HomeMy WebLinkAbout2008-00092 - demo � �,
CITY OF ORONO PERMIT NO.: 200&00092
� 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 07/28/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 745 FERNDALE RD N
PIN : 36-118-23-12-0007
LEGAL DESC : JANET ACRES
: LOT 001 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE
ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES
APPLICANT DEMOLITION-ACCESSORY STRUCTURE 30.00
STEVE DEGROSS STATE SURCHARGE DEMO 0.50
27115 CLOVER PATH
ELKO,MN 55020- TOTAL 30.50
(952)292-0653 PAID WITH CASH 30.50
OWNER
FREY, KAREN
745 FERNDALE RD N
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifica[ions,applicable City approvals,and the
State Building Code. This permit is for only[he work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in wnformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
.� n
/�""��\ City of Orono FOR CITY USE ONLY
���� �� P.O.Box 66 Date Received: Permit#
atc 1 2750 Kelley Parkway
� �4i�;�. �' Crystal Bay,MN 5�323 Amount: $ SAC Credit:
w�k.t�;,��>�'�/� (952)249-4600
��"_`—xd�"j 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 permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Infd�nation:��_� "'�� � ����
Type: ❑ Residential ❑ Commercial
Site Address: / y 5 re�'►� G�Q (� �G.c� GeJa�� L�. ��
Owner: i'YI �l�c F��v Mailing Address:
City: �c��G Ze�f� Zip:
Home Phone: �j�� —�]4� � 7,,Z� / Alternate Phone:
Contractor/�Appl�icant Inforn�ation:
Contractor/App.: ��z�i�- 1,��(v�.0 Contact Person:
Address: � �/�S C;./o v� ��4 State License #:
City: t L k�� Zip: ���:L� Expiration Date:
Phone: �.S ,,z - st 9;� - o GS 3 Alternate Phone:
SPECIAL CONDITTONS& HOLD HARMLESS AGREEMENT
General Instructions:
1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc.
2. Work 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: � Manual 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.
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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 Deparhnent regulations.
6. Inspection required when all debris has been removed,before backfilling.
7. Within 5 warking 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 CALCULATION
� $50.00-Principal Structure
�
�' $30.00 -Accessory Structure � c.��� (how many) •-L- (what)
1. Subtotal of above permit requested $ �-�� ��
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ C�� � �
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all 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.
Applicant's Signature: �_ 'v Qy�_ Date: � �� � ..��
Owner's Signature: Date:
Approved By: - � �,�.,._— Date: �`<�j ._ D�
r(Building Official)
* Zoning Disclosure Required? ❑ YES �O
*This must be filled out by Zoning Department-For either answer,a Zoning Official must sign all applicarions.
* Approved By: Date:
(Zoning Official)
�Reset Fo�r�i�� �
DA TIME
CITY OF ORONO CALLED IN �/Z D
INSPECTION NOTICE SCHEDULED 7 � S' __E'�—
PERMIT NOs���- ����'- COMPLETED
ADDRESS � `t-� ��-���-�'Y
OWNER CONTR.���Citi`�e ����
TELEPHONE N0. g5���t-�"/a ��053
� DESCRIPTION ��� � ����yl�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ��EMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FiNAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW /.�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
�,O CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on sit :
Inspector.
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