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HomeMy WebLinkAbout1999-012184 - demo PERMIT CI�Y OF ORONO PERMIT TYPE: � 2750 Kelley Parkway - P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: . _ (612) 249-4600 Date Issued: �._:_�_;_i�.;u�e �ix°i �;iS SITE ADDRESS: ==�� '�=`` �-�' N _ _t.i •_fy; ";.i=!...�F';?: �`i"t DESCRIPTIOPI:'_..� � `—__. .� _ - - -- �_..".-:,�f �-��°_����;IL. ._... '��_t I 1 f.:,i�"_ `s-:��1'CFi I r. ;�'��� t i`-},i_i;'j�h`;;d;.i c',-3E ,= 1 i�7 f":-�; `�i'�:; i V C�_•� �i_-(`;i�_.�:�F:`; Fi::�:��'"'r:i� _=t j';�=��� ..t�;e�,`.W =�+�-= �=��:i_ i"'`ii�'i . REMARKS: ._,- ,. -. : - - 'F. . ...�_... :�'...'. ..... . _ . .� __� . _ _E _._. . .__. ._3} i� �'._!�`i ��1-....i'�i " ' :..� _ . _ ..._.__. _.. _, . ._ ..,' _' ,. _ . . � .., �. .�.. ._, .. _ _ i : _ "z!�i i�"" �i1" ..�� � . . . _. .... ....._._.. .._. ._ __ » °L. :—...._._, ._ _ ....,;._... .. �,....._. ._ . ' ' " '--e : �. �a � :. . .... . . . . . r—.r n.;—�:�c —� F" _ ' ' ' _ ' . . .__� _ ._ . . .... . . ..___...�� . ._ ... r .,� . ..... . ._.. _. ..�.... . ._. ..s _.. . . ... . ........i _. ._ .r. i_. . ._.�_._. . .�.} . FEE SUMMARY: ��._•E� c��._ �;i: i�,;� ��4.,{?y"�_i7 iii,i''�;= `8s I i I }f i...=i i, �;�+r; ,......_,._..__.« '�..ts'.�:i CONTRACTOR: OWNER: ...:z= --��:=.� . .. .. .. . .s. -_ �{ ?'ifi% l"'ryv'7"�}..,f .. .� . . -. .._'il�i'f€�11 , .._ . . . T�i�. �3�i�E�`:=.�i����(�� H�'.��'��_'� ,�:�€;�c��:,��'±� �_��_`_> � ..�r_��;► "� f r= T�� i-�zwt�L. i��. �.,_ r ..1�:« � _ i °�:�'��:I�I�� ��� '�.���F�.:w T��� �a�► A�.L_ � � E �' - , �, �.'{ it �- t..._.�,f�� �,}�' � £ _ k �i t"� 1- 6 • rr L, �_'�'....'-4VI_�.. �,�1?'#'f�.L:�';('`^^���J��.�_'� ;��`�,tF_; ';"��,`��' � �� ...� e��.su�� ..,.�.": . f �•���'.. .. ..�;..��! .�t.'� i.�.;�;;t3"_ �_J�� S h't^.T 1�'-i� �.:._,_. . . . � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE F�'�if•1 : �Yt=f�1 FHUf•dE hli i. : ��1�+_;�_��;+�_��11 h•J���..:�. 1� 1'����� �_��:�3�Ff•1 F'1 ' CITY uF ORQN� � 6122494n1� '��;25/�9 1�:�'� �ti1 :�2f 12 ti0:47H � ���� � �5° ��TX ��'ORQN� APPLY�ATIfJN FC�R D�,'M[QLl[�Taai�i PER.�1?I"l �,4���n 6�F����..��I.,�[:.�I��l��,��.a� ��.���,►.�.��,.�...����►�.�.�.�,�:�� Gre��l lautru�cti�n� 1. Yctr rn�,�b�req•.�is�tl to obteia ot�er permita, i.e. well�handanmment, �tc. Z. �V'ork mc�sz not begi�t w`�l�ss th�p��t card is ava3lahle on�the}s�sitc. 3. ,A 24 houx nvtic�ia n�iced fi�r a.11 ing�e�tiot�a. Ca11���2���9-�6QU. , . . J' B ST�'£A.D'��SS� ' , �3 .���l� -�21? �. r - � � __�__.�. � ' L'' �'7�� ..� __. �c�cup�ncy Typa: �_�e�id�ntiat �Co���t�al �DWNE_R'�NA�1?�:I7'k�.�''k ,'r�.�r,.�. ,..s�d,c.�p�..�..�Phon�:. C��?_y X'�9���,.�1�. 21+�ai3xr�g�ddree,a: �� r,�'-� �o��f City: - --- _�-4�-5�.�.:. ,_i�cth� .r F�� CdN'1(7t�iCTOA'S NAME: i/''_ �/�ie�s.�a.; -�� `� �L� �- rvtailing Address:��L��,�_ i/4d.. r�,c�,_,,,,, ��T�iry:��°,..�� 1�2�n ,, ,� � bernolitio�,if plan�ned t�y nn�ns�f �`r.��nual di.�assern�ly ✓ �.�.Crrn ��u-�';..�. heavy acluipm�nt �'� - _~ Fctmits Issucd: #�gi►elt Abandonrraent Xa�retvrn for�asuas�ee of said 1?�motition Pemzit,the�ndersig,rse8 u�;����r hereby�a�re�c� as fr�3iaws: 1. The xf�uahxre(s) shalI be kept �nclo�d and/or se�ure.� u�ti! �uch tizt�e a� �er�olitian is �aznplete. 2. �emvli�i4n debris will bc kcpt ni�aajalz�ing pr�p��y ari�.'c►r�►h�pubt'sc rig�tts-d��v�y u�atess sp�d$c p�tor�pproval(a nbt�ned in writing�r tera�arary use tha�co�' 3. F�tundatidns�hetl be comp�etely,rernovcd fram tho�xouna. 4. � .�i: c�amoZitian d�ris s�all ba co�np9e�ely dis$osed �of ofF sit� in ac�ardanc�c �zt(z alS apptacalile PCJ�►,rcqulre.rrients. 5. �7'�tar wetI�must b�abandoraed in acccard��a�e wxth �at�te��ealih�77eparCrnertt rc�ulatiat�s. 6, Ynspectiar�rrquircM!when a11 d�brig has becn rcmoved,bc�`ar�b�ci�lling- FRUP1 : ����hl F'HL7hdE PdU. : �1�+�1��+G�311 FJ��.:�. 12 1'�'�'� ��:1:�1:�Ff�1 F'� - cx1'Y OF ��c�n+c� � �1�i494�16 1 G125l�-79 �2:19 � :G3/12 N0:478 ?. �h'si�:z�5�r�r�ing�ays�4�uperstruct+�re retnt��et, �iSn�,I inspecti�ti �hall be requeated. ?'!•�e site s�i�l� �c 1e��L�an and�c6sar af aiI dabri,, with �sry ex��vnti�n�Zi1rd w:th earth 18ve1 �,vith th� adj$cent s,�r�3urd elevatiot� Eerc���t wl�en such e�:ca��Rtion is to bc�se� a�part of a n���� b�aifdizig and such r�ccR�t�uilding is�otua.11y undc; ca�nstruc�ion), e. '��e un�ecai�ncci o�w�er sha11 anc� �e�r�by ds�e� 1:td�ann9tq �.�d 'n�►�d �t�3a�s the Caty of €7ror.o, its age�xts, emnlc�y�s aMd aesi�s frcar� a.�sd egain.�t �l cl�ams, d�rn�es, losses ar �c�sea�sea;�Tuc��ng�Ltr�i�i��£�+�s, dgt��t thc Ci'ty, its�ents, employ��s�nd assigns arising �+u�t�'or t'�9ultirt$£rom�dera,�I�tio�.descn'bed h�rein �'pccforrr�ect by the prap�rty owner, . i�+9�apl�y��s� t►ge�f3, au�c+ar�tc�ra or assi,gzss. PS7�11�YIT'�'1�i'P�,�1�+T�?�E�ALCUX.,A"�'��AT �-- �SO.�J�I-Psinci}�u.! �tct�cture _,�,,,,,,,, S34.O�i�O» Acc,�t�sa;y 3ttu�t�re 1, Subtotal ��'a�aw��perrnit r�gucsted S �. Statz Surchus$e � $ -R��,,, 3. ^fOTAI.P��II'T.1�,�.(at�,�I�iaoa 1-2 sbav�} � The wndarsigr�ed h�r��y�►Ptics to�e�City ��°45rayno �'px agsuance c�f a D�r�'teliupn P�tmit, ��CCS t0 �t�811 Wbrk 3t!l�t1�1Ct g�ec+r��ce�.uit'�the esrdinari�a� ��the ��ty and t�;e�'8$ul8tioslS of ti`�e Statc of l��itu�cs�,a�va.c�rtifiAa that ��t stat��ner,t�s�acic t��n�hi� ��►plic�,t�;�rs�r$ca�m�r��t�, �ruc and war.-ect. ��` ��t.� (r'����'- _ A�'P�:IC�►NT°►S�ICxl4'A�'CI�E:_,____—�ar���.,..-_.�,._....,.DAtB, ?��I 1 /'q�{ � i--.--------- v f OVV3�IER'S SY�ri�.4�"iJ�:� �' � :���-~ bate:,,�,- •= � r. �►FL'�i.aVEI1►BY:-- �, D�t�: I/-�s •q S GITY Of 040N0 � 612249461b 1�1�5/9� 12:�9i`� :�2/1� ti0.478 CITY �F ORONp APPLICA�'YQ�I Ft3�D�;1�U�.�IYTTCIN PE��I�' P��� ��� �� ����.�.�.���.��I��1���,�.� � ��.�,� ��,��:�,�.��.