HomeMy WebLinkAbout2000-P02188 - demo principal structure If
Y OF ORONO PERMITPERMIT TYPE:
Kelley Parkway - P.O. Box 66
Crystal Bay, Minnesota 5323 Permit Number:
(612) 249-4600 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: ' o n _'f i on $ .b
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FEE SUMMARY: /
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CONTRACTOR: OWNER:
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APPLICANT/PERMITEE SIGNATURE qSUED BY:SIGNATURE
CITY OF ORONC 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: / T,� L-JA 1
Occupancy Type: Residential Commercial
OWNER'S NAME: ufm -vkv,4(4�y ZI U4 A, Phone: 447&-!20U—
mailing
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Mailing Address: R J kk LrEbF-7- z City: WAgUTA
CONTRACTOR'S NAME: y +JT � QJk.^W4% (' us.No.:
Mailing Address: : , - • N I Ii-, City: c.a FTO L-0
Demolition if planned by means of: manual disassembly
! _heavy equipment
Permits Issued:
# Well Abandonment C�Fes- J'r`IGLDSf..Op&-wT- APP)
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.
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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
$30.00 -Accessory Structure
1. Subtotal of above permit requested $
2. State Surcharge $ .50
3. TOTAL PERTvHT 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 accord, ce the ordinances of a City and the regulations of the State of
Minnesota, and certifies that all statem nts in de!on;appIlication are complete, true and correct.
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APPLICANT'S SIGNA \ Date: I
OWNER'S SIGNATURE:( A p5 WIIl Q ate
APPROVED BY: Date: M, 2'1-�`�
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a l ! DATE TIME
CITY OF ORONO P 0 CALLED IN
INSPECTION NOTICE -7512 SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. q_7 Lim` S_
DESCRIPTION V�'l
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 RD COVER REMOVAL
J 10 PLUMBING FINAL36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W ElCORRECT WORK&PROCEED is ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ 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. 249-4600
Owner/Contractor on site:
Inspector.;H46-vc-
White Copy/Inspector's File Canary Copy/Site Notice