HomeMy WebLinkAbout1997-009509 - demo PERMIT
C�,Y OF ORONO RMIT T P :
PE Y E
! 2750 Kelley Parkway- P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 -
(612) ��73-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: -. - ; OWNER:
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APPL T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� CITY OF ORONO APPLICATION FOR DEI�IOLITION PERII�IIT
P.O. Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 5�323
SPECL4L, CONDITIONS & HOLD HARiti1ZESS AGREEI�iE�"T
General Instructions
1. You may be required to obtain other permits, i.e. burnin�, well abandonnunent, etc.
2. Work must not be�in unless the permit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call 473-7357.
JOB SITE ADDRESS: , � .- .% ::-y' > ; �,=
Occupancy Type: x, Residential Commercial
Oti�TER'S N�tiIE: � ��, ��. ;� � , , ,.,, - Phone: ��-'? '�� _ � t ;�
Mailin� Address: �, _ ,�x` 4� Ciry: �.ti����" t�--, 4-
CONTRACTOR'S NA11�: ; ,�,,r�-�,�:��� Bus. No.:
Nlailing Address: City:
Demolition if planned by means of: manual disassembly
�_ heavy equipment
burning (by fire department)
Permits Issued:
# Burning Fire Department
# Well Abandonmen[
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 adjouun� 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 � 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 buildin� and such new buildin� is actually under construction).
8. The undersi�ned owner shall and hereby does indemnify and hold harmless the City of
Orono, its aaents, employees and assi�ns from and against all clauns, damages, losses
or expenses, includin� attorney fees, aQainst the Ciry, its aQents, employees and assijns
arisin� out of or resultinJ from the demolition described herein as performed by the
property owner, his employees, a�ents, subcontractors or assi?ns.
PERl�1IT T�'PE ANll F'EE CALCULATION
�_ �50.00 =�Principal Structure
�30.00 - Accessory Structure
1. Subtotal of above permit requested $
2. State Surcharge $ .50
3. TOTAL PERi�1IT FEE (add lines 1-2 above) $
The undersi�ned 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.
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APPLICAN'T'S SIGi�rATURE: .�/C��F�,. ��� Date: ,�_' , -_� �- ��'l
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OtiWi ER'S SIGNATURE: �%�� ��� ;`a?., Date: ; �_ ��� '
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APPROVED BY: Date: 1 b-c� `� �
` DATE TIME
CITY OF ORONO CALLED IN /L7 /7 �7
INSPECTION NOTICE SCHEDULED i� aG �y �-%�-'
PERMIT N0. ���S (� c/ COMPLETED � '�
ADDRESS � q�� �-�%��21�c�;�c �C:� �J
OWNER «�i�C�r_t� .�Jz�!,�, r�,�CyXe� CONTR.
TELEPHONE NO. � � r - �y� �
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� DESCRIPTION /���...--
� 01 FOOTING 11 MECHANICAL RI 1B EXCAV/GRADING/FILLING
y 02 FRAMING 13 MECHANICAL FINAL 19 LAf�SHORE/WETIANDS
p 03 INSUTATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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�� 07 DEMO�—.FINA 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL
2 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� Ci CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING 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 in pection 24 hours in advance.473-7357
OwnerlContract sit �:
Inspector.
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