HomeMy WebLinkAbout2006-P10488 - demo PERMIT
�ITY 'OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P1o488
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 10/30/2006
SITE ADDRESS: 1447 Park Dr Unit#
Mound,MN 55364
PID: 07-117-23-42-0021
DESCRIPTION:
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Proposed Use: Residential
Permit Class: Building
Permit Type:
Demolition Permit Sub-type(s): Demo-Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells
must be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 30.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Michael Gallus Construction Inc. OWNER: Mark&Pamela Palm
6306 Ehler Ave. 1447 Park Dr
Delano,MN 55328 Mound,MN 55364
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.
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APP CANT PERMITEE SIGNATURE I SUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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+ CITY OF ORONO APPLICATION FOR DEMOLITION PER�I�I�T
P.O. Box 66 (2750 Kelley Parlcway)
Crystal Bay, NN 55323
SPECIAL CONDITIONS & HOLD HARI�ILESS AGREEiVIEN'T
General Instructions
1. You may be required to obtain other pernlits, i.e. well abandonment, etc.
2. Work must not begin unless the pernlit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (952) 249-4600.
JOB SITE r1DDRESS: 1��7 71-'4- i�iC '1Z�2.i u�
Occupancy Type: �_Residential Commercial
OWNER'SNAME: 1�Zc�.�. /� o_,,.� ��u.�... ���� w, Phone:�Pl2� o� � ����
MailingAddress:��y� �ark �+ City: D�-��.� u
�u1�1'a'�C'�'O][�'S 1�1AIVI�:y'�I s:1.1�� Ca�I�s ��k s�-�►� Bus.No.: �/2-7v�-�i 7�E,
Mailin�Address:�'p�c%�, � .,�.�� City: ��I a--w �'�r� ti`S 3.�g
Demolition if planned by i7leans of: manual disassembly
�_heavy equipn�ent
Perniits Issued:
# Well Abandonu�ent
In retunl for issuance of said Demolition Pei7nit, the uudersigned o�vner hereby agrees as follows:
1. The structure(s) shall be kept enclosed aud/or secured until such time as demolition is
complete.
2. Demolition debris�vill be kept off adjoinin�property and/or the public rights-of-�vay unless
specific prior approval is obtained in writing for temporary use thereof.
�. FCL121G�atio�zs shall be cc�mpletely removed from the ground.
4. All demolition debris shall be completely disposed of off site iu accordance with all
applieable PCA requirements.
5. Water wells must be abandoned in accord�nce with State Health Department regulations.
6. Se�ver and�vater inust be disconilected at the servic�s at the street by qualified contractors.
7, Inspec�ion required when all debris has been removeci, before backfillin�.
8. Within 5 working days of superstniciure 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 acnially under constniction).
9. The undersigned owner shall and hereby does indemnify and hold hannless the Ciry of
Orono, its agents, employees and assigns from and aQainst all claims, damages, losses or
expenses,including attoniey fees, a�ainst the City,its agents,employees and assigns arising
out of or resultin�from the denlolition described herein as perfonned by the property owner,
his employees, a�ents, subcontractors or assigns.
10. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic taulcs must
be.pumped,crushed and filled�vith iiative soils. An inspection is required after the tanlcs are
pumped and before the tanks are cnished and filled.
PERMIT'�YPE AND FEE CALCUi,ATION
$50.00 - Principal Structure
� $30.00 - Accessory Structure
1. Subtotal of above pernlit requested $
2. State Surchar�e $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersi�ned hereby applies to the City of Orono for issuance of a Demolition Pennit, agrees to
do all worlc in strict accordance with the ordinances of the City and the regulations of the State of
Mirulesota,and certifies that all state lents made on this application are complete, true and correct.
APPI.,ICAN'T'S SIGNA'TiJR�: � Date: �d � �?I • ��'
��1i �1�'S SIGNA'�'iJ�; Date: ��• `L 3 • ��o
�pp�pi����`�'; Date: (�o•2 S-0 k
uilding Ofticial)
*��1�1�1�1�s��S�C����J� $��EQLT���`� ❑ �'�E� i � �
* This Must Be Filled Ou( By Zoni�la Department - Fo� ither nswer, A Zoning Official i�lust Sign All
Applications
�:��R�����': Date: � �> l/�
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WSPECTION NO�CE SCHEDULED i/-"3�-��/'o �;�`.�✓(
PERMIT NO. !"I U j�� COMPLET
ADDRESS ��U 7 /�Gc�K �j� •
OWNER CONTR.�lV� , �rp- �(�a C�h5�.
TELEPHONE NO. �D (.� 7�i�f �'f 7�''l Co
� DESCRIPTION ��,� �U� - i� �-�-E�.� �tivC
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SIT 27 SEPTIC MAINT. 21 COMPLAINT
� EMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLU 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C, ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on s' e: �
Inspector. �
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