HomeMy WebLinkAbout2003-P06639 - demo CITY OF ORONO PERMIT
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Permit Number:umer:
2750 Kelley Parkway- PO Box 66 PeP06639
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 8/182003
SITE ADDRESS: 847 Tonkawa Rd
Long Lake,MN 55356
PID: 08-117-23-21-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Fowidadons%all demo debris io be removed from ground&disposed of off site per FCA reguladorts. Wells
mist be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Stonewood Design Build OWNER: Dennis&Shawn Vaillant
4420 Shoreline Dr. 847 Tonkawa Rd
Spring Park,MN 55384 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 B DING CODE REQUIREMENTS.
7PE rrEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siznitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
AL 40(
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. 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 (612) 249-4600.
JOB SITE ADDRESS:
Occ ��S y? TLS Ji�P Ly �C 0
u anc Type: Residential Commercial
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OWNER'S NAME: S W.J l/ L r7r Phone:
Mailing Address: 11-/o S'Ty N e wai-W 1IXI5!t )-) 'P u�LQ LLC City: ''rW- $-f►2 i N3�
<< Za Shia w'���.�v►�-e_. �S3�
CONTRACTOR'S NAME: Dz"r Vo OLf uL s.No.: qS 2-y�l'�544�
Mailing Address: zitt- s Sha;QLk-- by t u�_ City:
Demolition if planned by means of: manual disassembly
heavy equipment
Permits Issued:
# 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.
1
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.
9. 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.
PERMIT 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) $
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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 dinances of the City and the regulations of the State of
Minnesota,and certifies that all statement ad on this application are complete,true and correct.
APPLICANT'S SIGNATURE: Date:
OWNER'S SIGNATURE: A Date:
APPROVED BY: Date: '� 3
I.r D ° u
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CITY OF ORONO ��g2CALLED IN DATE TIME
N
INSPECTION TI SCHEDULED
PERMIT N0. � COMPLETED —�—
ADDRESS `f
OWNER CONTR.
TELEPHONE NO. 6l ZD 103 i��
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
.I 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES—NO
y COMMENTS:
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Uj WORK SATISFACTORY PROCEED 11PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑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 ext inspection 24 hours in advance. (952) 249-4600
Owner/Con tr site:
Inspector.
White Copy!tinspectl File Canary Copy/Site Notice