HomeMy WebLinkAbout2002-P05837 - demo � ,
PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Posa3�
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: iii26i2oo2
SITE ADDRESS: 2225 Bayview Pl
Wayzata,MN 55391
P I D: 17-117-23-44-0027
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Sub-type(s): Demo-Principal Structure
Permit Type: Demolition
DETAILS:
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: First Street Construction Inc. OWNER: Teresa Koch
417 E 1 st St. 2225 Bayview Pl
Waconia,MN 55387 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESI'S 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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APPI,ICANT PE MITEE SIGNA TURE SUED E3Y SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-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 a.�nx�ss: Z2Z.�� F�� J����,�� �L��-�
Occupancy Type: Residential Commercial
OWNER'S NANIE: ������� � �� Phone:�t�`��"� -C`��j�`��
Mailing Address: ZZ Z�=� � �; � _ �L_ City: � �
CONTRACTOR'S NAME: ���`(��1��� ��T�.����'� Bus.No.: ��'SZ- ����Z -����,�
Mailing Address: y��1 �--r`'C``� '� �`t- `�`K--C`�-T CitY� V\I P�C C�c��s�-�
Demolition if planned by means of: manual disassembly
�heavy equipment
Permits Issued:
# `�ell Abandonment
In return for issuance of said Demolition Permit, the undersigned o�vner hereby agrees as follo�vs:
1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is
complete.
2. Demolition debris�vill 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. `Vater�vells must be abandoned in accordance �vith State Health Department regulations.
6. Inspection required �vhen 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, damaQes, losses or
expenses,including attorney fees,against the City,its agents,employees and assians 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 Ru?es ChaprPr 7ngn. a�i septic ta.�ks :.�ast
be pumped,crushed and filled with native soils. An inspection is required after t'r�e tanks are
pumped and before the tanks are crushed and filled.
PE12il�IIT TYPE AND FEE CALCULATION
� $50.00 - Principal Structure
$30.00 - Accessory Structure
1. Subtotal of above permit requested $
2. State Surcharge $ �p
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit, a�rees to
do all work in strict accordance �vith 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 a.nd correct.
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APPLICANT'S SIGNATURE:����L��.� , �,�� ������ Date: A Z������--
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O`�'NER'S SIGNATURE: � , -•� .s��`C,�--- Date: � Z J���;2.-_
APPROVED BY: Date: � � -2� -b�
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