HomeMy WebLinkAbout2005-P08407 - demo CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos4o�
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 2i3i2oos
SITE ADDRESS: 2618 Casco Point Rd
Wayzata,MN 55391
P I D: 20-117-23-24-003 8
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
D�AILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
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m ist be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Eric Vogstrom OWNER: Eric Vogstrom
2618 Casco Point Rd 2618 Casco Point Rd
Wayzata,MN 55391 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 P ITEE SIGNATURG ISSUED BY SIGNATURE
CoDies: 1-File(SiQriituresRenuiredl. 1-Anolicant 1-MonthlvRennrts_ 1-Ac�e�cinn 1-Finanre „ ,
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CITY OF ORONO APPLICATION FOR DEMOLITION PER�iVIIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55�23
SPECIAL CONDITIONS & HOLD HARII�ILESS AGR�EMENT
General Instructions
1. You may be required to obtain other pennits, i.e. well abandonrrunent, etc.
2. Work must not begin unless the perniit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
30B SITE ADDRESS: a7(� � � 4}-Sc-.0 t'O/,v� (Zci�-��
Occupancy Type: �Residential Corrunercial
OWNER'S NAME: L-l�IC_.- lX>C-, Si�l���-r Phone: <o/�- a��' `�'S����
Mailing Address: ,,7��+-t v UHi-rr.�,��� /Jrz,�.=- City: G�a�.z�,�..�:,� SS�3/
CONTRACTOR'S NAME: Bus.No.:
Mailing Address: C�tY�
Demolition if planned by means of: manual disassembly
��heavy equipment
Permits Issued:
# Well Abandorunent /Uj1F
In return for issuance of said Deinolition Pernlit,the undersigned owner hereby agrees as follows:
1. The structure(s) shall be lcept enclosed and/or secured until such time as demolition is
complete.
2. Demolition debris will be lcept off adjoining property and/or the public rights-of-way tinless
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 backfilling.
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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 undersigned owner shall and hereby does indemnify and hold harinless the City of
Orono, its agents, einployees and assi�ns from and against all claims, damages, losses or
expenses,including attorney fees,against the City,its agents,employees and assigns arising
out of or resultiilg from the demolition described herein as performed by the property owner,
his einployees, agents, subcontractors or assigns.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanlcs must
be pumped,crushed and filled with ilative soils. An inspection is required after the tai�lcs are
pumped and before the tanlcs axe crushed and filled.
PERMIT TYPE AND FEE CALCULATION
�$50.00 -Principal Structt�re
$30.00 -Accessory Structure
1. Subtotal of above pernzit 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 worlc 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.
___. __ Date: � ��`'S
APPLICANT'S SIGNATURE:
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OWNER'SSIGNATURE: -- � --�- Date: � .�-G �
APPROVED BY: Date: 2- � -os
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