HomeMy WebLinkAbout1993-005457 - demo PE���r
CITY OF ORONO � — � ` � PE�RMIT TYPE: Y,_��; �,��.���
2750 Kelley Parkway • P.O. Box 815 Permit Number:
Orono, Minnesota 55356-0815 '-:`"�`*=°�
(612) 473-7357 Date Issued: :;j._�,;:�_;
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — r�;=�r 3 1 C;:!}l�. — OWNER:
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APP ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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_. . � ` � ` � � � ..
CITY OF ORONO APPLICATION FOR D�MOLITION PERMIT
P.O. Box 66 (1335 Sa Brown Rd)
Crystal Bay, MN 55323
' SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
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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 cardrisyavailable on the job
site.
3. A 24 hour notice is required for all inspections. Call 473-7357.
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JOB SITS ADDRESS: ' Z <�= ,�_ ,-,� , ; '^. ' ( �,
Occupancy Type:
Residential �_Commercia
OWNER'S NAME: � ' r,-� �;�-�-c_- Phone: r-�J�� 7� `� �
Mailing Address: t c1 f �� /� � ('�� �z-L� I--���, <° _ ;�� City:
� Bus. NO. : �J `/ �- ��'
CONTRACTOR'S N1�1+�:: ���c r r« �c; /.,��'�i'�_��'� , .
Mailing Address:
City: � ;,.f� � � "�� � �
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Demolition if planned by means of: manual disassembly �heavy equip�ent
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/vr secured until such time
as demolition is complete.
2. Demolition debris will be ke�pt off adjoining rov�al is btainedtin
public rights-of-way unless s ecific prior app
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 supers hal l be left clean andaclearPof tall
shall be requested. The site s
debris, with any excavation filled with earth level with the ada=�en�f
ground elevation (except when such excavation is to be used as p
� 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 performed by
the property owner, his employees, agents, subcontractors or assigns.
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_ - _ _ . _-_ ---- _..- PERKIT}TYP$ AND F$S� CALCDI�ATION__.._��-.- ----.-_ _- _----__---_-._ - -
----._- —____ ... � _..-_ _ .�
--- - --- - - - - _ . .
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' $50 . 00 Principal Structure Sv �`� �/,��
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$30. 00 Accessory Structure 3 � 30��>� �' � =' �� �`
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l. Subtotal of above permit requested $ � y�' t'�'
2. State Surcharge � • 5d
3 � TOTAL PERMIT FEE (add lines 1-2 above) $ � `�L` �Z
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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 rec,-ulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true
and correct. -
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SIGNATURE OF APPLICANT: �� ��'�� .'`` � '_�_`�'�`-_ � Date: 3� � , _
DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTIC SCHEDULED
PERMIT N0,�2 � COMPLETED
ADDRESS ���
OWNER . CONTR.
TELEPHONE NO.
�� �
� DESCRIPTION o�`^— ��^t�C
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z O�kf�BD. 12 WATER HOOK-UP 17 SITE INSPECTION
5 F 14 SEWER HOOK-UP 06 PROGRESS
� EMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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D COMMENTS:
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d �WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� �CORRECT WORK R PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORREC7 WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PEFiMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR :l CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnedContr on ' e:
Inspector.
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