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Home My WebLink About1999-011681 - demo prin only PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 F't-'`L. I"'�=` Crystal Bay, Minnesota 55323 Permit Number: 011681 (612) 473-7357 Date Issued: 07/26/99 SITE ADDRESS: OLD LONG LAKE RD •._'H F' . I . N . , 3S-118-23-41-0020 DESCRIPTION: D.Mu I- RIN ONLY Building Permit Type? DEMO/i' :INS_Ii AL E;u1 ding WILrk; Type i EMO-PRINCIFAt Census {_}t}fie 4S DEMO 1-F'-FAM . REMARKS'.s�.-},TI,_it�s_./A O DEBRIS T O BE REMOVED -t•1 (=RO ;t ; -F tE�ED OF OFF - •; TF PER PCA REGUL A 'I NS . WELLS MUS MUSI RP ABANDONED . INSPPCFION RF ORE BACKFILLING . FEE SUMMARY: Base Fe e $S0 . 00 Surcharge 1 .SQ. Total Fee $50 . 50 CONTRACTOR• - Applicant - CANNER: _t; € t t•A`:�fjTIr 1.77''314.4'- L 31,:E;-� co. RIDDER CIRCLE 84C OLD LONG LAKE r ! PAUL 11!'1 E' _ _ < ;_RHINO MN SS3S6 ( _12) -1449 THE UNDER .I GNED HEREBY REQUESTS FERMI ,..L.I ON TO MAI F THE REAL IMPROVEMENTS ,: . :SPECIFIED AND AGREE::: TO DuALL WORK IN STRICT COMEEIANCE4WITH ALL CITY DF ' ORONO URD I NANC:ES AND STATE OF MINNESOTA BU I LD I N CODEREQUIREMENTS. APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE j+- ,ea 1111116. //(c° /(c° 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 hour notice is required for all inspections. Call (612) 249-4600. JOB SITE ADDRESS: t}L= --1 I. rsi- 1\-.G-14e- I:(` Occupancy Type: V Residential Commercial OWNER'S NAME: M Phone: Mailing Address: City: -Pci-�,P.� e i rtm 5. CONTRACTOR'S NAME: = 1 ` . • us. No.: (5I Mailing Address: t Pd-\ - 01,crte to City: -73-4 'u;) 1 hi n Demolition if planned by means of: _manual disassembly X 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. Air 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 , $30.00 - Accessory Structure 1. Subtotal of above permit requested $ t 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ r_;' , '., 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. 1,2 APPLICANT'S SIGNATURE: \( S, )-No � Date: '-( I1 OWNER'S SIGNATURE: V( t - A--r c t d Date: APPROVED BY: Date: -7' %C JUL-26-99 MON 12 :06 PM SEMPLE EXCAVATING 651 772 1449 P. 01 4. M E M O Semple Excavating , Inc . 91 ltititicr (ado, SI. Paul, MN 35107, 1'11011(/I ux (651) 7 7�• 1 <1.U) DATE : "7/ 19 9 (24_-_-6 7/ &t.4--,--a."A...,/ yiv FROM: 4}7.,..„.., A,,e_ RE : CW.4„,,4c:Li 2.7&_y_i_ic__AL clik j2,4_4) r / , 77-6___e9,--0_.-c__ '04-7,4,..:12, (341,11._ 00/ ,e_:;6_,-) 1, /7j 0-7,z_c_,L: 14 fJ--c--0-z.------12..„, ,../-4_,,e---c..., CJ Minnesota Department of Natural Resources t t Business Office °'"N�oo' 2300 Silver Creek Road NE Rochester, MN 55906 (507) 285-7422 507-280-5077 July 21, 1999 James W. Semple Semple Excavating & Trucking 91 Ridder Circle St. Paul, MN 55107 RE: Demolition Woodrlll SNA Residence, Orono, MN Bid No. FM 99-05-10 ,.. Dear Mr. Semple: Enclosed is your executed file copy of the contract for the project referenced above. In accordance with the terms of the contract, this is your official Notice to Proceed. This establishes the starting date of the contract. The completion date is as m icated on the Form of Proposal. The project supervisor indicated in bid must be contacted prior to starting work. As stipulated in the bid document, no final settlement under this contract shall be made until the Contractor has made a satisfactory showing of compliance with the provisions of M.S.A. 290.92 requiring the witholding of Income tax on wages at source. A completed "Withholding Affidavit for Contractors" (1C-134 form) certified by the Department of Revenue, covering the time frame of the contract shall satisfy this requirement (form attached). All invoices for this project must be submitted to the project supervisor stated in bid to receive payment. cerely, Gary A., ohnson Regio r-l Business Manager fo enclosures (3) c: Larry Watson, Field Services Kim Waldof, Engineering Tim Peterson, Engineering JASUS\BIDSFS\Fm99O81 o'.2ndcIa$2.Wpd 4:0 DATES TIME CITY OF ORONO CALLED IN 7 -D-53 INSPECTION NOTICE SCHEDULED -7 - a ''44 3',36 PERMIT NO. 0 t lD�� COMPLETED ADDRESS 'a' ' D\d L ,t(N L&Z— _ -d OWNER CONTR. S-emp\e. IXC . TELEPHONE NO. 77 D.- i (--N CI a DESCRIPTION . -corv3,O..AA!X\ evortt jJ - CY\c,-_SL W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 14 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL <--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COM IS: o Lu G % - l L rl c r.1 - 2h�,v o 2 (j)6tt/ 4,0 10 /674 0/-1.5 Zic.-9.— cc Q tnW LC1c....: --.....- AA j x, Di, fi ,..... .iivi.: 7,......„ W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE 'W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins.; hours in advance.473-7357 Owner/Cont . .r o sit0411 r quite Inspector. White Copyllnspector's File Canary Copy/Site Notice