HomeMy WebLinkAbout2002-P05438 - demo , �
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos43s
Crystal Bay, Minnesota 55323 Permit Type: Demot�t�on
(952) 249-4600 Date Issued: s�s�2oo2
SITE ADDRESS: 3440 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-43-0019
DESCRIPTION: UBC Occupancy R3
Construction Type VN
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Shucture
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
F'UUllLLAL1UIIS/All(1CIIlU(1CO1�1S lU DC ICIIIUVCU lI�VIIl�lUUII(1 QL U1S�)USCU Ul Ull S1LC�CI YI.H IC�'UlAL1UI15. VV C115
m zst be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 80.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Owner/Self OWNER: David&Paula Lindberg
MN 3440 North Shore Dr
Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-IE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI T ERMITE [GNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (2750 Kelley Parkway)
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: 3��"� �0 t�'�� �� �r;�L
Occupancy Type: �_Residential Commercial
OWNER'S NAME: � '� o.,� �c.�� �,,.��pr Phone: (p��2- 5�( '?���
. MailingAddress: -O , c�io 3� C�r' City:
M-� Ss 3�3
CONTRACTOR'S NAME: �G w,.t Bus.No.:
Mailing Address: City:
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 attoiney 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 $
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.
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APPLICANT'S SIGNATURE: Date: ��/��2
OWNER'S SIGNATURE: Date: 7 �� �'�d �
APPROVED BY: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC ,�55/��p SCHEDULED �f�- 3 l;�
PERMIT NO._ �J �� � COMPLET 'K �
ADDRESS e C� ��� �T_ E ,�
OWNER��-r-QJ7��� _CONTR. U�'(��t�4��d
TELEPHONE NO. �f�I c�- - r,��- ��O�j
� DESCRIPTION �:"./Iz-t'•
� Ot 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-U;�
� MBING RI 23 SEPTIC FINAL 35 HARD CO'✓EFi�?�MOVAL
J 10 PLUMBING FINAL 36 FOUNDATIQN/RE�IOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARAANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �95Z) Z49-460Q
Owner/Contrac on sit -
Inspector.
White Copylinspector's File Canary CopylSite Notice
JOATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE L 'J,t� SCHEDULED � _5����+C�_
PERMIT NO. ��� COMPLETE� �t��
ADDRESS_ -�L���;_��I ���1C��lf� �� •
OWNER �t Yl'�, f''� CONTR. �
� -�j _ —�y �q
TELEPHONE N0. �l� �L'�� �% � � "':�25 I /?5 /
� DESCRIPTION �� �� � � ��U
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�!/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SIT .. 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DE INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W LUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATION;REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
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� ❑WORKSATISFACTORY:PRO ED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCE ❑ ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CAIL FO REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advanc �95Z� Z49-46��
OwnerlContr site: �
Inspector. ` .
Whi yl pector's File Canary CopylSit N tice