HomeMy WebLinkAbout2012-00094 - demo CITY OF ORONO PERMIT NO.: 2012-00094
- 2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: 02/08/2012
952 249-4600 FAX: 952 249-4616
ADllRESS : 40 STUBBS BAY RD S
P1N : OS-117-23-12-0009
LEGAL DESC : AUDITOR'S SUBD.NO.203
: LOT 043 BLOCK 000
PERMIT Tl'I'i; : DEMOLITION
PROPERTY'I'1'���:; : RESIDENTIAL
CONSTRUCTI(>;� : '�'PE : DEMO-ACCESSORY STRUCTURE
ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES
NOTE:
l. POU�'I�;�'! !r '' 'i I,DGMO DGBRIS TO BG REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. INSPL:C I I� ' :I;BEFORG I3ACKFILLING.
DEMO/I:LMOV'I: `=''���� �
� !'I'LICANT DEMOLITION-ACCESSORY STRUCTURE 50.00
WEATI IGK-I i � , ! ORS
5113 W. 98T1 I S � ; �76 STATE SURCHARGE DEMO 5.00
BLOOMING'IO':. ��t37- TOTAL 55.00
(952)564-763-i PAID WITH CASH 55.00
Minnesota Statc I.:�_�•�� -��#: 2663865
OWNER
DUNN ETAI., �.� ! '.
40 STURE3S I'��'�� '
MAPLI� PLni:�:. � � -�?-
ACREI:,`�! ,NDSWORNSTATEMENT
The work for wiii�l��r.,, it is issued shall be performed according to
the approved plans an�;�� �,���'�ications,�pplicable City approvals,and the
State 13uilding Cu�l�. �I I�� �-��;it is fbr unly the work described and does
not�rant permi:��„n ;�������� ���I�r rclatcd work which requires separate
permits. /�II pn�����-.�� � � � ,ind ordinances governing this type of work
shall bc a�mpi<<I ���� � �r nut spccif icd herein.This permit will
expirc.in�l hrc;���r �� � ;I�rnnstruction authorized is not
commcn��d��iil,��� ' ��Jalcofissuance,orifconstructionis
suspendu�.f4�u��:r��.� ;at any time after work has commenced.
The a�,�1ir .r�> ;suring ail required inspections are
re staf i�i c����,� � � State I3uilding Code.This permit may be
�
r ok d t an� i i� r i / �: . �
� `� � C> �a�'�. ' � �
f1 Iicant , . � Date IssuedBy i nature e
_ _ . _
�I:,\TL PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV
Hennepin County Property Map Print Page 1 of 1
r
Hennepin County Property Map - Tax Year: 2011
The data contained on this page is derived from a compilation of records and maps and may contain discrepancies that can onty be disdosed by an atcurate survey pertormed by a licensed
land surveyor.The perimeter and area(square footage and acres)are approximates and may contain discrepancies.The information on this page should be used for reference purposes only.
Hennepin County does not guarantee the atcuraty of material herein contained and is not responsible for any misuse or misrepresentation of this information or its derivatives.
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Selected Parcel Data Date Printed: 2/8/2012 11:52:27 AM
Parcel ID:OS-117-23-12-0009 Current Parcel Date: 02/03/2012
Owner Name:WELDON H DUNN ETAL
Parcel Address:40 STUBBS BAY RD S,ORONO,MN 55359
Property Type: RESIDENTIAL Sale Price: $0.00
Homestead: HOMESTEAD Sale Date: /
Area (sqft): 113389 Sale Code:
Area (acres): 2.60
A-T-B:ABSTRACT
Market Total: $453,000.00
Tax Total: $4,646.78
http://gis.co.hennepin.mn.us/HCPropertyMap/Locator.aspx 2/8/2012
l
O,¢��O City of Orono FOR CITY USE ONLY
P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
���� Crystal Bay,MN 55323 Amount: $ SAC Credit:
(952)249-4600
Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:❑Yes ❑None Required
Zoni Disclosure Si ed: ❑Yes ❑None Re uired
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Departrnent)
Type: [�]"Residential ❑ Commercial
Site Address: 4��;5%���5 ��i ��� '
,
Owner: �/'����� .���N� Mailing Address:
c�ry: r'Yc�Nv z�p:
Home Phone: ��2 � `�,3- ����- Alternate Phone:
� 1
Contractor/App:•���,���'—��J �- ContactPerson: �(/�rz/ ��C�CC�
�}�I��l:02 S'
Address: 5//3 (.J �������.5?� �/7(a State License#: `-��3�'s�
City: ���m.�,�t�.,.. Zip: .5�� Expiration Date: 3 l �� � v�0�2
Phone: ,�'/5�- S�� �63� Alternate Phone: 7��3� 2 ZCs -/��'/�
. .
, . _ ,. . ,.� - . ,.�::
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: ��ZVlanual 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 a11 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$2,000 escrow and an escrow agreement signed by the property owner.
4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
5. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific ti
prior approval is obtained in writing for temporary use thereof.
6. Completely remove foundation(s) from the ground.
7. Completely dispose of all demolition debris off site in accordance with all applicable PCA
requirements.
8. Abandon water wells in accordance with State Health Department regulations.
9. Call for an inspection when all debris has been removed, before backfilling.
10. 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).
11. 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.
12. 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) ��a��
1. Subtotal of above permit requested $
2. State Surcharge 5.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ � � . �J`—'
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 stat�ments de on this application are complete, true and correct.
�w.''1
1 �
Applicant's Signature: ���G Date: � ` � ��� '�
✓ �
Owner's Signature: Date: � � ��i
Approved By: � � Date: Z " �" Za� z-
(Building Official)
* Zoning Disclosure Required? ❑ YES �NO
*This must be filled out by Zonin�Department—For either answer, a Zoning Officia] must sign all applications.
* Approved By: �(V� ����jj�-- Date: 2"�� � Z--
(Zoning Official)
Client
• Projed � � � �
Date
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