HomeMy WebLinkAbout2000-P02226 (demo) PERMIT
CI�Y �F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2226
Crystal Bay, Minnesota 55323 Permit Type: �emoi�t�on
(612) 249-4600 Date Issued: 3i22�oo
SITE ADDRESS: 2696 Caroline Ave
WAYZATA,MN 55391
PID: 20-117-23-24-0034
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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m ast be abondoned. Inspection before backfilling.
FEE SUMMARY: Va�uation: � 0.00
State Surcharge Fee: $ 0.50
�pu,�� $ so.00
TOTAL FEE: $ 50.50
APPLICANT: JEREMY BUPP OWNER: JEREMY D BUPP& ROBIN H BUPP
19735 CHARTWELL HILL 2696 CAROLINE AVE
SHOREWOOD,MN 55331 WAYZATA MN 55391
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.
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APPLICANT PERM[TEE SI NATURE � SUED BY SIGNATURE✓ �
Copies: City,Applicant, Assessor, Finance PaSe 2
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CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT ) �
P.O. Box 66 (2750 Kelley Parkway) . U���
Crystal Bay, MN 55323
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SPECIAL CONDITIONS & HOLD HARiI�II..��SS AGREEMENT �` ,�
GeneralInstructions � ��j-�,�I a
1. You may be required to obtain other permits, i.e. well abandonmment, etc. /
2. Work must not begin unless the permit card is available on the job site. �pd�
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
JOB STTE ADDRESS: �'` �0��� �� C�'��� �� `�' �v'�✓���-� .
Occupancy Type: � Residential Commercial
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O`VNER'S NAME: CLU�(w�'� GI�1 UX �'�• w� ��- Phone: "�� (� --���
Mailing Address: ) 7 ��`� !�. City: � ,u�0� �3� �
�CONTR.ACTOR'S NAME• '� '��"�� 'aY�L YY�:f l Bus. No.: ��� -'�� ��'
Mailing Addr'ess: S (1�/ -� City: �._L"��,�i �y� �fl E�_ SS���
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Demolition if planned by means of: manual disassembl r �. -
�C heavy equipment��bY Y�fi�d- W�P �� U
Pemuts Issued: x f1�'��f��'��� b � � �S p�'�4'1'1�4��
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# Well Abandon,ment �S �'�~E;�1 4�-�"c�!,+'�G�-��-��J� �� �QS��(�C�'��
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In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows:
1. The structure(s) shall be kept enclosed andlor 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.
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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).
8. The undersi�ed owner shall and hereby does indemnify and hold harmless the City of
Orono, its agents, employees and assijns 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.
PERMIT'I'�'PE AND FF,E CAL�'ULATTON
� $50.00 -Principal Structure
$30.00 - Accessory Structure
1. Subtotal of above permit requested $ �L% � U�
2. State Surcharge $ .50
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3. TOTAL PERMIT FEE (add lines 1-2 above) $ �(� , � ll
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
Mmnesota, and certifies that all statements made on this application are complete, true and correct.
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APPLICANT'S SIGNATURE: Date: � f �
OWNER'S SIGNATURE: Date: , l G
APPROVED BY: C�� Date: 3 ' �'O-� e��
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