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Home My WebLink About2007-P11259 - demo • � CITI�' O� ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: p11259 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952)249-4600 Date Issued: 7/31/2007 SITE ADDRESS: 3825 Sixth Ave N Unit# Long Lake,MN 55356 P�� 32-118-23-22-0002 DESCRIPTION: Proposed Use: Commercial-Business Census Code 645 Permit Class: Building Permit Type: Demolition Pernut Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Demo Principal Structure and Accessory Structure Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells must be abondoned. Inspection before backfilling. FEE SUMMARY: Pernut Fee: $ 80.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ $0.50 APPLICANT: Carl Bolander&Sons OWNER: MN DOT/STATE OF MN 251 Starkey Street Director R/W Operations St.Paul,MN 55107 St.Paul,MN 55155 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. � ln� APPLI ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �� i Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 f '~ '�'�(� �`>� City Of OCORO �� F CITY U-�SC ONLY � �� '� P.O.Box 66 � Date Rcceived:�'� �"�rmit# /�� " 2750 Kelley Parkway �� a r;"n� ; �; Crystal Bay,MN 55323 � AmounC $'��_��: SAC Credit: �� ^'� �_'�� o`.� (952)249-4C,00 < � w '��xot';; E�iomeowner(s)Signed:�' ❑Yes Resolutions(if any)Signed: 0 1'es ❑None Required�� Zoning Disclosure Si�ned: ❑�Yes��❑None Re uired' CITY OF ORONO -DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Sitc/.Owiler�Ii�formatiori: Type: �'Residential ❑ Commercial Site Address: �� /`x � �L�� "��7, Owner: /�/ //U [/ � � Mailing Address: � 1 � ✓°��'—�-Y� �2�►�L' �� City: ,5� ��f Zip: S�j ss Home Phone: ��- �5�- 3 �� y Alternate Phone: �S�'��6`� ,�' Contractor/Applicant Informatiarl: � ) /��e �� 1 Contractor/App.: �� ''�U� o`S�5 Contact Person: /7�''u l�-°5/l'''c71�J , Address: �r S��`-�'y ✓�/�� State License #: City: �T% �� / Zip: �✓ �� Expiration Date: Phone: �5��2 Z y �6Z �� Alternate Phone: f��Z�j� g��-� ��.�µ, . . SPLCIAL CONDITIONS& HOLD HA �:GRE�MENT �� :��+S�x. 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# 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. f i 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 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. PERMIT TYPE AND FEE CALCULATION � $50.00—Principal Structure � $30.00 —Accessory Structure � (how many) _��,�� (what) 1. Subtotal of above permit requested $ ��l� 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �-.J� The undersigned herby applies to the City of Orono for issuance of a Demolition Pertnit, 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 Signatur • Date: � Z �� Owner's Signature: Date: 6 Approved By: ��^^� Date: � -3� c:1 (Bu�ldmg Official) * Zoning Disclosure Required? ❑ YES � *This must be filled out by Zoning Depart nswer,a Zoning Official must sign all applications. * Approved By: Date: � �� ng Official) � �� a f ,d 'j`� ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. P I��5� COMPLETED � �o� ADDRESS 3�� S�;�C -�l�. �u2 �• OWNER � CONTR. 3n ��'^"�� TELEPHONE NO. � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J DEM - � 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c��, COMMENTS: � W C j o � O v S P ,L�„c� ,��(P.Sf 0��I � ��.r ; 1 � � �S S' ��°v� o m 0 � W � Q � z W � W � � O W� [�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. f�� White Copyllnspector's File Canary CopylSite Notice