cause. Furthennore,
I ere agree that ignee may the property to perform needed inspections.
LJ '-d '7 -OS-"
Date
~: "';;;::::orio..d .._~ r:::ri;-;- ... .h. c"" Zo,;.. ",'om.. "'" -y p,~"..........
Pl~l\g DircQ(or D;le SpecI.l Condlriollll. If i.lny
;14 hour notice (or nil in5p..!ions (951) ~<l1-98S0. (u (IISZ) 4<17..J:Z4S
l6200 Eagle Creek Avenue, Prior Lake, Minnesora 55372
RPR-25-2005 12:21
CITY OF PRIOR LRKE
9524474245
P.02
Site Restoration Proposal for Demolition
APPlican~"\ ~1'\c\P(5Q/" k S O-'X
\
Address: -930 D lA \ J-\-" S -t ~ 'T.
ClJ
Pt'J
(llJy
Check boxes below~
'/FillExcavation to grade
Q Sod or seed all bare soils
o Erosion control (see handout). Maintain erosion control until turf is established.
CI Cap sewer below grade. * Mark location.. Licensed contractor required.
o Cap water below grade. * Mark location. Licensed contractor required.
o /Call City of Prior Lake Public Works Department for water meter removal.
~ Cap gas line. * (By gas company)
ri Disconnect electric at meter. (By electric company)
c/' Pump and fill cesspoo1/sep(ic tank. Cerrified contractor required.
sf' Abandon well. Certified contractor required. Existing well
~ Remove existing structure foundation and footings, materials, and debris. * *
CI 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)
? f2-o V vO S-
bR-1<;; I<N GM'f2.0L ~ ~NJS
*Capping ofutUities must be inspected.
** Final inspection and approval of restored site required. Deposit will be returned after
a proved final inspection.
1) / fl7-OS
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J:\BUILDING\HANDOUTS\Demo Site RestOr,doc