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HomeMy WebLinkAbout2004-P07454 - demo CITY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P07454 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 5/12/2004 SITE ADDRESS: 900 Old Long Lake Rd Wayzata,MN 55391 PID: 35-118-23-14-0008 DESCRIPTION: Proposed Use: Residential Permit Class: Building Census Code 649 Permit Type: Demolition Permit Sub-type(s): Demo-Accessory Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: n_ _ n__1 *w.r___.n_ r1____ Ft undauons/all demo debris to be removed from ground OL disposed of off site per PCA reguiallons. Wells mist be abondoned. Inspection before backfilling. FEE SUMMARY: Permit Fee: $ 30.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 30.50 APPLICANT: Glacier Ridge OWNER: Bruce Dayton 17272 160th Avenue 990 Old Long Lake Rd Foreston,MN 56330 Wayzata MN 55391 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. % 49-17%-.0--',- /Syt APPLIC T PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Siinitures Required), 1-Anolicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 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: goo � LOA)6 ,Ltj<a k!),kl Occupancy Type: 17- Residential Commercial 4%2y (tu�N OWNER'S NAME: kI/ C� `i'�'0 JJ Phone: q,,--q{76r-0 D.-LE Mailing Address: c On Lb�F gp�.b City: W7V-(7 -j }- 9I CONTRACTOR'S NAME: L 1 � Bus.No.: 3)-o—'9'33-(0 61z=733=,p.bcK Mailing Address: 17,772-- CO-r#�VE. City: Rp,S'la n) I A) 563 36 Demolition if planned by means of: manual disassembly ✓ 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. a 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 ' Co NC T SW►MM t NG pool 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: , Date: OWNER'S SIGNATURE., „A- 1 , "� . ,/1 ; I*, l ate: 1 � APPROVED BY: Swe Date: 5- - ©c( Aro T2 Ta 4-E /Izo a l3e1/4.1 tafi-t.vLe r- - —/'4."1- r- 13..A eAjem".3FILL T TIME CITY OF ORONO CALLED IN INSPECTION Nye, SCHEDULED -O9� o7:0 0 PERMIT NO. rO /T / COMPLETED ADDRESSQ 00 aid Lame OWNER L3M(/I P_ '/ I CONTR. a!Q G eTleal!t.tdqL TELEPHONE NO. %2- V%-082f L-44f DESCRIPTION SCJ e- e) 0'a/I,n,l n f Pee Uj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS C1) 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 v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO to COMMENTS: cc a cc O CC O ti CC 12 W W CC ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner►Contre: Inspector. White Copy/inspector's File Canary Copy/Site Notice