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Home My WebLink About2002-P05853 - demo �' ; PERMIT C�T�.O� O RO N O Permit Number: 2750 K�Iley Parkway- PO Box 66 P05853 Crystal Bay, Minnesota 55323 Permit Type: Demoiinon (952) 249�4600 Date Issued: 11�19�2002 SITE ADDRESS: 3509 Ivy Pl Wayzata,MN 55391 PI�: 20-117-23-43-0054 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code 645 Permit Type: Demolition Pemut Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: �UUIl(14L1UIL5%Qll(1CiIlU(1CDI1S LU OC ICIIlUVCII li'UIIl�i"UUil(1 OL(11SPUSC(1 Ul Ull S1LC PCI I'l.H IC�'UliLUUI1S. W C115 m zst be abondoned. Insnection before backfillinQ. FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: Grundhofer Construcrion OWNER: Leisel Cox 12005 165th Street N 3509 Ivy Pl Marine,MN 55047 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��.��i�n�.Cc�� PLICANT PEI�MITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-At�plicant, 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1 � ► � CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT P.O. Box 66(2750 Kelley Parkway) Crystal Bay,MN 55323 ' SPECIAL CONDITIONS & HOLD HARNII�ESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e.well abandonmment,etc. 2. Work must not begin unless the permit cazd is available on the job site. 3. A 24 hour notice is required for all inspections. Call(612)249-4600. JOB SITE ADDRESS: �� '� � �r ., �L `�v �•p ��-�--� Occupancy Type: ��Residential Commercial OVVNER'S NAME: G", .s �l. c a X Phone: Mailing Address:3�a� �.v .a �P[. City: CONTRACTOR'SNAME:G� 2u� b �-l-�,�-'�g, c�N3� Bus.No.: 6S1 �33 - -�S �� Mailing Address:�1,�� LS ...��. T/� City: 7x1-bti� n�_ 1`� n� Demolition if planned by means of: manual disassembly �i heavy equipment Permits Issued: # Well Abandonment In return for issuance of said Demolition Pernut,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 sha11 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. � ► , . � ?. 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 bu�"ding and such new building is actnally under construction). 8. 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. 9. 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 aze pumped and before the tanks aze crushed and filled. � PERNIIT 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 ordinances of the City and the regulations of the State of hlinnesota,and certifies that all statements made on this application are complete,true and correct. APPLICANT'S SIGNATURE: Date: OWNER'SSIGNATURE: G.�� • •V. Date: APPROVED BY: Date: //• / c/• 4 Z. � �il.� cL.0 l�,�p� f JJ , i '��"I /(/� J � � J �. �0. CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (2750 Kelley Pazkway) Crystal Bay,N1N 55323 " SPECIAL CONDITIONS &FIOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e. well abandonmment,etc. 2. Work must not begin unless the permit cazd is available on the job site. 3. A 24 hour notice is required for all inspections. Ca11(612)249-4600. JOB SITE ADD SS•3 So � � V y l�L�c� Occupancy Type�• Residential Commercial OWNER'S NAME:�,fL c o � Phone:q�u a„ ��l� 4`z 7 ( Mailing Address:� �aq_ s v � �L�c�a City• �.r�„ ,��,}.a CONTRACTOR'S NAME:G�. .,,.�.�� u�z�, ��►s�' Bus.No.:��- C►�o -��H� Mailing Addresst�Q a � S L s s-►, h>. �r��x r�^�y City: Demolition if planned by means of: manual disassembly � heavy equipment Pemuts Issued: # 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. � 2. Demolition debris will be kept offadjoining 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 construction). 8. 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. 9. 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 ordinances of the City and the regulations of the State of l�tinnesota,and certifies that all statements made on this application are complete,true and correct. APPLICANT'S SIGNATU��,�-.. `r - �� Date: �O ; � _,� OWNER'S SIGNATURE:__�„�,�;;�� _� Date: �a�-zP.-�7Z_ APPROVED BY: � �X�/�— Date: / !- /`8 --U Z \ ' � DATE TIME CITY OF ORONO �G`� � ALIED IN � �� INSPECTION NOTICE �=,t:�� + SCHEDULED PERMIT N0. E ` COMPLETED ADDRESS �U C �� I(A�L—� OWNER CONTR. " Il 1 1 TELEPHONE NO. � DESCRIPTION ��'1�� V�� C,(y'�.� — ��`� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS y 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 06 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 COVERftETr11E»1/AL J 10 PLUMBING FINAL 36 FOUNDATlON/REMOVAL�\ � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �� W C � ' ' '�k.�rti1�L` A � .'� . ,.�': ,�� , o ` a � ° ,�. ��,�' W °� �- bo 'J Q � _ �� , � z W � W � � a W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice _ . :_ � �� DATE TIME CITY OF ORONO S � CALLED IN � � : INSPECTION N T CE SCHEDULED �i�� PERMIT N0. COMPLETED ADDRESS__ �S �J �I vl �� OWNER CONTR. S��u I �i Pi �I�►/� TELEPHONE NO. � �`�(� r �/� �I . � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FI ING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION i05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTICFINAL 35 HARD COVER REMOVAL J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:�YES_NO . y COMMENTS: � W a � - J O � � O � W � Q � �a Wfi � � l � •�� _' �� O WORKSATISFACTORY PROCEED �f�� p� ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑I SUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � V BEFORE COVERING �E��( p Y� ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN O STOP ORDER POSTED.CALI INSPECTOR /N ISSUED 0 iNSPECTION REQUIRED.CALLTO ARRANGE ACCE . l� � Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContra site: Inspector. White Copyll�spector'a File Canary Copy/Site Notfce