HomeMy WebLinkAbout2007-P11260 - demo It
A
PERMIT
CITY OF ORONO permit Number:
2750 Kelley Parkway- PO Box 66 P11260
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952)249-4600 Date Issued:
7/31/2007
SITE ADDRESS: 3505 Wayzata Blvd W Unit#
Long Lake,MN 55356
PID: 32-118-23-13-0001
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:
Demo Principal Structure and Three Accessory Structures
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: $ 140.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 140.50
APPLICANT: Carl Bolander&Sons OWNER: MN DOT/STATE OF MN
251 Starkey Street Director R/W Operations
St.Paul,MN 55107 St.Paul,MN 55155
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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LICANT PE TEE SIGNA ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
O_ City of Orono
P.O.Box 66
2750 Kelley Parkway
Crystal Bay,MN 55323
- (952)249-4600
N 111111,111011141
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CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
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Type: Residential ® Commercial
Site Address: 3 50 "/5' A
J
Owner: 1119 v T— Mailing Address: 3'75 ✓6 4h -Eve kms(' 9/1,
City: S- Pmt Zip:
Home Phone: - 65 7- 3 71-;:> y Alternate Phone: 6s�-2 6,
Contractor/App.:G 0*414`� c)-501 5 Contact Person:
Address: !- 3-1, State License #:
City: �7� P4 l Zip: 55'10 Expiration Date:
Phone: �SI 2 '6Z Alternate Phone: 6"�z 22l
General Instructions:
1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is
issued.
Demolition by means of: ❑ Manual Disassembly JZ Heavy Equipment ❑ Other
Permit(s) Issued: ❑ Sewer Disconnection ❑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. 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.
9. 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 (how many) `1 O .C)C) (what)
1. Subtotal of above permit requested $ IAV-1 00
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ Mo.
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a 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.
Applicant's Signatur • Date: �®
Owner's Signature: Date:
Approved By: Date:
(B ding Official)
* Zoning Disclosure Required? ❑ YES NO
*This must be filled out by Zoning De Fo her answer,a Zoning Official must sign all applications.
* !� —
Approved By: Date: Z.S
?(Wning Official)
�. R�' a oar',
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.rD 1 12 46 0 COMPLETED --?-o
ADDRESS 3 SO� C- J A "-I 2 A TA 13 l U
OWNER CONTR. 90 1 AAC4.ef
TELEPHONE NO.
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
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
0 - 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
r� COMMENTS:
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W L9WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
QC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ID CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: ` r
Inspector. /
White CopylInspector's File Canary Copy/Site Notice