HomeMy WebLinkAbout1998-010987 - demo PERMIT
CITY OF ORONO PERMIT TYPE: _ .-.
`2750 Kelley Parkway - P.O. Box 66 ��=��'_'._�F"='
Crystal Bay, Minnesota 55323 Permit Number: ;::;i ;:;,;;T; ,
(612)47?,�357 Date Issued: _ 1 �_; _
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REMARKS:
FEE SUMMARY:
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PPLIC PER ITEE SIGNATURE ISSUED BY:SIGNATURE �.
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CITY OF ORONO APPLICATION FOR DEMOLITION PER�tiiIT
P.O. �3ox 66 (2750 Kelley Parkway) +
Erystal Bay, �IN 5�323 � .
SPECIAL CO�'DITIONS & HOLD HAR�I�ILESS AGREEMEti"T
General Instructions
1. You may be required to obtain other permits, i.e. burnin�, well abandonmment; etc.
2. `�Iork must not be�in unless the permit card is available on the job site.
3. A 24 hour notice is required fo all inspections. Call 473-7357. j
JOB SITE A.DDRESS: "7'�� .�' � �
Occupancy Type: � Residential � Commercial
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OtiVNER'S N�tiiE: ,�iPcG o�y ,�'� � '��.l,-✓�r� Phone: �S �— �G'� �
Mailin� Address:��-�S� L.�✓�/,�c;ar.l �/�/ Ciry: Li/. �`T'- ,4G�� �T�,/•i/ �
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co�rrRacTox�s �val�:" �.,✓�ra,� ,� �,����-Bus. rro.: y�Y- �r�.�5i
Mailing Address: � ' � City: Fxc;c`c-s z�tR ���✓�
Demolition if planned by means of: manual disassembly
_�� heavy equipment
burning (by fire department)
Permits Issued:
# Burnin� Fire Department
# 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 adjoin.ing 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.
$. Water wells must be abandoned in accordance with State Health Department rebulatio�.
6. Inspection required when all debris has been removed, before bacl�'�lling.
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7. Within 5 working days of superstructure removal, a final inspection shall be reque;�te�.
The site shall be left clean and clear of all debris, with any excavation filled with earfh�=
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�ned owner shall and hereby does indemnify and hold harmless the Ciry of
Orono, its aQents, employees and assigns from and aaainst all claims, damages, losses
or e:cpenses,yincludinJ attorney fees, aQainst the City, its a�ents, employees and assi�ns
arising out of or resultin� from the demolition described herein as performed by the
property owner, his employees, ajents, subcontractors or assigns.
PER:tiIIT TYPE AND FEE CALCULATION
�50.00 =�Principal Structure
$30.00 - Accessory Structure
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1. Subtotal of above permit requested $ _ 5'j,. �
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �p.�c�
The undersigned hereby applies to the Ciry of Orono for issuance of a Demolition Permit, agrees
to do all work in strict accordance with the ordinances of the Ciry and the regulations of the
State of Minnesota, and certifies that all statements made on this application are complete, true
and conect.
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A.PPLICANT'S SIGNA .���, Date: � /
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O`ViV�R'S SIGNAT'IJRE: J Date:
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�iPPROVED BY:_.-,:<� , � Date: �/�/�a�y � _ I
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE (,��� SCHEDULED (I- ZS�9� _l v�°�
PERMIT NO. I 6 COMPLETED �� �
ADDRESS �� �� ��
OWNER CONTR. 1'h'Yx4 pc21A� 1�(L�
TELEPHONE N0. ��y'�''1�SY
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTQR TO MEET YOU:_YES_NO
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fl COMMENTS:
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� WORK SATISFACTORY:PROCEED G PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN � PHOTOTAKEN
❑STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor 't -
Inspector.
White Copyllnspector's File Canary Copy/Site Notice