HomeMy WebLinkAboutDemolition/House Move 05-1218
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec'd
/2,14-, OS-
(Please type or print and sign at bottom)
I. ADDRESS
. 28'71
I PERMITNO. 05./2/81
HJ1 vv t::-
/81 DG& ~.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2b '104-.014-.0
OWNER
(Name)
Nr1/11~E:Y L/-INO DEt/.
(phone)
(Address)
CO~NTRACTOR ~
(Company Name) ...B IVltlllt
(Contact Name)
(Address) I. 17
J{iY1fjd'1
(Phone) '1.5) - ~'!~ -~r08
(Phone) (, /2 . :1'z, S" . /61 st,
Use of Building:
INTERNATIONAL BUILDING CODE
Type of Construction: I IT III IV
Occupancy Group: A B E F H I
I Division: 1 2 3
~ :r-.1PCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
sro
V A B
M R S U
4 5
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 submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereby agree that city 0 ial esignee may enter upon the property to perform needed inspections.
12.//~;I;~
Date
This Application Becomes Your Demolition
Permit When Approved
~~
Building Official
!Z;/S/e;-s
f Date
I MFJ;!tg:~~~~S~fi'~",:,:aO: _l.
DETERMINATION JJev~ '~(RJ L)
M6'o ~5('KJO.OO ~C-
-#t07459
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This is to cenify that the request in the above application and accompanying documents IS in accordance with the City Zoning Ordinance and may proceed as requested.
/.;2 - 1.5'-- tl_;'
Date
_d.~~e'~~~
~pecial Conditions, ifany ~
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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__FROM :DON STODOLAWELL DRLG CO., INC.
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AUG-14-2006 11:10
FAX NO. : .9524469670
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CITY'S C PY
Site Restoration Proposal For Demolition
Address:
I
(?/1V~,.~ MCJL-L-.i( /CIA!Ci6IGV
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267/ HflfVI:::.. 1t2/0$t/ ICLJIiD
Applicant:
Check boxes below:
o Fill Excavation to grade
o Sod or seed all bare soils
o Erosion control (see handout). Maintain erosion control until turf is established.
o 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 (952.447.9898) for water meter
removal.
o Cap gas line.* (By gas company)
o Disconnect electric at meter. (By electric company)
o Pump and fill cesspool/septic tank. Certified contractor required.
o Abandon well. Certified contractor required. Existing well
o 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 ~ I
(Jj) Other ~ Ja ~
Comments: (provide surveyor drEJ'V ...site plan) "" J~ I . ~ .
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*Capping of utilities must be inspecte .
** Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
/1-/l-l/fff
Date
J :\BUILDING\HANDOUTS\Demolition Restoration.doc
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT .7~ ~ I\~
APPLICATION RECEIVED 1cJ./IY/oS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
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Denied
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Date: /-'"~o~ s
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Reviewed By: ~
A AA _ ~__' -"L ~
Comments: eo.-t::..K ~ -"'-".,., e~
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liThe 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."
Scott County
Page 1 of 1
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This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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(SCott
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December 21, 2005
FROM : kinger':j
FAX NO. : 9528942908
Dec. 21 2005 10:23AM P2
Mike's Septic Service
16961 Mushtown Road
Prior Lake, MN 55372
952-440-1800
Invoice
E-_~1E--J .JNVOICE q
12J1412~-T ._- 4633 I
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I BilL TO
r:-:-:--K,
IOgcry, Paul
13973 Quentin Ave. S.
Savage, MN SS378
~ .g7 { "lit'\) i< f2.1 Db'E' f4;-
.:r1U ~~ L()r1~ MN Ss37~
-- ... .- .._-
P.O.NO. TERMS PROJECT
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Duc on receipt
-.. -.--
QUANTITY DESCRIPTION RATE AMOUNT
-..-' .. "'
1 Pumping Septic System 2 Tanks Manhole 235.00 235
McttopoIitan W~ Dumping Charge: $70
Scott County Permit #117687 Fee: $10
2 hoses
1 Snow Plowing 50.00 5
--. .....,-~....._-_.. ...... ..- ......"".,. ..- -,,--.-.--.- '....'..--...-
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hank you for your business. Jeny.
Total $285
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FROM : Kinger':j
'.' T_
FAX NO.
