HomeMy WebLinkAbout1994-006517 - demo PERMIT
• 1X CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 BUILDING
Crystal Bay, Minnesota 55323 Permit Number: 006517
(612) 473-7357 Date Issued: 1 -!; 1 -,:
SITE ADDRESS:
ORONO ORCHARD E'.0
P . t . N . . 0'7-117—'72.-2'7-0002
DESCRIPTION:
DEMO PR I N %? ACCESS
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Building WorkType
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REMARKS:
FEE SUMMARY:
eaSP Fe- $80 .00
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Total Fee $-80. E0
CONTRACTOR: OWNER: - Applicant --
ENGEN—K070JE0 Vii•, _tf°_
IS ORONO ORCHARD F D his'
ORONO MN 5 391
449—0S90
THE UNOER°E IGNED HEREBY REQUESTS,PERMISSION TO MAKE E THE REAL IMPROVEMENTS
,PES:IF? AND A(FEEb TO DO, ALL WORT: IN STRICT C:1II PLIZNcE WITH ALL CITY uF
iFfrNf i • ,-1 TNAN :Es AND STATE OF MINNESOTA' BUILDING CODE RE1:u I RE EHT`==.
//
ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE (/*****--
CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66
Crystal Bay, MN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
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General Instructions
1. You may be 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 notice is required for all inspections. Call 473-7357.
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JOB SITE ADDRESS: 11 01,040 o1 L Qt -0/11\r`r.
Occupancy Type: 7., Residential Commercial
OWNER'S NAME: ESS* '�3 4tdo >PSSaC c Phone: ��-d1Y
Mailing Address: 315/Yl, L. A,�� PT* /11ry' City: .53-3-ti
CONTRACTOR'S NAME: 510114013 46117c-1 Bus. No. :
Mailing Address: City:
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Demolition if planned by means of: Lmanual 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 411r
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.
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PERMIT TYPE AND FEE CALCULATION
$50.00 Principal Structure
$30.00 Accessory Structure Y-
1. Subtotal of above permit requested $ i6'O D
2. State Surcharge , $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) t $ Sp.re)
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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.
ie/
SIGNATORS OF APPLICANT Atm/
co a.. ' . 1 .A) Date: 144 k'
DATE TIME
CITY OF ORONO CALLED IN /D— /-9.f >.7%4"e
INSPECTION NOTICE �P y )6( SCHEDULED !O—1.-/
PERMIT NO. COMPLETED /0
t . A-�'d ��
ADDRESS / 40-,ZU • Z
OWNER KOpt_c_i CONTR. /17Q41,xw -
TELEPHONE NO.
DESCR1P, TION / &- �2 ✓ t
�1 •• N 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02`•G / 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 I U .TION 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
En• COMMENTS:
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W NORK SATISFACTORY:PROCEEDOJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on
Inspector.
White Copyllnspector's File Canary Copy/Site Notice