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HomeMy WebLinkAbout1999-011890 - demo PERMIT CITY OF C3RON0 PERMIT TYPE: , 2750 Kelley Parkway - P.O. Box 66 � �� '' Crystal Bay, Minnesota 55323 Permit Number: :; , ,_,.��.,, (612) 249-4600 Date Issued: - - _ SITE ADDRESS: _. _�..' _. ?�� !.`�=�.._i��=�!'�: _. � . _:—, � — — , __ , : �_ _..• ;,: : ;� :_ .. ... . , . .. ;_..., �� �; DESCRIPTION: —��_!7 � �";'1?'� . �1'i's:3 _ —,r+-- ._ . 6 :.i.` —�f_ � ' I.r,— _ F._ .._ : ,, , .,,� r�-����•,� ��i.{3 �i=���i"'f=:.� ,.�_t 1'•�:: . . . -- -.%i'1{_;-•i-`t;` !i'v`_ �!'"F-��... !_.r�:11`:�i�l:� ..Fwx�`_'� ��:1.'- �;�!41 1 _ `'f3+"� . REMAR.K� . _ --� - - - - - -- - . - - - - t-: + �r�.:. . �4_3E '._ , . i....L_ _ __�'�_{ _•t-t':�: E ' if : '-t- ��1'�-_ ?"'�.._ . . .. . ._�`.. ..... _. L,'.. =. _�_._.__j _I�" 7„r�.:C' _ , _ _. . ..,. . .. .., ..'_. _ . _ �. . �._ _ . _.. 3 r — _ ^,t " � _ ' `':7��'zk'��;3— . �f�'-.:-;5-t,,r- t :—Il�i _ � _ ��i � _ �,..._ , ...,_ . ...», .+ — . .i;•: ._t � r '�. i` � _ ' ' 'j" p i•� i.. r r `'� : . . . .x:}....i? 3 � ...#+- � '�S'E_.. _ .. _ , .._ ... . ._�"+:•._ ... {._.._ . ._. ._, ,...... � " "..? _.,... . . ._ .,j-�?_.:•.., _._^__ _. ... . FEE SUMMARY: � ; �.,- - . _� ; , F �� — ���/// '� �/ . : .E .."_ ._...._.�_.,._.._....._......_.. : `JI � }�; .. _.. .. �- ..__ � �`'-_F . .� . I/' � � s �l ( �I . ^ _ � ���/v ��� � � / CONTRACTOR: OWN�R. . . - : �� _ � . . � .._, .. � _ 4 � ; ,, . . t.('.i �F" r.t. __... _. _ _. .. 'v��� �.!� _ - N''y'�.��'� ;�'ay �9.V _'=.is.{:� _ _._ s 4-ii-- i 4`?.j;":°-'�"T j �f 1'-1,! �'`.•,,.,`i: _ _ _ _ .. _ _ -_�%ii,� ' ;-� . "°�.._.. . . .._ �".._.. ..... .... . . ._. . ... '..._. . . .:. :: ..: ,. `_r :..; . 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Call (612) 249-4600. �.1�•p-? _ JOB SITE ADDRESS: •�� � c� � ;• ;r { �.�h° �i����� Occupancy Type: �,� Resid ntial Commercial OWNER'S NAME:���,,,Y���k�,ri 1-�t�V'rN�r� �:N�.,�F,� tl ��.�� ������phone: C�i a-- ��`� - `'t cx�o MailingAddress:.(;,�c�,�s C'�� �� � City: 4�i.tirti,�,`t+�, , N�t� CONTRACTOR'S NAME: sec.-C� Bus. No.: Mailing Address: City: Demolition if planned by means of: �- manual disassembly heavy equipment Permits Issued: # Well Abandonment In return for issuance of said Demolition Pernut, 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 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. :� . . 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. PERMIT TYPE AND FEE CALCULATION I $50.00 -Principal Structure _j_ $30.00 - Accessory Structure 1. Subtotal of above permit requested $ �c�. �� 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ S��-: ��; 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 correct. ____._, _ . APPLICANT'S SIGNATiJRE: .���r��-�„_.___ -, Date:����� 5• OWNER'S SIGNAT'URE: � r-_, Date: APPROv'ED BY: Date: a '� � � �l CITY OF ORONO BIG ISL�IND PHOTUS ` ; �.. n..�� �� ^�� � '�'� ,� Date �UN� ��� ���� �� �� � � �� �`��^^'�P'��;,�s 'y�_ � � �« �;. �" ,� . — � �' �. ' r � ' ' 7k�' " • A�•, . by A.P. Olson - M.P. Gaffron , ; � „ �•. �r r��� ,y� � '� . � ..+y� � i'�i�� '�{�.'r + ,V� `qJ� ' �, °"� �'` '� '"`��, � . P.I.D. 23- ZZ� 400g' �, , . "r► �}:� �»� `�� � i \ f�^� �� ` _ � � ;>�- � �'�-'�"-- Owner �YIYL L 5 ��� '�Q,n�2. . � y ,�. . . _ -:�; { f ���; �: _ � � , `' _ �' #1 ���v► .�7� s ...F_-- ,� ��= �, r � . _. -�� � �'�r -_ ',J �` =��.�.;4„ #2 + o't-� ��,� � 4 ''F I _' �--_ _ � � — :�� � ?,frk� � T �� „' #3 fi � r • r �;� � �.. �1t�C . . _ �� ''���; � � � � ' ' " ��;���', .�_ �-'3-.��'" ��r � MAIN BLDG �_ Excel. � S'L.X� -...'�� �7 l ' �'� � �, ' � Blt. (R46 � ci��U . . _. `. ',��,r` e e' . F a i r , +�`�. '�;�c �;y r�. .y�. _ P o o r Sleeping Only � Kitchen _� Winterized No Foundation �Crawl Sp _� Footings Only Bsmt � �� Z� -ZZ- Ool � � �G Toilet None ��Q,�,� `" � Drainfield Cesspool // � � '�/�,�� ��,�� Out House (,c�Le�C G�y� / ( _� Well Lake Pump No Water From Neighbor Accessory Bldgs Excel. __�__ Good Fair Poor �rLca� sctie� ���cc�n