HomeMy WebLinkAbout2002 - P05801 - demo PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P05801
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 11/4/2002
SITE ADDRESS: 4760 West Branch Rd
Mound,MN 55364
PID: 06-117-23-33-0002
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Fuuddaiioiis/all demo debiis io be leiiioved from ground Si disposed of off sue per PCA regulations. Wells
mist be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 50.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Mega Homes Inc. OWNER: Micheal&Carman Rodewald
13601 Balsam Lane 4760 West Branch Rd
Dayton,MN 55327 Mound MN 55364
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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A 40747 A '� PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Signitures Required), 1-Applicant. 1-Monthly Reports. 1-Assessin2, 1-Finance Page 1
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: "11(� v (,j(ST 3 it--of r 12
Occupancy Type: ,y Residential Commercial
OWNER'S NAME: vitt 112,6 n+7 i�,j-t r Phone:
Mailing Address: 5 Prrvl c` City: 012.1)u n
CONTRACTOR'S NAME: i
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
buffing 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.
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
11 $50.00 -Principal Structure
$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 statements made on this application are complete,true and correct.
jeAPPLICANT'S SIGNATURE: �' � Date: >/ /6 2-
OWNER'S
OWNER'S SIGNATURE: Al h Date:
APPROVED BY: Date: /1-it o Z
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N����� I SCHEDULED f/—.20-02 9
PERMIT NO. COMPLETED
ADDRESS `� 7 0 (�2 t�
/� 4
OWNER CONTR. /(/ 4 �a/w .
TELEPHONE NO. 77a? t77 3Q L
DESCRIPTION
IQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 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
- ITE 27 SEPTIC MAINT. 21 COMPLAINT
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07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
0 P MEIN 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLU 36 FOUNDATION/REMOVAL
Z OWN RICONTRACTOR T MEET YOU: YES_NO
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2 WORK SATISFACTORY:PROCEED IDPROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O(,) BEFORE COVERING
PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nextlinspection 24 hours in advance. (952) 249-4600
OwnedContracto >pite:
Inspector. ' +t�\
White Copy/Inspector's File Canary Copy/Site Notice