HomeMy WebLinkAbout1998 - 010898 - demo PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- PO. Box 66 FA)11-''_ ='
Crystal Bay, Minnesota 55323 Permit Number: 10;; -}S
(612) 473-7357 Date Issued: 0/21 /98
SITE ADDRESS: x6235-"
47:4_ WFS AFAYRTTE
P . i . . . 21-117-23-24-0044
DESCRIPTION:
DEMO FR I NIP L ST F6..ji:
Building . ermiL• Type niil-MOiPik I N}_I PAL
..
E:t.3 ; o3 tg Work Type'e DEM O-PFi . .._ _ .
Census Code E.i4S DEMO 1-FAM .
REMARKS:
FOUNDATIONS/ALL - _ ' _ iER } __ TO
REMOVED
EM_ iED FROM =;�OL: D} _ _ :c:
}_}f OFF S I E
PER PCA Ems`.".=G}_fiE_ s . i _%S . WELLS MUST -E i 3E_A O_}E v D . } NSPF.0 E _ON BEFORE RACKF 6.I LIN;? .
FEE SUMMARY:
Surcharge^e xlu
Total E'.e_ $50 . 50
CONTRACTOR:_ gi- p_,e =.nt. - OWNER: _
Ids 1LE L 'S l�O 4i_:'E I F E; INC . 147 : i E_!1 3 E_E1: F S'i�-j'"`•.GARET
CYC'iN : ' ` _ iC - _30 WEST __i-ii- :'!E ! E R5
ID J G LA;:. . }1E ? - - r, ORONO MN .E=S31
(i17,17) 47S-3101 471-'3. _.
THE UNDERS I GNED HEREBY RE_;t_t=SPERM I SS ION '1`O tt4t(E i-ISE REAL L NE'F OVENS tv.'s.:y
SPECIFIED
CIFIED '-1 D AGREES TO n ALL WORK IN STRICT C: fM I_I Sid :E WITH Ai _ CITY O
ORONO ORD I i AN'_.E:; AND _TA i I r OF E 1 I NNE°m:t_i IA E t J I E_O I NG :i iOE R -Qt)I E_.ES```P IS
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APPLICANT ,MITSIGNATURE ISSUED BY:SIGNATURE
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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. 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.
•,35"
Z._ At 1=r4 y� 7L— 121'
JOB SHE ADDRESS:
Occupancy Type: Residential Commercial
OWNER'S NA E: /� 2 (� �- I 1-�« �= Phone: c! 7
Mailing Address: cs I-4RA_�4E-STC City:
I>< LS (c'? /Y 7 /L-' X 3 3 1 3
CONTRACTOR'S NAME: ti-A-124.- Cel "f' ' ' Bus. No.: '17
Mailing Address: 0640)c I City: 1.c99.
',eke
Demolition if planned by means of: V,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 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 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
1. Subtotal of above permit requested $ 15" . �=
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.
APPLICANT'S SIGNATURE: )1/4. 0-04- Date: t ' t 3 ` 41
8
OWNER'S SIGNATURE: W\CRAc - Date:
APPROVED BY: c� Date: 10 . 24-
/ DATE TIME
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CITY OFORONO -. CALLED IN 6 -23 -`ir A: Llk
INSPECTION NOTICE d4 0 SCHEDULED /0 'A 3 _ V' // 6i7
PERMIT NO. COMPLETED / K.
ADDRESS --' C.�� �Oil iC�
OWNER A- NT D-�-it (.1/6-24-T
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TELEPHONE NO. 9Y6 - /6 ec
DESCRIPTION C6;/11 b
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
cz W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
cil
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WA BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
st
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES NO
o COMMENTS:
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CiciWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
II PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR 17 CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on si
Inspector. 46
White Copy/Inspector's File Canary Copy/Site Notice