HomeMy WebLinkAbout2004-P07585 - demo Ci TY JF ORONO PERMIT
275� Kelley Parkway - PO Box 66 Permit Number: Po�sss
Crystal Bay, Minnesota 55323 Permit Type: Demotition
(952) 249-4600 Date Issued: 6ii�i2ooa
SITE ADDRESS: 2464 Dunwoody Ave
Wayzata,MN 55391
PID: 2o-i i�-23-2i-000i
DESCRIPTION:
Proposed Use: Residenrial
Census Code 649
Permit Class: Building
Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Struchzre
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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m xst be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 30.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Owner/Self OWNER: �' !/'� ������
1V11V 4
2464 Dunwoody Ave
Wayzata MN 55391
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 B ILDING CQDE REQUIREMENTS.
,
C NT TEE A RE [SSUED BY SIGNATURE �
Copies: 1-File(Sienitures Required), 1-Applicant. 1-Monthlv Reports, 1-AssessinQ, 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 abandomnment, etc.
2. Work inust not begin unless the perinit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
'`� �'� ` ' � l ��---� �
JOB SITE ADDRESS: • ` � ;� � �' �
Occupancy Type: �_Residential Co ercia
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OWNER'S NAME: �>�z�--1��'� ��� ����r�, Phone:
Mailing Ad ess: City:
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CONTRA TO 'S NA E: Bus.No.:
Mailing Address: City:
Demolition if planned by means of: � manual disassembly
heavy equipment
Pernlits Issued:
# Well Abandonment
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows:
l. 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, einployees and assigns froin and against all claims, damages, losses or
expenses,including attoiney fees,against the City,its agents,employees and assigns arising
out of or resulting from the demolitioil described herein as performed by the property owner,
his employees, agents, subcontractors or assigns.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks must
be puinped,crushed and filled with native soils. An inspection is required after the tanks are
pumped and before the tanks are crushed and filled.
PERMIT TYPE AND FEE CALCULATION
$50.00 - Principal Structure
� $30.00 - Accessory Structure
1. Subtotal of above permit requested $ 30 .��
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 3°' ��'
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.
' SIGNATURE• �� Date: '- �`''�
APPLICANT S
OWNER'S SIGNATURE• Date: ' ����
APPROVED BY: Date: �'�`'I ' d`�
�"� � `�•� � D �i�� TIME �
CITY OF ORONO ��` CALLED IN ��/�/ f
INSPECTION NOT CE SCHEDULED '��D`� ��_
PERMIT NO. � J � COMPLETED
ADDRESS ��� � �1.2%7 L fjp /�'Z
OWNER CONTR. � �
TELEPHONE NO. �J� �7� —��'�
� DESCRIPTION i��i'�� - �v��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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
? 09 PLUMBING RI 23 SEPTI 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� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR W{LL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContra site:
Inspector. `
White Copyllnspector's ile Canary CopylSite Notice