HomeMy WebLinkAbout2008-P12013 - demo _ ,
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12013
Crystal E3ay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued:
5/1/2008
SITE ADDRESS: 2905 Fox St Unit#
Long Lake,MN 55356
PID: 04-117-23-34-0007
DESCRIPTION:
Proposed Use: Residential ��' ���
Census Code
Permit Class: Building
Permit Type: Demolition Permit Sub-typc(s): Demo-Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required: �d� /
NOTICES/REMARKS:
Pool Demolition-INSPECTION REQUIRED PRIOR TO BACKFILL
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: $ 30.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Kevitt Exc. Inc. OWNER: Michael&Berit Francis
3335 Pennsylvania Ave No 2905 Fox St
Crystal,MN 55427 Long Lake,MN 55356
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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1
� ��� /� ����/
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¢�� City of Orono F C �+IiSE ONL
� � P.O.Box 66 Date Received: D �0 Permit � ���
2750 Kelley Pazkway
� " � Crystal Bay,MN 55323 Amount: $��5� SAC Credit:
�t� '�` '. .�c` (952)249-4600
�°"�O� Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:�Yes ❑None Required
Zonin Disclosure Si ed: ❑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 Information:
Type: �'Residential ❑ Commercial
Site Address: � `�L 3" ��'�c S"tr r r f
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor/Applicant Information:
�'<r-id� �� ��.�c�
Contractor/App.: l�r��� f� Exc� �K f�nry, (t c Contact Person: ��+% + '" v�` r��*
Address: ���f ��'�� ��'����-���A��! State License#:
City: C�-��� ��' / Zip: �s`'� � Expiration Date:
Phone: 7� '-- 5�•�r-- �s-i- 7 Alternate Phone: ��.��� �� ii- �' �J- �� '-- 7 �'''
SPECIAL CONDITIONS & 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/ar 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 temparary 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 Departrnent 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 CALCULATION
� $50.00—Principal Structure ��<��%-� - ��� •���/
�'$30.00—Accessory Structure / (how many) �����/ (what)
1. Subtotal of above permit requested $ ��'
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 3� '-`:
The undersigned herby applies to the Ciry 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 conect.
Applicant's Signature: ���� ��� Date: `�` � Q" " �
Owner's Signature: Date:
Approved By: Date:
(Building Official)
* Zoning Disclosure Reqaired? ❑ YES ❑ NO
*T'his must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications.
* Approved By: Date:
(Zoning Official)
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