HomeMy WebLinkAbout2005-P08860 - demo PERMIT
CI4'Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P08860
Crystal Bay, Minnesota 55323 Permit Type:
Demolition
(952) 249-4600 Date Issued: 6/20/2005
SITE ADDRESS: 3655 Togo Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-31-0036
DESCRIPTION:
Proposed Use: Religious Census Code 649
Permit Class: Building
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Scherber Companies Excavating LLC OWNER: Cong Jehovah Witness
2381 LaBeaux Ave. 3655 Togo Rd
St.Michael,MN 55376 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.
PLIC T PERMIT SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Coo
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 abandonment, 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 (952)249-4600.
JOB SITE ADDRESS: 3655 Togo Road,Navarre MN 55391
Occupancy Type: Residential ✓ Commercial
OWNER'S NAME• Michael Ingemansen Phone:(612)310-7706
Mailing Address: 1717 Avocet Lane City: Mound MN 55364
CONTRACTOR'S NAME: Scherber Companies Exavating LLC Bus.No.: (763)497-1100
Mailing Address: 2381 LaBeYx Avenue City. St.Michael,MN 55376
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. Sewer and water must be disconnected at the services at the street by qualified contractors.
7. Inspection required when all debris has been removed, before backfilling.
8. 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).
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.
10. 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 $ 50.00
2. State Surcharge $ .50
3. TOTAL PERMIT FEE(add lines 1-2 above) $ 50.50
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: Date: 06/15/05
OWNER'S SIGNATURE: Date: 06/15/05
'F r lUdvaT !^Ongre�u'�:�i� of Jei�./�►�s W: ne56c5
APPROVED BY: Date: /- Z 0 -dS
(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: C! "B Date:
(Zoning Official)
.�- D T TIME
OF ORONO CALLED IN l
INSPECTION U SCHEDULED
PERMIT NO— COMPLETED
ADDRESS _-3(v5 J -T
I -�c�G'Y1
OWNER CONTR.
TELEPHONE NO.
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DESCRIPTION 0
w 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO ME YOU: rES_NO
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W RK SATISFACTORY:PROCEED XROJECTCOMPLETE
LU ❑CORRECT WORK&PROCEED E CERTIFICATE OF OCCUPANCY
00 ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on si�e:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice