HomeMy WebLinkAbout1997-009155 (demo) PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: - -
Crystal Bay, Minnesota 55323 = - � - � -
(612) 473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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� APPLICANT�PERMITEE SIGNATURE � ISSUED BY:SIGNATURE � •
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CITY OF ORONO APPLICATION FOR DEMOLITION PER��IIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 5�323
SPECIAL CONDITIONS & HOLD HARi1�1LESS AGREEl�1Eti'T
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 STI'E ADDRESS: �� '7'7c t�f� � -5 i D� •��� ��' %�
Occupancy Type: i(� Residential Commercial
OWNER'S NQu�1E' Phone:
Mailin� �ddress: • City:
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CONTRACTOR'S NAi1�: %lG S`�t:i�� �� ,�x�. .��Ui�ITii�e-�Bus. No : -�, > - >; �:=.
Mailing Address�..�5L��2�� S,� i rif r--ocz =,� ,�i� City: ��rf�•.�' ��..�e���,v /�/.c�S's_3�/
Demolition if planned by means of: manual disassembly
_� heavy equipment
burnin� (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 adjoin.ina 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.
$. Water wells must be abandoned in accordance with State Health Department reb lations.
6. Inspection required when all debris has been removed, before backfilling.
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7. Within � workin� days of superstructure removal, a final inspection shall be requested.
The site shall be lef[ clean and clear of all debris, with any excavation filled with earth
level with the adjacent Qround elevation (except when such excavation is to be used as
part of a new buildin� and such new building is actually under construction).
.
8. The undersi�ned owner shall and hereby does indemnify and hold harmless the City of
Orono, its aQents, employees and assigns from and a�ainst all clauns, dama�es, losses
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or eYpenses, including attorney fees, aQainst the City, its agents, employees and assigns
arisin� out of or resultin� from the demolition described herein as performed by the
properry owner, his employees, a;ents, subcontractors or assigns.
PER�tiIIT TYPE AND FEE CALCULATION
�50.00 =�Principal Structure
� $30.00 - Accessory Structure
1. Subtotal of above permit requested $
2. State Surcharae $ .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 Ciry and the regulations of the
State of Minnesota, and certifies that all statements made on this application are complete, true
and correct.
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APPLICANT'S SIGNAT'LJRE: ;_/�-� i��-� `. � � � ���
�--��- � Date: � _�
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OtiWi ER'S SIGNATURE: J Date:
APPROVED BY: � Date: ?� Q
DATE. TIME
CITY OF ORONO CALLED IN � �3 � �
INSPECTION NOTICE SCHEDULED �-~� �'� � �'
PERMIT NO. ��'S�5 COMPLETED -J�--�� � J-
ADDRESS � 7 1 �, ,�5�r�c�.,-�_��"t_ �c�
OWN ER � ,I�� �z.� CONTR. �������� -- .;.z. ��u�
TELEPHONE NO. � j`� rt s ���' ,f
� DESCRIPTION ✓�".-�'��Y72-� ��'t �t��-
W Ot FOOTING 11 MECHANICALRI 18EXCAV/GRADING/FIWNG
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�Q 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 THEE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� FINAL T" 14 SEWER HOOK-UP 06 PROGRESS
� M�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d _:WORK SATISFACTORY:PROCEEO /f' PROJECT COMPLETE
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W _ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O �: CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contrac r on '
Inspector.
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