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Home My WebLink About2008-00196 - demo � . CITY OF ORONO PERMIT NO.: 2008-00196 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/08/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2755 ETHEL AVE PIN : 20-117-23-24-0017 LEGAL DESC : CASCO HEIGHTS : LOT 006 BLOCK 003 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES NOTE: 1. FOUNDAI'IONS/ALL DEMO D�BRIS TO BE REMOVED FROM GROUND&DISPOSED OF OPF S[TE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO(2)ACCESSORY STRUCTURES. APPLICANT DEMOLITION-ACCESSORY STRUCTURE 30.00 COPELAND, DAVID 2755 ETHEL AVE STATE SURCHARGE DEMO 0.50 MN 55391- TOTAL 30.50 (612)812-8161 PAID WITH CASH 30.50 OWNER COPELAND, DAVID 2755 ETHEL AVE , MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work dcscribed and does not grant permission for additional or related work which requires separate permi[s. A11 provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /`� � ' � � �� ' �D �p�nt Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. � . . � `1,�``� City of Orono FOR CITY USE ONLY %' a`rO� P.O.Box 66 Date Recei�ed: Permit# � ,�„ ,, � 2750 Kelley Parkway «s� �11��;3.- !�� Crystal Bay,MN��3?3 Amount: $ SAC Credit � ��,(��/ (952)249-4600 z.f Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required Zonin Disclosure Si ned: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All perinits must be approved by the Building Official and/or Zoning Department) �a�i Site/Owner Inforrnation: ��':�` �' Type: [�Residential ❑ Commercial Site Address: � 7L �� f�e/ 1 ., Owner: ��!/r� Cll�1�6 �,-�� Mailing Address: i-S� � �,.�,,,� �� . �... � City: � f Zip: - �..5 Home Phone: �� ` �� ` �l� � Alternate Phone: -�� ~ Contraetor/Applicant Infornlation:- � � � Contractor/App.: ��! Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: g �` � `� ' SPECIAL CONDITIONS & HQLD HARMLESS AGREEMENT General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Wark must not begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. Demolition by means of: �nual Disassembly � Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ 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 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. 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. 9. The undersigned owner shall 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 assigns. PERMIT TYPE AND FEE CALCtiLATION � $50.00-Principal Structure ��30.00-Accessory Structure � (how many) (what) 1. Subtotal of above permit requested $ 30�UO 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 3G.�� The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do al] the work in a 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. `._..__._ � � D Applicant's Signature: � •�"�� Date: ' ` � Owner's Signature: - - Date: �} -�p -- o G Approved By: Date: �Z - � �U� (Building Official) * Zoning Disclosure Required? ❑ YES �NO *This must be filled out by Zoning Department—For erther answer,a Zoning Official must sign all applications. * Approved By• � �� Date: (Zoning Officia]) �:.Pr . Reset Form � � DATE TIME !/ CITY OF ORONO c ��X E�iN g-�`a- INSPECTION NOTIQC�E SCHEDULED '�✓ � PERMIT NO. a�0 —��9� COMPLETED ADDRESS o?��S �Y�- C� OWNER d�2.lX� CONTR. TELEPHONE N0. � DESCRIPTION `�� ` a �"�`� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q �DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � O >. � O � W � Q � Z W � W � � d W� ❑WORKSATlSFACTORY:PROCEED PROJECTCOMP�ETE W ❑CORRECT WORK&PROCEED �/%�SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN r CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice