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Home My WebLink About1995-006904 - demo principal structure PERMIT 4140TY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: !J !4 4 Crystal Bay, Minnesota 55323 Date Issued: 1-D (612) 473-7357 SITE ADDRESS: DESCRIPTION: F T-vi 1 P; IC 1 L 17 1,: OF 7 'j", vv rLLA j L v REMARKS: i -7r T f- V i T I 44, FEE SUMMARY: CONTRACTOR: OWNER: f kn" 1[j A-7 THE UNDER'S T G NE D HER'EBY RE4�)VESTS PERM 1':_�S ION Tfi- MAKE THE REAL- I MPIc"OVEMENT. E C OMPLIANCE I WTH- ALL CITY iF SPECIFIED AND AGREES TO 00, ALL W0RK _IN' !:BTR I 1 C 0 N L_1 0 N -E:; -AND '=;TATE L'IF MINNESOTA BUILDING C.-CCE- �)R AN' kiqtff RoENTIS. L APPLICANT/PERMITEE SIGNATURE "k/ ISSUED BY:SIGNATURE , 'ITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 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: 11-1-7Z3 21 Goo Occupancy Type: Residential Commercial OWNER'S NAME: Phone: 7 /- c7 (.4 Mailing Address: City: 0 CONTRACTOR'S NAME: F.a . 0 -_� --� ��r c Bus. No. : Mailing Address: City: ,M , 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). 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 $50. 00 Principal Structure SCS $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. SIGNATURE OF APPLICANT: Date: /Ov-c d• DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED _ ADDRESS $Z5 Te5�ky4 wd� OWNER I XA-,p(L-e CONTR. TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 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 1 17 SITE INSPECTION Q 05 FINAL (1aEWER F LIP%00; n 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Lul 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 1 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:,\YES_NO Z COM M ENTS- J eS O a CC 0 U_ W cc Q Z W W 0 WORK SATISFACTORY:PROCEED El PROJECT COMPLETE W CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. E� PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 Owner/Contra o n Re Inspector. White CopylInspector's File Canary Copy/Site Notice DATE _ TIME CITY OF ORONO CALLED IN _ ' 5 INSPECTION NOTICE (� SCHEDULED .5 PERMIT NO. �/CfU 7 COMPLETED 25 ADDRESS 5 �Gryv� OWNER CONTR. �4 n � . TELEPHONE NO. DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 Q 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMB 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W C J < O W QC Q Z W W Z) d Wcc WORK SATISFACTORY:PROCEED CiPROJECTCOMPLETE W O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED-CALL INSPECTOR r' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contra f r n si e. Inspector. White Copy/Inspector's File Canary Copy/Site Notice