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HomeMy WebLinkAbout1995-006669 - demo - y PERMIT . CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 _ - Crystal Bay, Minnesota 55323 Permit Number: - - -_.- �` - (612)473-7357 Date Issued: - - �� ���"��� '1 : SITE ADDRESS: �.�: DESCRIPTION: :.�=.;;; ;--:--:-.�- - :.:�� :-;, , ��;, ; .�.,t,,.-`-:._ - . .- - T { ... �._ ... .._.. .�i�� F �'�~?�i_..Y. . t4`_':!_.. .. . . ..�_t�:�_.i`�'��+'. i,!�`St� ...�i!_.',.l� ;.. . . _.: ' �....�. + « .. . s .z ��_� :.7.— ::i: � ' �r:�_ . .T ?i � "+'.:...,u._ - 7�t� :.'3._i 1. t,��!!, �..•,_F{ e.. 3 ..`�::'. !}�,�fi_o 'i"'�:". 1 !ai%. . �—':. i•'Si lr! :}i .h�'1�!11':�I.�VV Pl i:i! ili' .IJ. L`L1T s:�:laL'V � �'f:i?il 1.:...:��i�ii L�V V V t7 " .'`Li! -e} l'.L L•4:� a�,'i• REMARKS: FEE SUMMARY: :-: _ _ , .. . -- .. . .. -. � .... :-.�.:.: L..., . „ , -- ...,._ _ . .- .. _ » . r;�-•. —=�i �[�i._;? _- _.._�.__.____ � -� _ y ;j i:� - Y�;�:"y C.t� FOUNDATIONS/ALL DII"IO DEBRIS TO BE REMOVED FROM GROUND AND DISPOSED OF OFF SITE PER P�A REGC]I�TIONS. WELLS MUST BE ABIINDONED. IN5PECI'ION BEF�ORE BA�KFILLING. CONTRACTOR: - :"-;- _:� ���=�:-:=: -- OWNER: _ _ _ � _. . ; : � ;. � , . - -:�,-; - : ::;� _ , . r. . �.. _ . �.Y � . ( (ii.' .... .""""�{'_? '�i4.'T'i.;::'_� . . .:i �. _.,�._. ._. . �^ .'_F�_.F_� . ._i_.....r. Pi:-�.1 _. L�2 � �. _._ . �:f�.-_jr_ . .. . , _ _. :t": . ��t.....i {�'� _ . ..� . .e'f' ' ' ' � � �}, � .. �� ... l� T V 4 f � !�'.: t �4..� � � # }�n. 8 ..:i„. ��. `('N� �t��:.��`•e�I�.:k���.C� ("!��t�.��e Ei=c:,�t_.�_,1 _� ��.�ti��T_ .,T t_":t� T�:,� �:i��,.�. 3�"€� ���-;L. s���'��_+�u'r,�',3�.��t�..: :�-��E�.`:��i E� �t°�(�? �'�i:i�:�`�_ �';:�` ,l��v� �-ti...t., ��.��'��; �� '�=�i���=3 �:�����'t..I�,t���" ���T�i ���.. ;t"��''�' �i� � �,s������,r �_��._�� ;^��;���'�:.�_ ��v'. _ 3��"�"�� �..`�� €��'�,���€�:������'� �tt 3 i!��;�t� �'f�'C`� �:�{.�f�I�'�:��.l�?`��. � APP ANT/PERMITEE StGNATURE ISSUED BY:SIGNATUR .G,� • _ i CZTY OF QRQNQ APPLICAT�QPi �QR D$MOLiTiOI+I P�LIT P.O. Box 66 Crys�aZ B�y, MN 55323 SPECZAL CONDITIONS & HO��D HARMLESS p.GREEDiENT f,��***:tt+r����*�+t�*********�t*********�#�tts�+�t*�**��****t:***���**s**:x:::: Genert�I Iastxuctions t�� 1.- Ypu may be required to obtain other perm�tis� ��.21�u��ft'�'ng, Well. abandonrnment, �tc. 2. Work must not begin unl.ess �he permft Card is available on th� �Ob site. 3. A 24 hour noti.ce is required fa�' �17. inspection�. Call 473-7357. itlt�r*�!***#itit*�Itit,Ar�Ir*it�lt**tit*�tytit**yttit�**�tititit*�tit�t*,+�t*�*�***t**itf*,t�tatt!*xytasr��tyeae:at*yt �os si� �n�ss:�Z�� (�,�vP�--�� ��'.���� Df� Occupaney Types x Residential Commercial �uAL�kNT�n � OWI�ER'S NAMR: �Y�I� �l� � �-� fY�-�RC'� �Y'�,U`l Phone: �j 7�� - 7��� � Maizxng Address: �Za��, ,�R��� E� � aL.