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Home My WebLink About2009-00736 - demo ' � CITY OF ORONO PERMIT NO.: 2009-00736 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssoED: 10/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1195 STARKEY RD PIN : 29-118-23-31-0002 LEGAL DESC : MINNETONKA GARDEN ACRES : LOT 001 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAM[LY HOUSES(ATT& DET NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. DEMO PRtNCIPAL STRUCTURE,GARAGE&SHED APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 VE[T COMPANIES STATE SURCHARGE DEMO 0.50 1400 VEIT PLACE ROGERS, MN 55374- MISC FEE 0.00 DEMOLITION-ACCESSORY STRUCTURE 100.00 TOTAL 175.50 OWNER Three Rivers Park District THREE RIVERS PARK DISTRICT 3000 XENIUM LANE N PLYMOUTH, MN 55441- 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 separate permits. All provisions of laws and ordinances goveming 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 180 days at any time after work has commenced. The applicant is responsible for assuring aIl required inspections are requested in conformance with the State Building Code.This permit may be r v ,ed at any ti/r�e for due cause. �1,� ^(, �. �` � ��, � �i�/ ��/ , / / Applicant P��rmitee Sig`atu Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Ci of Orono .¢O,� ty FOR�CITY U5E ONLY �� O Q P.O.Box 66 Date Received: ' � Pemtit# _Q��_"'� 2750 Kelley Par{cway 50 . � ; ; h Crystal Bay,MN 55323 ,4mouot: $ 1�5 �SAC Credit. _ �oe (952)249-4600 _ , , Homeowner(s)Signed: 0 1'es' 'Resolutiocis(if any)Sigued.[�Yes B;None�tequired Zonin Uisclosure Si'ned`. ❑Yes'[�Nbne Re uired CITY OF ORONO-DEMOLITION PERMIT (All permits must be approved by thc Building O�cial and/or Zoning Department) Type: �Residential � Commercial Site Addressc �I�5 S'K�� 1�� Owner: �c� ��u� ParK �iS.�r;G.{- Mailing Address: 3'�0 Xen;��, �G�• /U� c�ty: PI�,M��.�� z�p: ss y yl- �a 9� Home Phone: �63' ��' a��O 3 Altemate Phone: �7 6 3 '" TS 9-�°o d Contractor/App.: V Z.�" o�- Co � .�-n c.• Contact Person: � 0.� ��a�� Address: / ��0° �� P�°►� State License#: City: 1\�e�'�+ Zip: �S� �`� Expiration Date: �� Phone: �6� r `�o�� ' ��j`� Altemate Phone: 61d�' y9� ' 4��`I General Instructions: l. 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: ❑-�e a �Well Abandonment# In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows: 1. The stntcture(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 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). 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 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_�(how many) Go�� - s�►�a( (what) 1. Subtotal of above permit requested $ � �j s, o0 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ � � ��so 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: ��" �S-" �'cj' Owner's Signature: �'_ IL Date: ` Approved By: Date: i c�- � -o� (B ding Official) *Zoning Disclosure Required?' YES ❑ NO *This must be filled out by Zoning e rt -For either answ r,a Zoning Official must sign all applications. * Approved By: Date: (Zoning f cial) TIM E ✓ CITY OF ORONO CALLED IN 1��7 INSPECTION NOTI E SCHEDULED �� PERMIT NO.q� "� COMPLETED ADDRESS �� OWNER C TR. I/�L`� � TELEPHONENO. �o�a ��1 �ac�S � DESCRIPTION �. "' `�`��'�/�- �Q�C. � ❑ FOOTING � MECHANICAL RI ❑ EXCA (�iAE��' UC I Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHOR ET y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � C7 ' � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. p PHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � Y� White Copyllnspector's Ftte Canary CopylSite Notice