HomeMy WebLinkAbout1992-004841 - demo garage � ��_.,1 �i I.,1�l 1
� ;C�TY O� O�ROI�O PERi1A1T TYPE: —::,�; ,-,�;:��-
1335 Brown Rd. South • P.O. Box 66 Permit Number: ���-'�= ��
Crystal Bay, Minnesota 55323 Date Issued: ��=�`�����'����
(612) 473-7357
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CITY OF ORONO APPLICATION FOR Dffi�SOLITION PSRMIT
P.O. Box 66 (1335 So Brown Rd)
Crystal Bay, NIl�1 55323
� SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
**********************t****:***************�*:�*#*****************t:******
General Instructions
1. You may be required to obtain other permits, i.e. burning, well
..�----�----•-��•abandonmment, . etc.•--- .._.;.. _:_,...r, ._,m-,- ._ . __� -� -- ------ -__
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2. Work must not, begin unless the permit card is available on the job
site.
3. A 24 hour notice is required for all inspec ions. Call 473-7357.
*:*:��*�*�********::*:**�*:�*******�**::�*f:�:� ****�t****t***::*:*******t*
sos sz� �,nnx�ss: ;' >o G�,� � G -� � �', �'� �.� �,�t �/-�
Occupancy Type: •r Residential C mmercia
OWNffit'S NAME: � G � ��t a c�r�a�e� Phone: �'7�L 7 f� �T3-Z�'�-�
Mailing Address: � v t City: ,�.�. -
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Mailing Address: City:
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Demolition if planned by means of: ?Vmanual 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:
1. The structure(s) shal 1 be kept enclosed and/�r secured until such time
as demolition is complete. �•
2. Demolition debris wiI 1 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 al 1 app licable 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.
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_ _ - __ _._ . _, _..: PERLKIT_TYP$ AND FT�S-_CAI,CUI.ATION=__ --- _._. - _--.-.--:-- --
' $50. 00 Principal Structure
$30.00 Accessory Structure
1. Subtotal of above permit requested $
2. State Surcharge $ •Sd
3. TOTAL PERMIT FEE (add Iines 1-2 above) $
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the undersigned hereby applies to the City of Orono for issuance of a
Demolition Permit, agrees to do al l 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. -
SIGNATURS OF APPLICANT: Date:�� �IL
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