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HomeMy WebLinkAbout2005-P08841 - demo t � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: po8841 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 6/29/2005 SITE ADDRESS: 3898 North Shore Dr Unit# Mound,MN 55364 PID: 08-117-23-33-0048 DESCRIPTION: Proposed Use: Residential Census Code 649 Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Garage being torn down! Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells must be abondoned. Inspection before backfilling. FEE SUMMARY: Pernut Fee: $ 30.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 30.50 APPLICANT: Morton Buildings Inc. OWNER: Roger Granning 113 Thomas Park Drive 3898 North Shore Dr Monticello,MN 55362 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE 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. � _� � �(�/'�� � �-'`1 _�� '�;�?"LL, �_.��t_�����- APPLIC PERMI EE IGNATUR ISSUED BY SIGNATURE I , Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page l ` � ����� � os �, � � 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 abandonment,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(952)249-4600. JOB SITE ADDRESS: �� ` g ' v 01`� S�a P�- �i":v� � �Un�U Occupancy Type: Residential Commercial OWNER'S NAME: l�-'a SZ � rl3��wv�;h Phone� � a'���- � � �� Mailing Address:3$ � D* �,.o r . �� City:��-�,,.�a CONTRACTOR'S NAME: I` ��C�- Bus.No.: �b� - a 9 s"34�� Mailing Address: � � "C' h.a City:�,�.�.��,,,�,l-a Demolition if planned by means of: manual disassembly �heavy equipment Pernuts 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 andlor 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 FCA requirements. • , 5. Water wells must be abandoned in accordance with State Health Department regulations. 6. Sewer and water must be disconnected at the services at the street by qualified contractors. 7. '; �Inspectipn required when all debris has been removed,befor�backfilling. .. F�..7�. ' . - ... ...f � . � • � � 8. 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). 9. 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. 10. 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 �' Lr�a� -� �_ 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. APPLICANT'S SIGNATURE: Date:�� � � j �5 , OWNER'S SIGNATURE: `�:�� Date: C/" ' � � � C� APPROVED BY: Date: b-L 3 `�s (Building Official) *ZONING DISCLOSURE REQUIRED? ❑ YES �NO * This Must Be Filled Out By Zoning Department - For Either Answer, A Zoning Official Must Sign All Applications *APPROVED BY: Date: (s "2 3 -OS (Zoning Official) r, ���� c�-�ST f'1� Reset Form � ,. �,� ��, r DATE TIME � CITY OF ORONO cA �_ INSPECTION NOTI � scH ULED �i�Ln�I��� PERMIT NO. �� COMPLETED ADDRESS �,� / g /V �J Y 1.�1� � OWNER CONTR.T�r� Ic� TELEPHONE NO. �� �J c�� � ���� � DESCRIPTION i" / I/1� � �-�� '— l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES NO �: � C:� ��j 1/����wl � COMMENTS: � C �►'-►"�.CJ'2-d S�G�-..-�� ��-�"�� a I�- - � �--C � � o Q,-��. a � o � � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED OJECTCOMPLETE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑C�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex "nspection 24 hours in advance. �95Z� Z49-4600 OwnerlContra it : Inspector. t White Copy/lnspector's File Canary CopylSite Notice