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Home My WebLink About2002-P05926 - demo PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05926 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 12/27/2002 SITE ADDRESS: 4515 North Shore Dr Mound,MN 55364 PID: 07-117-23-31-0006 DESCRIPTION: UBC occupancy R3 Proposed Use: Residential Permit Class: Building Census Code 645 Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Foundaiionsiaii demo debris io be removed from ground&disposed of off siie per PCA reguiadons. Wells m ist be abondoned. Inspection before backfilline. FEE SUMMARY: Permit Fee: $ 80.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 80.50 APPLICANT: Stonewood Design Build OWNER: Henry Rigelhof 4420 Shoreline Dr. 20 Jewel Lane Spring Park,MN 55384 Plymouth 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. Y-,9--� d,r'7 APPLIC T PE rFEE SIGNA S D BY SIGNATURE 4 Conies: 1-File Minitures Reauired),1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 J• 1 S CTI'Y 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 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 all inspections. Call(612)249-4600. JOB SITE ADDRESS: �J �� Az Z)A - Occupancy Type: X Residential Commercial OWNER'S NAME: ISS �S S Phone: Sar Y71- 01577 Mailing Address: 01® City: 5DA t iM W CONTRACTOR' NAME: ,S-l'OnG44)®0d JUd i�j Bus.No.: Sot - LIT- DrY LI Mailing Address: _ City:"S-AeiAT AAL ml . Demolition if planned by means of: manual disassembly 5-e3 Al — heavy equipment Permits 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 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 Department 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 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). 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 property 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 are pumped and before the tanks are crushed and filled. PERMIT TYPE AND FEE CALCULATION $50.00 -Principal Structure $30.00 -Accessory Structure 1. Subtotal of above permit requested $ �V, 00 2. State Surcharge $ .50 3. TOTAL PERMIT FEE(add lines 1-2 above) $ ®E S 0 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: l 2-1z-b ® 2— OWNER'S SIGNATURE: Date:4 APPROVED BY: Date: 2- U U DATE TIME CITY OF ORONO V CALLED IN INSPECTION NO ICE SCHEDULED PERMIT NO. COMPLETED ADDRESS g5l,'5 /f,olej1,f �I�.dl�. OWNER CONTRrT0 10d TELEPHONE NO. AOL;? - 751- :;200�O DESCRIPTION 9C"'fid . 4 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 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 Z 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: Cz Q. j 0 c 0 2 W cc Q W W cc L/,[ n( RK SATISFACTORY:PROCEED XPROJECT COMPLETE W CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex Inspection 24 hours in advance. (952) 249-4600 OwnedContracjopvn Inspector. White Copy/lnspector's File Canary Copy/Site Notice