HomeMy WebLinkAbout2003-P06025 - demo PERMIT
CITY OF ORONO Permit Number:
275G Kelley Parkway - PO Box 66 Po6o2s
Crystal Bay, Minnesota 55323 Permit Type: Demoi�t�on
(952) 249-4600 Date Issued: 2iioi2oo3
SITE ADDRESS: 2800 Pheasant Rd
Excelsior,MN55331
P I D: 21-117-23-32-0004
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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mist be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 50.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: �'�'ickenhauser Exc. Inc. OWNER: James&7ames Echtenkamp
350 Villa Drive 120 Birch Bluff Rd
Cologne,MN 55322 Tonka Bay,MN 55331
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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APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE
Copies: 1-File(SiQnitures ReAuired), 1-ApplicanL 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Feb-06-2003 09:41em Fram-CITY OF ORONO +9572494616 T-891 p.00�/011 F-301
C�Ty pF ORONO APPLYCATIOl�i FOR DEMULITION PER�T
P.O. 8ox 66 (2750�F11ey Parkws3r)
Crys�lBaye MN 55323
SPEC��L CdNAT�I4NS &�TOLA�ARMLESS ACREEMENT
GeneraL Instructioas �
�, Yau may be r�quired to obtain�otl�er permits, �.e.wel�e�bendotu�ament,cta.
2, Work must r�c�t beginunloss tbe p�it card is av�ilabl.e on tl�e,job site.
3. A 24 hoiar noticc is rtqvited fo afl inspections. C��l(61 249-�60�.
�����' �c
dOE 3Y?E AnDRESS: .. S� � '�-4+Sdh/
Occupaacy�p�: _ C�,Aesiderftial Cqmiaercial
OW1�ER'S NA1viE;_ o� � ' �O N I^EIC����h Phone: 7G 3- b^u`~�-/GS�
Mailing Address:� .�5 5 9 v City; �d
CONTR.r�CTOR'SNAME• � � f? 4S� ���ucs.No.: S - yGl� -�S'�i.S`.3
Ivlailin�Address: 3Sa ' City: v"s 3a z
Demolition if pl$nn�d by mea�ns of: m�ual,disassembly
�k��vy eq,ui,pmcnt
Permits Issued:
# 'We11 Abandonm�t .
In re�.um for issuane�af said Dem4lition Permit,the ustdersig�ed owuer het�eby agrecs as follows;
1. 3'I�e stiv.ctur�(s� shall be kept e�c�oscd an.dloz s�cured until sueh tizr�e as demolition is
complete.
�. I]emolition debsis wx�1 be kept offadjoining properiy and/or the public�zghts-of way ualess
s�ecific prior approval is obtaiae�in Writing for temporary ts5e�ereo�
3. Foundations shall be�om,pletcly xe�oved from tho greu�d.
4. A).1 demolition d.ebris shall b� eompletely disposed o� o�f sice in aceot�darice with all
applicable PCA requirer�ents.
5. Water wells must he abandoned in accordancc wiih State TrIealr�Departme�t xegulanons.
6. Irsspection rwquired whea ali debris has b�e�,removed,befoxe b�.ckfilling.
�
Feb-06-2003 OA:41ao F�am-CITY OF ORONO 4952Z494616 T�801 P.00a/O11 F-301
7. `Nithin 5�uvc�rking day�of su,perstr�tch�remov�l,a fi�l ia��ecaon shall bt requested. The
site shail be Iaft clean and cIcar of all deb�is,with any excavadoa�il�ied with earth level with
the ac�jactac grou�d elova�kiou(except whea suoh eaocavation is ta be used e9 part of a mew
buildiag ea�.such aew building is actuslly uader annstruction).
8. The undexst�ned owaer shalt �ad hereby does indemnify a�d hold batmless the Ciiy o£
Ororio,irs agents� ernployeee aad�ssi�s f=om and agafnst all claums,damages, losses or
expee9es,i�ctu�diug a�roorney#�e0�agaiast the City,ite�gen�,em�loyees aad a�si�s arisin,g
out of or resniti�g fr�a�ttl�e dennalitioa describcd h�rei.n as pez�ormed by thc propmrly owner,
laiis employ�s,aget�ts,subcontr�ctors or assigns.
9. Septic systems mustbe abandoned pec MiAaesotaRules Chapter 70SU. AU septi.c 1�ks must
be ptivaped,cru�shed and flllcd vv�thnative sails. An inspat�on�s�equited a�berxhe ta�aks are
pumped and befoxe the tanks arc crushed and filled.
PERNIIT T'XP�AND F�CALCUi.ATI0�11T
„� $S0.4Q� Pxi�ncipal Structure �
,�,^ $30.Od,A�cessory Sfxuctu�
i. 3ubtotal o£above peimit�cequested $ �D, �
�. Staze Snrcbarge $ _50
.
3. TOTAI,P�iRMIT FEE(add liaes 1 Z above) $ Cr�� �..�C�
The uadersigned h�;eby applies to tku C�ry o�Oreno for.isswu�uce of a Demolidon Pe��agrecs to
do all work 3a staet accordance witt�the ordivances of the�C�ty and the regulatioas o�the Stau of
Mianesota,�a,d cerkifies that sll ststetaents made oa this ap�lic tion arc coatp�ete,true a�d.corr�ct.
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���rcAt�rr�s srGN��: G�� Da�: � - (�—d
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O'�'VNER'S SIGN�TirRE; � N �;
�1PPROTiTED BX: �, Ds�; 2- b -o�_
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p w N-e�. ln�s f3�� ..k�� � � ut—ft-� u�'�.0 �vt.o ee�5
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• ����� Date 2/�3
1 Number of pa�es inGudir�g cover sheet
TO: Clty Of Orono FROM: Paul �ckenhauser
Wlckenhauser Excavating,
Inc.
350 Villa Drive
Cologne, Mn 55322
Phone 952-249-4600
Fax Phone 952-249-4816 Phone 952-466-5653
Fax Phone 952-468�5525
� CC:
RE1I�ARKS; � Urgen! ❑ For your review [] Rep/y ASAP ❑ Please Commenr
Enclosed is permit application for demolition.....,.Can we send you the check and have you send us the
permlt??????
Let me know what needs to be changed.
JoAnn
(.� �-���� I�Ice, 1�-�sr ��� D�Y ��
DATE TIME v
CITY OF ORONO CALLEO IN � /3'��
INSPECTION NO�CE 'C SCHEDULED .? -/y-0; Lc�'vI
PERMIT N0. � �J COMPLETED
ADDRESS � 7� ��� ����' ':%��
OWNER CONTR. �{�r"�; I( t.����- �i k�S�'i" �'� ,
TELEPHONE NO.���� � �C� � 7��11�
� DESCRIPTION ��/�!�I�.i
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
EMO—FIN 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PL ING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOfiARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call forthe next i spection 24 hours in advance. (952� 249-4600
OwnerlContractor o 't
Inspector.
White Copyllnspector's File Canary CopylSite Notice