HomeMy WebLinkAbout2001-P03548 - demo PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P03548
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 2/22/2001
SITE ADDRESS: 645 Old Long Lake Rd
WAYZATA,MN 55391
PID: 36-118-23-32-0004
DESCRIPTION:
Proposed Use: Residential
Census Code 645
Permit Class: Building
Permit Sub-type(s): Demo-Principal Structure
Permit Type: Demolition
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
F:un-1 ticn;/all .lerno-Labris to be,.....,..e'i from .,r.7 9'dispose-' �f off site r PC.A.regulations. Wells
mist be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: , ) � OWNER: Jacques Alistair
i /--7A//,G7'1?4L..o 2585 Old Beach Rd
Ojet_4 767+`1,,2a�_ Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO D. LL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINN. 0 PA BUILDING CODE REQUIREMENTS.
///JA,,._ 4.4' (11/1,-XM:--k7 (_,. :i..., )/
'j'I ANT PERMITEE I N TURE SUED BY SIGNATURE
opies: City,Applicant,Assessor,Finance Page 1
Feb-14-01 09: 11P John Thomas Homes , Inc. 612 471 0945 P.02
APPLICATION FORDEMOLTION PERMITCT1'X OF ORONO
P.O.Box 66(2750 Kelley Parkway)
Cryo gay,MN 55323
SPECIAL CONDITIONS&HOLD HARMLESS AGR NT
General Instructions . ' . ie.well abaadocimmRat, mac.
d to obtain other permits,
1. You may be require
2. Work must not begin unless the permit card is availablesite.
612 on the job 249-4600.
3. A 24 hour notice is required for all inspections. Call( )
30B SITE ADDRESS: Residential �Commercial •
Occupancy Type:
Phone: z• 41 I o
A�-l�
OWNER'S NAME: ' .' , �‘...•V� • City: �t� -D
Mailing Address: 2 . .
1q Bus.No.• c v
CONTRACTOR'S NAME: oM�+bN1�` City: _ ry N C N-
MaOingAddress: 2 3 I � `' �'
means of: manual disassembly
Demolition if planned by $IT heavy equipnimt
• permits Issued:
ii 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.
and/or the public rights-of-way unless
2. Demolition debris will be kept off adjoining propertyoraty use thereof.
speei5c prior approval is obtained in writing
for 3. Foundations shall be completely removed from the ground. .
4. • All demolition' n 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.
•
Feb- 14-01 09 : 11P John Thomas Homes , Inc _ 612 471 0945 P _ 03
•
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 under fed 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
=Tenses, 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
?‹.
$30.00- Accessory Structure
°
1. Subtotal of above permit requested $ C.)-
2.
2. State Surcharge $ _Q
3. TOTAL PERMIT FEE(add lines 1-2 above) $ 0 .2O
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 i e on this application are complete, true and correct.
APPLICANT'S SIGMA ' 41! .i - - Date: 2 ` 12 ter
'
OWNER'S SIGNATURE: � Date: .1.,� / . �
i
APPROVED BY.: . ' Date: z . - o i