HomeMy WebLinkAboutDemo Permit 05-0330
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
PERMIT NOj/j"_ ~ 3(,)
(please tYPe or 1Jrint and si~ at bottom)
ADDRESS
e:?8S-o "<<"~k' ;8~(I eJ Alw
(j -
ZONING (office use)
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
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OWNER ~
---~(Name) .or~"""
-J
(Address) "3 Sl>c> ;).
~t.- "'Do ,^o..l J.
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CONTRACTOR .1 , I ,1
(Company Name) C-n-tll\.' Ho~ MDut..YS
(Contact Name) is ~ Il64h-~j
(Address) t.....k..lJi/(q
(Phone)
QS-,;2. -~57- gDO{
~o9
(phone)
(Phone)
Use of Building:
SFD
ThJ.~.K.NATIONAL BUILDING CODE
Type of Constmction: I IT ill IV
Occupancy Group: A B E F H I
Division: 1 2 3
V A B
M R S U
4 5
~ MPCA NO J.U'lCATION OF Th J.~~T TO PERFORM A DEMOLmON
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 mitted plan am aware that the building official can revoke this permit for just cause. Furthermore,
I here~ee that the city lci ee y enter upon the property to perform needed insp;s;ttons.
J~~ ..y-~7-D~
/ . Signatury . Date
This Application Becomes Your Demolition
Permit When Approved
~~
Building Official
l' /z 7 ~>
. Date
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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
Site Restoration Proposal for Demolition .
Applicant: (> ~ ,,~""\ M tD.1I\.~ \a\
c>>..,,. -. '!c J
Address: 3S"'l)02 aJ.., ~..~ ~; " W~
~~CI'V"\ ~,r, /UJ'J ~it;
Check boxes below: I
Dc._o.prop. olll. )
~ 1S"O. ~ Ie. ~~ tzJ fIfIIV
;?,~- ~...~ '~~S-S7L
o Fill_ Excavation to grade
o Sod or seed all bare soils
'i 5" Erosion control (see handout). Maintain erosion control until turf is established.
Or ^ 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 remov91.
o Cap gas line. * (By gas company)
\( D' Disconnect electric at meter. (By electric company)
\~~"rX Pump and fill cesspool/septic tank. Certified contractor required.
t~ ,Jr Abandon well. Certified contractor required. Existing well
r.r' 1 Remove existing structure foundation and footings~ materials, and debris."
o 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)
*Capping of utiiities must be inspected.
* * Final inspection and approval of restored site required.
;;::?~
7 Sign7
J:\BUILDING\HANDOUTS\Demo Site RestoLdoc
Deposit will be returned after
~~7-os
Date
~o~ PRIO~ ~
t: ~
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~
/)5- '-5:50
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~2/pf '111a j~fL
cJ- 2/-a~ OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&gSO ~~/c RJdqJL/(.2cJ
- ,
Accepted
Denied
Accepted With Corrections
Reviewed By:
. Date:
Comments:
"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."
FROM : DON STODOL.AWELL DRLG CO. J. [NC. FAX NO. :952446%70
Aug. 15 200609:07AM P3
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MINN. OEM or HEALTH 001''1
\H 250651
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DATE
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TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
H6.W'" e..,~
v
ADDRESS 285"0
OWNER
CONTR.
PERMIT NO. ..5... ?JD
PHONE NO.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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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
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~ORK SATISFACTORY. PROCEED
o COR~ECT CT N AND PROCEED
o CORR T K, CALL FOR REINSPECTION BEFORE COVERING
Inspect : . _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
lNSNOTl