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HomeMy WebLinkAbout2009-00384 - demo CITY OF ORONO PERMIT NO.: 2009-00384 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/07/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 4655 TONKAVIEW LA PIN : 07-117-23-32-0064 LEGAL DESC N/A LOT 000 BLOCK 000 PERMIT TYPE DEMOLITION PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY 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 PRINCIPAL STRUCTURE AND ACCESSORY STRUCTURE(GARAGE) APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 FARR CONSTRUCTION STATE SURCHARGE DEMO 0.50 5888 45TH ST. SE P.O.BOX 277 DEMOLITION-ACCESSORY STRUCTURE 50.00 DELANO,MN 55328 TOTAL 125.50 (763)972-2220 PAID WITH CC# 9875 Minnesota State License#: 7188 OWNER MEYER,DENNIS 4680 NORTH SHORE DRIVE MOUND,MN 55364 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 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked/at any timeforforr due cause. �N phplu Applican"etmitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AWDVE. 1 >/ 0 0 City of Orono FOR CITY USX ONLY �¢ �O P.O.Box 66 Rafe iteceived: Perrni # 2750 Kelley Parkway aj Crystal Bay,MN 55323 $ ?� (952)249-4600 `vsao�� Hom ovaier(s)Sipe& �'Yii , Resolution:'(if any)SiS4�&'0 Yes '1466 Required Zoning Disclosure Si ed: es ©None vjr4"' CITY OF ORONO -DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Type: Residential ❑ Commercial Site Address: SS Tek, Q teO L �0�0 Owner: J-' ,Mt S e L1 LO(� Mailing Address: City: w Zip: SSS 3 Home Phone: Alternate Phone: Contractor/App.: QkJ.-V— C 1D1n-.>' ' Contact Person: w CeQ Address: S$38 �!5t�' ��. S� State License#: 7 1 S?3 City: D'P— JJ*16 Zip: 2563 213 Expiration Date: 0261 Phone: 96-1 • 70 1 • q -781 Alternate Phone: _7�13•g 7 -J94 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 Meavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# In 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. 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. 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) (oao./thc (what) 1. Subtotal of above permit requested $ 1 L5-. o 0 2. State Surcharge $—17, .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ Z5. SV 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: tAw/gk Date: -7 • 7- o7 Owner's Signature: �. �,,,,,,,,� ,�,, �2,,,�, Date: -7 . _ 05 Approved By: Date: -) - t�q (Building Official) * Zoning Disclosure Required?0 YES ❑ NO *This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications. * Approved By: (� T Date: '1 •-t • J� (Zoning Official) V CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICE SCHEDULED PERMIT NO.Ze 04- 003 S L/ COMPLETED Z ADDRESS ybSS T0/w-A4lc -J L.4r­ OWNER TELEPHONE NO. CONTRACTOR >; DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q El FRAMING El MECHANICAL FINAL El TREE REMOVAL Z [I 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 1:1PLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W W cc O O W O W W cc Q Z W W W Lij ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract7 si Inspector. �� White Copy/Inspector's File Canary Copy/Site Notice