HomeMy WebLinkAbout1993-005344 - demo garage : �
PEI�MIT �
CITY OF ORONO PE�MIT TYPE:
2750 Kelley Parkway • P.O. Box 815 �:������j���
Orono, Minnesota 55356-0815 Permit Number: t};�__;��
(612) 473-7357 Date Issued: i��;;��,j,�:;
SITE ADDRESS:
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APPLIC T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE -�L�
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CITY OF' ORONO APPLICATION FOR Dffi�iOLITION PERMIT
P.O. Box 66 (1335 So Brown Rd)
Crystal Bay, I�T 55323 ,
' SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
f***#*t*******�rt**********:tt******t�**t**#*****�*******:**f*****�ir��*****
General Instructions
1. You may be required to obtain other permits, i.e. burning, wel 1
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-•-�abandonmment,�:. etc.�---�- --- �
� 2.~ Work must not, begin unless the permit card is available on the job
site.
3. A 24 hour notice is required f or all inspections. Call 473-7357.
****�*�:f*3***t*�***�*�*******�t*****�***�*:**:****:***t*t*****t**:*******�
�oB S�� �D�S: �, � vd.
Occupancy Type: Residen al Commercia
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OWNB,R'S NAME: �� � �e-��i���5�1 Phone: ����`�2 �
Mai Iing Address- Sa+rne.- City: � � «--
CONTRACTOR'S NAME: Bus. No. :
Mailing Address: City:
:�**:**:****:*t�:*:**�*t**::*:�*:*�*�*::�tf**�****�:*�****::**�*:**�r:���:t*
Demolition if planned by means of: �manual disassembly �heavy equipment
burning (by fire department)
Permits Issued: � -
� Burning Fire Department
# Well Abandonment
In retu or issuance of said Demolition Permit, the undersigned owner
hereby agrees as follows:
1. The structure(s) shal 1 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 from the ground.
4. All demolition debris shall be completely disposed of off site in
accordance with all 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).
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__.....__. .... _. ;�
-- ---�---- .. .._
^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.
********�***********�****��s****:f****:*�*�****f********�*******t***f***t*:
_ .. __ " - PERZiIT�.TYPS AND F$S- CALCULATION=�.� __=--_- "--_.---------. "�--
' $50. 00 Principal Structure
3�0� � - . .
Accessory Structure
1. Subtotal of above permit requested $ ���}�O
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) S �� S�
:**�*�****�**:*********:�***:****t*�:*t***#*****t***����****�**t*******f***
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 rec,-ulations of the State of Minnesota, and
certifies that all statements made on this application are complete, true
and correct. �
► �� � --i
SIGNATQRE OF APPLICANT: Date: ` �P �2
o �� C�� _
DATE TIME
CITY OF ORONO CALLED IN 7�I�I�Q-j
INSPECTION NOTICE SCHEDULED ��g�-� �
PERMIT NO. -�3 �� COMPLETED �Y %y
ADDRESS , /�S� ��2a .�ei,I�s- I��
OWNER !/-�� o��''� ' CONTR.
TELEPHONE NO. ��-3 � y��'�
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 7 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBiNG FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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d WORKSATISFACTORY:PROCEED �i PROJECTCOMPLETE
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� CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ��, pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '-'CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContra ite:
Inspector.
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