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Home My WebLink About2014-00569 - demo CITY OF ORONO * 2014 - 00569 * 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2014 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-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO(1)ACCESSORY STRUCTURE APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 STATE SURCHARGE DEMO 5.00 BUTTERFIELD,LOREN V TOTAL 55.00 3955 WATERTOWN RD MAPLE PLAIN,MN 55359- Payment(s) CHECK 13859 55.00 OWNER BUTTERFIELD, LOREN V 3955 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 r yoked at any time for ue c se. rmitee i a e Date Issued JYy Signature Date • k i O City of Orono FOR gITY U E ONLY P.O.Box 66 Date Receive it# 2750 Kelley Parkway Crystal Bay, MN 55323 Amount: $ SAC Credit: (952)249-4600 Homeowner(s)Signed: ❑Yes �<n Resolutions(if any)Signed:❑Yes ❑None Required t�kfSHOIZoning Disclosure Signed: ❑Yes ❑None Required CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site /Owner Information: -Type: Residential ❑ Commercial Site Address: LJIJ PAX-0, KAA- - Owner: �� Mailing Address: VT&,aj P,0 City: �` r�/1�.. Zip: �v53 Phone: IQ*ai=�.. 3 Email: 67J 8 L k- ? Contractor(,Applicant Information: Contractor/App.: Contact Person: Address: sw State License#: Goe City: OV-000 Zip: C� ') Expiration Date: Phone: Email: SPE-CIAL COWDIT ONS r�t10LD ►1Fl:MLESS RE'E EDIT 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. Derx olition b means of: ❑ Manual DisassemblyHeavy 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 copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s) are not required. 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 6. 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. 7. Completely remove foundation(s)from the ground. 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 9. Abandon water wells in accordance with State Health Department regulations. 10. Call for an inspection when all debris has been removed, before backfilling. 11. 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). 12. 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. , 13. 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) 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �"J�•d 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: amp Date:. Owner's Signature: 1A Date:-\ r � Approved By: Date: l2 - 2 ( ilding O icial) *Zoning Disclosure Required? ❑ YES ❑ NO *This must be filled out by Zoning Department— For either answer, a Zoning Official must sign all applications. * Approved By: M L Date: (Zoning Official) DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE L_ SCHEDULED -�,� c PERMIT NO.�G��. 61 COMPLETED ADDRESS 3.?5— ��11� e��ti OWNER ��A%$ l- 7 SHONE NO. CONTRACTOR X DESCRIPTION 4f d1b 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ELATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v L ❑ WATER HOOK-UP feOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL .=.1 ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENT& Lu cc W �• � 'f/f�s 7`��le Q Z UJIW 4C J W ❑WORK SATISFACTORY:PROCEEDCT COMPLETE OC W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY QO ❑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 hours in advance. (952) 249-4600 Ownerr,ontractor on site: Inspect White Copyllnspector's File Canary CopylSke Notice INSPECTION NOTICE DATE TIME CITY OF 01-004) CALLED-IN _ SCHEDULED PERMIT NO. 2Ql!!;�- 605769 COMPLETED r/;Z-g- ADDRESS �`��S— G04&wigaa� ✓W OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL XFOLLOW-UP ❑FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE ❑FOUND.DRAINAGE ❑BUILDING FINAL ❑SPNNKLER SYSTEM ❑FRAMING ❑SEPTIC INSTALL I'IQwLa ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP ❑ ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: Z ernt;'t atwa✓ its: ct /l fir t J co cc W J 2 p TLi4re is a hQ� `idose ,�.z t�.s a O 0 c / ��✓.�1.Z i`!!s! Lu cc Q w Z cc p cc FURTHER CORRECTIONS MAY BE REQUIRED o-JEMFRMIT FINALED WO ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p ❑CORRECT WORK& PROCEED U ❑CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: `