HomeMy WebLinkAbout2000-P02600 - demo c ►
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po2600
Crystal Bay, Minnesota 55323 Permit Type: Demotition
(612) 249-4600 Date Issued: 6i2gioo
SITE ADDRESS: 4245 Chippewa La
MAPLE PLAIN,MN 55359
PID: 31-118-23-42-0001
DESCRIPTION:
Proposed Use:
Census Code 645
Permit Class: Building
Permit Sub-type(s): Demo-Principal Structure
Permit Type: Demolition Demo-Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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m.ist be abondoned. Inspection befare backfilling.
FEE SU1I�MARY: Permit Fee: $ 80.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: DEAN'S TANK INC OWNER: J�HN GRANGAARD
PO BOX 22515 1245 HLINTER DR
ROBBINSDALE, MN 55422 MEDINA,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WtTH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN"I'PERMITEE SIGNATURE ISSUED[3Y SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
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.
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
JOB SITE ADDRESS: � ,� �,S G �%��'N�w A � �n;�'
Occupancy Type: ��Residential Commercial
OWl\'ER'SNAME: So l� � �d G�?�-TC�i<�l ��R� G�p r2c� Phone: %S�- ��8- OG.��
Mailing Address: / ,� i,l S /�(� n� �E K D/1�`v e City: rr��d ;,r� S S 3 9 i
CONTRACTOR'S NAME: �E� ✓a�/ �s l�nl.�", �`N'C Bus.No.: Co i 1 -s j.�-o � 95�
Mailing Address: 0?0,(3 a x. � � ss�.� City: �� �s�,'Ns d�c.f,_�,.�,� 5 s�r�2
Demolition if planned by means of: �' manual disassembly
X heavy equipment
Permits Issued:
# 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 ap�roval 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.
�. 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 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.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks must
bc pumped,c.rusY�ed anc� iilled with native soils. F��insp�cti�n is rtiqui.;d aft�r tl���tanks are
pumped and before the tanks are crushed and filled.
PERMIT TYPE AND FEE CALCULATION
� $50.00 - Principal Structure
� $30.00 - Accessory Structure
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1. Subtotal of above permit requested $ �CU� e�
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �C-� � 'v
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 conect.
APYLICAN7''S SIGNATURE: � Date: ��� 0 d
� OWNER'S SIGNATURE: Date: � �� Z��
APPROVED BY: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED 7-�o'OD `I i�0
PERMIT NO. O COMPLETED
ADDRESS �2`�-5 Cµ��p�w� ���
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION (� ! � IIJ � C(�u5� Sc�?(C ( �
ty� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Q 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
CJ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call f next ns ection 24 hours in advance. 249-46��
OwnerlCo rac n t .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �—�`d O y� �O
INSPECTION OTICE SCHEDULED — �8O 8��
PERMIT NO. ��.b� COMPLETED
ADDRESS 42`�S C h i►A/�PW''4 �—°in�'
OWNER CONTR. I�CAnS TnkS
TELEPHONE NO.
� DESCRIPTION ��= m� ��N q�
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 D - ITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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= 09 PL 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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W ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. r pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
C7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for e next i s ction 24 hours in advance. 249-46�0
OwnerlContr ct r p sit -
Inspector.
White Copyllnspector's File Canary CopylSite Notice