HomeMy WebLinkAbout2004-P08092 - demo CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poso92
Cr,;;:�tal Bay, Minnesota 55323 Permit Type: Demoi�c�on
(952) 249-4600 Date Issued: loii9i2oo4
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SITE ADDF2ESS: 325 Crestview Ave
L.ong Lake,MN 55356
PID: OS-117-23-14-0031
DESCRIPTION:
Proposed Use: Residential
Pernut Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
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m zst be abondoned. Insnection before backfillin�.
FEE SUMMARY: PermitFee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: OWNER: �'�'illiam Sullivan
325 Crestview Ave
Long Lake MN 55356
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 PERMITEE SIGNATURE "� IS U QY SIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Anplicant. 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1
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''� CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O.Box 66 (2750 Kelley Parkway) �
f Crystal Bay,MN 55323 �
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SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT ��' �' \�`� ,��
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Generat Instructions ��'
1. You may be required to obtain other permits, i.e. well abandonment,etc. �
2. Work must not begin unless the permit card is available on the job site. ���
3. A 24 hour notice is reyuired for all inspections. Call(9S2)249-4600.
JOB SITE ADDRESS: �25 Crestview Av , . Z���n o , �.+�� 5�3��
Occupanc�- T�-pe: ✓ Residential Conunercial
OWNER�SNAME: Wendy Sullivan Phone: (612) 250-9053
MailingAddress: Post Office Box 6446 City: Minneapolis, MN 55406
CONTRACTOR'SNAME: Knute Development, LLC Bus.No.: (612) 245-7222
MailingAddress: 9982 Arcola Cr. N or(612)245-7224 City:Stiliwater, MN 55082
Deinolition if planned b�� means of: i ibl��
hea�-�- equipmenf!
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/ar secured until such time as demolition is
complete.
2. Demolition debris will be kept offadjoining 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.
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7. Within 5 working days of superstructure removal,a final inspection sha11 be requested. The
• site shall be left clean and clear of a11 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 sha11 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 assi,gns.
9. Septic systems must be abandoned per Minnesota Rules Chapter�080. All sepric tanks must
be pumped,crushed and filled with narive soils. An inspecrion is required after the tanks are
purnped and before the tanks are crushed and filled.
PERMIT TYPE AND FEE CALCULATION
✓ $50.00-Principal Structure
$30.00-Accessory Structure
l. Subtotal of above permit requested $ 50.00
2. State Surcharge $ .50
3. TOTAL PERMIT FEE(add lines 1-2 above) $ 50.50
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.
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APPLICANT'S SIGNATURE: � Date: 10/15/04
OWNER'S SIGNATURE: "e'e D�: 10/15/04
APPROVED BY: Date: /o,/9 _o�
Reset Form
�� DATE TIME �
1 .
CITY OF ORONO CALLED IN �'I��C��
INSPECTION NOTICE, ; � SCHEDULED ' -/ ^ ��� � ..�� �
PERMIT NO. % ' =`1 �- COMPLETED
ADDRESS �`� �rc_S� C Z /('C�-� �`���
OWNER CONTR.�'�, �;�.�{-�- c k ��C''�
TELEPHONE N0. % � � �,� '��y
� DESCRIPTION ��7'��' �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� �-6EIv1��-SII� 27 SEPTIC MAINT. 21 COMPLAINT
��07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 P�Orv1BING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContrac� �ite:
Inspector. � -�
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