HomeMy WebLinkAbout2004-P07783 - demo � ` PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Po��s3
Crystal Bay, Minnesota 55323 Permit Type: Demo�ition
(952) 249-4600 Date Issued: gis�2ooa
SITE ADDRESS: 1740 Shadywood Rd
Wayzata,MN 55391
PID: i�-ii�-z3-2i-oo2o
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 645
Pernut Type: Demolition Pernut Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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mzst be abondoned. Insnection before backfilline.
FEE SUMMARY: Perniit Fee: $ 80.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Steiner&Koppelman OWNER: Robert&Joanne Switz
18340 Minnetonka Blvd 1740 Shadywood Rd
Deephaven,MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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ANT RMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT
P.O. Box 66 (2750 Kelley Pazkway)
Crystal Bay,MN 55323
' SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
1. You may be required to obtain other pernuts, i.e. well abandonmment, etc.
2. Work must not begin unless the permit cazd is available on the job site.
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
JOBSITEADDRESS: ��y� �j�1a�y� �Do�r� /�D�u
Occupancy Type: �_Residential Commercial
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OWNER'S NAME: �o� �' �Ok�/�'� _��,�J� �v Phone:
Mailing Address: City:
CONTRACTOR'SNAME: ,s�i�/P� ff,o�O�eG�u�,/ Bus.No.: ���-�f?3-,Sr/3s
Mailing Address: �g3 Yv �'!;,✓,v� ti �/��( City: �/Q��
Demolition if planned by means of: manual disassembly
�_heavy equipment
Permits Issued:
# Well Abandonment
In return for issuance of said Demolition Permit,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 adjoining property and/or the public rights-of-way unless
specific prior approval is obtained in writing for temporary use thereof.
3. Foundations shall be completely removed from the ground.
4. All demolition debris shall be completely disposed of off site in accordance with all
applicable PCA requirements.
5. Water wells must be abandoned in accordance with State Health Department regulations.
6. Inspection required when all debris has been removed, before backfilling.
7. Within 5 working days of superstructure removal,a final inspection shall be requested. The
site shall be left clean and clear of all debris,with any excavation filled with earth level with
the adjacent ground elevation (except when such excavation is to be used as part of a new
building and such new building is actually under construction).
8. The undersigned owner shall and hereby does indemnify and hold harmless the City of
Orono, its agents, employees and assigns from and against all claims, damages, losses or
expenses,including attorney fees,against the City,its agents,employees and assigns arising
out of or resulting from the demolition described herein as performed by the property owner,
his employees, agents, subcontractors or assigns.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks must
be pumped,crushed and filled with native soils. An inspection is required after the tanks are
pumped and before the tanks are crushed and filled.
PERMIT TYPE AND FEE CALCULATION
� $50.00 - Principal Structure
� $30.00 -Accessory Structure
1. Subtotal of above permit requested $ . � �/
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �Q.��
The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit,agrees to
do all work in strict accordance with the ordinances of the City and the regulations of the State of
l�tinnesota, and certifies that all statements made on this application aze complete,true and correct.
APPLICANT'S SIGNATURE: Date: �� �
�,
OWNER'SSIGNATURE:�� �i1�-�i1� ' �� � �/� � Date:= �-G�"
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APPROVED BY. ' f Date: �' `� `�
V
DATE TIME
CITY OF ORONO C LIED IN �S� � �
INSPECTION NOTIC SCHEDULED
PERMIT N0. (.�% ��COMPLETED
ADDRESS I �y C> �{�� �-�•,�[ �:�C�'C� "
OWNER CONTR. ��Q �r1Q�L
TELEPHONE NO. ��� � � ��7 ' CJ ���
� DESCRIPTION ,-�I��I(�, .--f-1l�1�,
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL, 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES O
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� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-46��
Owner/Contra on i :
Inspector. '
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