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HomeMy WebLinkAbout2007-P11637 (demo) PERMIT CITY OF ORONO 2750�Kelley Parkway - PO Box 66 Permit Number: P11637 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 10/30/2007 SITE ADDRESS: 3865 Bayside Rd Unit# Long Lake, MN 55356 PID: OS-117-23-23-0008 DESCRIPTION: Proposed Use: Residential Census Code 649 Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Demo 2 Garages Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells must be abondoned. Inspection before backfilling. FEE SUMMARY: Pernut Fee: $ 60.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 60.50 '7n I,�Ii APPLICANT: Zabad�xcavating OWNER: David Dianis 8406 Laketown Road 3865 Bayside Rd Chaska,MN 55316 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � APPLICANT PERMI SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Oct-2A-200T 10:57am Frcm-ClTY OF ORONO +952249d616 T-004 P.002J003 F-818 • .��;ni "i y,� 47�Etp�.'..':'...;i'� �;'.'.,. y of Orono 'a'.�!;` ��,:a�. '�';, s: �.;�,.,y,.. , CK �.�,�,��,-1;1;J',''�''{c,. ���:Pey�i�,tf..o;• � �'� PA.Box 66 `��.�.,.,;,�r�.--r� ,�,, ,5�.`.—��',�ro �-`r:;'R'�";,: .�� . .� Q � 2750Ke1kyParkway 7� �,..�'��i�������'"'r�!I;i�?��:`�iI��:S'/Y�',�rtl"1��"•'�I4••.":'' ". �Y .��nn.�k`:�'.,i . '. , � �a � 4 ti�.,;,��, sKal 8ay MN 5 5323 ,+l i p �ti�Y '� 'Y f��lr ��s' �,���� �' �'' a e� .�,?i�i��lf�' Y�':�?'� � '� ,, ,t 'I',',r +". �.;„ 4 � (952)2a�-a600 ���,,, � 'F'��,��.:. I��` G� � , ,..,. ; .,,� ���'t» .���q��, ��+ ��� ��� ��'��,,c� � ��"� �����+ry ��� F . ��.;�, :52+ooin ;JA�iaeOci uea�:9i ., �'1�"s�' , 7�ona ' �•:� CTTY OF ORONO-�)EM4LITJUN P�YtMIT (All permits muet be approved by che auilding Oft'icinl�Rd�or Zoning Dept�tRncnq Type: �Residenrial [� Comm�rcial .., ` ��l Site Address: o �'• � b� �I Q,(�,y�,�i,1 _ Mailing Address: !.. o,�►�: � c�cy: z�p: S 5 3 S� Home Phone� Altemate Phone: Contracwr/A .1�� �+-G ^'�--�^'�� Contact person� '`� PP��� Address: �`r0�_ � StAte License#: City: � �ip: ,�1��Lv Expiration Date: _„_,,, Phone: /? '�� '� � � � Alternate Phone: ,. Greneral Instrucrions: 1. You may bc required to obcain other perrnits,i.e.: well abandonment, sewer,etc. 2. 'Work nzust not begin unless the perntit card is availabie on the job site. 3. A 24-45 hour notice is required for all inspections. Call(9S2)249-46UU. 4. Se�wer must be diseonrinued at the Ciry service b�qualifled conaaeto�before demo pern�it is issued. pemolition by means of: � Manual Disassembly (�Heavy Equipment ❑ Other T.n return for issuaace of said Demolition Permit,che undezsigned owner hereby agrees as follows: 1. 7he structure(s)shall be kept enclosed and/or secured until such time as demoliuon is complcte. Ost-2B-t�t O4:lOr+� From-CICY OF ORONO +p622494616 T-010 P.D02/OOt F-834 2. Dcmolicion debris witt b�kepc off adjoirting property and/or the public rights-of way unteas specifu ptior approval is ohtained in writing for temporary usc thereo£ 3. Foundetioas shall be compleuly removed&om the ground. 4. AU dcmolition debris shall be complctely disposed of off site in accordancc with all app]icahk PCA requinemenu. S. Water wells m�ust be abandaned in accardance witb State Health Departmcat re�ula�oas. 6. Inspectioa required when a�l[debris has been.Yea�oved,before backfilling. , 7. Withia 5 wortdng days of supersnucture cemoval,s fiaal iaspectios shall be requested. T'he siu shall bc left clean and clear of all debris, witl:any cxcavaeion filled arith ear�h kvel wi�, the adjacent ground elevation(except when such excavauoa is ta be�se�i as pan of a new building aad such ncw building is acrually undec coastznctian� S. Septie systems must be abattdoaed per Minnesota Rults Chapttt 7084. IUl sepric ta�cs must be pumped, ctvshed and fclled with native soils. An inspecrion is r�qwred af[er the tanks are pw�ed aad before the tanks ane erushed and filled. g. The undersigacd owndt Sha11�nd hereby daes iademnify and h�ld harmless the City of Orona�iu agencs, empioye.