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HomeMy WebLinkAbout1992-004594 - demo , PERMIT � CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: �;tj������' Crystal Bay, Minnesota 55323 Date Issued: iy:�;/iF,{�� (612) 473-7357 SITE ADDRESS: -�4�1:� L I U I NG'=T►�N AVE .�E� F'. I .Itl. � i 7-117—:�:�:—�._,—�yi��.i DESCRIPTION: E,�.ail��in3 �'�;�r,�it. 7y��� C�E1����!F'RIf�GIF'F�L Eui 1��i3�� W��t,�:: �yc,� �}�tt��!—i='�Il�J�_:I��L �+,, r'�' �. +�y �ri �,+a-�» '� °�'w � <�. �l`� u � � , "�� �' �- a�"u� �''�i:�, ; 'P � '�" s 'yy'.� w t � � �� ��"�� � ��. ��%"'��"4^�nM�'(�� �'_ im ,� �� �� �� . �; �a � � � ���.� ��r� ����. �� "�, '� r r: ���` � � � ,,�r� �l�� �.�,4��Ji�,y'����"'��.. +� 3 �" a �, �e:'. r � ..y „�. „� ',�y� "�,r�,� s #1 w t y h '�" a � M £ S ,�y a�c ��i P¢�;�"e� "��'�� ��, �`� ��� � � � 5 s m�, i y�+�2X 9� �w �'� � � � � ���� t:ITY �F u�Gfi�G' � � �� JJ�yy r� . M x �a 1' �� � '� �, t•i i Yl'%I'Yt,L ���1 i.L . �' t r a���sa �' ''� & j P� ��1�f'!�!tlt� � �-.�r '�"`"�+"s�'���M ��'�'we �� 1 1 V VY ;�a,c»n�r�n � �,r,s�7� u'�r�. ;a V� VL T� .fif il4 i;:::7t�l j�j�J► � j 1 ti.tt�YV�%{l !�� REMARKS: i�NFCtc''�,, TCj jj 5;:.`�' � ;Ltj;L�,l!';,—tl;;���f;� YuTU �t��rylvV l.Vvi kv� lv���i f��r:��,/![S VVJ tVI Fi FEE SUMMARY: E�as� F�e ��i�. ��t_� '=;u��c t-��r�Y ------- _���t� 7nt.al Fe� ���t_�.��� CONTRACTOR: OWNER: _ ��,F,� ���i�.�. _ WAr�GEN ���t 1� 7-�:��'� F`EN�i Ab`E �_, RIC:HFIELD t�� ���.�:; :�.w.—�_`�7 �'k-i� t;I!iD��'�::[%��i;�G 4��h'�E�`� �i�t�jt►�c���`=: (='EF;i 1 s''=�'��I=�+i�� �'f t ���}::_E T�-!F �iE��_ I1��1=`F'+=�t�EtiF I���T�; :W;�='F i:.':F t=T���:f �hu�i (-�C;l=;�'�'=: f'f1 [ie_� �.1!_f tili i�;'�-:: T�;i '�;�"Fi I!:T ::�=�}�EF`i I�t�;�:.E l�I TN (�LL i. !»i�;;���i ���'r�+�I i�Ffi;��i:F'=: r=���l? ��T�t i�. iiF" �t i t�i��l��_;�i�'� ;��?i i L[:�I nJF,� i:i_s�;_ '�� �— ������ e_�� L._ i;Et.;?I��t•.�P�T';. r � � � � APPLICANT% ERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO APPLICATION FOR DffiKOLITION Pffi2MIT P.O. Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 � SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT **************��*�*�*�*******�**:****�*�******************�*�****::******* General Instructions 1. You may be required to obtain other permits, i.e. burning, well _ _ abandonmment, etc. - ._..__,.. .._ 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call 473-7357. :******�t��*******:***:****:t**#****#�****�***:t**t*:::***t****:**:***�*t** JOB SITS ADDRESS: / ,� .: � �-' l � Z� � �< ;,`���� /�z �'� Occupancy Type: Residential Commercia OWNER'S NAME: av �t�'�% Phone: ���v-- �l��S � Mailing Address: i� e City: � ;� /nh CONTRACTOR'S NAME: C�/���'' Bus. No. : Mailing Address: City: **#**#t*�*�t*******:::***:t*��******:*�*******************:*:***:*f*****:** Demolition if planned by means of: manual disassembly heavy equipment �burning (by fire department) Permits Issued: # Burning Fire Department # Well Abandonment � In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: l. 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 pub 1 i c rights-of-way un 1 es s specif i c prior approva 1 i s 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 al 1 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 �Ieft 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. t**�*�t*�*�*********�**::*:::**:�*�*::�:**:*��***::***��**�::*:�*#:##:***:* _ _ ..... PffitlrilT.�TYPB AND FSS� CALCQLATION- -.-.:.�.._ ::. .-:,.-_�..- :..,� -....- ' $50. 00 Principal Structure $30.00 Accessory Structure 1. Subtotal of above permit requested S 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ *:*********�*�*�****�*��*****�*:********��****�*t*�******::*************s** the undersigned hereby applies to the City of Orono f or 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 Minnesota, and certifies that all statements made on this application are complete, true and correct. � ` :8 2�� � SIGNATURS OF APPLICANT: � Date l