HomeMy WebLinkAbout1996-008535 - demo PERMIT
� � ��"`Y OF ORONO
PERMIT TYPE:
2%5� Keiley Parkway- P.O. Box 66 Permit Number: �``-'�}L�'?'�"`:
Crystal Bay, Minnesota 55323 t_i���=`�;°_,
(612)473-7357 Date Issued:
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SITE ADDRESS:
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AP CANTPERMITEESIGNATURE ' ISSUEDBY:SIGNATURE
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CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, i�fN 5�323
SPECIAL CONDITIONS & HOLD HARi1�1LESS 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.
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Jos srrE �nn�ss: c`�'9 /V-Si-���-'� ���=�������� �
Occupancy Type: � Residential Commercial
� � Phone: ,��7���-�.��2�
OW�IER'S NA���E: �l�`// � ���
Mailin� Address: `" .7 �l� ;,- � ��-��-1-� Ciry: /ji� • .� c:�<-,.
CONTRACTOR'S NAME: -(' Bus. No.:
Mailing Address: City:
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 undersi�ned 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 bacl�'illing.
� _
7. Within � workin� 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 around 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 Ciry 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.
PER'�1IT TYPE AND FEE CALCULATION
X $50.00 -�Principal Structure
F
� $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 application are complete, true
and correct. =
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APPLICANT'S SIGNA �—�� Date: �� �>�
Tu�`�-
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OWNER'S SIGNAT'URE; Date: /o
APPROVED BY: -�!� tc, ' Date: (t - l • � (�,
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -;� "�
PERMIT NO. COMPLETED
ADDRESS ,'s U �T /.��bc�.Jl1 ��� • 1�/
OWNER � {�G I�(ti- CONTR. `�re(/r��i/i GcJ�O�-✓i!�' //�.
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TELEPHONE NO. C�"�c� ��9 �L"�.3 �
� DESCRIPTION ���511/� ��% /�e ��v�/�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
= 04 WALL BD. 12 WATER HOOK-UP �?T51T'E11�ECT�
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Rt 23 SEPTIC FINA� 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ! i ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (g52) 249-4600
OwnerlContra n e:
Inspector. �
White Copylinspector's Fi Canary Copy/Site Notice