HomeMy WebLinkAbout2003-P07078 - demo PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 po�o�a
Crystal Bay, Minnesota 55323 Permit Type: Demol�t�on
(952) 249-4600 Date Issued: i2iiii2oo3
SITE ADDRESS: 3445 Crystal Bay Rd
Wayzata,MN 55391
PID: 17-117-23-43-0121
DESC RI PTION:
Proposed Use: Residential
Pernut Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
Demo-Accessory Sriucture
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
�"UUIICIALIUIIS/All UCIIIV UCD115 lU DC 1�CIIlUVCLL 11UIll�'1�UUIlU cX,CL15�7VSCl1 Ul Ull S1lC IJCI YI,H 1C�'UlAL1UIIS. VV C11S
m ist be abondoned. Insnection before backfilline.
FEE SUIIIIMARY: Permit Fee: $ 80.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Fred 7ohnson OWNER: Fred 7ohnson
3535 Cty. Road 44 3445 County Road 44
Minnetrista,MN 55364 Minnetrista,MN 55364
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.
�..
. . / ,� i �
�� �� ��, � � ��-- �?}��
APPLICANT PERMITEE SIGNAT E �� [SSUED E3Y SIGNATURE
Copies: 1-File(SiQnitures Reauired), 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1
,�:/��i - !Z -g o.5
, Dec-�8-Z003 1Z:25pm From-CITY OF ORONO +06Z2do�616 T-614 P,001/O11 f-260
:...._,.^.--
. �c1 7C�7�'
CYTY OF ORONU APPLICATION FOR DEIVYOLI'�ON pEAMIT
p.0. Bax 66 (2750 Kelley Patkway) ;� �
Crystal Bay, MN 55323 ''��� ��
SPECIAY.CONDITION3 & HOLD HARIV1LE55 AGREEIN�NT
Ganeral Instruc�iot�s
�, You may be roquired to abtain o1h�r peim.its, i.e.well abar�donnun�nt,etc.
a, Work must not begin unloas the permit card is available on the jab aite.
3. A 24 hour notice i9 required fvr all inspections. Call(612)249-460�.
JO�SZTE ADDRESS: � �I� C( Y� L �
Qccup�oy Type: Residential Cammerc'ral
oVVNER'S NAN�: Ph�ne: b I a -'?K� l-5! u y
Maiiin�w�a��s_3� �un�,rt� u �-4� ciry: M�n r e h� �s�f��- -
CONTRACTO�t'31V'.4ME: �Yetl S���S�►'�, Bus,No.; b�01 � S( �-�-
Malling Address:_���l.T� rl u 4 _City: rY�i n n� i.5+o•- —
Domolitien if planried by mcans of: m�nual disasserably
�heavy equipment
Permits Issued.
#�_Well AbandonmznC ,
In return for issuazacc of 9aid Demolition Permit,the undersigncd owner hereby agre�s as follows:
1. The structure(�) ahall be kept enclosed and/or secused until such tirne aS demoli�ion i5
complete.
? Dtmolition dcbris will be kept afP adj oinir►�ptopetry ead/or thc public rf ghts-of-v���y unless
sp�Cific prioc approval i8 obtsined in writing for ternporaty use thereof.
3, Fow�detions sha11 be complctely removed from the ground.
4. All d�molition dtbris shall b� cnmpletely disposed of off site in accordance with all
applicable PCA rcquireznents.
g, Water wel'_s musc be abandoned in accordance with Stace Health Departrnent regulations.
6. Ynspection required whcn all drbri9 has beon ramoved, be�'orc backfilling.
. �
Dec-�8-Z0�9 IZ:YSPm From-CITY OF ORONO +6StP494618 T-414 P.003/011 F160
7, W�th3n 5 workin�days of supccstructure remaval,a final inspeetion shall be xequeated. Thc
site shall bc lcft cican and cl�ar of all dcbris,with any excavndon fillad with ealth level with
the adjacent ground elcvation(except whe�. such excar+atien ia to be us�d as part of a new
building and euch new building is aetually uader eanstructioa).
8. The undersigned owner shall �nd hercby dc�es inderanify and hold hermless the Ciry of
Orono, its agents, employees an.d a�signa fxom and eg�inst all claims, dzunages. �055CS OI
expenses,including attorney£eea,ag�in9t the City,its agants,ee�ployees and assigns arising
aut of or resulting from the demol�tion dtscrihed herein as perfarrned by the prop�rty owner,
his employees,age�ts, subcontzac�ors or a9signs.
9. Septic systems must be abanduned per Miruie9ota Rules Chapter�080. All septic tank�must
be pump�d,azushed and fil.led�wir.�native soils. An inspection is raquircd aftcr the tanks aze
pumped and bef�rt thc tanks art erushed and f�lled.
PERMYT 1"YPE AND FEE CALC�JI.ATTbN
`,:
� $30.00- Principel StTucture '
�$30.00-Accessory Struccure
1. SubCotal of at�ove petznit requested $��.�,�
2. Statc Svrcharge � �D ,50
3. 70TAL PERMIT FEE(add lines t-2 above) S '����
?Y��e undersi�ncd hereby applies to the City of Orano for,issuancc of a Demolition Permic,agzees to
do all work iA strict aCcordance wxth the ordinaz�ces of the City ar�d ihe regulations of the 9tat�of
Minnesota,arid cortifiea that�11 sCat� nts made on thie application are complete,t�ve a.nd conect.
AI'PLICANT'S SIGNATURE: � Date;_ �
OtiYNETt°S SIGNATURE; Dat�: D�?
A.PPROVED BY: Dace: i L . �i . 0 3