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HomeMy WebLinkAbout1998-010696 - demo PERMIT NG CII Y"OF ORONO PERMIT TYPE: ► 2750 Kelley Parkway- P.O. Box 66 '='I D I Crystal Bay, Minnesota 55323 Permit Number: i:; t}F,` , (612)473-7357 Date Issued: 0R i 1/98 SITE ADDRESS: =:=,00 OLIVE AVE JG P : N. . 17-117--:7,3-4A-i 1069 DESCRIPTION: DE MO Building Permit. Type DEMOO�iPRINCIPAL Building 'Wrist:: Type DEMO—PRINCIPAL Census Code 645 DEMO 1-FAM . REMARKS: FEE SUMMARY: a Fee $60 . 0 Surcharge Total Fee $5{=i . C(;i CONTRACTOR: - Applicant. - OWNER: SLATER EXCAVATING 1 ,Ls:.t`.i;:3 _�AGOOZIN'�KI 3111 7f_i NA EL U D AVE 2300 OLIVE AVE WEA,:=;TER MN t it ii= ORONO tiN 5:�' 1 (612) 662-:,__,..._' 471-01:3:3 THE t.NDER i CiNED RES' ' T PEEN#I-;- � Wil li " I I� „ M' OVMEN 'S SPEC IF IED Atm'AGREES H TO DRET;� EALL WOiRK I N STRICT C:�F�.I NCE, WITH ALL C:I TY �F L ORONri I 0 I NANCES AND `STATE OF MINNESOTA BUILDING CODE # Ei }IR MEN S r f APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO TS 6124730510 08/28/98 14:13 5 :02/12 NO:689 1 CITY OF ORON APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (275 Kelley Parkway) Crystal Bay, MN 5323 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructsns 1. You may b required to obtain other permits, i.e. burning, well abandonmment, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour otice is required for all inspections. Call 473-7357. JOB SITE ADDRESS: 2-3 0 0 O(((12- 4t/E-5-- - 0/10 tJ 0 Occupancy Type: r% Residential Commercial OWNER'S NAN hJ i w\ :�a_I o d 2 c vt S k_c Phone: Ln(- 0i 3 Mailing Address:_ 23( C p t,u '1--t/e ( 0;2-0� `_ " City: 0204 o CONTRACTOR' NAME: S/04(-- - O Lel-- _i Bus. No.: 6 5 2(2_3* Mailing Address: 3''7C 140t-2-t-( woo f!/ ..- City: t\-)-(2 6 Demolition if planned by means of: manual disassembly rs heavy equipment burning (by fire department) — Permits Issued: # Burning Fire Department # \{ell Abandonment In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: 1. The structures) shall be kept enclosed and/or secured until such time as demolition is complete. 2. Demolitioi 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. Foundatio;Ls shall be completely removed from the ground. 4. All demollition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water weds must be abandoned in accordance with State Health Department regulations. 6. Inspectior4 required when all debris has been removed, before backfilling. CITY OF ORONO ri 6124730510 08/28/98 14:13 5 :11/12 NO:689 *innesota Pollution Control Agency lotification of Intent to Perform a Demolition I pe of Notification [ l Original [ J Amended [ J Project Cancellation Demolition Contractor Building Information: Name: Sift ( 6-Gz U"� r `"t j' Building Name: Ta-1ocZ i at Se-l re S(/ t�- Address: �? O 7 C�c IIj i��'t a (GAJ p f?�(J/Ave- Address/Location: C2 3© - 06,(/,e /4!/'z% S't"`-% )- MA/V City,State,Zip: (A rOA 0 Ai City,State,Zip: ` County: _ ` (9(`1i Contact Person: I Pa-irk S f et- f Phone Number(s): it 7 N 3 3 Phone Number(s): 65D-- )-(z 3 Age of Bldg.(years): Y1):1---- Size of Bldg.(sq.ft): 6 bC.' Number of Floors Including Basement Level(s): Buildi�9w�yn s j� /� Present Use of Bldg_: Name: f(vv . 1.---CA`jC) CLZ(tet S'C..t S '> Prior Use of Bldg.: r- (/ Address: 2 O o (�`� !�c/ • Dates when demolition or Intentions burning r will Begin FJ 3 &End RI City,State,Zip: D Iv O li'l !1f Notification must be postmarked or received ten(l0)working days Contact person: before demolition begins. •Sec hem flS for emergency demolitions. Phone Numbet(s): cf 7 I —©( 3 7 Both Beginning end Ending dates should be amended in writing as necessary to reflect current project dates. If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containing Material (RACM)in the building to be demolished,It must be removed by a licensed asbestos contractor prior to demolition. The State of MN- Notice of Intent to Perform aft Asbestos Abatement Project must be used to notifyfor the asbestos removal. Is nonfriable ACM prese t In the structure to be demolished ? [ ]YES NO If YES complete items 1-9. If NO complete items 3-9. 1. If ACM will be left In place for the demolition indicate the amount of Category I and/or Category II nonfriable ACM left in place. Categ.I Linear Feet Categ.U Linear Feet f _ Square Feet Square Feet Cubic Feet Cubic Feet cop ry I nnnfriable ACM means asbestos-containing packings, Category II nogfrjableACM means any material,excluding gasket,resilient floor covering, d asphalt roofing products Category 1 nonfniable ACM,containing more than one percent containing more than one percen asbestos. asbestos that,when dry,cannot be crumbled,pulverized,or *Category I nonfriable ACMIsnot allowed to remain In place reduced to a powder by hand pressure. for demolition if It is in poor c nditton. • tory nifrib o for Cademolition eglInoit it hebleas a highACM probabilitnotallywed of btoecomingremain crumbinplace led, pulverized,or reduced to a powder during demolition,transport, or disposal. (ex transit;cement,slate roofing) 2. Description & Locatlo i of ACM remaining in place(including floor#and room 10: 1 rJ/ Pt-- 1 CITY OF ORONO IN 6124730510 08/28/98 14:13 [5 :12/12 NO:689 3. Company and/or individual that conducted the building inspection and the procedure used to determine the t.