�L �-;��� C tys CONTRAC��R'S NRME: � y�' � � ' �,il Bus. No. :_�ch� yYZ: Mai Iing Address: ' �, • � �, City: ���, /e�55/� �t+t�ate*�s�t,r,sit7fryt*ir � it#itirit: : tk�itytat Demolition it plannec� by means of: manual disassembly � heavy equipment ^burn�.nc� (by fire d�partment) Permi�s Issued: f� �urni»g rire Department �# WeZl Abandonment zn zeturn tor is�uance of �aid Demo2.ition �ermit, the under5igned owner hereby aqrees as tollows: l. The struGture(s) shall. be kep� ertclosed and/or secured un�iZ such time as dema3ition is complete. 2. Demol�t�Ori debris will be kept off ac��oining property and/or the pub�ic xights�af-way unless specifa.c pri.oz approval is db�ained �n writing for temporary use thezeo�. 3. I`oundzttions shall be completely removed from the groulld. 4 . A11 demalition debria sha]. 1 be com�l.�tely dis�ased of o�� sit� in accordance w3th aI I app��Gab].e PCA requirements. 5 . Water wells mus� be abandon�d in accox-dance wi�h S�a�e Heal.th Department r�gulatians. 6. Iaspeati.on requi.red when all d�bx�s has b�en x'�FnbVEC� � befoze backfilling, 7. Within 5 working days o� sup�rstruc�ure remava]. r a f ina 3. inspection shall be xeques��d. The site shalZ be left clean and cl.ear of al. l debris, with any excava�ion �i�led with eartih level witih �he adjac�nt ground eleva�ion (except when such excavation is to be used as part of a new bu�I.ding and such n�w building is ac�ua3ly under cons�ruction). ` _�Q�!c� �!t `_ '8: The undezsigned ownes �h�l ]. and hezehy doe� �ndemn�.f. y and hold h�rm�.ess th� City vf �zcno� it�s �5en��� ���oyees and �ssi gnA frdm and agginst a�.l. claims� damag�s� lasses or expena��, xnaluding a�torney �eea, against the City, itfi agents, �mP��Y�ga and assigns arj.R�.nq out Ot c7r r�SU�.tirig fzom th� demalit�cn describea herein as pezformed hy the pxvp�rtiy �wner, his emplayeesr agent�, suY�Con�r.ac�ors or ass�.gms. ***f*:t�*�*��t1�t******�r�r*t�a�tt*�**�trr*�ex*�sr:�**�*���*�fff*t.�,���*�r*****,�::f** PERMYT TYPE AND FSE CALCII�jATIO�T $50 .00 Principa]. structuxe � $30.00 Accessary Stxucture C� 1 . Subtotal of ab�ve permit x'equested $ ��< 2 . Sta�e Surcharge $ 'S� r '�O 3 . TOTAL PERMZT FEE (add lines 1-2 �xbave ? $ `��` *******�t*,tt**�***f*��r*t**��***��t*****,t*�*f**�*tt**�****�*f****�t�*�**t*�*t the unders�.gned hereby appl�es �a the City b� Orono for issuance o� a Demo�ition Permit, agxees to do ali work in stric�. accordance with the o�dinances o£ the Gity and the regul�.tions of the State of Minnesota, and certifies that all s�atemen�s m�de an th�.s app].ication axe complet�, �rue and cozx'ect. � � � ��� �� ��9� BIGNATIIFtE �F AFP�ZCANT- bate : ,� r�. ! �- Z�"al� �.