HomeMy WebLinkAbout2002-P05562 - demo CITY OF � y N PERMIT
� � � Permit Number:
2750 Kelley Parkway- PO Box 66 ross62
Crystal Bay, Minnesota fi5323 Permit Type: Demoiinon
(952) 249-4600 Date Issued: si29i2oo2
SITE ADDRESS: 2685 North Shore Dr
Wayzata,MN 55391
P I D: 09-117-23-42-0004
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Pernut Class: Building Census Code 645
Pernut Type: Demolition Permit Sub-type(s): Demo-Principal Structure
Demo-Accessory Structure
DETAILS:
Approved per resolurion#:
Separate pernuts required:
NOTICES/REMARKS:
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m ist be abondoned. Insnection before backfilline.
FEE SUAIIMARY: Permit Fee: $ 80.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Erotas Building Corp. OWNER: James&Sharon Walker
3436 40th Street NE 2685 North Shore Dr
Buffalo,MN 55313 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
GREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNE TA BUILDING CODE REQUIREMENTS.
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PLI T P RMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si,enitures Required), 1-Auplicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT �
P.O. Box 66 (2750 Kelley Pazkway) . �
Crystal Bay,MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
GeneralInstructions ' -
1. You may be required to obtain other permits, i.e. well abandonmment, etc.
2. Work must not begin unless the permit cazd is available on the job site.
3. A 24 hour notice is required for all inspections. Call(612)249-4600.
JOB SITE ADDRESS: o���� h/alt,� ��e� J�, �,
Occupancy Type: Residential �Commercial
OWNER'S NAME: w�, (n.1 Phone: �y E,� 7�]�
. Mailing Address: '2. City: .�►
CONTRACTOR'S NAME: ��S �S)t.p��J� • Bus.No.: y�—�O-I—'�0 Ll
Mailing Address: ��.J 1��"c1 V,�� , City: ft�Ll�.,,S/0�.
Demolition if planned by means of: manual disassembly
_�heavy equipment
Permits Issued:
# Well Abandonment
In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows:
1. 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 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
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.
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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.
9. Septic systems must be abandoned per�Minnesota Rules Chapter 7080. All septic tanks must
be pumped,crushed and filled with native soils. An inspection is required after the tanks are
. pumpec��and before the tanks are crushed and filled: - ,
PERMIT TYPE AND FEE CALCULATION
X $50.00 -�rincipal Structure , . �
�
� $30.00 -Accessory Structure
1. Subtotal of above permit requested $
2. State Surchazge $ .50
3. TOTAL PERMIT FEE(add lines 1-2 above) $
The undersigned hereby s ity of Orono for issuance of a Demolition Permit,agrees to
do all work in strict a cordance with the dinances of the City an e regulations of the State of
Minnesota,and certifi that all statements de on thi ' n are complete,true and correct.
APPLICANT'S SIGNAT ate: � � b
OWNER'S SIGNATURE: Date:
APPROVED BY• �� �� Date: �� 2� ` � Z