HomeMy WebLinkAbout2003-P06704 - demo r -
CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P06704
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 9/9/2003
SITE ADDRESS: 3320 Watertown Rd
Long Lake,MN 55356
PID: 32-118-23-41-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 649
Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Fuun"ions/all demo debris io be removed from ground&disposed of off siie Per PCA regulation. Wells
m ist be abondoned. Insuection before backfilline.
FEE SUMMARY: Permit Fee: $ 30.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Boyer Building Corporation OWNER: Robert Lund
3430 County Road 101 4100 50th St W#2100
Minnetonka,MN 55345 Edina,MN 55424
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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(Siznitures Required), 1-Amlicant, 1-Monthly Revorts, 1-Assessin¢, 1-Finance Page 1
A o&70 �-
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: Z33 ROV-0 ko
Occupancy Type: Residential Eereial
OWNER'S NAME: )V 1 �f CeY" Phone:y62,-`�7� �-���
Mailing Address: 01 City: /'h rte U�
CONTRACTOR'S NAME: L>O - vUig C,,r , Bus.No.:
Mailing Address: City:
Demolition if planned by means of: manual disassembly
� heavy equipment
Permits Issued:
# Well Abandonmentc�,
In return for issuance of said Demolition Permit, the un,4„. 1 agrees as follows:
1. The structure(s) shall be kept enclosed a , ,^`"` as demolition is
complete. � q
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V)e 61 ti
2. Demolition debris will be kept off adjoining, 0t 5 �is-of-way unless
specific prior approval is obtained in writing
3. Foundations shall be completely removed frol.. Lne 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 anew
building and such new building is actually under construction).
8. The undersigned owner shall and hereby does indemni 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
7 $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 statemen ade on this application are complete,true and correct.
APPLICANT'S SIGNAT Date: Z U�
OWNER'S SIGNATURE: Date: -rte
APPROVED BY: Date: '2 -0 3