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HomeMy WebLinkAbout1994 - 006182 - demo house & shed PERMIT • CITY OF ORONO PERMIT TYPE: n "•;i-. 2750 Kelley Parkway • P.O. Box 815 Permit Number: 006182 Orono, Minnesota 55356-0815 Date Issued: 06/2?,/94 (612) 473-7357 SITE ADDRESS: 3430 NORTH SHORE OR LSV I . N . : 0'8-117-23-42-000S DESCRIPTION: DEMO HOUSE & SHED Building Permit Type DEMO/PRINCIPAL Builrling Work Typt,. DEMO-PRINCIPAL CDT OF ORONO I N4NCE OFFICE 1S13.1c.0000Ii 01 &EN 80.00 1222300000 L7LAT UCH, Ti U./ILL./1 IL. L.,:•ov RECEIP T—7 RAW YOU 7i171L7li rflii 1 Dili Ti I+N rr,-,v 1,1-01/1 •L ii vt.”4.,JI I- • REMARKS: FOUNnATIONS/AIL DEMO DEBRIS TO BF REMOVED FROM GROUND & DISPOSED OF OFF SITE PER PEGUIATTr_WS . WELLS MUST PE 4PANI:IONED. INSPECTlfiN PEFOR PAC!<FI'LING . FEE SUMMARY: BasP Fe .1= $80 . 00 $ 80 . 0 • CONTRACTOR: - Applicant - Si . LIC .CANNER:_fr KEITH WATERS & ASSIIC 19421060 150B .211ITHOtt;(722.4',2 10340 VIKING DR 110 3430 NORTH SHORE DR EDEN PRAIRIE MN -,b344 OR= MN 5S391 (612) 942-1060 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO 00 ALL WORK IN STRICT COMPLIANCE WITH AIL CITY OI t ORDINANCFs AND STATE UF MINNESOTA BUILDING CODE REWIREMENTS . 67alte,MAtlidAru,e , APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 0 CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 i. 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: LDT I69 '1 Ly(D/AgDb i3rRR" L.AI'- - m 1 00E-7.0. 141 Occupancy Type: X Residential Commercial 343© NereN St+O/z Otk OWNER'S NAME: Phone: Mailing Address: City: CONTRACTOR'S NAME: (,0A1SIR'5 $ 5's2)G + Bus. No. : cI 4.Z- 1 o Cv° Mailing Address: /034c Vle-i.10(4) DR.. ''Sort Ili City: EDF.,N FR/Alain., ************************* ************************************************* Demolition if planned by means of: _manual disassembly Zheavy equipment burning (by fire department) s Permits Issued: Burning Fire`` Depa4tment Well Abandonmen +y 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 aad hole harmless the City of Orono, its agents, employees and assigns from anc against all claims, damages, losses or expenses, including attorne: fees, against the City, its agents, employees and assigns arising out _. of or resulting from the demolition described herein as performed b, the property owner, his employees, agents, subcontractors or assigns. **************************************************************************: .2_-_,-,...2.-----:------.-. ----------::--L--- PERKIT -TYPE AND FEE -CALCITLATION-------_- _- _- _ _______=_.._, - ' $50. 00 Principal Structure X Fit)‘... .... $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 app lication are complete, true and correct. ate: S/4/SIGNATIIRE OF APPLICANT: 71