HomeMy WebLinkAbout2008-00075 - demo swimming pool CITY OF ORONO PERMIT NO.: 2008-00075
�► 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 07/22/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1540 SIXTH AVE N
PIN : 26-118-23-32-0005
LEGAL DESC : REG.LAND SURVEY NO. 1418
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE
NOTE:
l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. INSPECTIONS DONE BEFORE BACKFILLING.
lee.�o-va�Q o� �S�irnrn�h G �o o L.
<J
APPLICANT DEMOLITION-ACCESSORY STRUCTURE 30.00
RITTER EXCAVATING STATE SURCHARGE DEMO 0.50
7120 VERNON STREET
ROCKFORD,MN 55373 TOTAL 30.50
(612)477-5649 PAID WITH CASH 30.50
Minnesota State License#: 1921
OWNER
SCHLOBOHM,ARTHUR
1540 SIXTH AVE N
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if conswction is
suspended for a period of 180 days at any time after work has commenced. �
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at an time for due cause.
,�'� �ZZ� O°� �-� � �, ��
Applicant Permitee Signature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIB OVE.
r
L
1 '
� �0�, City of Orono � �.����,���
� � P.O.Box 66 i�at��t�eaved Permit'#: _-
2750 Kelley Parkway
� � Crystal Bay,MN 55323 �upt $ ��tetlt�.
� (952)249-4600
i
3 �`. 7 �
���- '����j € �;i"� � �' � ��'�i '
��6115�'3�°'8T�'��f�1.0� "��� ,� -�, il}F'� ,.
'�.stM a�78Ef�{l9tti'C.a�7- Cd'.�� � ��9. ��OILC�B���.»�...�i
CITY OF ORONO-DEMOLITION PERMIT e.l� �
(All permits must be approved by the Building Official and/or Zoning Depariment) �
Type: � Residential ❑ Commercial
Site Address: v! a �" � (�
�1/6�?Oj+M � /
Owner: c,'���` Mailing Address: �5 � /� ��--�� �
City: � Zip:
Home Phone: /��� � �� � ���J Alternate Phone:
Contractor/App� C� z �� Contact Person: ���r.�-�-�—����-�,
Address: �`Z.l �/„�-�.�-� /�- State License#:
City: ` Zip: ��j� Expiration Date:
Phone: � �� 3 L/' 7 �_�.�i !�f Alternate Phone: � �2 �`� —l��l
General Instructions:
1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24-48 hour notice is required for all inspections. Call (952)249-4600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is
issued.
Demolition by means of: � Manual Disassembly �Heavy Equipment ❑ Other
Permit(s) Issued: ❑ Sewer Disconnection ❑Well Abandonment# �,�,-Q G�C/ �v�
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. 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.
9. The undersigned owner shall and hereby does indemnify and hold harmless the City of
Orono, its agents, employees and assigns from�nd 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.
PERMIT TYPE AND FEE CALCULATION
� $50.00-Principal Structure
� $30.00-Accessory Structure (how many) (what)
1. Subtotal of above permit requested $
2. State Surcharge $ .50 �
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a strict accordance with the ordinances of the City and the regulations of
the State of Minnesota, and certifies that all statements made on this application are complete,
true and correct.
��/� ,,/�
Applicant's Signature:ol�--G�,�-v� ��G�z Date: 7- Z- Z -G �
Owner's Signature: Date:
Approved By: Date:
(Building Official)
* Zoning Disclosure Required? ❑ YES ❑ NO
*This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications.
*Approved By: Date:
(Zoning Official)
/� / DAT TIME ✓
CITY OF ORONO CALLED IN 7
INSPECTION TICE SCHEDULED � __�% �
PERMIT NO. -��07-5 C PLETED�
ADDRESS �
OWNER CONTR. C1.L�1'•
TELEPHONE NO. �l a `�-7 7�� 4�'g
� DESCRIPTION �� '
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
� . �d( ����d
�
�
° -i/l�S� A S D,Sc�.Ss c+
W
�
Q
�
a
W
�
W
�
�
d
� RKSATlSFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W O CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CAIL FOR REiNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WiTHIN HOURS. p pH0T0 TAKEN
INSPECTOR 1MLL RETURN-
❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. `
White Copyllnspector's File Canary Copy/Site Notice