HomeMy WebLinkAbout2006-P09815 - demo PERMIT
CITY OF ORONO
2750�<eliey Parkway- PO Box 66 Permit Number: po9815
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued:
5/1/2006
SITE ADDRESS: 665 Ferndale Rd N Unit#
Wayzata,MN 55391
PID: 36-118-23-11-0003
DESCRIPTION:
Proposed Use: Residential
Census Code 645
Permit Class: Building
Permit Type:
Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Demo 2nd Small White Abandoned Home on Properiy!
Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells
must be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 50.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Otten Bros. OWNER: Franciscus&Gillame Bastiaens
2350 Wayzata Blvd W/P.O. Box 249 665 Ferndale Rd N
Long Lake,MN 55356 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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APPLIC PERMITEE S GNATUR ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) 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 HAR�VILESS AGREElVIENT
General Instructions
1. You may be required to obtain other permits, i.e. well abandoiunent, etc.
2. Work must not begin unless the perniit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (952) 249-4600.
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JOB SITE ADDRESS: �� �� �v�"c t�, 4�E K.� i �= , � ��l7Ci ' �
Occupancy Type: �_Residential Commercial �1��
OWNER'SNAME: �-U, � �,4t�✓i� ���;�i' •4-�t� °i Phone: �5�2� y>S-G�,��l�
Mailing Address: ����j ��-n rl,..�)e %�cl ,/t1 City: �'',�t��L�
��:�I'�'RAC'I'OR'S NAME: C_i�-��1 �l''C%>- Bus.No.:�`j�'• %J�j�r��S
Mailing Address:�='�%�v f�>,�" G.%"=.�`f� �r'>��L�' City: l�-i�� L����
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Demolition if planned by means of: manual disassembly
�_heavy equipment
Permits Issued:
# Well Abandonment
In return for issuance of said Demolition Pennit, 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 lcept 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. Sewer and water must be disconnected at the services at the street by qualified contractors.
7. Inspection required wl�en all debris has been removed, before backfilling.
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8. 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).
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 perfonned by the property owner,
his employees, agents, subcontractors or assigns.
10. 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 tanlcs are
pumped and before tlie tanks are crushed and filled. � �.
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���C� `� PERMIT TYPE AND FEE CALCULATION
�_ $50.00 - Principal Structure
$30.00 - Accessory Structure
1. Subtotal of above permit requested $
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 on this application are complete,true and correct.
APPLICANT'S SIGNATURE:���,z�,%,=_ ,. ��/;' ' f Date: / ���-
OWNER'S SIGNATURE: -- �'`� ` ������� Date: ��
APPROVED BY: 2-- - / �'`""'\ Date: S - ( `� �
� uilding Ofticial)
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* This Must Be Filled Qx By ZOI7IIIQ epartment - r ither Answer, A Zoning Official Must Sign All
Applications ; �
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*A�'PROVED��': Date: � � '(�'
(Zoninv Of� � )
Reset Form
1� f�✓l.i" DQTE J/r/�l� TIME "
CITY OF ORONO CALLED IN /�,` `� `''
INSPECTION NOTI � /G� SCHEDULED -�_�� --f�b--~-�.'-'
PERMIT NO. � �r '" COMPLETED
ADDRESS_/�� �A �J �{�/'�``�%�G��' � �� �
OWNER CONTR. > �
TELEPHONE NO. �� ��
� DESCRIPTION ���� �- f /� {�L/
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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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 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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GW '�WORK SATISFACTORY:PROCEED �� � 1 � PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED I �3•
W '_ r ,1/�$J7� ,- 9b�L�ERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN �=� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. � � �
White Copyllnspector's File Canary CopylSite Notice
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D T TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED V �
PERMIT NO. �059SO co PL TED
ADDRESS (�(O� I^�'�� �4�c
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 INAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 pEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HAFD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPA CY
� ❑CORRECT WORK,CALL FOR REINSPECTION _�TEMPORARY lSS�
� BEFORECOVERING PERMANENT 1f�
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CAIL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUTAED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice