HomeMy WebLinkAbout2003-P06934 - demo CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6934
Crystal Bay, P,r�innesota 55323 Permit Type: Demoiit�on
(952) 24�-4600 Date Issued: ioi3oi2oo3
SITE ADDRESS: 2 o FoX st
Long Lake,MN 55356
PID: 04-117-23-31-0
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 645
Pernut Type: Demolition 1'ernut Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate pernuts required: vmer-�rermii was approved'oy zoning per Lyiej
NOTICES/REMARKS:
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mist be abondoned. Insnection before backfillin�.
FEE SUMMARY: Pernut Fee: $ 80.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Kyle Hunt&Partners Inc. OWNER: Elizabeth Weyerhaeuser
18324 Minnetonka Blvd 3833 Zenith Ave. S
Deephaven,MN 55391 Minneapolis,MN 55410
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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r�:ITY O:F ORONO APPLICATI:ON FOR DEMOLITION PERMIT
P.J. Box 66 (2750 Kelley Park��ay)
• Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARA�LESS AGREEMENT
Genet•al Instructions
1. You �nay be required to obtain other permits, i.e. �vel( abandonment, etc.
2. V1/ork must not begin uilless the permit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (952) 249-4600.
JOB SITE ADDI2ESS: 0��'1.�,,0 �'X ��('��"
Occupancy Type: �_Residential Commerciai
OWNER'S NAME:_ ��.. e.� ��,�p�i�,��zel�S�C^ Phone:_(�lZ. -�tZ�--�itf$
Mailing Address: ��3� "�tJ�Q,� �y.� 5, City:___��S 5-�cf(a
CONTRACTOR'S NAME: ' a��c��-� I3us.No.:�I,SZ-��-(o-S�l`�7
NlailingAddress: ��3Zy �n(`�-a �\�� City: (�.e��, � em� ���
Demolition if planned by means o£ manua( disassembly
_�heavy ec�uipment
Permits lssued:
# Well Abandonn�ent
In return for issuance of said Demolition Per�nit, the undersigned owner hereby agrees as follows:
1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is
complete.
2. Demolition debris will be kept off adjoinin�property and/or the public rights-ot=way Luzless
specitic �rior approval is obtained in writing for temporary use thereof.
3. Foundations shall be completely removed from the�n•ound.
4. All demolition debris shall be completely disposed of off site in accordance with all
applicable PCA rec�uirements.
5. Vl/atei-wells must be abandoned in accordance with State Health .Department i•egulations.
6. Inspection required when all debris has been removed, before backtilling.
.
.7: Within 5«�orking days of superstructure removal,a final ins}�ection shall be reyuested. The
� site sllall be left clean and clear of all debris,with arly excavation filled with earth level with
the adjacent ground elevation (except when such excavation is to be used as part of a ne��
building and such new building is actually under construction).
8. The undersigned owner shall and hereby does indemnify and hold hat�mless the City of
Orono, its agents, employees and assigns fi•om and against all claims, dama�es, losses or
expenses,including attorney fees,abainst the City, its agents,employees and assigns arising
o��t of or resulting froln the de�nolition described herein as perfonned by the property owner,
his einployees, agents, subcontractors or assigns.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanlcs must
be pumped,crushed and filled witll native soils. An inspection is required after the tanlcs are
pumped and before the tanks are crushed.and filled.
PERMIT TYPE AND FEE CALCULATION
�, $50.00 - Principal Structure
Xl $30.00 -Accessory Structure
l. Subtotal of above permit rec�uested $ g(� , Q0
2. State Sui-charge $ .50
3. T�TAL PERIVIIT FEE (add lines 1-2 above) � g0,5'�
The undersi�ned hereby applies to the City of Orono for issuance of a Demolition Permit,agrees to
do all work in strict accordance 4vith the ordinances of the City and the regulations of the State of
Minnesota,aild certifies that all statements made on this application are colnplete,true and correct.
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APPLICANT'S SIGNATURE: V� Date: b o� C73
� Date: !v -3b � �3
APPROVED BY: Date:
D�/,� �S --�j�J N,._7, ,:�:.�Ci�;��::.
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