HomeMy WebLinkAbout2006-P10216 - demo PERMIT
CIT�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10216
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued:
8/15/2006
SITE ADDRESS: 1015 Linden La Unit#
Mound,MN 55364
PID: 07-117-23-13-0093
DESCRIPTION:
Proposed Use: Residential
Census Code 649
Permit Ciass: Building
Permit Type:
Demolition Permit Sub-type(s): 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: Permit Fee: $ 30.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Steve Burns OWNER: Thora Ericksmoen&Sapa Mary Carlson
2615 Cty Rd 21 1015 Linden La
Watertown,MN 55388 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 CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
AUG-15-2006 TUE 11 : 23 RM RAM BUILDERS FAX No. 320 485 9625 P� 003
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CZTY OF O�tONO A,PPLZCATION FOR DEMOLx'�'ION PERMTT
�.0. Box 66 (2750 K�lley�arlcway) �
Crystal�3ay,MN 55323
SP�CIAL CONDITXONS &�i0��1 HARNTLESS AGRE�IV�NT �
Gez�eral Instru c�ions
l. You n�,ay be required to obtaiia other pei7nits, i.e, well abandoz�ment, etc. .
2. Wnrk must not begin uz�less the pezrrazt card is ava�lable on�lze job site.
3. A 24 bouz x�otice is rec�uired£or a11 inspectzon.s. Call(952)249-�500.
JOB s1��nb�ss: (d i� ��:���, �
Occupancy T�pe; Residential COri1111�TG1a1
OVVNER'S NAME� � C�A� ��►'' P1�one:��2-30�" G� ?�0 .�
MailingAddress:. 10l I -- ��tY� ' 3��
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CON'�RAC'�OR's N�ME: � Gc rn-lr Bus.No.:�� 1.—
IV.tailiugAddress: � � C1�Y� ��-� !�''� ��'`'
Demolition if planned by�zaean�of` � � manual disassen�bly
�b�eavy ec�uipment
Per�its Zssued: � � .�
� Well Abandox�l�,l�n� �
In retiuYl for issti�ance of said Demolition�ennit, the undexsig�ed ovcnler hereby agre�s as�ollows:
1. The structure(s) s�xall b� lc�pt e�closed aud/or secured until suck� tizne as demolition is
com�lete. �
2. Deinolitio�l debxis will be kept o££adj oiaaing propez�ty andlor the pub�ic z�glits-of way uuless �,
s�ecific prior approva�as obtained izx wxztiu�g for tem�oxazy use thereof.
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3. Foundations sliall be coznpletely renaoved from th� gzound.
� 4. All deinolition debris s1�a11 be complete�y dis�osed o� of� site in accorda��c� witb. a��
applicable�CA xequirements.
5. Water wells zn.ust,be abandon�d 'zx�ac�ordanc� wit�a State Healtll Depa�tnient regul.4txo�s.
6. S�wer aiid watex�.�.ust be discorvaected at the services �t t�e street by qualified coX�tractors.
7. J�n.spectioil requized w1�en all deb�zs�as be�n ret�loved,�efore backfilling_
RUG-15-2006 TUE 11 : 23 AM RAM BUILDERS FAX No. 320 485 3625 P, 002
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$. �Nithin S Workiz�g days of superstrttcttue xexn,oval,a final inspection shall be requested. The
site sk�a��be�eft clean and cleax of all debris,with az�y e�.cavation filled wxtk�earth levcl watk�
the adjaeen.t gxouz�d e�evation (�xcept when sucli excavation as to be used as part of a new
bui�diung and such new bu�ad�i�g is act�ially ui�.dex cox�struction).
9. The llndersigaed owr�er shall aiid hexeby dpes indernnify a�d 1ao1d harinless tlae City of
Orono, its ag�nts, e��ployees and assigns fi•o1n axad against all claims, daulag�s, losses or
expenses,includxng attonley fe�s,agai�zst tlae City,its age��ts,enc�ployees and assigz�.s axising
. out of or resulting�iro��a tk�e denialition desexxbed l�ereu�as�erfor�n�d by tk�e pro�arty ownez,
l��s el�aployees, agciits, subcolltXactozs or assigiis.
10. Septic systenls mustbe�ba��.do�aed per Minn�sota Rules C1�apter 7080. A,��5ept)C tarilCS 11111St
be puxxzped,cruslied and filled wxt.la n�tzve soils. An i�speetioz�.is rec�uir�d afte�tl�e tai�lcs are
� ��pum�ed and be�o��e tlae tai�lcs are cius��ed a�ad filled. -. � . � �
PERMI'Y'TYPE A.ND FEE CALCULAT�ON
$50,00 -Principal Structure
� $30.00-Accessory 5t�1tcture���-
=- lC.z. '?��Z ' �/ _ c2
1. Subtotal o;f above ezxpat requested $
2. State Surcharge $ .50
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3, TOTAL PERMIT FEE (add l,ines 1-2 above) $ -;'��
The undersigued�iexeby appli�s to t11e City of Oro��o�or issuauce of a Der�7olzti.oz��'ennit,agrees to
do a1�worlc in strict accordaz�ce wzt�a tlie ordinalic�s of tl�e City a�.d the regulations of tl�e Stat�of
Minnesota,and certifies that a11 stat�ments��.�ade on tl�,is applie�tion are conap�ete,tn�e and coz�ect.
APPLICANT'S SXC�iAT�JRE:, Date: ��1��G �
OV�NER'S SXG�1�'�"U�:
�i� I ��`cu�Date:�` '-c._ '�.�t_-ck—
t�PPRO'V'�EDB'§�: Date: �'`�5"UG
(Building Official)
W�fJN�1�1G DISCLOS�J� R�QLJX��? ❑ Y�S � �!(D .
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�` Tlais Must Be Fillcd Ouc by Zoning Depa�tn�eatt - For EiCl�er A�1sw��, A Zo1��alg Of�oial Must Siga�. Al(
Applic�tious � �{ ��e c ��:Ct �yC';� `� L �.�
*.EIJPPRO'V�A B'�: � � Date: � �
(Zoning Offici�l)
Re'se4'F�o�,m.`�. �