HomeMy WebLinkAbout1992-004268 - demo PERMIT
' CITY OF ORONO -
PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: �o 1 ti
Crystal Bay, Minnesota 55323 Date Issued:
(612) 473-7357
SITE ADDRESS: 5:215 -T+_+€,JKA+4+A RD
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P. I . N. : 06-117-2Z-41-t 0SI
DESCRIPTION:
DEM+=iL I T I�ii� �
Building Permit TYReg ri �t'1+�+/F'RINC:IF 'AL
Building Work Type MMO-PR INC:TPAL
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nrREMARKS: FIVAVPE OFFICE
FOUNDATIONS/ ALL DEMO DEBRIS TO+ B E REMOVED FROM GROUND 1 D I SPRM111 -LFF
E PER PCA REGULATIONS. WE.LL M US T B E ABANDONED. INSPECTION -` :ACKF I LL
FEE SUMMARY: 01 'V �4
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Base Fee $49 . 50 4239620
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Surcharge ------- 1, eta 041*15 92
Total Fee - c_3 �on
CONTRACTOR: OW App
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ART VINCENT
950 MAPLE CREST DR
M I NNETR I STA MN 55364
449-4100
THE UNDERSIGNED HEREBY REQUE ST.S* PERM ISS I+IN To MAF-.'E THE REAL I P=PR VEMENpT'
PEC:I F I E f) r'�tdCJ r�;:iRE c i Ct +;+:t i; �. t=is rq—.: I h f =T i�I C:T C:+:+MPL i ANC:E WITH i 1 LCITY t+F
+±R;NO ORDINANCES AND STATE OF MINNESOTA 8,U I DING CODE REQUIREMENTS .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE GCJ
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
1. You may be required to obtain other permits, i.e. burning, well
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 473-7357.
JOB SITE ADDRESS: 5_,.Z5_ IC/r/.-4 40 k /�J
Occupancy Type: Residential Commercial
OWNER'S NAME: ��/��r/� /�. i��� r �Qr Phone:
Mailing Address: 9�0 -�lG,7!-� C,�ess hr City: ;H.v���+ ,sf
CONTRACTOR'S NAME: Z/// Bus. No. :
Mailing Address: /Sc ZZ2 Qv/ City:
Demolition if planned by means of: _manual disassembly Meavy equipment
burning (by fire department)
Permits Issued:
# Burning Fire Department
# Well Abandonment !U ,d/ �-
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. 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.
- PER1rIIT-TYPE AND FMB CALCQLATION
$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 f or 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.
Date:
SIGNATQR$ OF APPLICANT: / ,t
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DATE y TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTI E SCHEDULED
PERMIT NO. �� COMPLETED
ADDRESS -12- S TGA-�°-a.��� AJ,
OWNER CONTR.
TELEPHONE NO. y-7 — O� "1 y
DESCRIPTION
4 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 lr_INAL�> 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
OWN ERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W WORK SATISFACTORY:PROCEED Ll PROJECTCOMPLETE
Qc I-]CORRECTWORK&PROCEED E, ISSUE CERTIFICATE OF OCCUPANCY
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00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
Owner/Co tr t o ite:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice