HomeMy WebLinkAbout1998-010113 - demo PERMIT
CITY OF ORONO PERMIT TYPE: 1=.t i 11 0.1,1'4(5
2750 KelleyParkwayP.O. Box 66
Permit Number: 0 j{T
Crystal Bay, Minnesota 55323 Date Issued: 04/17/98
(612)473-7357
SITE ADDRESS:
840 OLD LONG LAKE RD
CH
P. 1 .N. ; 35-118-23-41-0001
1001
DESCRIPTION:
DEMO PRINCIPAL
Building Permit. Type DEMO/PRINCIPAL
Building Work Type DEMO-PRINCIPAL
Census Code 645 DEMO 1-FAM .
REMARKS-NDAT I ONS/ALL DEMO DEBRIS TO BE REMOVED FROM G OUND DISPOSED OF OFF SITE
PER PCA REGULATIONS . WELLS MUST BE AB,ANDONED . INSPECTION BEFORE BACKFILLING .
FEE SUMMARY:
Ease Fee $50. 00
Surcharge 1-50
Total Fee $50 . 50
-
pp�� Applicant
C�NLRSE:
TING INC - 14789529 O� rtl BRUCE
:E
4300 WILLOW DR 840 OLD LONG LAKE RD
MED I NA MN 55340 ORONO MN 55391
(61 2) 478-9529 476-0824
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MI.:E 'HE R AIMPROVEMENTS
SPECIFIED ANS AGREES To DO ALL WORK I N STRICT COMPLIANC .E WITH ALL CITY OF
ORONO ORD I NANCES AND STATE OF MINNESOTA E I L D IN' G X 1 REMENT .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATU
,. .,, fid /13
•
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. burning, well abandonment, 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 473-7357.
JOB SLUE ADDRESS: f"-lo 1416k,
Occupancy Type: f Residential Commercial
OWNER'S NAME: r�k (� f Phone: 476-088'f
Mailing Address: �]`0 (5 d 2--p4)6_ � City: Witty-741W
Bus. -`rSa`fi
CONTRACTOR'S NAME: ( -. L. Col\\fa C.{';ncNo.: 47�
1 Bus.
Mailing Address: L d o�, I o of, tY:
Demolition if planned by means of: manual disassembly
__ heavy equipment
burning (by fire department)
Permits Issued:
Burning Fire Department
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.
PERMIT TYPE AND FEE CALCULATION
K $50.00 _'Principal Structure
$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 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: 14 Date: 1— / 7
OWNER'S SIGNATURE: I Date: 21-- R Y
c
APPROVED BY: c fr i
4, Date:
DATE TIME
CITY OF ORONO CALLED IN '`" 1/C 1
INSPECTION NOTICE SCHEDULED '`/LMF a' /:3 0
PERMIT NO. /O/13 COMPLETED
ADDRESS 'SAO (,---& ce�/4 G�.d•
OWNER CONTR.
TELEPHONE NO. A./7 y"`j 52._9
DESCRIPTION Cel----2-i-e)
IQ 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
V3 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TR QUAL
Z 04 WALL BD. 12 WATER HOOK-UP C-4-7—Sla INSPECTIO '
C 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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2 WORK SATISFACTORY:PROCEED IIPROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Ch ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
P CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
Owner/Contra si
Inspector. -4..
White Copyllnspector's File ( Canary Copy/Site Notice