HomeMy WebLinkAbout1993 - 005527 - demo PERMIT
CITYOF ORONO ���
O O O PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: BUILDING
Orono, Minnesota 55356-0815 0055'7'7
(612) 473-7357 Date Issued:
09/22/93
SITE ADDRESS:
211 €W€ODH I LL RD
SV
P . I . N . . 02-117-23--12-0001
--12-0001
DESCRIPTION:
DEMO C:ARE T Via;=::E R, HOUSE
1SE
Building Permit Type DEMO-ACCESSORY
Building Work Type DF MO-AC:C:ESSOR Y
REMARKS:
FOUNDATIONS/ALL DEMO DEB=RIS TO BF REMOVED FROM GROUND & DISPOSED O} €=FF SITE
FEE SI WA `;1,-(-1(.-i- 11M6 6 . AFL LLQ: 1',-ST BE ABANDONED . I N.'_',PEC.;1.(.'i BEFORE BAC.KE I LL I NG
Base Fee $30.00
Surcharge ti Aisl
Total Fee $30. 50
CONTRACTOR: - Ap ,l i cant - OWNER:
:::t_' _-i V'AN' s SERVICES INC E47_i4:_it)r} W€_€€ IUH I LL COUNTRY CLUE;
3660,t H€,jY 101 = 11 €WO€+DH I LL RD
WA` TATA MN cc;:_;' 1 €ORi_€NO MN EE:=91
(E12) 473-4300 (612)473-7333
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT C€,€MF'LIANC:E WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. j
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE (f i l
CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
?.O. Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
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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.
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JOB SITE ADDRESS: Commercial
Occupancy Type: X Residential
e1c *' - � ' --
i
OWNER'S NAME: � - '' aLArL' Phone: 7 Q�
Mailing Address: i Ge)fOL.� )4 City:
CONTRACTOR'S NAME: c rwl Bus. No. : L-IW-4 0 .i
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MailingAddress: �� / City: /�
G/ / jr
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Demolition if planned by means of: manual disassembly ileavy equipment
burning (by fire department)
Permits Issued:
Burning Fire Department (L )6,-, ::/l
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
feed, 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.
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PERMIT-,-TYPE AND FEE CALCULATION_ _ --
$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) $
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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.
SIGNATURE OF APPLICANT= Date: ?/22_4'
6
DATE TIME
CITY OF ORONO CALLED IN �v
INSPECTION NOTICE SCHEDULED �] ' y OO
PERMIT NO. 5So27tt rr CO( L N
MP
ADDRESS ,2.1( WBOC��Ii�,t.t\
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION Cl eAM.O C—Ctf a\ e. 's k u se
W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
• 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
DEMO—FINAL) 27 SEPTIC MAINT. 21 COMPLAINT
IQ 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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eW• /ORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr site:
Inspector.
White Copyllnspecto's File Canary Copy/Site Notice