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Home My WebLink About2013-01014 - demo CITY OF ORONO * Z 0 1 3 - 0 1 0 1 4 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2700 SIXTH AVE N PIN : 28-118-23-42-0002 LEGAL DESC : FAZENDIN FOREST : LOT 001 BLOCK 001 PERMIT TYPE I : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE L'`[�� (.`f_�'°�,y �.L.a.rr+ �..��, i�tC,.. NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO BARN APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 STEPHENSON HOL INGS STATE SURCHARGE DEMO 5.00 LONG LAKE,MN 55356-0177 TOTAL 55.00 OWNER STEPHENSON HOLD GS LONG LAKE, MN 553'S6-0177 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci�ications,applicable City approvals,and the State Building Code. This p�rmit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of la�s and ordinances goveming this rype of work shall be compied with wheth�r or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days pf the date of issuance,or if construction is suspended for a period of 18�days at any time after work has commenced. The applicant is responsible r assuring all required inspections aze requeste conformance wi�h the State Building Code.This permit may be revoke a y time for due cau e. A 1 t Permitee Si re /D� / �� " /�/ �—J pp Issue y Signature Date S�PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . , � � �O . ` City of Orono usE orrLY� �-p� /� 1�., P.O.Box 66 Date Received: Permit# � v O6 V 2750 Kelley Parkway � Crystal Bay,MN 55323 Amount: $ �P'� SAC Credit: (952)249-4600 � � Homeowner(s)Signed: ❑Yes ye� �,� Resolutions(if any)Signed:❑Yes ❑None Required IqKFSH�� Zonin Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (Ail permits must be approved by the Building Official and/or Zoning Department) .�ob:=Site.l O ner�info�rrna#ion: Type: �Residential ❑ Commercial a � a� �- �,�n � �.p r� Site Address: � I J V T � "� � � Owner: S a I S Mailing Address: oZ.�'(b � �� c�ty: � o�� z�p: S��b . /�� A, Phone: � (a—� 7�- Ya�tB' Email: �� v��"""' � �� '� . � ��r�tractor! ';PPlican'�1��arrna�i�n: . - Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Email: <��a��i��'C`��1��I�S=��`��`��,,.' .`�1'��',�. General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required for all inspections. Call (952) 249-4600. 4. Sewer rnust be discontinued a#the City service by qualified contractor before demo permit is issued. Demolition by means of: ❑ Manual Disassembly ❑ Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are to be demolished. 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with Chapter 79, Construction Site Runoff Control. 3. Submit a�copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s) are not required. t • • 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 6. Keep all demolition'debris off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 7. Completely remove foundation(s)from the ground. 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 9. Abandon water wells in accordance with State Health Department regulations. 10. Call for an inspection when all debris has been removed, before backfilling. 11. 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). 12.Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed and filled with native soils. An inspection is required after the tanks are pumped and before the tanks are crushed and filled. 13. 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 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. PERMIT TYPE AND FEE CALCULATION ❑ $75.00 — Principal Structure $ $50.00 —Accessory Structure x�(how many) �� ' � � 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 5�• � The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all the work in a 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. . Applicant's Signature: � Date: �J v �� Owner's Signature: Date: Approved By: Date: (Building Official) *Zoning Disclosure Required? ❑ YES NO *This must be fitled out by Zoning Department—For ei e nswer, a Zoning Official must sign all applications. *Approved By: Date: (Zoning Official)