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Home My WebLink About2000-P03312 - demo � �� -� PERMIT Ci'�Y OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number. Po33�2 Crystal Bay, Minnesota 55323 Permit Type: �emo>>tion (612) 249-4600 Date Issued: t2iii2oo SITE ADDRESS: 127o Spruce Pl MOLJND,MN 55364 PID: 08-117-23-32-0013 DESCRIPTION: Proposed Use: Census Code 645 Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: F�:.,::'�::.C..�/µll .7�...., '��h;,�..^,h�,........�`�f:�,. ...�.7 R. .7; .,�w�f.^,£f�::� � D!`.A . ,1;.::.,...,. \17�11� "":b:�" ..`�,t..'�.� ..Y�� r�b:. m zst be abondoned. Inspection before backfilling. FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: AL HIRscH& sotv'S OWNER: K H& E E ERICKSON BOX 633 1270 SPRUCE PL DELANO, MN MOUND MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI� REAL IMPROVEMENTS SPECIFIED AN D AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. 1 � � _ C,ZI�'�� APPLICANT PERMI SI NATURE ISSUED BY SIGNATUR Copies: City, Applicant,Assessor,Finance Page 1 � �� -z 2 ��G . , !� ,. � -�� ` . �, �"�� . K CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66(2750 Kelley Parkway) Crystal Bay, MN 55323 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e. well abandonmment, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call (612)249-4600. JOB SITE ADDRESS: /oZ 7d S /� r � c � �C cz c, � Occupancy Type: �_Residential Commercial OWNER'S NAME: �e�n�- C�� h��. i^�L�C �D�r�Phone: �7`_ 7�� Mailing Address: City: CONTRACTOR'S NAME:��,T��1� ��o��_Bus.No.: '�3- �7�-� �7`� Mailing Address: g e �c ��'� Cit3'� ��.rt�� Demolition if planned by means of: manual disassembly �ieavy equipment Permits Issued: � # Well Abandonment s�c-��-S �'�`� ��-5 � '�o 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. � y� � � ��, � � `w 7. Within 5 working days of superstructure removal,a final inspection shall be requested. The site shall be left clean and cleaz 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) $ 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 Minnesota,and certifies that all statements made on this application are complete,true and correct. APPLICANT'S SIGNATURE:�,�,�,._� , z�C�� Date: /��-- ��a 6 OWNER'S SIGNATURE: Date: APPROVED BY: Date:�i-2� -ou 6124718952 , ho�v 21 �* 08: 57p RNDERSON 6124718952 p. l � �1%�21i00 21:26 AL HIRSCH & SONS CDMST -� 4716952 h1D.011 D02 7. Within 5 working days of superstn►chue removal,a final inspection sbap be requestod. 7he site shal}be IeR Cleasl and clear of all debris,with any excavation fil2ed wit�earth level with the adjacent ground cicvation(except when such excavatiqn is to be u�sed as part of a new building and such new building is actually under consWction)_ 8. The un.dersigned owner shall and hereby does indemnify and hold b�arrnless the City of Orono, its agents, employees and essigas from and again.st al1 ciaims,damages, losses or ex�enscs,including attorney fees,against the City,its agents,employees and assigns a�nising out of or resul ting from the dcmolition dcscribcd hcrein as performed by tbe property owner, his employees,agents,subcontractors or assigns. 9. Septic systems must be abando»ed per Minnesota Rules Chapter 7080..All stptic tanks must � be pumped,crushed and fitled with native soils. An inspeation is required after the tanks are , gumped aud before the tanlcs are crushed and filled. PERMIT TYPE AIYD FEE CALCULA.Tl01�1 • �$50.00-Principal Structure 530.00-Acccssory SUvcture 1. Subtotal of above pennit requested $ . 2. State Surcharge $ .St�_ 3. TOTAL PERNIIT FEE{add lines 1-2 above) $ The undenigned hereby applies to the Caty af Orono for issuance of a Demolitian Permit,agrees to do atl work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,ertd certi£'i.es that¢�ll statements ma�ie on this application are complete,true and corre�t. APPI.iCANT'S S[GNATURE: ��_ ��, Date: //-- a�—r� d OWNER'SSIGNATURE; C�" �• Date: /J� Z�— OD T APPROVED BY: Date: I � I � MINNESOTA DEPARTMENT OF IiEALTH - WELL MANAGEMENT SECTION -- SEALING VERIFICATION This is to verify that this office has received notification that a well (Minnesota Unique Well Number H0159716) is to be sealed by STEiIENS DRILLING & ENVIRONMENTAL at: County: HENNEPIN Township Name: ORONO Received: 11/17/2000 Township No. : 117 Range: 23 Section: 07 l,� SE1,4 NE',4 SE',4 Street Address: 1270 SPRUCE PLACE, ORONO , This well must be sealed in accordance with the Minnesota Rules on Wells and Borings. MDH staff may be on site to inspect the well sealing. AL HIRSCH BUILDERS P.O. BOX 633 DELANO, MN 55328 � � ,