HomeMy WebLinkAbout2017-00205 - demo CITY OF ORONO * 2017 - 00205 *
2750 KELLEY PARKWAY DATE ISSUED: 03/23/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS 3955 WATERTOWN RD
PIN 32-118-23-32-0004
LEGAL DESC UNPLATTED 32 118 23
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.
AFTER THE FACT DEMOLITION PERMIT
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.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
BUTTERFIELD,BRIAN&JUDITH MISC FEE 75.00
5976 CHESTNUT RD
MOUND,MN 55364 TOTAL 151.00
Payment(s)
CHECK 14583 151.00
OWNER
BUTTERFIELD,BRIAN&JUDITH
5976 CHESTNUT RD
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 time for due cause. ?�W/— O 4� /ZZ
Applicant Permitee Signature Date Iss d y Signature Date
P a BOR 60
v ; 2?WKe ey FMMwy
(9249 SSJ ) aw.mc s_ snc'iy/e�dtr.
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CITY OF O-Wtoy -DE-xiMea-Vo HERMIT :P0a j-
rRt perrnec mirk ba•gppovrtl br se x+41 amm`a 7arNpitepuaaysfF
_Job Site f Owner tntonttetiort��i
Type: ;,Residentiat Commerciai
Site Address: �_`*G �
dam' Mailing Address: � j&%t PJgD(i fj f'(J
City: ���'. Zip. PRIM I I MA4j S S3S
Phone:_ -rC 1 EmaW:
rCorWactor Appkcartf p�pjkc, , i
Contractor/App- M.I (�t Person:
A�ress: '" 90ste License At.
C#y: _ Zip: ✓» ExpiuMon Date:
Phone: ( � Email:
SPECIAL 9QNWI?Q/i8 A HOLD HARMLESS AL3 IT
Genend Insbucltons:
L You may be required go obrein other permits,i.e.:wet abandotYruM sewer,es:.
2. Wbrk num mat begin uriess the pem*cards awl&d*on the job sits.
3. A 24.18 bout nobce a required for at inspections. Cal(tt62)24s4lSOD.
1- Sewer mast be*Aon rotted at the City senioe by qudr*d cmwactor before demo permit is issued.
Demolition by means& Mowll Disaseanf* N Meavy tcqup nwm ❑outer
AermN(s)tssuerkDisconnection [I wet Abaridonamit# -m pc
In mwm for Issu�f said tDemoft"Pwmlt,um undersigned owner hereby agrees to:
1. Submit a survey,aerial photo or sketch strewing sO smxwms on the property. Pate which Wusrises are
to be dem ilsh".
2. Subn*a survay,send photo or sketch showing proposed erosion control ffessures in accordance with
C./dPW 79,Corrsaoc*n Sde RWWffConad.
I Submit a copy of perm[approve)from the Mkini m Craek Watershed District(MCWD). The Cay wii
not issue a denwWw permit wkhcmA a tops of the permlt(s)hon!the MCWD or dommapaticn staff
wwriks)are not mqusad.
Form Low UAfted J*2W5
?5ff7w
4. Sebmir a 37,500 estxav and an eauav agremtr M signed by die praPNV owttat(MM MwM*-
6. 0
KeaW dunaMm►dobds 000 MM"pgmW Waft dW p tiic dQh�est�t
ep WW wft=spedlC Pdw
approval is obtak"M welling far Wtnpmw we timed.
7. caepleh►y mr we IoundmWn(s)front the gtotrtd.
a coe"mi dbpose d aN dernoWw dnbdm ad mile in aeeordaneewtth all appNcable PCA reWW"wtats.
9. AbWWW uefat wets h wco d we vier slat l a mm oa wwmt rag*dons.
10.Cal for an trapsabn when d1 dWxfx hes bean removed.before bsddiinp.
