HomeMy WebLinkAbout1997-009567 - detached garage - demo .
- PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
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Crystal Bay, Minnesota 55323 Permit Number:
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: . ' -
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� APPLICANT/PERM EE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORO�'O APPLICATION FOR DEI�IOLITION PER�tiYIT
P.O. Box 66 (2750 Kelley Parkway) '
Crystal Bay, MN 5�323
SPECL4L CONDITIONS & HOLD HARi�1LESS AGREEMENT'
General Instructions
1. You may be required to obtain other permits, i.e. burninJ, well abandonmment, etc.
2. Work must not be�in 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. + �j��:ti; r�r,�� ����.-' �- �� '� '�
Occupancy Type: _�Residential Commercial
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Oti�'ER'S NQutiLE• >�' -,���`�_ Phone: �'-��-�, �;J� ,�
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Mailin� r�ddress: ;.Z_' `� ��,n� '�,:, ` Ciry: m ,�c���,
CONTRACTOR'S NAlI�IE: .� � �_�; � ���tt�. Bus. No.: �-;��2��- �`i'13
Mailing Address: e����`� r� ��ti ���,,_ ::z,���_� City: -��>>=��,,�_�.�_,, +�=�i
Demolition if planned by means of: manual disassembly
heavy equipment
bumin� (by fire department)
Permits Issued:
# Burnin' 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 writin; 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 re�ulations.
6. Inspection required when all debris has been removed, before bac�illing.
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7. Within � workin� 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 buildin� and such new building is actually under construction).
8. The undersi�ned owner shall and hereby does indemnify and hold harmless the Ciry of
Orono, its agents, employees and assigns from and aJainst all claims, damages, losses
or espenses, including attorney fees, aQainst the City, its aQents, employees and assians
arisin� out of or resultin' from the demolition described herein as performed by the
property owner, his employees, a�ents, subcontractors or assigns.
PER�I�IIT TYPE AND FEE CALCULATION
�50.00 -�Principal Structure
�$30.00 - Accessory Structure G�-�'.��-e-P-��rJ'.�
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1. Subtotal of above permit requested $
2. State Surcharje $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersigned hereby applies to the Ciry of Orono for issuance of a Demolition Permit, a�rees
to do all work in strict accordance with the ordinances of the Ciry and the re�ulations of the
State of Minnesota, and certifies that all statements made on this application are complete, true
and correct.
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A.PPLICANT'S SIG�'AT'URE: - `�X "' Date: ��= �`�/`���
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OtiViYER'S SIGNAT'CTRE: , ��-� � Date: �c� �'1
APPROVED BY• Date: �n - zy- �i 7