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Home My WebLink About2005-P08969 - demo � , „ PERMIT CITY OF� O�ONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08969 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 7/27/2005 SITE ADDRESS: 4460 Forest Lake Landing Unit# Mound,MN 55364 PID: 07-117-23-24-0015 DESCRIPTION: J Proposed Use: Residenrial Census Code 645 Permit Class: Building Demolition Permit Sub-type(s): Demo-Principal Structure Permit Type: Demo-Accessory Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: 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: Pernlit Fee: $ 80.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 80.50 APPLICANT: DJL Construction Management LLC OWNER: Paul&Ida&Peter Martinson 8790 Lunski Lane 4460 Forest Lake Landing Eden Prairie,MN 55347 Mound,MN 55364 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 CO�EQUIREMENTS. �,� /'�;/�� f/" � "' ( �-f'"'— ��-- -�-- � � APPLICANT PERMITEI;SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 � , ,� � � /--� � ��7 � <1 CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e. well abandonment, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. JOBSITEADDRESS: CG 1�D�'r .a/C-c ��41-aC� Occupancy Type: �Residential Commercial OWNER'S NAME: c�,E ��r�NSo� Phone: Mailing Address: ��G U /��.^�r f � � �,y��,City: d,��, v CONTRACTOR'S NAME:1� T L, �'o�.,F`��v�r,w.-�Bus.No.: �fZ —�D� ' `j,��I� Mailing Address: ��Gti c.i.�s•,f c� �.4�-� City: i:vc.v �'lAi�i'� �rj�,• Demolition if planned by means of: manual disassembly �_heavy equipment Permits Issued: #/U'c� Well Abandonment � �fE. 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. Sewer and water must be disconnected at the services at the street by qualified contractors. 7. Inspection required when all debris has been removed, before backfilling. � � . � 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 performed 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 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 $ 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 dinances of e � and the regulations of the State of Minnesota,and certifies that all statem s made o �s lication are complete,true and correct. APPLICANT'S SIGNATURE: ..--_ Date: � � o � OWNER'S SIGNATURE: Date: 7 � v t� APPROVED BY: �J� Date: - 2 (o •a 5 (Building Official) *ZONING DISCLOSURE REQUIRED? ❑ YES ❑ NO * This Must Be Filled Out By Zoning Department - For Either Answer, A Zoning Official Must Sign All Applications . *APPROVED BY: L� �L%�� Date: (/Z �` �� (Zoning Official) � Reset Form ^� �i�i� � �D E TIME CITY OF ORONO CALLED IN � INSPECTION NQT�1�8,c�� SCHEDULED � PERMIT NO. G�' T COMPLETED ADDRESS r/� OWNER CONTR. �� TELEPHONE N0. 9SZ Z3� /Z�D � DESCRIPTION ��'�'�� C�Y�`�C'T'` l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 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 � OWNERICONTRACTOF TO MEET YOU:_YES_NO � COMMENTS: � w a o � /l, Si�C�'-f' ��weT � � SC �it�� T � �C�.�ti c' � ��, ,�.��c�c�.� A�s-� 0 � �� c: � 5---� % � + S � D� .� W � Q � z w � W � j d W�WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. C�" White Copyllnspector's File Canary CopylSite Notice