��n��n� ��nera] ��strucila�n� I, Yot�rn�y b�r�q�.3#r'�d to�+�t�in�ther pernvts, i.e. well abandonrnment, etc. 2, Wc��'k mus� ne�c begin un��sg t�c permit car9 is availabtt on the job 9itc. 3. A�4 kto�ar mbtic�is raquired fr�r e11 ins�ections. Call (6l2) 2�9-�6Qb. ,TCI�B 51"fE A�D��SS: 1`�� �L�� ��� _ ��� �c 1�� ,� ���,1 c��� 4ccupa�ncy Type: �_Resid�ntial �Commercial ---- U'VirNE�'t'�ri�: , � -i�,r ; _ ; � e_. �hone: � ��I `��: �` !___-_�_--:� Mauiri�Address: ;� City; �t��,, �� _ ; � ��' �; �- � J CONTRAG"TOR'S�TA1V�� � f r. �l�rl L�ti�YI��� Bu3.`No, ��' ' ����1 �81�1i1�t�.dG�i`�$8: r`�'J ��_ �2,I���'�.(��.�."'� ��Ity: �'' ����L��1 Dernoliti�r if planned by m�a:,s csf: ' manual disassembt}� � �u.�r� �eLc_�,i � . ___`__ ,_...___._----- - _..__.__ �heavg equigment Pcrr.uts I�sucd: #�Wett Abas�donrrrcnc In return for issuance of g�ld D�moiition Permit, tt�e us:dersigned owner hereby a�rees a� fc�llows: 1. The &tructur�(sj shail be kept �nclose�3 sndit�r secured a�ti1 �u�h tizn� �s �ernoti:ian is carnpl�te. 2. Demt�li.tion debris�wi1l b�kcp#off adjainin,�p:�p��ly ancilor th�pubIic ri�hts-n�way�nless specific prior�pproval is�btained in wrting�or tempo��y�se�ch�:�eof 3. F�urd�ti�ns�hstl bc completeiy removcd�ran�the�round. 4. Al; �emcatizion debri.s shall be c�r�pletely �is�yosed a£ oft` site in accordance a,rith e�ll applicabls PC�►,r�quirem�nts. 5. i�u'ater well� cnus�be a6endaned in acc�ard�n:.e �th St�.te I-iea�th�epartment regulatiQns. 6. Yn�pc�t'ton required when all deb�is has bc�r�r�movcd, b�f�r�b�cicHlling. CITY �F pR�NO � �12�494616 1u125i�9 12:19 � :a3/12 N0:478 , 7. �h'rt�in S wor'xin$�ays r�f superstruat��are r�t:�ov�l, s fin�i inspectia�n �hall bo rcquested. 'I"he �it�sh�i 'ba 1����ct�an�.nd �c3ea��£�Il ��bris, witt� a:�:y�xc����ti�n�tiled with earth levei with y�°�e a�ja�ent r�rt�ur_d elevati�n ���t���#yy��n such exc�v�ati�n is ta be usod as part c�f a new buildiz�g and such r��w t�uiidia��;is sctu�lly untYc; const�u��ion�. 8. x�t� ianderxig;ied aw�er� shall an.� h�sreby d��� i::d�ify �ad :�o�d ��rrr�lea� the City of �Jrc��:o, its �gents� emplt�y�es a�+d a8si�s frc�tr� a,�d �gainst alt �Iaims, dama�es, losses Qr �x��naes,inc�;c�iFig �vt�rney�f�es. ag�inst th��it��, ita a�ents, cmployees and assigns ari�in� out t�for r�sultir,,�frar�tl�e dern�lition describ�d h-rein as perforn�ed by the praperty o�vner, ius er�a�Isayc��y a�ents, sc:bca�nts a�.tor�ar assigns, PERMYT T'�'PE ANA FEE CALC[l'�,,ATIDN __ 5��.�J�-Prencipal 5truchare -- $3Q.OL}M A�c�ssa�y Str�cture l. Subt�t�l �#'aba��e perrtut re��ested � 2. StaLt Si4rcharge S .Sp 3. 'r'�TAL�.�ER.f.��`�,�;;(ad,�Iines 1-F�ht�rr�j �e Tht wr�d�rsigned heeeby�p�p;ies tr� ��:e L`ity of°1�rc�no £�r:ssu�nce�f�I)�rrtolition Pe�xnit, a�rees to da all w�rk ir. xtr�ct ��cord�nc;e�rit�the or�irta,n�,�s�k'the �:�y and the;regul�tions af�he Stat�of I�fin.ncs���, anc c�rti�ies ��at alE stateme�!t� rr�c�e an thi���►plic�ti�r�are camplet�, lrue�n�1 �o�-ect. _�' ;�� ,,- AP�I.,�C��1'�''�SIG3�"A'�'L�E:__ ��—� ___�bate;�li J► °19 � , � : OWNER'�SI�1+�AT i1l�: �G,�i[ �1'1. ,���_ — Date: " �� � ,,�T-----?--�-�-�� .� - �"� ,, . �P�iC�VEYl�X: ` .- .�,..,..,._._ ...,.. Date: