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HomeMy WebLinkAbout2005-P08337 - demo ' � PERMIT CITY OF ORONO 2750 l;�iiey Parkway - PO Box 66 Permit Number: Pog33� Crystal Bay, Minnesota 55323 Permit Type: Demotic�on (952) 249-4600 Date Issued: ii24i2oos SITE ADDRESS: 3970 North Shore Dr Mound,MN 55364 P��: 08-117-23-33-0068 DESCRIPTION: Proposed Use: Residential Census Code 645 �"� Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: F'l�Ull(lAL1VIIS%Qll UCIIIU(1CDI15 lU UC 1�CIIlUVC(11IUII1�lUUIIU OL U1S�7VSCl1 Vl Ull S1lC�Cl YI�L-11�C�'U1Ql1UI15. VVC11S mist be abondoned. Insnection before backfilline. FEE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: Owner/Self OWNER: TimothyZwart � 3970 North Shore Dr 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. L��� I � j�- y�- ` v>� � � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 * ' � PERMIT r • C ITY O F OIR�N� Permit Number: 2750 Kelley Park ay- PO Box 66 P08337 Crystal Bay, Minn s�ta 55323 Permit Type: Demoiirion (952) 249-4600 Date Issued: ii2a�2oos SITE ADDRESS: i 3970 North Shore Dr Mound,MN 55364 PID: 08-117-23-33-0 8 DESCRIPTION: Proposed Use: Residential Perxnit Class: �uilding Permit Type: Demolirion Permit Sub-type(s): Demo-Principal Structure DETAILS: ' Approved per resolution#� Separate permits required: NOTICES/REMARFQS: �'UUI1l1Al1UI15%Qll(1CIIlU UCyI1S lU DC ICIIlUVCIl lI"Ufil�IVUIlIl OL 1115PU5C(1 Ul Ull S1LC PCI t'l.H IC�'UlAl1VI15. VV Cll� m ist be abondoned. Insu�ecrion before backfilline. FEE SUMMARY: PermitFee: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: own r/Self OWNER: Timothy Zwart MN 3970 North Shore Dr Mound MN 55364 THE UNDERSIGNED I BY RE RE QUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO LL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDIN CODE REQUIREMENTS. � ` z �-- � APPLICANT PE ITE SIGNATURE IS D BY SIGNATURE Covies: 1-File(SiQnitures,�teouired). 1-Aunlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance p age 1 I • . , v � i-i9-o� ,��-� � AoS337 . .¢,��0 SD �`-J CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O, Box 66 (2750 Kelley Parkway) Crystal Bay, NIN 55323 SPECIAL CONDITIONS & HOLD HARMLESS AGRE�MENT General Instructions 1. You may be required to obtain other penizits, i.e. well abandoiunment, 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: � � /�� �l/�'� �����!/�`., Occupancy Type: �Residential Commercial OWNER'SNAME: i�n.�, i l�� �( Phone: 7�� �7/ -7�'�j� Mailing Address: � � ';� ,�//�f�- eS���� � City: � � ��rti,� , ,�_ CONTRACTOR'S NAME: Bus.No.: Mailing Address: City: Deinolition if plamied by means of: manual disassembly �_heavy equipment Permits Issued: # Well Abandorunent `�' � 0/3���''�� �'� s�"'''�"�9 �'`'�� In return for issuance of said Demolition Perniit, the undersigned owner hereby agrees as follows: 1. The structure(s) shall be lcept enclosed and/or secured until such time as demolition is complete. 2. Demolition debris will be lcept 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 t11e ground. 4. All demolition debris shall be coinpletely disposed of off site in accordance with all ap�licable 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 sha11 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). S. The undersigned owner shall and hereby does indemnify aild hold harmless t11e City of Orono, its agents, einployees and assigns from and against all claims, da.mages, losses or expenses,including attorney fees,against the City,its agents,employees and assigns arisiilg out of or resulting from the demolition described herein as performed by the property owner, his eiiiployees, agents, subcontractors or assigns. 9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks must be puinped,crushed and filled witll native soils. An inspection is required after the tanks are puinped and before the tanks aze crushed and filled. � PERMIT TYPE AND FEE CALCULATION � $50.00 -Principal Structure $30.00 -Accessory Structure 1. Subtotal of above perrnit requested $ 2. State Surcharge $ .50 3. TOTAL PERMIT FEE(add lines 1-2 above) $ The undersigned hereby applies to tlie City of Orono for issuance of a Deinolition Permit,agrees to do all work in strict accordance witl�the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements inade on this application are complete,true and correct. APPLICANT'S SIGNATURE:, ,,� � Date: �� - OWNER'S SIGNATURE: ` Z Date: APPROVED BY: � Date: ! 2--2 7 -�'�( � - �k� ��' �/ ` DATE TIME � TY OF ORONO � CALLED IN �� INSPECTION NOTICcE SCHEDULED �/b'/OS �-�0 PERMIT NO. PC� D*��� COMPLETED ADDRESS ����'�7 Z� �-� . � fh�f'�F' ,OR� OWNER �I✓Vl 7- ��,%Q�� CONTR. TELEPHONENO. I.F� I � - ��� ` � C9 �� � DESCRIPTION �i �Q � --- ���_m�� � 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/FIREPIACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS 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 Rt 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � j d W� WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the n xt inspection 24 hours in advance. (952� 249-4600 OwnerlContra ite: Inspector. White Copylinspector's ile Canary CopylSite Notice