HomeMy WebLinkAbout1993-005254 - demo boat house 4 '
PERMIT
CITY OF ORONO PERMIT TYPE:
E:UILDING
2750 Kelley Parkway f P.O. Box 815 Permit Number: 005254
Orono, Minnesota 55356-0815
(612) 473-7357 Date Issued: 06/1 /_:I;
SITE ADDRESS:
712 T+�NKAWA RD
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P. I .N. . i S-11.7- 3-: _,-0015
DESCRIPTION:
DEMO BOAT HOUSE
Building Permit- Type DEMO-ACCESSORY
Building Werk: Type DEMO-ACC:ESSORY
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REMARKS: "j "`f
FOUNDATIONS/ALL DEMO� DEBRIS T�i BE REMOVED FSC+aid GROUND & DISPOSED OF +3FF °�I T
PER PCA REGULATIONS, W = MUST BE ABANDONED.. INSPEC:TION BEFORE BACKFILLING.
FEE SUMMARY:
Base Fee $30 .00
Surcharge ----------I K
Total Fee $30. 60
CONTRACTOR: ER — Applicant i c ant —
+jYEAR THOMAS
712 TONKAWA RD
ORONO i MN 5535
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PLI AN RMI SIGNATURE ISSUED BY:SIGNATURE,
1
1
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
abandonmment, etc.
~20' -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: /low p�r��� POAA
Occupancy Type: _Residenti'a/l Q Commercial
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OWNER'S NAME:f l'• 4 Y� '` Phone:- q-7/-2m
Mailing Address:--7/9 ON w 0 City: O ONO
CONTRACTOR'S NAME: Bus. No. :
Mailing Address: City:
Demolition if planned by means of: manual disassembly heavy equipment
burning (by fire department)
Permits Issued:
# Burning Fire Department
# 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).
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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 arsing out
- of or resulting from the demolition described herein as performed by
the property owner, his employees, agents, subcontractors or assigns.
PFJU4IT.-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 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.
SIGNATURE OF APPLICANT: Date: /� 93