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Home My WebLink About2002-P04975 - demo - PERMIT e�c�� C I TY O F O RO N O Permit Number: � � 275U Kelley Parkway- PO Box 66 P04975 ��nS� �I Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 3�20�2002 "c� � �� SITE ADDRESS: 4425 North Shore Dr Mound,MN 55364 PID: 07-117-23-34-0003 DESCRIPTION: UBc occupancy R3 Proposed Use: Residential Pemut Class: Building Census Code 649 Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: Fc�uuciaiiunsiau ueuiu ueori�iu be reiuuveu irutu gruuuu oc cii�pu�eu oi uii�iie per ri,r�re�uiaiions. vv eus m ist be abondoned. Insnection before backfillin�. FEE SUMMARY: Pernut Fee: $ 30.00 Valuation• $ 0.00 State Surchasge Fee: $ 0.50 TOTAL F'EE: $ 30.50 APPLICANT: Daniel Dickey OWNER: Daniel Dickey � 4425 North Shore Dr Mound MN 55364 Tf�UNDERSIGNED HEREBY REQUESTS PERNIISSION TO MAKE THE REAL IlVIPROVEMENTS SI'ECIFIED AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIItEME1�iTS. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies:1-File(SiQnitures Reauired),1-Applicant,1-Monthlv Renorts, 1-As�essine, 1-Finance Page 1 � . d� � � CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (2750 Kelley Pazkway) 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 a11 inspections. Call(612)249-4600. JOB SITE ADDRESS: ��'I'L� �C�.� SHO�i �� Occupancy Type: _�Residential Commercial O`VNER'S NAME:�A�� '�'�� Phone: ��"� ��'�b Mailing Address: 'M I�L4� City: '-1�T-� CONTRACTOR'S NAME: � 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 follo�vs: 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 adj oining properry 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 Departrnent regulations. 6. Inspection required when all debris has been removed,before backfilling. � 7. Within 5 working days of superstructure removal,a final inspection shall be requested. The site shall be left clean and cleaz 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 attorney fees,against the City,its agents,employees and assigns arising out of or resulting from the demolition described herein as performed by the properry 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 aze pumped and before the tanlcs are crushed and filled. PERNIIT TYPE AND FEE CALCULATION $50.00-Principal Structure 7� $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� ' the ordinanc City and the regulations of the State of Minnesota,and certifies that all s e ade ' ation aze complete,true and correct. APPLICANT'S SIGNATURE: Date: � �y OWNER'S SIGNATURE: Date: APPROVED BY: Date: 3 •Z� • ��L � o �.,�- �v y�P ��-t��(. GC,�,A�N'e C� s� / � DATE TIME CITY OF ORONO CALLED IN INSPECTION NO CE SCHEDULED l�-�� PERMIT N0. � 7 COMPLETED ADDRESS �y� �01�T�-f �r c. �✓'L � OWNER /�rC�C�-� CONTR. C?'�� TELEPHONE NO. �S� Y�� Y�� DESCRIPTION ' � � "` �� o�� ?7o'�/c5�-. � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 OB PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERlCONTRACTOA TO MEET YOU:_YES_NO �A7C� OJV Si Iv{/` t�r�0�, � COMMENTS: ��°�'� a o /r-�o � C�� . � 0 � W � Q � z W W � � `r � �I WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W �❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORREGT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WFLL RERIRN p CITATION ISSUED D STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contractor on�ite: Inspector. ��-� ��j.�— WhNe CopyMspector's Flle Canary Copy/Slte NoUce