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Home My WebLink About2010-00292 - demo . ' - CITY OF ORONO PERMTT NO.: 2oiaoo292 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEv: 04/30/2010 952 249-4600 FAX: 952 249-4616 ADBRESS : 110 SMITH AVE PIN : 02-117-23-21-0026 LEGAL DESC : ORONO ORCHARDS HIGHLANDS : LOT 001 BLOCK 001 PERMIT TYPE . �� PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY . Ce,usua co�t ��S NOTE: INSPECTION IS REQUIRED AFTER REMOVAL OF ENTIRE POOL PRIOR TO FILL POOL DEMOLITION APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 RITTER EXCAVATING STATE SURCHARGE DEMO 0.50 7120 VERNON STREET TOTAL 50.50 ROCKFORD,MN 55373 (612)477-5649 Minnesota State License#: 1921 OWNER FISK,JAMES&JENNIFER 110 SMITH AVE WAYZATA,MN 55391 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 permiu. 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 construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revo im au . / / / / A plicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � . �� City of Orono ,F CI Y SE ONLY Y.O.Boa 66 Date Received: � �Permit#dU�O'�� Y � "< � 2750 Kelley Parkway .� �� a Crystal Bay,MN 55323 Amount $��D SAC Credit: d��$o� (952)249-4600 Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required Zonin Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) 7ob Site/ Ow�er�Infarmation:�� Type: ❑ Residential ❑ Commercial Site Address: ( 1�-~� 5YY1,�'� I`��'� Owner: �S '�- Mailing Address: City: ��t,�v�.i�:' Zip: Home Phone: Alternate Phone: Contractor/Applicant Information: `` , Contractor/App.: `.�„�,,��f \�',�Z-�� -;�c, Contact Person: � Address: � (� (��t r��-�S �� State License #: � City: ��c:�c_�=��,�,+�c� Zip: �_ Expiration Date: Phone: � f{,� �.•- �' � �� L{�-; ?� Alternate Phone: ��,-�� 1, ( ;�� rF. � SPECIAL CONDITIONS &HOLD HARIIZLESS AGREEMENT 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 must be discontinued at 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 as follows: l. 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 writing 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 regulations. 6. Inspection required when all debris has been removed,before backfilling. 7. Within 5 working days of superstructure removal, a final inspection shall be requested. The site sha11 be left clean and clear of all debris, with any excavation filled with earth level with the adjacent ground elevation(except wheri 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 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. 9. The undersigned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assigns frorn 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 (how many) (what) 1. Subtotal of above permit requested $ 2. State Surcharge . $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 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: � �Q_�(� Owner's Signature: Date: Approved By: Date: y'�G -/� uilding Official) � * Zoning Disclosure Required? ❑ YES ❑ NO *This must be filled out by Zoning Deparhnent—For either answer, a Zoning Official must sign all applications. * Approved By: Date: (Zoning Official) 1 � � �� A E TIME ✓ CITY OF ORONO CALLED IN /D INSPECTION N QTICE �.c,H�ULED Q __;L� PERMIT NO. �"d��d �9��iPLETED ADDRESS ll� �i OWNER TELEPH E . . � CONTRACTOR `� �� 1 �: DESCRIPTION �f`��`7C ��! �e'�i'7 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q ti Z W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor o site: Inspector._�.� ,C��e Y� White Copyllnspector's File Canary CopylSite Notice