- presence or absence of iCM(including analytic method): *Prior to demolition all buildings must be inspected by an EPA accredited Inspector. 4. Description of planned demolition and the specific method(s) that will be used: IJ`mkt i 0/12 a‘i-e t 5. If the demolition was ordered by a government agency,please Identify the agency and attach a copy of the order: Name: of t /2— Title: Authority: Date of Order(M/D/Y): f Date Ordered to Begin(M/D/Y): * Notification for an emergency demolition must be submitted as early es possible before demolition begins,but not later than the following working day. A demolition Is considered an emergency ONLY when the facility has been deemed structurally unsound and in danger of imminent collapse, If the structurally unsound building Is known to contain any regulated ACM or Is suspected to contain any regulated ACM,special procedures MUST be followed. If you are unaware of the special procedure; instructions/regulations can be obtained by contacting the MPGA at the address or phone number listed below. 6. Description ofproceduto be followed in the event that unexpected RACM is found or Cat.II nonfriable ACM becomes crumble,pulverized or reduced to powder: , AC6_ f 7. Waste Transporter Information: 8. Waste Disposal Information: Transported Name: S ( t- T/ tk-CctVevf( Landfill Name: 9 .44,‘ Co IA _ Transporter Contact: f _ Owner/Operator. Transporter Address: 38'710, 44.2 ( wap° U& Address/Location: City.State,Zip:_ W Q',O S 4-Q-V- ill N City,State,Zip: �-9 Fes. - Phone Number. I.„' I/ 65,2-- 2-/0Q Phony Number: 9. I certify that the above information is correct and I am a bonafide representative of the demolition contractor or building Owner and have, uthority to enter into agreements for my employer. Signature of Contractor/Ow1ner /✓ Date /7-7/ , Send or Fax to: For questions call: Asbestos Coordinator-Air Quality Division 612-296-7300 MN Pollution Contrdl Agency 1-800-657-3864 520 Lafayette Road North Fax: 612-215-1593 St. Paul,MN 551554194 .c CITY OF ORONO V 6124730510 08/28/98 14:13 51 :03/12 N0:689 - - 7. Within 5 rking days of superstructure removal, a final inspection shall be requested. The site sh ll be left clean and clear of all debris, with any excavation filled with earth level with a adjacent ground elevation (except when such excavation is to be used as part of a n w 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 gents, employees and assigns from and against all claims, damages, losses or expense, 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 V$50.00$50.00 "P'incipal Structure $30.00 - Accessory Structure o-O 1. Subtotal of above permit requested $ ,S© 2, State Surc rge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 50. S C The undersigned hrreby 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 SIGNA :"a ) Apitibi Date: 6 2-7/ OWNER'S SIGNATURE: ,_ vp. -, Date; Z`� 07 7 - 6 -31 -9b APPROVED BYE c\ (O Date: • • _ CITY OF ORONO CALLED IN DATE�� TI EO Q/d7 INSPECTION NOTICE SCHEDULED / O G PERMIT NO. 7 /h O 1. e)4 COMPLETED V ADDRESS .„Q37)6, OWNER CONT= ' ' TELEPHO NO. 1 a" c2/e23 DESCRIPTION W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 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 1...4QfMO-SITg) 27 SEPTIC MAINT. 21 COMPLAINT ✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 44 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO c.)• COMMENTS: cc W cc O cc O U W eC LU LU CC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance.473-7357 Owner/Contra U�/�`G►, n i Inspector. �� White Copyllnspector's File Canary Copy/Site Notice �G�/ DATE TIME CITY OF ORONO Qi CALLED IN 1', 12 INSPECTION NOTICESCHEDULED —( �'0 U PERMIT NO. -P' COMPLETED ADDRESS 1D`-(:),C) kk,4V _ OWNERc}.ott\Z‘•A. CONTR. ���� c\t' i,1 ,sjc TELEPHONE NO. N406/1/4 4.4) DESCRIPTION RY \ '\'-V\ 6\ W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING cc cc 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 DEMO-FIN 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W 4. cc 0 cc 0 U- W W W GW WORK SATISFACTORY:PROCEED PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance.473-7357 OwnerlContrac • • t : Inspector. • White Copy/Inspector's File Canary Copy/Site Notice