HomeMy WebLinkAbout2007-P11615 - demo PERMIT
CITY OF ORONO
2750 KElley Parkway- PO Box 66 Permit Number: p11615
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued:
10/29/2007
SITE ADDRESS: 4175 Highwood Rd Unit#
Mound,MN 55364
PID: 07-117-23-44-0021
DESCRIPTION:
Proposed Use: Residential
Census Code 645
Permit Class: Building
Permit Type:
Demolirion Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Demo 2 principal structures � S�C' �-�rCu'�'���� In � Z`5 Z� �" ���-1�
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: Pernut 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 IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL ANT PERMITGE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signa[ures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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City of Orono
�,CI,� H'ClR CITY US��NLY
O � P.O.Box 66 Bate;Received; Pertnit#
2750 Kelley Pazkway
��t� ' j Crystal Bay,MN 55323 Att�ount: $ SAC Credit:
'�� (952)249-4600 '
I3oineowner(s)'Signed; ❑Yes
Resolucions(if any}Signed:Q Ycs (]Nione Rec}�ited '
Zonin Disclosure Si Yes Nbne Re ctiz'�ii
CITY OF ORONO-DEMOLITION PERMIT
(All permiu must be approved by the Building Official and/or Zoning Department)
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Type: �Residential ❑ Commercial
Site Address: � (Z � �-� (G��1. L�•��O� �p� b ��� � M �
Owner: M Q,V`L 11� �I C�l E3��i"l Mailing Address: �00 ���� �U� � ,
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City: �1;1CJ�_� t�'1 � �,� Zip: S".��31 �
Home Phone: 76�- yoZL[ - ���� Alternate Phone:
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Contractor/App.: 1=u�rY' CQV�S"��'�•.L-�-1'Oh Contact Person: F��
Address: �3q 1��v��s PCirnfe Pr. State License#: �' 1 �3$
City: L> � a Zip: ��$ Expiration Date: 't'� - l - ��$
Phone: '?63- �y7� � 3005 Alternate Phone: Ela-�O 1•q? �1
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�ieriEl'ai I11Sii`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. T'he 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 fram 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 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 pumpea and neiore the tanks are crushed and tilied.
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 f
� $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) $ (� o U �� �
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 ofthe City and the regulations of
the State of Minnesota, and certifies that all statements made on this application are complete,
tr�ae an_d correct.
Applicant's Signature: ���ds.t;t,;� Date: �� ��Z- a(��`�
Owner's Signature: ��'y � ; �����0?rv�.-,. Date��t��L� ' 0�
Approved By: �,.�--- Date: ( v-2� -c��
(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: /'�( � �� Date: /0 •2 9 —�
(Zoning Official)
Reset Form
10/28/2007 23:33 FAX 7639726789 l�0001/0001
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Q�t-�6-ZiOT 11:/�6� FrorCITY OF ORONO +16i1414B1B T-�!6 P.002/9Q� F-TIZ
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Prindp�l riwelling Demolftjoa Perm�lt
� ZONING DISCLOS�]RE d� DECLA►RA.TION
. To th� Pt'operq' apb�e: D�olition of dre p�ipAl dwell�ng � on a
pioperty a�y automstically teimina�e cert>tia rights which may l�ave ecc�ued to th�p�operty by virtae c�fthe
co�uod pcisunce�r�at bun�dia6. .
• Reebuildit�on a subs�d lot of recu�d(i.e. a lo�tbat does aot ma:t tl�zoning di�acict r�qu�ir�ed lot
ar�or width�tandatds)w�l,with f�ew axceptioas�roquire varitmoe sp}�ov�l by t�t�fy Gou�ql,�»d
sw�appcov�l i�n�eid�er artom�ic nor�ua�nte�ad but_rcq_uue�that a�_bs�s�--t��;�.� .���. .
+ � . .oa�ally,all cu�nt zonin,��td�ards will huve tio bc mCt by the atiw principal dwellii►a inel�tdi t�g
se�tbuc�cs,lot cavera,�e by suvctitres.hardcover(imcpervious sutface),hei8ht linnia,�cc.
• 'Wl�aoe m�aici�ul sCwGr i�npt available� p�evisi�on of rwo ('1) aites foz a ca�fora�ia� oa��ite sewa�e
�ea�=�yst+a�i:mandatary.
• Ualeaa spee#{p�lly �pp�ved by the Ciry, all �s.sexy s�ucttu'es a�ust be r�ved at the time of
pr�ncipal dwall�damolitioa,This a]�o applies w sr�onel�ad pacroe�nt dc�cks,which msy not be i+�-
insralkd wuil a new pzincip�l dwalling has reached the fi�ming ste�e.
Tiu gpllowio,g n�mmariaai is pres�ntod f�or tha purpo�a of a,dvisitig tha proper�y owner of the Implicariot�of t�m;ovsl
of � i dwellin a�the .
�. rr�p�q►wa�rm: 4�Ta N�w�ood reo.a rrnr� a7���:a4�oos1
2. Zanatg Disaiec LF�18 Raquhed Lot Area 1.0 aoA Raquicul Loc Wi�h 440'
• A�etual Lo4 Arai O.Zd a�e� A+etual L.ot vl�dsh �' '
Lot ares varia�g reQuiir+ed. La wi�th, s required.
3. Ragoind Serbse�: Ft�nt A1t Rpr �tf 3l�de 1a' 9id�S�+eot A�
Lalca�ore Lot: L�(Fra�a) 73• sa�eec� 30' ..... __ - ---- -
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4. Lat Cov�by . . e'ti i
3. P�dc�ve�Nmltsd �+a�o an iica�. Q-7S m�ae" 4�Ni allo Wa!
75 ZSO'sona r 25'Yo allowed 230-500'mm-309�6 atlowad 500-1000'zont r 3S9�i albwed �
6.� Munieiptl�ewwer ie�vt�'lable. Muaicipa�aewer Lt na avrulable;on-9ice systern�aad de�ign m+�t be
p�vided eo�n»i�that tw�o ootiBotmboC d�d»tes�te sv�ilsbk.
7. 'oV •
''R►e�daTsi�ned propaey owner brm�eby ach�owt�dges rxeip�t ot che sbeve infornution. St�'In�dsls
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Property owner sisnacure . ���� � .
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