HomeMy WebLinkAbout1996-008471 - demo PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 BUILDING
Crystal Bay, Minnesota 55323 Permit Number: 008471(612)473-7357 Date Issued: 10/08/96
SITE ADDRESS:
980 TONKAWA RD
LSV
P. I . N. : OG--117-223-12-0001
DESCRIPTION:
DEMO 3 RE's;IDENC-E
Building Permit) Type DEMO/PRINCIPAL
Building Work: Type DEMO-PRINCIPAL
Census Code 645 DEMI+ 1-FAM .
III REMARKS:
FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND AND DISPOSED OF OFF
SITE PER PCA REGULATIONS. WELLS MUST BE ABANDONED . INSPECTION BEFORE
BAT-r^FsGTNG
-
FEE SUMMARY:
Base Fee $50 .00
Total Fee $50. 50
CONTRACTOR: - Applicant - OWNER:
STOCKER EXCAVATING 1,w;:0441 DORR LAWRENCE
8.2'47 W 1'.25TH ST 980 y TONKAWA RD
AVAGE MN SSi:378 ORONO MN 5 356
is 51' 890-4241
t-4' 41
THE UNDERSIGNED HERE13Y ,REOIJESTSPEW41-SSION TO,;M "°TIE REAL IMPROVEMENT
SPECIFIED AND AGREES TD ;.DO' ALC.. WORK IN .STRICT- COMPLiANCE WITH ALL CITY i„1F
ORONO ORD I NANCES AND STAT S'rF N I NOFSOTA EIM I LD I Nt, 'C-6a IRS S. _I
I 1p
APPLICANT/PERMITEE SI NATURE ISSUED BY:SIGNATURE
CITY OF,ORONO 6124730510 10/02/96 13:27 [!P :02/03 NO:631
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 4773-7357.
JOB SITE ADDRESS:
Occupancy Type: Residential Commercial
OWNER'S NAME: Phone:
Mailing Address: �M M City:
CONTRACTOR'S NAME: S�0c-/C `' x No.: Wil —4Y>4
Mailing Address: 'jZ,�62 /, 5 City: .� f
Demolition if planned by means of: manual disassembly
_ heavy equipment
burning (by fire department)
Permits Issued:
a 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.
CITY OFARONO 6124730510 10/02/96 13:27 G :03/03 NO:631
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 shill 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 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: —7 Dam:��
OWNER'S SIGNATURE: Date:
APPROVED BY: Date. 10 -6
DATE / TIME
CITY OF ORONO CALLED IN go'Q 'yJ�
INSPECTION N TICE SCHEDULED
PERMIT N0. Yq- COMPLETED _ {T_
ADDRESS q ry Ile
OWNER CONTR. ��i� �J
TELEPHONE NO.
0
s4
DESCRIPTION
LQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BO. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
05 FINAL---, 14 SEWER HOOK-UO 06 PROGRESS
�
~`0 DEMO=:§_ITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W X/WORK SATISFACTORY:PROCEED PROJECT COMPLETE
C CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
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 in pection 24 hours in advance.473-7357
Owner/Contra o site.
Inspector.
White CopylInspector's File Canary Copy/Site Notice