HomeMy WebLinkAboutP04745 Demo PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P04745
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 1/17/2002
SITE ADDRESS: 2795 Pheasant Rd
Excelsior,MN 55331
PID: 21-117-23-32-0002
DESCRIPTION: UBC Occupancy R3
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:
FU uildaiions%aii demo debris to be removed from ground&disposed of of site per PCA regulations. Wells
mist be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 80.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Steiner&Koppelman OWNER: Richard&Nancy Marzan
18340 Minnetonka Blvd 2795 Pheasant Rd
Deephaven,MN 55391 Excelsior,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.
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APPLICANT P=" ITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Sienitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
Dec-14-2001 12:47pm From-CITY OF ORONO +9522494616 T-358 P.008/017 F-479
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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: ' f
Occupancy Type: � Residential Commercial ( � �C'� r
OWNER'S NAME: a A, Phone:
Mailing Address: s City
CONTRACTOR'S NAME: �,; K fl'r1 .. L Bus.No.: `r.5 - -5 -7--Y=.;;_;-
Mailing Address: v E. t.. .;r-• I City: r%, -.
Demolition if planned by means of: manual disassembly
-)< heavy equipment
Permits Issued:
# Well Abandonment
In return for issuance of said Demolition Permii:, 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.
r 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 Departments regulations.
6. Inspection required when all debris has been removed, before backfilling.
Dec-14-2001 12:47pm From-CITY OF ORONO +9522494616 1-358 P.009/017 F-479
7. Within 5 working days of superstructur e removal,a final inspection shall be requested_ The
site shall be left clean and clear of all dcbris,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 assi:,ns 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
1- $30.00 - Accessory Structure
•
1. Subtotal of above permit requested $ 6
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ /IF 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 made on this application are complete,true and correct.
VI
APPLICANT'S SIGNATURE: i-�� �' l Date: /97
OWNER'S SIGNATURE: lir' Date:
APPROVED BY: Date: '6)2'
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CITY OF ORONO CALLED IN DATE TIME
INSPECTION NO ICE SCHEDULED
PERMIT NO. '7L( 7 1(c COMPLETED/ / - ? — /t/."_
ADDRESS c 7 _� P/ ��i�--'T 14X
OWNER CONTR.
TELEPHONE NO. '-(7 3 _C6(.3S--
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DESCRIPTION vLj ri )
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
14.
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LIJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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��WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContrac r on site:
Inspector. r c - - T 0-
White Copy/Inspector's File Canary Copy/Site Notice