HomeMy WebLinkAbout2011-01422 - demo CITY OF ORONO PERMIT NO.: 2011-01422
2750 KELLEY PARKWAY
t ORONO,MN 55356- DATE ISSUED: 11/22/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 724 TONKAWA RD
PIN : 05-117-23-34-0003
LEGAL DESC PARTENS POINT 1ST DIV
LOT 010 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.
NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED.
CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
I �
APPLICANT
DEMOLITION-PRINCIPAL STRUCTURE 75.00
BUILDING CONCEPTS&DESIGN STATE SURCHARGE DEMO 5.00
80 E LITTLE CANADA RD#5
LITTLE CANADA,MN 55117- DEMOLITION-ACCESSORY STRUCTURE 50.00
(651)274-1894 TOTAL 130.00
Minnesota State License#:20500773 PAID WITH CC# 4172
OWNER
ZAWOYSKI, STEPHEN&SARA
724 TONKAWA RD
LONG LAKE,MN 55356-
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 time for due cause.
Applicant Permitee Signature Date Issue0y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4 �I
¢0� City of Orono (iW J" �1 FM orry USE ONLY
0 0 P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway �/ B 0
Crystal Bay,MN 55323 Amount: $T/ SAC Credit:
(952)249-4600
Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:❑Yes ❑None Required
ZoniU Disclosure Signed: ❑Yes ❑None Required
CITY OF ORONO-DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Type: [. Residential ❑ Commercial
Site Address: 72y -r4r11e!Aww— l2C�
Owner: :5hW�.A W2AQ/,S1et Mailing Address:
City: ��� Zip:
Home Phone: Alternate Phone:
NNW
Contractor/App.: 1 lot, Contact Person:
Address: cad �i�lL ?&A0-,,/,a State License#: -7-2-3
City: �-ih 1#MA9 Zip: I Expiration Date:
Phone: 4�7 11s/- a'7y7yW 1( Alternate Phone:
Maw-
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 to:
1. Submit a survey, aerial photo or sketch showing all 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
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 $ ��
550.00—Acgessory Structure x (how many) ` �U
1. . Subtotal of above permit requested ti $ o V V
2. State Surcharge 5. 0 /r
3. TOTAL PERMIT FEE add lines 1-2 above $
( ) ` , u
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 statems a e on this application are complete,true and correct.
Applicant's Signature: Date:
Owner's Signature: Date: l I
Approved By: Date: ��- 2Z - 1
(Building ficial)
* Zoning Disclosure Required? YES F-1NOO�3 Su7Gl�
*This must be filled out by Zoning Departmen —F either answer,a Zoning Oficial must sign all applications. /
X Approved By: WDate: J
(Zoning Official)
I I
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 only be disclosed by an accurate survey performed by a licensed
l) 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.
ii Hennepin County does not guarantee the accuracy 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: 11/14/2011 10:48:59 AM
EI Parcel ID: 05-117-23-34-0003 Current Parcel Date: 11/3/2011
I; Owner Name: S V ZAWOYSKI &S E ZAWOYSKI
Parcel Address: 724 TONKAWA RD, ORONO, MN 55356
Property Type: RESIDENTIAL LAK Sale Price: $400,000.00
Homestead: HOMESTEAD Sale Date: 08/2010
Area (sqft): 11537 Sale Code:
Area (acres): 0.26
A-T-B:TORRENS
Market Total: $555,000.00 Dev
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Tax Total: $5,818.62
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQ CEr T a a SCHEDULED
PERMIT NO. COMPLETED
ADDRESS 72 '-f 01L �i AcL
OWNER TELEPHONE NO. A/ 7-7 4 3Mp
CONTRACTOR +
DESCRIPTION D R
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O El 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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❑WORK SATISFACTORY:PROCEED *ROJECT COMPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. '
White Copylinspectoes File Canary Copy/Site Notice