HomeMy WebLinkAbout1998-01111 - demo principal �
PERMIT �
. C�TY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �. _ ��_.:..�f�•��_�
Crystal Bay, Minnesota 55323 Permit Number: ;__?,'�'� �.;-
(612) 473-7357 Date Issued: V:, ,._:;`; ::i::_:
SITE ADDRESS:
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REMARKS:
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APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE �d'.F��
, _ � `I I � �-,
�CITY OF ORO�O APPLICATIOi�' FOR DEl�10LITION PER��IIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, �fN 5�323
SPECL4L CONDITI0�1S & HOLD HARiti1I.ESS AGREEviE�"T
General Instructions
1. You may be required to obtain other permits, i.e. burnin�, well abandonmment, ecc.
2. `�ork must not be�in unless the permit card is available on the job site.
;. A 24 hour notice is required for all inspections. Call 473-7357.
JOB SITE ADDRESS: 4345 North ShorP nr;�TP —
Occupancy Type: X Residential Commercial
U`VNER'S NQii�IE: Mark & Arlette Ploen Phone:�a�_Rfln7
IVlailin� i�ddress: 4365 North Shore Drive CitY� (�rnnn
CO�ITRACTOR'S NAlI�• Owner (Mark Ploen) Bus. No.: 448-51 51
Mailing Address: 4365• North Shore DrivP C1tY�_(lrnnn
Demolition if planned by means of: �_ manual disassembly
X heavy equipment
burnin� (by fire department)
Permits Issued:
# Burning Fire Department
# Well Abandonmen[
In return for issuance of said Demolition Permit, the undersi�ned owner hereby agrees as
follows:
1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is
complete.
`. ��;r��:tinn riehric ���1 hP kei[ o_ff adiainina prooerty and/or the public ri�hts-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.�tate Health Department regulations.
6. Inspection required when all debris has been removzd, before bacl�"�lli.ng.
7. Within � 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 wich the adjacent around elevation (except when such excavation is to be used as
part of a new buitdin� and sur_h new buildin; is actually under construction).
8. The undersi�ned owner shall and hereby does indemnify and hold harmless the City of
Orono, its aQents, employees and assi�ns from and a?ainst all claims, dama;es, losses
or expenses,yincludin� attorney fees, a�ainst the City, its a�ents, employees and assi�ns
arisin� out of or resulti.n� from [he demolition described herein as performed by the
properry owner, his employees, a�ents, subcontractors or assigns.
PERtiiIT TYPE AND FEE CALCULATION
_�_ $50.00 =�Principal Structure
�30.00 - Accessory Structure
1. Subtotal of above permit requested $ 5� _ �n �
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 50. 50
The undersi�ned hereby applies to the City of Orono for issuance of a Demolition Permit, a�rees
to do all work in strict accordance with the ordinances of the City and the regulations of the
State of Minnesota, and certifies tha[ all statements made �this application are complete, true
and correct. � �
��
APPLICAN"f'S SIGNATURE: `t �� ��—. Date: D e c emb e r 11 , 19 9 8
/
O`Wi ER'S SIGNATURE: � Date: De c embe r 11 , 19 9 8
A� APPROVED BY: �y���� Date: I�. -Z Z-4 6
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Mark & Arlette Ploen
4365 North Shore Drive
� ��¢��:;
Orono, MN 55364
472-8007 ; 1 5 1998
vr' �iil�fi��
December 11, 1998
CITY OF ORONO
P.O. Box 66
Crystal Bay, MN 55323
Subj: Demolition Permit for 4345 North Shore Drive
To whom it may concern,
Enclosed please find application for demolition permit for residence at 4345
North Shore Drive, Orono.
Our plans are to remove the existing structure this winter and begin construction
on a new home at this location next spring. We intend on utilizing the existing
water well and will have a licensed well contractor seal an old well that is located
underneath the existing structure. Additionally we will be removing an old
underground fuel oil tank prior to demolition.
We have contacted the Minnesota Department of Health Well Management Unit
regarding well sealing, the MPC regarding underground storage tank removal
and the MPC Asbestos team regarding proper procedures and protocol and
have approval to proceed. All Demolition material will be hauled to Demcon's
licensed facility in Chaska for disposal in accordance with all applicable
regulations.
If you have any questions regarding this application or require additionat
information please contact me. Home # 472-8007, Work#448-5151. Thank
you.
Best Regards,
�¢.
�L
M k Ploe