HomeMy WebLinkAbout2006-P10568 - demo *10' * . PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10568
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 11/20/2006
SITE ADDRESS: 2709 Walters Port La Unit#
Excelsior,MN 55331
PID: 21-117-23-23-0045
DESCRIPTION:
Proposed Use: Residential
Census Code 645
Permit Class: Building
Permit Type:
Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
*They are not demoing the whole house,just part of it.
Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells
must be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Vogue ICF Homes,Inc. OWNER: William&Susan Dunkely
2618 Casco Pt.Rd. 2709 Walters Port La
Wayzata,MN 55391 Exclesior MN 55331
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 BUILDING CODE REQUIREMENTS.
APPLICANT PERMITE IGNATURE ISSUED BY SI ATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
4105W
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 abandonment,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 (952) 249-4600.
JOB SITE ADDRESS: ,?,-7 Oq 6J i°� 7ECS FbEr L
Occupancy Type: Residential Commercial
OWNER'SNAME: 13IUL l2-fNKC L Phone:
Mailing Address: 1k 35S 7�& /H AIS City: fz ywra nt S SyYfo
CONTRACTOR'S NAME: vn�J uL ICF Ho16:2 - Bus.No.:
Mailing Address: 1;t 1�19 i 0 i 0 L. 1-D City: O(Lo'j 0
tee•-.�i:+.�� :fr1-2nnmA h.,means of: X manual disassembly
heavy equipment
Y
�andonment
;aid Demolition Permit.the undersigned owner hereby agrees as follows:
shall be kept enclosed and/or secured until such time as demolition is
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. Sewer and water must be discommected at the services at the street by qualified contractors.
7. Inspection required when all debris has been removed,before backfilling_
f
8. 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).
9. The undersigned owner shall and hereby does indemnify and hold hannless 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.
10. 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.IOND FEE CALCULATION
$50.00 - Principal Structure 1J-Q wt-"D ONL-
Y
$30.00 - Accessory Structure
1. Subtotal of above permit requested S
2. State Surcharge S .50
3. TOTAL PERMIT FEE (add lines I-2 above) S
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 ma4Je on this application are complete,true and correct.
APPLICANT'S SIGNT4TURE. Date: f — to- o 6
OWNER'SSIGNAT Date: 1�
APPROVED BY: 0Date: 2 4f)
wilding Official)
*ZONING DISCLOSURE REQUIRED? ❑ YES 1�NO
* This Must Be Filled Out By Zoning Department - For Either - nswer, A Zoning Official Must Sign Al!
Applications // �
*APPRONTED BY: G� -T Date:
(Zoninv O:icial)
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