HomeMy WebLinkAbout2000-P02255 - demo "W
PERMIT
CITY OF ORONO PERMIT TYPE: Demo
2750 Kelley Parkway - P.O. Box 66 Permit Number : PORa5s
Crystal Bay, Minnesota 55323 Date Issued: 1/12/00
(612) 249-4600
SITE ADDRESS:
3020 Watertown Rd
33-118-23-33-0001
DESCRIPTION:
Demo Principal and 5 Accessory Structures
REMARKS:
Foundations/all demo debris to be removed from ground and disposed of off site per PCA regulations.
Wells must be abandoned. Inspection before backfilling.
FEE SUMMARY:
1 Principal Structure $ 50.00
5 Accessory Structures 150.00
Surcharge .50
TOTAL FEE $200.50
CONTRACTOR: OWNER:
Steiner& Koppelman Jim Renckens
18340 Minnetonka Blvd., Deephaven, MN 55391 3020 Watertown Rd, Long Lake, MN 55356
THE UNDERSIGNED HEREBY REQUESTPERMISSION TO MADE THE REAL IMPROVEMENTS SPECIFIED AND
AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES ANIS STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANTOERMITEE SIGNATURE /ISMED BY:SIGNATURE
dFt
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: 30'�L) way Pr'— /et t) KO
Occupancy Type: __>,C Residential Commercial
OWNER'S NAME: 1 + be��i R*-e,Jc k,04;-5 Phone:
Mailing Address: City:
CONTRACTOR'S NAME: Sf6A) k +k o 0 � II,w&,U Bus. No.: q'"7 3 _5 93S
Mailing Address: 16 3 y&) M;A4V r o�v u_ ,�lv l City: N2 P,o
Demolition if planned by means of: manual disassembly
X heavy equipment -1-�KR•v �� �� k�
Fine �Q�uR�•�► ��/�
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.
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 $ ,n
2. State Surcharge $ .50
3. TOTAL PERNIIT 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.
i
APPLICANT'S SIGNATURE: Date:
OWNER'S SIGNATURES Date:
APPROVED BY: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT, E SCHEDULED
PERMIT NO. COMPLETED
ADDRESS O ,,��^^
OWNER C0NTR. Pf:_1 I V
TELEPHONE NO.
PESQ&IPTION 4 �
W4CO1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 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
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD VER REMOVAL
J 10 PLUMBING FINAL 6 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
COMMENTS:
CC
W
W
CC
J
O
O
W
W
cc
Q
f2
Z
W
z
W
cc
W (d ]WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
I
❑CORRECT WORK&PROCEED C 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
CITATION ISSUED
11STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contra for on site:
Inspector.,ffazY,
White Copylinspector's File Canary Copy/Site Notice