�s arid assi�ns fToxn and against all ctaims,damages,losses or eupeases,including attorney fees,against the Ciry,its agents, employoe� and assi�►s arisin� out of or resultias frorn the demoticioa desa�ibed heceos as performed by the propetty owner, his employees.agents,subeonuactors orassigas. PERMTT TYYE AND FEE CAI.CULA7'TUN � $50.00-Ptincipal S�uccurc �-530.00-Accessory Structure�_(how maay) �f '1l0�� (�"��t) 1. Subtocal of above permit rcquested S ` 2. State Sarcharge S .50 3. TO'I'AL PERMIT FEE(add tines 1-Z above) S The undersigned hecby applies w tbe Cicy of O�ono fa issuance of a Dernolinon Pemuc,a�rees to do a1i the worlc ia a strict aceosd�nee with the ardinanees af the City and rhe reguiadons af thc$tate of Minnesota,and certifies t�6at all statea�e�ats madc on tbis applicadon are cornplete, true and coaect. � Applic�at's Sigastt:re: d,��� Datc_ /G�� ,3C) —D � Ovrn�r's Sigaiture: Date: /d _.'� APproved By: Date: (9ui2ding Of5cial) * 2oning DisclOsure ltequired'`❑ YES �NO '�Tt�is mast be Slled our by Zani�g Deps�tme�u-Foc anewer.a Zaning Of5cial musl�ign nll applications. *Approved By: a....,_ Date� �t�-Z.5'-p1 Z IAg �C1A�) � L'd ObOL-SZZ-ZLL siueia '�{ �g 'Q �o eo�}}O dZl��O LO 6Z �0 ' 3`8G� ��-ys � /� r - � 2. Dcmolitian debas will be kept off adjoiniag prope�rty andlor the public rights-of way unless spccific prior approval is obcained in writing for temporary use tbereof. 3. Foundaaons shall ba completely remavcd fromthe graund. 4. A]1 demolitioa debris shall be completely disposed of off site in accarda�tice with all applicable PCA requirements. S, Wat�er wells must be abandoned in accordanee witb State I3ealth Dcparnneat regulations. 6. Inspection requized when a�l debris has been removec3,before backfilling. . 7. QVithin 5 wozldng days of supetsuucture remo�val,a final inspection sball be requesxed. Tbe site shari be left clean and clear of all debris, �v�th any excavation filled witl�earzh]evel wirh the adjacent ground elevation(except whcn such excavanion is to be used as psrt of a new building and such new building is acmally under construction). 8. Sepdc systems must be ahand�oned per Minnesota Ru[es Chapter 7084, All sepdc tanks muss be pumped,rrushed and fi]]ed with nadve soils. An inspccaon is re:quired afEer the tanks are pumped and before the tanks are crushed and filled. 9. 1he undcrsigned owner shall and hereby does inder�u�ify az�d hold harmlrss the Ciry of �rono,its agencs, employees and assi�s f=om and agaiast alt claims, da�nages, Losses or txpenses,includi�g anorney fees,against the Ciry,iu agcncs, ernployees and assigns arisin� out Qf ar resulting from the dtmolirion described herein as performed by t�e propeny ownet, his employees,agents, subcontractors or assigns. PERMYT TYP�AND FEE CALC[3LATIUN � $50.00—pr;naipal Structurc �$30.40—Accessary 5tructure�_(how many) �1�RRG��S (what) 1, Subtorel of above permit requested $ 2. Statc Surchatgc $ .50 3. TOTAL PERiVIiT�'EE(add lines 1-Z a6ove) $ .., The unde�sig►ed h�rby applies to t}�e City of Orono for issuance of a Demotirion Femlit,a�res ta do all the work in a strict accordance with the ordinances of the City and rhe r�guladons of the State ofMinnesota,and certifies tE�at all statements macle on tbis applicatian are c�rnplete, true and correct. Applicant'9 Signature: Date: O�ner's Si;nature: � Date: l� Approved By: Date: _ (Buildieg Official) x 2oning biscsosure Ytequired' [] YES �N� 'This mus�be SEled oot 6y Zoning Departmtnx—For ei cr answer,a Zoaing 4f�ciul most sign all applicationA * APProved By: � Date: tt� -ZS- �� tng Of5�ia3) Z'd OtiOL-9ZZ-ZLL siueia �y� �g •Q �o eo�}O dO1�90 LO 6Z ��O �V\ � 1� T �') TIME � CITY OF ORONO CALLE�N l� � INSPECTION NOTICE SCHEDULED � PERMIT NO. �� I ��� COMPLETED ADDRESS ���� t�c�-' �i.Sl c�1? �� OWNER CONTR. 2Q�CIL �C�V • TELEPHONE NO. � �� �� - � � DESCRIPTION ��-� � ' �f�f � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBWG RI ❑ SEPTIC FIN L ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES O � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR AEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CpHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnedContra qr �it : Inspector. � White Copyllnspector's File Canary Copy/Site Notice