HomeMy WebLinkAbout1992-004873 - demo PERMIT
CITY OF ORONO � � • PERMIT TYPE: L:t_:i L���Is���:
1335 Brown Rd. South • P.O. Box 66 Permit Number: '-'"��=�?��
Crystal Bay, Minnesota 55323 Date Issued: �=� ����a�-
(612) 473-7357
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �,��,�
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CITY OF ORONO APPLICATION FOR D$HOLITION P$RMIT
P.O. Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
� SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
*****�*:*�t*****************t*********#***�**�t***********#***�r*f**********
General Instructions
1. You may be required to obtain other permits, i.e. burning, well
_- ---•- _• abandonmment, etc. -- - _ .._,._ . _ _.. _._.__ . .,__.. .,_. .._s _ - _ - -- - - . _-- _
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.
*t*�******:t**�******:***�*t*t*ft*:t*:t*******t�*******t**t**t�:**tt****t�*
JOB SITS ADDRESS: 1287 Brown Road S .
Occupancy Type: Residential Commercia
OWNSR'S NAME: City of Orono Phone: 4��-��5�
Mailing Address: Box 66 , Crvstal Bay, MN 55�2'� City:
CONTRACTOR'S NAME: Citv of Orono Bus. No. :
Mailing Address:Box 66 , Crvstal Bav. MN 55323 City:
******t****:�****�*:*******:*:********:****t*************�*:�**************
Demolition if planned by means of: manual disassembly �heavy equipment
burning (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 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 al 1 app licable 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).
_ . ..- �
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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 perf ormed by
the property owner, his employees, agents, subcontractors or assigns.
�r******�*****�***tt*f***�***:t**�t*�******�*#**�t*f�****t*���******#f****:*
- _.r...._-.-. PFRZSIT-TYP$ AND F�S CALCIII.ATION ,--_..-�,.�- ___ --:-- -:_ .= _�...-
� $50 . 00 Principal Structure
$30. 00 Accessory Structure
l. Subtotal of above permit requested $
2. State Surcharge $ "5a
3. TOTAL PERMIT FEE (add lines 1-2 above) $
*****�*:***�********�r:**��*t**********t****t****t*******�****f*************
the undersigned hereby app lies 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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SIGNATIIRE OF APPLICANT: ` /, �'� ,� 1 �-���-�-C��-�G� � Date: i �-
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTI SCHEDULED
PERMIT NO. COMPLETED
ADDRESS � �� �'� �� ��°
OWNER � CONTR.
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TELEPHONE NO.
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� DESCRIPTION ��� � -
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
FINAL 14 SEWER HOOK-UP 06 PROGRESS
O-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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,- pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQU�RED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.47 -73�J7
OwnerlCo act r o site
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