HomeMy WebLinkAbout2007-P11650 - demo CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P11650 �
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 11/2/2007
SITE ADDRESS: 520 Tonkawa Rd Unit#
Long Lake,MN 55356
PID: 05-117-23-32-0005
DESCRIPTION:
Proposed Use: Residential Census Code 649
Permit Class: Building
Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Demo Garage
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: $ 30.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Western Construction OWNER: Carlson Holding
4301 Highway 7-Suite 115 520 Tonkawa Rd
Minneapolis,MN 55416 Long Lake MN 55356
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.
I' V
! APPLICAN SIGNATU ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
Q � City of Orono F R IT E ONLY
Q USE
P.O.Box 66 Date Received: �ermit#wa��
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2750 Kelley Parkway
Crystal Bay,MN 55323
(952)249-4600 Amount: $ 5 SAC Credit:
Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:❑Yes,None Required
ZoningDisclosure Signed: [I Yes L?None Re uire
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
Typ�--- ❑✓ Residential ❑ Commercial
52 -Tonkawa Road
Site Address:
C,OLf-
Owner: :Mark Mailing Address: 500 Tonkawa Road
City: Orono Zip: 55356
Home Phone: (612) 618-9142 Alternate Phone:
Contractor/Applicant Information:
Western Construction, Inc. Gabe/Brad
Contractor/App.: Contact Person:
Address: 4301 Hwy 7 Ste 115 State License#: 20316811
St. Louis Park 55416 03/31/08
City: Zip: Expiration Date:
Phone:
(952) 920-8888 Alternate Phone: (763) 300-2631
SPECIAL CONDITIONS& HOLD HARMLESS AGREEMENT
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.
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
El $30.00–Accessory Structure 1 (how many) Garage (what)
1. Subtotal of above permit requested $ 30.00
2. State Surcharge $_—.50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 30.50
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a strict accordana ith i ces of the City and the regulations of
the State of Minnesota, and c ' est at ll s to a on this application are complete,
true and correct.
Applicant's Signature: Date: 10/17/08
Owner's Signature: Date: 10/17/08
Approved By: &�L Date: 16
Building Official)
* Zoning Disclosure Required? ❑ YES ZNO
*This must be filled out by Zoning De ent— or answer,a Zoning Official must sign all applications.
7
* Approved By: Date: 101Z� O
7fG
g Official)
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