1L WV*5 woftV days or mpetasucare relfW af,a and tasspee txt 6W be 0*00" TO 50 3W be
kh cim end dear d d dWm We aft)+tdreavalimt flbd wih*a*bed wile the adpc 1 grout
etevatimn(except when such a Zon ttea k to be used as part of a new baldfrtg and aueh new balding k
wox*l WNW uxwmwow�
12.A6dwl "pdc&/swm per 1Nkv mote RWm Cl►ta(W 700. At sepbc smite mat be punpK crushed
and fled weir nowe sorb. An to pecibn is mooed cher the IwA s are pwgwd mad bdwe rhe mala we
crashed and filed.
13.The utdeaigned&wane shat and MOW does bdensil�and hold iterntlees the CIV Of Drat%its agaoft
emptoyeea and"signs horn and 1 g 1 1t al dlf m dune ons.In' ' W ertpe YMM kWkM*rg laky
lase,agatwt the Clly,ft ngm , wnow les end a ip , farming out of at resu&q from the dernoMm
dasatbad Herein as p uft ned by the ptopmtir aulm.his employees,agarnls,aadtcant sdm Of assigns.
PERART TYPE AND FEE CALCULATION
$75.00—Pcktcipai Strucxune
T;rz,;i
$50.00—Acoessory Structure x (iww MW
1. SWAW of above pa M mgtessted
2 Stele Swcharge i ='
3. TOTAL PEFWT FEE(add Imes 1.2 above)
The muralgned herby apples to the City of Orono for iss mice of a OernoWon Permit,%grabs 10 do
al the work in a skid aoeordsaraca with fire ordinarmn of 3m City and the regultdons of the State of
Minnesota,and txreiss Ztrffi ek sfadernartbr a on aepplcaaion are txrnlpiashe,acre and torre�iG
Appftoarift Sigaadma•
r
Owner's Sigee"W. '—
AWovad fay: bate: 1
0
•Zoning Dis doamrre R **od7 n YES4=0� 20 COLO v
'Trio mustbe filed out by Zaralrag Ottpewetwm—Fat a Zonft dloiai mast sign air#;piiaaiW&
tT H E L E A D E R I N C 0 N S T R U C T 1 r
807 Broadway Street NE Seite 165 Nissespolit NN $5413 T 612.623.8888 F 612.455.7381
Invoice Date Invoice#
Customer 12/21/2015 185782
B.Butterfield Landscape Service Address
3925 Watertown Rd Brian Butterfield Residence
Maple Plain,MN 55359 3955 Watertown Rd
Maple Plait,MN 55359
P.O.No. Terms Net 30
Service Date Ticket Description Unit of Measure Qty Rate Amount
12/17/2015 370916 30 Yard Container Each 1 332.00 332.00
12/17/2015 370916 Solid Waste Management Tax calculated at Yards 30 0.60 18.00
$.60/yard. This ticket includes$18.00 of solid
waste disposal tax.
12/17/2015 370916 Fuel Surcharge Each 1 825 825
12/17/2015 370917 30 Yard Container Each 1 332.00 332.00
12/17/2015 370917 Solid Waste Management Tax calculated at Yards 30 0.60 18.00
$.60/yard. This ticket includes$18.00 of solid
waste disposal tax.
12/17/2015 370917 Fuel Surcharge Each 1 825 8.25
12/17/2015 372355 30 Yard Container Each 1 332.00 332.00
12/17/2015 372355 Solid Waste Management Tax calculated at Yards 30 0.60 18.00
$.60/yard. This ticket includes$18.00 of solid
waste disposal tax
12/17/2015 372355 Fuel Surcharge Each 1 8.25 825
12/17/2015 372694 30 Yard Container Each 1 332.00 332.00
12/17/2015 372694 Solid Waste Management Tax calculated at Yards 30 0.60 18.00
$.60/yard. This ticket includes$18.00 of solid
waste disposal tax.
12/17/2015 372694 Fuel Surcharge Each 1 8.25 8.25
Project wade to date:24.41 tons with an RE C E I VE D
average recycling rate of 75.49%or 18.43 torts!
MAR - 6, 2017
CITY OF ORON
Total $1,433.00
Due to Increassd&W costs,your invoice now ieRecis a fuel surcharge.This surcharge will fluctuate wHh me cast of
diesel flue/.
