HomeMy WebLinkAbout2004-P07818 (Demo) PERMIT
C ITY O F O RO N O Permit ►vumber:
27�� Kelley Parkway - PO Box 66 Po�81g
Crystal Bay, Minnesota 55323 Permit Type: Demotit�on
(952) 249-4600 Date Issued: g�3o�2ooa
SITE ADDRESS: 1444 Baldur Park Rd
Wayzata,MN 55391
PID: 08-117-23-43-0004
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code 645
Permit Sub-type(s): Demo-Principal Structure
Pernut Type: Demolition
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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mist be abondoned. insnection before backfillinQ.
FEE SUMMARY: Permit Fee: $ 80.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Owner/Self OWNER: Patrick&Loring J Kaveney
� 1444 Baldur Park Rd
Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(Siunitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (2750 Kelley Pazkway)
Crystal Bay,MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
1. You may be required to obtain other permits, i.e. well abandonment,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(952)249-4600.
JOB SITE ADDRESS: 1444 Baldur Park Road
Occupancy Type: ✓ Residential Commercial
OWNER'S NAME: Patrick & Loring Kaveney Phone: (952) 944-0611
Mailing Address: same City: Orono
CONTRACTOR'S NAME: Patrick Kaveney Bus.No.: (952) 944-0611
Mailing t�ddress: same City:
Demolition if planned by means of manual disassembly \ �lC �_,7��.,�-,�j��.. � �v�'�t-c��
heavy equipment 5 � G �
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Permits Issued: �
# 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.
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
/\ $50.00 -Principal Structure
,� $30.00 -Accessory Structure
1. Subtotal of above permit requested $ 80.00
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 80.50
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: Date: /a �
OWNER'SSIGNATURE: Date: �/� �/
APPROVED BY: c� Date: (�i�z3 ' �Y
Reset Form
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2. It AG1�I w311 D�ls1�t ia phce t'or the demolinon mdicce tLe•amouaio!Grs�ory I aadlar Cate�ory II , � .
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, eantractor orbuHd�ng owner aa itave aat�ority to�erbmto�a��twentaWe of the demol�oa
�emea�i for my empIu�er.
3ignatucr of Conoca�ro ' Date ��' �
Seed oo: Asbestos Coordioata�- .. Q�Iitj►Divisioa Forqucsdoas callc
MNPolh�rion Coonrul Agsacy ' 6i2-Z96-7300� .
. �0���R�N°� . 1�00-65?-3864
SC Pa�►i,I1�Q SS I5S-4194 '
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G � D TIME �
CITY OF ORONO CALLED IN ��� `�
INSPECTION NOTI E SCHEDULED �T �
PERMIT NO. / COMPLETED
ADDRESS �
OWNER � CONTR.
TELEPHONE NO. �S2- 9 �� D(Q /�
� DESCRIPTION D�1'�"v ' �`�"-'t-f"
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED [l PROJECTCOMPLEfE
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W�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOl1RS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. (J52� 249-4600
Owner/Contra ite:
Inspector_
White Copyllnspector's File Canary CopylSite Notice