HomeMy WebLinkAbout1995-007323 - demo quanset hut � . * PERMIT
CITY OF ORONO PERMIT TYPE: _
2750 Kelley Parkway- P.O. Box 66 ���'��=-��_=u=�
Crystal Bay, Minnesota 55323 Permit Number: ;�;:�:�,.�::�:
(612)473-7357 Date Issued: : -�
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: -- :��:-�:-�� .��:_�:�:':. - OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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, � i 08i31i95 10:07 Tf� CITY � ORONO 612-473-7357 002
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CITY OF ORONO A,�'PLiCAT�ON FOR DEMOLiTInN PERMIT
P.O. Box 66 (2750 Kelley Parkway) I
Crystal �ay, MN 55323 j
' SPECIAL COND�'I`IONS & HOLD HA.�tMLESS AGREEMENT
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General Instructions well abandonmment, etc.
i. You may be required to vbtain other perniits, i.e. burning,
2, Woik must not begin utile5s the permit card is avaitable on the job site.
3. A 24 hour notice is requizrd for all inspections. Catl 473-7357.
JOB STR'E ADD�tFSS: 33Cv1� l�°i1i�'n �Ha""E �'�'"�-- .
Occupancy '�'ype: Residential �Commerci�l
OWNER'S NAME: �J 2• Phone: Z 1?�Z9� � �
Mailutg I Address:
City: P �� � !
CONTRAC'I'OR'5 NANIE: Ugu--�� L��.�4 — Bus. No.: 42�JL2��--—
Maxling; Address: avt� �� City: Yrwt :SS 7`{
Demolit�on if planzied by mr.u��s of: � manual disassembly
I ��_ heavy cquipment
I bu�rning (by fire department)
, �
Permits�Issued:
� Burning Fire nepartm�nt .
� Wcll Aba:sdocunent
, In retutjn for issuance of said Uemolition Permit, the uz�dersigned owncr hereby agrees as
foIiows1
1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is
�omplete.
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2, �emolition debris will be kept off adjaining property and/or thc public rights-0f-way
nless specific prior approval is obtainet! i�writing t'or tempvrary use thcreof.
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3. onndations sl�all be cvmplctcly removed from the �round. �
, �
q, �4f1 demolition debris shall be completeay disposed of off site in accordauce with all
�pplicable PCA requircments.
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' S, �JVater wells must be abandoned in accordance with State Health Dep�rtment regulations.
' 6, lnspect�on required wh�n all debris has been rcmoved, before backf'xiling. . i
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� • 08i31i95 10:07 T}� CITY OF ORONO 612-473-7�5'7 003 '
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7. Withit� 5 working days uf supersl�uccure r�m�'g�+ a �'�al inspection shail be requested.
The site shall be teft clean and clear of all debris, wich any excavacion�lled with earch
level with the adjacent grounc� elevat�on (cxcept when such excavation �s to be used as
p��t of a new bu�iding at�d such new building is actually under constru�tion). ,
$. The under5igned owner shall and hereby does inidemnify and hold hartniless the Ciry of !
Orono, its age�tS, employees and assigns from and against all claims, gamages, losses
or expenses. including attorney fees, against the City, its agents, cmploXees and assign.s
arising out of or resutting from the demolition descr�bed herein as performed by the
property owner, his employees, agents, subcontractors or assigns.
pE��ITT TypE AND FF•E CALCULATION
$50,00 - Principal Structure '
1 I
$30.00 - Accessory Stavcture ! '
I, Subtotal of above permit requested $ I
2. State Surcharge � '
3. TO?AL P�ItMIT FEE (add lu�es 1-2 above) $ .
The unde�signed hereby applies to the City of Orono for issuanu of a Demoiiti Pcnmit, agrees
to do ail work in strict accordance with the ordinances of the City and thc lations of ihe ,
State of Miru►esota, and ce�ti�es that all statcments made on this application a complete, true �
and correct.
A,ppI,ICAN'1"S SIGNATURE �
�Cs-�t Dat,e: . �J —
pVVNER'S SICNATURE:
Date:, �
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APPRO'VED BY: Date: I '
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