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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
* ' � PERMIT
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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.
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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
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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:
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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