9528942908
Dec. 21 2005 10:24AM P3
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SCOTT COUNTY, MINNESOTA Permit #1 ~I (] 8 "/
INDIVIDUAl, S.~W AGE TREATMENT SYSTEM (ISTS) PUMPING PERMIT
(I ,.
Owner (""/ f'(1;.'''i:',',/ ......
'.,.'
Pumper fl.'7.ft,'.,;. ,~(ei><. No.ofTanks:PU01ped ~~.
Check all that apply: 0'Re~idential 0 Commercial DRenlal
[;!Septic 0 Holding 0'Pump Chamber 0 Cesspool 0 Abandoned 0 Other:
Condition of Baffles (baffles must be inspected) 0 Acceptable 0 Unacceptable 0 Replaced Baffles
,.... ,..... J
Address :;>.: ':. /,
II. I. f..' . r" ,
1'11.,(..,( rC\O.c:' ~(;\.
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Total Ganons Pumped LS' OG
Depth of sludge layer 5,.,._ inches
Disposal Location (be specific) Blue L.C1 ~e
Did you observe a surface discbarge? 0 Yes ra-No
Pumped From: ~aintenanoe Hole 0 Removed Tank Lid (stave, for example) 0 Inspection Pipe (see below)
I have been informed about the correct tank cleaning proce<1urc.'$ and undergtand that I risk having my system fail prematurely
. ifthe~ank is n9l pumped through the MaintCJ)81lce IIplc I Tank. Lid to.enable..t,he ~ma:\Tal.of_solids.-._
Reason for not pumping through the Maintenance Hole / Tank Lid
Signature of Owner / Owner's Agent
CommeQts
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Pumper I Inspector Signature $11 0/ i t(.';"Jthf
1./
Only one pennit is needed. per ISTS. Ifthere is more than one ISTS on a property, submit a st..parate permit for each ISTS.
Submit a permit whenever a tank is pumpod for abandonment. Pumping thetank does not constitute a compliance inspection.
Date I;:;' ./'1-05'
White; - County
ClU1lll)' - Homeowner
Pink - Pumper
Fcml
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'05 t11
HOUSE MOVING IN PRIOR LAKE
.:. A Demolition permit is required.'/
.:. $5,000.00 Non-revocable Letter of Credit is required. v
.:. Site restoration plan is required, or an approved building permit application for a new house.
.:. Damaged sidewalks, street or curb shall be repaired in an approved manor with all costs to be paid
by the permit holder.
.:. The structure to be removed shall not be stored on the street or other public property.
.:. The permit holder shall control erosion on the property.
.:. Open foundations or other hazards shall be protected with an approved safety fence.
.:. The permit holder shall comply with the Tree Preservation Ordinance. All work shall be done
outside the drip line of all protected trees.
COMPLETE THE FOLLOWING
1) Proposed house move date (24-hour Police notice required) ;C/e5.( .://l /II.
2) Scott County Highway Permits v Yes _ No (For County Roads)
3) Site Restoration Plan -V Yes No
4) Utilities shut off notification:
Electric
Water
Natural Gas
Telephone Company
5) Tree removal or cutting
6) Proposed route diagram
/7 zoO G
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(/ Yes
t/ Yes
Yes
-z;- Yes
~Yes
---r;- Yes
No
No
No
No
No
_ No (Locate on City map)
Name of Moving om any
Address / I -
City, State, Zip
Contact Person f; a."
State House Mover's Lic~nse No. Date of Expiration
Property Owner Name &fl.L ~~ - . . Phone Number
Property Address (House to be moved) Zf::7/ ft/ll1/lc /GI066 JeO/1D
Signature of APPlicant;!t1:!fr--- ~7 Date ( - 12 - {/ b
U(..i- (../Z. ~fj(,. . h'8o.::s-
r 326';;-
16200 Eagle Creek Ave. S.E., Prior Lake. Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
Element..-y Altend.nee AruiI
r-=J Five Hawk" Elementary
r.-l Glendale Elementary
[=:] Grainwood Elementary
r---l W(','I;twood Elementary
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School 'dentlne.tion
I. Five Hawks Elementary
2. Pond's Edge!Dislrict Office
3. Grninwood Elementary
4. P.dgewood School
5. Westwood Elementary
6. Oakridge Elementary
7. Hidden Oaks Middle School
8. Glendale Rlcmenlary
9. Prior Lake High School
10. JefTers Pond Elementary
c:J St:hool District Bmmdary
E.IJ Jeffenl Pond Elementary
. ISD 719 School Buildings
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