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HomeMy WebLinkAbout1993-005553 - demo principal & Acc PFRMIT CITY OF ORONO PERMIT TYPE: 0 2750 Kelley Parkway • P.O. Box 815 t 1t� Permit Number. i t;555 I N55: Orono, Minnesota 55356-0815 Date Issued: (612) 473-7357 SITE ADDRESS: 745 ORCHARD PK RD LSV P . I .N. : 31-118-23-11-0003 DESCRIPTION: DEMO PRINCIPAL & ACC Building Permit Type DEMO/PRINCIPAL E:ui ldina Work Type DEMO-PRINCIPAL REMARKS: FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND & DISPOSED OF OFF SITE PER PCA REGULATIONS . WELLS MUST BE ABANDONED. INSPECTION BEFORE BACKFILL. FEE SUMMARY: Base Fee $80 .00 Surcharge rash Total Fee $80. 50 CONTRACTOR: O ER- — Applicant — N LARRY 745 ORCHARD PK RD ORONO MN 55356 (612)47'2-6262 $ - T` r . La . . }. THE I BY HER QTS TERMS N . TO f `HE REAL. IirROVEMENTS SPECIFIED AND aAG E> ThiLL KT I 'TRIC COMPLIANCE='WITS .L CITY'OF N' O DII ANCE � STAT'i.', STA tILialNS' CODE RE I NTS. 4,6 CIA)) APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE r 2ITY OF ORONO APPLICATION FOR DEMOLITION PER:._T_T 2.0. Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 AGREEMENT SPECIAL CONDITIONS & HOADn - ************************%*********** * *** �************************** General Instructions 1. You may be required to obtain other permits, i.e. burning, well j 2 .J 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 SITE ADDRESS: --7S ©hcl.sFgD Pf-R-K 12---CAO Occupancy Type: X Residential Commercial OWNER'S NAME: OW-7H 1 N7_.5 Phone: r&/2)4-1Z_-6,16 Mailing Address: (gpc1 5i4�Ct..Jb L r ity: pAourvi0 CONTRACTOR'S NAME: Bus. No. : Mailing Address: City: *************************************************************************** Demolition if planned by means of: burning disassiby mblye e _hheavy ) equipment X. Permits Issued: Bt tL s:/ -r7/Fire Department IBJ. ( - JJ- 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). /4ip/mjJ i- z?'9 3 ,05� � 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 attornei- fees, against the City; its agents, employees and assigns arising out of or resulting from the demolition described herein as performed bl the property owner, his employees, agents, subcontractors or assigns. **************************************************************************1. PERMIT.TYPE AND FEB CALCDLATI - - $50. 00 Principal Structure $30.00 Accessory Structure 1. Subtotal of above permit requested $ 3O• 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 0 Sv *************************************************************************** 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. SIGNATDOF APPLICANT:40 Date: `7 g B • • •