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c E R I N C i N S T R U C T 1 r
807 Broadway Street NE. Suite 185 Minneapolis. MN 55413 T 612.623.6868 F 612.455.7381
Invoice Date Invoice#
Customer 12/28/2015 186137
B.Butterfield Landscape Service Address
3925 Watertown Rd Brian Butterfield Residence
Maple Plain,MN 5535.9 3955 Waterkmn Rd
Maple Plant,MN 55359
P.O.No. Terms Net 30
Service Data Ticket Description Unit of Measure Qty Rat@ Amount
12/23/2015 372150 30 Yard Container Each 1 332.00 332.00
12/23/2015 372150 Solid Waste Management Tax calculated at Yards 30 0.60 18.00
$.60/yard. This ticket includes$18.00 of solid
waste disposal tax.
12/23/2015 372150 0.15 Overweight @$38Aon Ton 0.15 38.00 5.70
12/23/2015 372150 Fuel Surcharge Each 1 825 8.25
Project waste to date:34.56 tons with an
average recycling rate of 75.57%or 26.12 tions!
RI=C IVSD
MAS E 2017
ITY OF ORONO
Total $363.95
Due to Increased fuel costs,ymw invoice now as/iects a fuel surcharge.This surcharge will fluctuate wM the cost of
dkwW fuel.
MORE. 1
q _ `'
RECEIVED
MAR - 6 2017
CITY OF ORONO
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Planning ♦ Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: March 23, 2017
G/L: 101-22205
Re: Escrow Refund
Building Permit#201400610 pertaining to 3955 Watertown Road is complete. Please refund
$10,000 to the property owner, Brian &Judith Butterfield.
Mail to: Brian&Judith Butterfield
3955 Watertown Road
Maple Plain, MN 55359
wAstreet files\watertown ni\3 Mescrow refund 2014-00610.docx
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION blOTICESCHEDULED
PERMIT NO. r 20u% COMPLETED
ADDRESS 21 "�cr4swn
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU-_YES_NO
COMMENTS:
04 A M o� 1r;u e dAa ,6e�
ff
W
O:
Q
2
W
J
a ❑WORKSATISFACTORY PROCEED OJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 lours in advance. (952) 249-4600
Owneccmu on she:
Inspector.
White Copylinspectoes File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED
PERMIT NO. MPL ED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ PLUMBING0/1-AL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNEWCONTRACTOR TO MEET YOU:_YES_NO
Zt
c2 COMMENTS:
4
cc
O
QZ
O
W
cc
Q
Z
W
W
J
d
W�XDCORRECT
RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W WORK&PROCEED L1ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. 952) -4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
v7,.--......•..., T:+.w.-y_. .,. 1 _ }.1 ..
HOUSE A.+6.�'{ .- 'if,..Pi.3yY.'lTr.-..•tt'� ..`rYi_W,y\'��G'Fr,T}iq]m.nr+.
��Ft{x.'�nwr <;,..., .•\..:_
HEATING TEST RECORD
ADDRESS APT. FLOOR-CITY SUBURB
OCCUPANT�alil A A i A OWNER +
HEAT LOSS DATE G. INST.
SOLD BY INSTALLED BY
Electrical Work'By Gas Line By APRn
TYPE OF HEAT GA FA _�(_HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION OIry Cil- U ���
MAKE MAKE OF BURNER
Model Model
Serial Max. BTU Rating
INPUT )I CM�^y�� MAKE OF FURNACE
Model
CONTROLS
THERM STAT eot Plug Vent Size t�
Valve KIND OF LINER SIZE NONE
Limit Draft Hood _Rp laror
Limit Setting 0 Filters Size� Her
Fan Setting Chimney Location Igside Outside 16��
Pilot Type r-- 1�e C Chimney Construction
Pilot Make
Pilot Model Smoke Bom Wiring
Pilot Timing Draft p DC Test Tog_ X1e
L.W. Cut Off Door Pressure Lighting Inst. Ll
Pressure -Percent CO2 /I/Z Date Tested
input CFH Percent 02 M Company TestingVA
Stack Temp/ Percent CO Name of Tester
OF
Form 235