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Home My WebLink About2007-P11625 - demo PERMIT CITY OF �RONO 2750 Kelle�� '' y- Permit Number: arkwa PO Box 66 P11625 Crystal Bay�Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 10/29/2007 SITE ADDRESS: 4167 Highwood Rd Unit# Mound,MN 55364 PID: 07-117-23-44-0020 DESCRIPTION: Proposcd 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: `� (�l� S�a cy 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: Farr Construction OWNER: Merlin Halverson 100 Bridge Ave 4167 Highwood Rd P.O. Box 277 Mound MN 55364 Delano,MN 55328 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ��/e-�� -�.�-- ��Ge� ,� APPLICANT PERMITEE SIGNATURE ISSUGD BY SIGNATURE � Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 �.�� f(j� City of Orono •oY , �' g � � P.O.Box 66 � FOR CI'I'1'USE OIVLI' � � �� ' Date Received`. Permit# 4 r _ ��i 2750 Kelley Parkway � � �� t�� j Crystal Bay,MN 55323 � �� p� a,«�o`�,� (952)249-4600 Amount:' � SAC Credit: ``�—"�`` Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:�Yes ❑None Required Zoning Disclosure Signed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by thc Building Offcial and/or Zoning Depar[ment) �Tra��a�e l�a�i�� $ ��a� ° Type: �Residential ❑ Commercial Site Address: y ((o� �—[ �� p�� C� �� . Owner: �f.�^[l � [��_j�i� Mailing Address: �2� �(�� ,4v�� s s CitY� ��'�c�:�� t'1 � ��ti Zip: .5��I � Home Phone: 7�� — �/� � - �y �� Alternate Phone: Y��',��pplicant Information: Contractor/App.: r,=;�v~v �c��sfiv�..��}-t�C�� ContactPerson: �y-pd Address: ��3f1 1�t Inq� [�C��-E-� �r, State License #: ! � �� City: ��e'�l�C Zip: ��,�,��' Expiration Date: '-( - [ — �^�� Phone: "7 E 3- �`�;� � ;�� Alternate Phone: ��a-7p r. ��'�� ,. ..� �� °S�'��(�t��'��:.&�TIL3L��HA�1tiILESS�AGREE ,+'11T�� .: �; .. ;. . � , :� ieiierai ii�sir•uctiuris: 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. L� 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. 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��onstruction). 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 pumpeci anci before the tanks are crusheci and filied. 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 ar assigns. P�RMIT TYPE AND FEE CALCULATION �$50.00—Principal Structure �I ��`V� � � $30.00—Accessory Structure (how man,y) (what) � � � 1. Subtotal of above permit requested $ L �� . 2. State Surcharge $ .50 � 3. TOTAL PERMIT FEE (add lines 1-2 above) $ � (� ��-` � � , � ,� The undersigned herby applies to the City of Orono for ' uance 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, tnae and correet, Applicant's Signature: _J��ac:<<�; Date: �� -. j�7- a�� r� �w Owner's Signature: �� , ��,�,,,� DataRa (�7•.-L� ' Q j Approved By: p,�,.__ Date: ( 0 • L9 -� uil ing 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: yY1 C �Q Date: /� �2 9 —� (Zoning Official) Reset Form