HomeMy WebLinkAbout1999-011636 - demo PERMIT
CITY OF ORONO PERMIT TYPE:
m2750 Kelley Parkway- P.O. Box 66 Permit Number: i I I DING
Cryst�;l Bay, Minnesota 55323
(612) 473-7357
Date Issued: 0111-.......:.,0
SITE ADDRESS:
07/13/99
340 OLD C =iY5 4L BAY RD
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F' I . N. : 04-117-23-13-0001
DESCRIPTION:
'PRINCIPAL 2 ACCESS y
BuildingPermit Type DEMO/PRINCIPAL
ELI rfi ng Work Type_ riE 1O-PRINCIPAL
Census Code 645 DEMO 1-FAM .
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REMARKS:
FEE SUMMARY:
Base Fee $110. 00
Surcharge -
Total FPP $110 .50
CONTRACTOR: - Applicant - OWNER:
WIDMER INC 24461495 MID USPROPERTIES
= PO BOX 219
'i s�:i_,i�€Irr�;�I:.;°-; MN 55375 ORONO MN 55356
40 L_. CRYSTAL E4 P ..
(612) 446-1498
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THE - JNDE Rs I CNE HEREBY REQUESTS; PERMISSION TO MAKE THE REAL I MPROVEME #T
'EFECIFIEO AND .REE`:: TO 0 f ALL W0RK IN STRICT COMPLIANCE WITH ALL CIT ,� F
URUL I+ ORDINANCE ; AND STATE OF MINNESOTA; BUILDING CODE REQUIREMENTS. 1
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,//, 4 / UEDGNATURE
APPLICANT/PERM! EE SIGNATURE
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CITY 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 hout notice is required for all inspections. Call (612)249-4600.
TOB SITE ADDRESS: 3 N0 6 1 d 6y4ct i ( y i t
Occupancy Type: ✓ Residential Commercial
0- 9,6-3.(e/
OWNER'S NA11E: Pl i d Lis QNPAar rare.W• c N y Phone:M- y 7 5'-2:1r6"
Mailing Address: 1-3-9 a la u,ritys,'h ar City: Oro A-1
CONTRACTOR'S NAME: till Jf err- (un,..1 Bus. No.: tiwi iy9J
Mailing Address: ¶(ZS'15 Geta City: SI. (3a.v•-rk�oit
Demolition if planned by means of manual disassembly
—7-heavy equipment
Permits Issyed:
#J 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 knust be abandoned in accordance with State Health Department regulations.
6. Inspection required when all debris has been removed, before backfilling.
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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.
/ PERMIT TYPE AND FEE CALCULATION
$50.00 -Principal Structure 5-0 a 0
✓ $30.00 - Accessory Structure K 2,
1. Subtotal of above permit requested $ // 0 , D b
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 with the ordinances of the City and the regulations of the State of
Miinnesota, and certifies that all statements made on this application are complete, true and correct.
APPLICANT'S SIGNATURE Date: 7/(99
OWNER'S SIGNATURE: �� ) Date: -77//c '
APPROVED BY: v:Seo Date: -7" g! -moi�►