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HomeMy WebLinkAbout2003-P06552 - demo �ITY OF OR N PERMIT O O Permit Number: 2750 Kelley Parkway- PO Box 66 Po6ss2 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: ��i�i2oo3 SITE ADDRESS: 3268 North Shore Dr WAYZATA,MN 55391 PI D: 08-117-23-41-0009 DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code 645 Permit Type: Demolirion Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: �'l�LL[1l1ill1UI1J%A.11(1CIIlU UCDIIJ LU DG ICIIIUVC(1 llUlil�'IUUll(1 OL UISPUSCU Ul Ull S1LC PCI I'l,H I'C�UlitllUllJ. W Ci1S m ist be abondoned. Insnection before backfilline. FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: R F THOMPSON&D MILLER OWNER: R F THOMPSON&D MILLER 3268 NORTH SHORE DR 3268 NORTH SHORE DR WAYZATA MN 55391 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORON RDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � C�� .�� � ��� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(SiQnilures ReQuired), 1-Annlicant 1-Monthlv Revorts, 1-AssessinQ, 1-Finance Page 1 �IT��� OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po6ss2 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: ��i�izoo3 SITE ADDRESS: 3268 North Shore Dr WAYZATA,MN 55391 PID: 08-117-23-41-0009 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: F'UUI1LLAl1UI15/All LLCIIIU 11CU11J lU DC ICIIlUVCU 11UII1�'IUUIIIl QL(115pUJC(1 Ul Ull S1LC IJCl Yl.t1 IC�'UISUUIIS. VV C115 m ist be abondoned. Insnection before backfilline. FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: R F THOMPSON&D MILLER OWNER: R F THOMPSON&D MILLER 3268 NORTH SHORE DR 3268 NORTH SHORE DR WAYZATA MN 55391 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. .y % G c � / ����c�-z��( .- � �zm�z� �� �_il�l'L�C.�n ( ...�*Lc�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Apnlicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � . . �'D�s-sz A CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (2750 Kelley Parkwayj Crystal Bay, MN 55323 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e. 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 (612) 249-4600. JOB SITE ADDRESS: ��� $ /V o�T"I-� 5 j-�vRk Occupancy Type: \� Residential Commercial T OWNER'SNAME:ppV�b ct T��'tic /=rr'► "7^NbNrp5a�v Phone: /-��i- 8?o--�S.,!/S MailingAddress: 98ab 5vuT7� a?S4�a ,�=�Sr CitY:_5qu,pyt-�r�ff S�of,� CONTRACTOR'S NAME: OH/-J��D.S c°la n�F Bus.No.: yS'�— �70-624�b�' Mailing Address: �,j a T� S i`Z i�"N 7`v L�'.r� fi'l� City:„S/"/o�i t r.��v o I> 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 adj oining 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. � . � • , 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 pumped and before the tanks are crushed and filled. PERMIT TYPE AND FEE CALCULATION � $50.00 - Principal Structure $30.00 -Accessory Structure 1. Subtotal of above permit requested $ �j � � 5 �� 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ The undersigned hereby applies to the City of Orono for 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. APPLICANT'S SIGNATURE:(�L�,-�.��/`o�"`-� Date: �6—�7 O 3 OWNER'S SIGNATURE: Date: APPROVED BY: Date: G• I � ��3 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION IC SCHEDULED PERMIT NO. COMPLEfED g-Z►-v3 � ADDRESS �Z��3 N o 2-��'t't5 No 2� l�� OWNER �fi�av�s� CONTR. S�-� TELEPHONE N0. � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q �IIQlIC 14 SEWER HOOK-UP O6 PROGFIESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 0�DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBINCa RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � C4MMENTS: W a J O � � O � W � Q � 2 W � W � � � ,�WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnedContra r . Inspector White Copyllnspector's File Canary CopylSHe Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. pd G SSz" COMPLETED "�-� ��S � ADDRESS 3ZL� NO2(�f �HtS� ,O2 OWNER CONTR. TELEPHONE N0. � DESCRIPTION -��s.2 V��-'�A � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q�INAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:_YES_NO c� COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � � �� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractg�onC� Inspector. �� White Copyllnspector's File Canary Copy/Site Notice