HomeMy WebLinkAbout2002-P05613 - demo � � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05613
Crystal Bay, Minnesota 55323 Permit Type: Demolicion
� (952) 249-4600 Date Issued: 9ii6i2oo2
SITE ADDRESS: 3375 Crystal Bay Rd
Wayzata,NII�155391
� P��: 17-117-23-44-0018
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residenrial
Permit Class: Building Census Code 645
Permit Type: Demolition Pernut Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
� Separate permits required: �
IINOTICES/REMARKS:
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mzst be abondoned. Insnection before backfilline.
FEE SUMMARY: PernutFee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Vogue Homes Inc. OWNER: Paul Vogstrom
23060 Grandview Way 3375 Crystal Bay Rd
Lakeville,MN 55044 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 BUILDING CODE REQUIREMENTS.
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APPLICANT P ITEE S TURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinE. 1-Finance Page 1
Jul 30 0z Ol : llp paul 952-461 - 1946 ,-�, p. 2
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� < (. C-�` � PLICATION FOR DEMOLITION PERMIT
�-�'CITY OF ORO O ��
p,p,Box 66 (2750 Kelley Pazkway)
Crystal Bay,MN 55323
5PECIAL CONDITIONS & IIOLD HA.KIVII-E5S AGREEMENT
General Instructions
1, You may be requir in unless the peermit carld is av ilable on�the obl srte etc.
2, Work must not beg
e uired for all inspections. Call (612)249-4600_
3, A 24 hour natice is r q
�37� C� ��� � ��
JOB SITE�D�SS' Residential _Comrz�ercial
Occupa.ncy Type:
� � Phone: �v )Z Z-So-��Qv
OWNER'SNAME: �,^�i�i JC� t r,...— C;ty: L ,c-cf-J'� 1 ( Q, /�'� K.s
��iJ �('��� n� ���u i �".
ddress: Z � � SS v�f If
lViailing A ----
l�l�c� � ����Bus.No.: !'vr� �E�
CONTRACTOR'5 NAME: f��,�J�►J t'�-c� �.4�; City:
Mailing Address: Z�3C�'� .
inanual disassembly
Demolition if planned by means of: �heavy equipment
permrts Issu
e
d:
# Well Abandonment
In retum for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows:
t� e as demolition is
lbek
e t encl
osed and/or secur
ed until s
uch un
s shal P
1. The structure( )
complete.
2, Demolition debris will be kept off adjoining property and/or the public rights-of-way unless
-' ic rior approval is obtained in writing for temporary use thereof.
s e�if p
P
I Foundations shall be completely removed from the ground.
3.
4. All demolition debris shall be completely disposed of off site in accordaz�.ce with aIl
applicable PCA requirernents.
5, Water wells must be abandoned in accordance with State Health Department regulations.
6, Inspection required when all debris has been removed, before backfilling.
_ _.____-- -----.z�*vrn-paper recycled by consumers.
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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 hannless 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 azising
out of or resulting from the demolition 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 pumped,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 $
I 2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $
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 n this application are complete,true and correct.
APPLICANT'S SIGNATURE: � Date: �1��-�L
i�
OWNER'S SIGNATURE: Date:
;
APPROVED BY: ,,G Date: �� ' / c. •o t—.-