HomeMy WebLinkAbout1996-008614 - demo prin/acc I- PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 BU LD I I`G
Crystal Bay, Minnesota 55323 Permit Number: 00 ,N,i 4
(612)473-7357 Date Issued: .2.'09.1 G.
SITE ADDRESS:
770 TONKAWA RG
CH
P . I .N. ', 0.5-117-3-34-Off -
DESCRIPTION: 4-Off
DESCRIPTION:
DEMO PR I N/ACC.
Building Permit- Type DEMO/PRINCIPAL
Building Work- Type DEMO-PRINC•IF'AL
Census Code 545 DEMO 1-FAM .
REMARKS:
=+:+UNCrATI�_�N'<</ALL C?EMi_i D ;RI._, TO BE REMOVED FIS=iM CROtlhiD 31 DI'_.P}_1=E:D i' OFF ::i ,R'
PER PCA REGULATIONS . ,JELLS MUST BE ABANDONED . INSPECTION BEFORE 8 CKF I LL I NE3.
FEE SUMMARY:
Base Fee
Total a i Feu $80 .50
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APP ANT/PERMITEE NATURE ISSUED BY:SIGNATURE ��
_113(014
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. burning, 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 473-7357.
JOB SITE ADDRESS: :2 2n n A k^ t c.*c-�,
Occupancy Type: _Residential Commercial
OWNER'S NAME: � Phone: ' ��
Mailing Address: 3 -City: ' 4„671 �
CONTRACTOR'S NAME: If cSc�•1 LCtic�(��(t Bus. No.: ef5 =
el
Mailing Address: L-, �� 1 r,���� AtcA G City:
00,11
Demolition if planned by means of: manual disassembly
4— 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).
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.
PERMIT TYPE AND FEE CALCULATION
i/ $50.00 -'Principal Structure
t1 $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: Date:
OWNER'S SIGNATURE: _ DAte: / o�
APPROVED BY: Date: 1 2- 5` I Su
DATE TIME
CITY OF ORONO CALLED IN 12- y - PC-
INSPECTION NOTICE, SCHEDULED 2 ' 3 z)
PERMIT NO. COMPLETED
ADDRESS 'I D Rd
OWNER C :'n CONTR.
TELEPHONE NO. 7
DESCRIPTION
LQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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-UO 06 PROGRESS
~ EM 27 SEPTIC MAINT. 21 COMPLAINT
J
tQ 0715 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBIN 1 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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d WORK SATISFACTORY:PROCEED KPROJECT COMPLETE
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❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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 next inspection 24 hours in advance.473-7357
Owner/Contract r In site
�"
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice