HomeMy WebLinkAbout1997-008973 - demo 2 accessory PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway PO. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 `=_'='_`'J
(612) 473-7357 Date Issued:
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SITE ADDRESS:
DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
CONTRACTOR: OWNER:
THE U DERSIGNE` HE.REDY REQ ES F S PERM � N Y PS E T 13`8AL .�PROVEfi��EN" '�.
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APP T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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 473-7357.
JOB SITE ADDRESS: ''Z A;�b -
Occupancy Type: \C Residential Commercial J
OWNER'S NAME:,�'d Phone: l/ 2O_
Mailing Address: s y 5' zo e -h 5 C City: — <o�:s P/C
CONTRACTOR'S NAME: OI f% 9X Bus. No.:
Mailing Address: City: ,�� "00(/-�'�Y
Demolition if planned by means of: manual disassembly
heavy equipment
burning, (by fire department)
Permits Issued:
# 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.
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 around 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
'2,--$30.00 - Accessory Structure
1. Subtotal of above permit requested
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �� G
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.
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APPLICANT'S SIGMA Date:
OWNER'S SIGNATURE: Date:
APPROVED BY: Date: S• f3 �7
DATE [ME.
CITY OF ORONO CALLED IN .��I7 /Q 7 e '�a"V'
INSPECTION NOTICESCHEDULED 6:-_24- 41 4
PERMIT NO. �7 3 COMPLETED
ADDRESS U
OWNER lLa4 O//NTR.
TELEPHONE NO.
DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
p 03 INSULATION 24/25 WOOD BURNERIFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
F` 07 DEMO—sITE 27 SEPTIC MAINT. 21 COMPLAINT
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07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUM 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YEs_NO
COMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
QC C'CORRECT WORK&PROCEED
W ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING 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 instion 24 hours in advance.477357
Owner/Contractor on s'
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Inspector.
White CopylInspector's File Canary CopylSlte Notice