HomeMy WebLinkAbout2004-P07118 - demo CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po�iis
Crysta!�gay, Minnesota 55323 Permit Type: Demotition
(952) 249-4600 Date Issued: 2i3i2oo4
SITE ADDRESS: 1489 Shoreline Dr
Wayzata,NIN 55391
PID: 11-117-23-23-0009
DESCRI PTION:
Construction Type VN
Proposed Use: Residenrial
Pern�it Class: Building Census Code 645
Permit Sub-type(s): Demo- Principal Sh-ucture
Perniit Type: Demolition
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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m�st be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 50.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Steiner&Koppelman OWNER: Raymond&Nylene Newkirk
18340 Minnetonka Blvd 1489 Shoreline Dr
Deephaven,MN 55391 Wayzata MN 55391
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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APPLICAN RMITEE SIGNATURE ISSUED E3Y SIGN TURE
Copies: 1-File(SiQnitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �
c-16:1003 �4:43pm From-CITY OF ORONO +9522494616 T-539 P.001 F-339
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CITY �F ORONO APPLICA'I70N FOR DEMOLITION PE1tMIT
P'.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 ��
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SPECYAT. CONDITIONS &HOLD AAR�.ESS AGREEMENT �
General Instructions
1. You may be requued to obtain other permits, i.e.well abandoumment,etc.
2. Work must not begi.n unless the permit cazd is available on the job site.
3. A 24 hour notice is required for all inspections. CaII(612)249-4600.
JOB SITE ADDRESS: � 4��� ���\;� �`;..�
Occupancy Type: Residential Commercial
OWNER'SNAME: � � �Q�2 �E'v�1C; c-�-. Phone:�`�St�q��-DS�o
Maili.ng Address: � q-'��I ��a,�1;�.0 �'.,-e Ciry: ����c�
CONTRACTOR'S N�iME: `Sa-e;•.�T ��\�nj.�-. L�L Bus.No.:C`�j L q1�3--543�
Mailing Address: 1 �5`� ►J1���efi'o•�.� f3��d �' City: �,a��i'�
Demolition if planned by means of: _�manual disassembly
��-heavy equipment
Permits Tssued:
# Well Abandonment
In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follo�vs:
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 andlor 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 Heaith llepartment regulations-
6. Inspection required when all debris has been removed, before backfilling.
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Dec-16;2003 04:43pm From-CITY OF ORONO +9522494616 T-539 P.002 F-339
7. Within 5 workinD days of superstrucnue removal,a final inspection shall be requested. The
site shall be Ieft 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 agai.nst 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 soiIs. An inspection is required after the tanks are
pumped and before the tanks aze crushed and filled.
PERNIIT T'YPE AND FEE CALCULATTON
/� $50.00 -Principal Structure �
$30.00 -Accessory Structure
1. Subtotal of abave permic requested $ S�. o0
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-? above) $ Sc�So
The undersigned hereby applies to the City of Orono for,issuance of a Demolition Permit, agrees to
do all work i.n strict accordance�vith the ordinances of the Ciry and the regulations of the State of
Minnesota, and certifies that all statements made on this application aze complete,ttue and conect.
APPLICANT'SSIGNATTJRE• �-� \r=/--�-� Date: 1Z-� �`1 � o�
OWNER'S SIGNATURE Date: �Z(��
APPROVED SY: Date:� '8 �oy
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�v� DAT TIME
CITY OF ORONO CALLED IN �"��
INSPECTION N��(CE� � � SCHEDULED a� ` -D '3 O
PERMIT N0. ���1 COMPLETED �
A��RESS __� � �
OWNER CONTR. �ti��' ���7'_
TELEPHONENO. ��� `�� 7 ��D.3
� DESCRIPTION �i��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAI FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION
Q US FlNAL 14 SEWER HOOK-UP O6 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
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAIL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952) 249�46��
OwnedCon r site:
Inspector.
White CopyMspect s File Canary Copy/Site Notice