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Home My WebLink About2010-00562 - demo CITY OF ORONO PERMIT NO.: 2010-00562 � 2750 KELLEY PARKWAY . ORONO, MN 55356- DATE ISSUEn: 07/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3423 SHORELINE DR PIN : 20-117-23-12-0034 LEGAL DESC : REG. LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : COMMERCIAL-BUSINESS � CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING& STRU + ' NOTE: INTERIOR DEMOLITION OF SOME WALLS ONLY �},�. 3`�Z``� APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 75.00 SADIO PUNJANI STATE SURCHARGE DEMO 5.00 1337 MOUND TRAIL C TOTAL 80.00 CENTERVILLE, MN 55038- (612)490-9161 OWNER Brook Investment Group LLC 34321 MYRTLE LA UNION CITY,CA 94587- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wi the State Building Code.This permit may be revoked at an ti �'or cause. / / / / A plicant Pe i 'gnature Date Issued y Si tu ate _ SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. � � � � �� I►� „¢ �;,.\ Ci ofOrono ' �� '0 _�� ry FOR CITX USE ONLY /D� � � , P.O.Box 66 '0: �';; Date Received: Permit# � � 'ii .t,,.. � 27�0 Kel ley Parkway �� {.� i'y�'.,' ��' Crystal 13ay,MI�'S5323 Amount: $�"SAC Credit � '' � •:.Ec' (952)249-4600 .�"�a4' I-Iomeowmer(s)Signed: .�3`es� N/�' Resolutions(if any)Signed:�Yes,��one Required 2anin Disctasure Si ned; Yes.�f�ToneRe uired ��o '� fJ e.W�-�� P <5 on�-2 W.4c-C.S CITY OF ORONO- DEMOLITION PERMIT �N L Y (All permits must be appro��ed by the Building O�cial and/or Zoning Department) Job Site/�Owner�Infori�ation; �'` -�� ' � r� ON� Type: ❑ Residential Commercial Site Address; �S� '�i;5��'Nl� ��ti��` �1�G�c �Iq-P�- -�U�� V.�1� �„ � � � � O�vner: � � - { � � , I�'E" Mailing Address: ��3 � r✓1 w�� t�.A i , City: �L'�� Zip: C<NYF�'�1:��1� � �^' ;�`� Home Phone: CI�_� -T 'U� �� " Alternate Phone: 7 TC'- 1 S�(—� 2.2� , � Contractor/:Applieant Informatzon:,: Contractor/A . Contact Person: C '�� pP Address: I�� MG�� 2��L- �State License#t: City: �C'�'�� Zip: ' E:�piration Date: � I �; ._ -�5,�_gz�-cr � � ��`�' �. Phone: Alternate Phone: CI Z- ��i c�r ,;.�,.S.PE'GI�.,G�O „� . . :�. `-��.:• T ' � _..� ESS�AGREEMCNT General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Worlc must not begin unless the permit card is available on the job site. 3. A 24-48 hoar notice is required for all inspections. Call (952) 249-4600. 4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued_ Demolition by means of: [ �Ianual Disassembly ,❑ Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# ln 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. , � , � i� , E •d sss�Ezt s�sai de� ��o oi zo t�r • r 1 � 2. Demolition debris�vill be kept off adjoining property and/or the public ri�hts-of way unless specific prior approval is obtained in writing for temporary use thereof. 3, Foundations shall be completely removed from the ground. 4, A(1 demolition debris shall be eompletely disposed of off site in accordance �i-ith al( applicable PCA requirernents. 5. Water��ells must be abandoned in accordvlce with State Health Deparnnent regulations. 6. [nspection required�vhen 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 ��ith 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. Septic systems must be abandoned per vlinnesota 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. 9. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents; employees and assibns from and against a(1 claims, dama?es, 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 propert}� owner, his emplo}�ees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION �75.00 —Principal Structure �N�Yz-io2 ��s ❑ $�0.00 —Accessory Structure (how man� (what) 1. Subtotal of above permit requested $ 2. State Surcharge ' $ �.00 3, TOTAL PERMIT FEE (add !ines 1-Z above) $ The unders�gned 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 ertifies that all statements made on this application are complete, true and correct. , � . Applicant's Signature: -�� Date: � �� L�� l - - i Owner's Signature: '"�� ,� Date: 7 �Z Z�I� ' Approved By: �'�� Date: � - 6 -- �� ( ui]ding Officiai) * Zoning Disclosure Required? ❑ YES ❑ NO '�This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications, * Approved By: `� �� Date: (Zoning Official) Reset Form ; Z 'd S9S�bE�i StrEZ T dL�b �t�0 0 T ZO i�C (� , � v � � DATE TIME CITY OF ORONO CALLED IN � �-� I � INSPECTION NOTICE SCHEDULED 7 � PF^""�T NO. an/��5��OMPLETED �� l.J` /�, �- �DUntSS ,�L l�Id✓'P�ll�l� L�./ l li'� OWNER , TELEPHONE NO. ��a"�90-91� CONTRACTOR �D �; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADWG/FILLING Q ❑ POURED WAL� ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�O � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � d /� � ❑WORK SATISFACTORY:PROCEED �E,/ 7�PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SI SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ��CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site• Inspector. White Copyllnspector's File Canary CopylSite Notice