HomeMy WebLinkAbout2011-00763 - demo CITY OF ORONO PERMIT NO.: 2011-00763
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/01/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 875 WAYZATA BLVD W
PIN : 35-118-23-44-0011
LEGAL DESC : UNPLATTED 35 118 23
: LOT MB BLOCK MB
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : DEMO-PRINCIPAL 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. 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.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
KRAUS ANDERSON CONST CO. STATE SURCHARGE DEMO 5.00
8625 RENDOVA ST
CIRCLE PINES,MN 55014 TOTAL 80.00
(952)249-9679
OWNER
CPE Exchange 33968,LLC
200 SOUTH SIXTH STREET
#1300
MINNEAPOLIS,MN 55402-
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
revok�tim r due cause.
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Applicant Permitee Si ature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1
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0
4.4, City of Orono R ITY USE 071,0Y01011
(..._
O P.O.Box 66 Date Received:O� f 1 Perm ���Y�
2750.Kelley Parkway p� U,."1
Crystal Bay,MN 55323 Amount: $ go. SAC Credit:
i,tr d (952)249-4600
�suaa� Homeowner(s)Signed: 0 Yes
Resolutions(if any)Signed:0 Yes 0 None Required
Zoning Disclosure Signed: 0 Yes 0 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: 875 Wayzata Blvd., Orono, Minnesota 55356
CPE Exchange 200 S. 6th St., #1300
Owner: Mailing Address:
City: Minneapolis Zip: 55402
Home Phone: (952) 948-9401 Alternate Phone: (952) 250-5485
Contractor/Applicant Information:
Kraus-Anderson Construction Company Jim Beckwith
Contractor/App.: Contact Person:
Address: 525 S. 8th Street State License#:
City: Minneapolis Zip: 55404 Expiration Date:
Phone: (612) 332-7281 Alternate Phone: (612) 366-7571
SPECIAL CONDITIONS&HOLD HARMLESS AGREEMENT
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 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.
5. 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
n $75.00—Principal Structure
n $50.00-Accessory Structure (how many) (what)
1. Subtotal of above permit requested $ 75.00
2. State Surcharge $ 5.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 80.00
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a strict a . •. ce w.. the ordinan, - of the City and the regulations of
the State of Minnesota, and cert. ies that all .'ement ade on this application are complete,
true and correct.
Applicant's Signat'Qi �/�� ,�� =- ' Date: ri - Z,' C (
Owner's Signature: Date:
Approved By: V C.Q1 iwpti,_ Date: 8 -
(Building Official)
* Zoning Disclosure Required? ❑ YES t0NO OM-it/t'e �
*This must be filled out by Zonin L De iartment—For either answer,a Zoning Official must sign all applications.
* Approved By: Date: 61 ` 1
(Zoning Official)
ROO ROM
.-----r7:-)
.J r-� DATE TIME 1//
CITY OF ORONO CALLED IN r-- I I r)/ I I
INSPECTION NOTICE-- SCHEDULED �'/ 1 la j1 1 cl CO
PERMIT NO.. RC 1 I -CII. r/ 3 COMPLETED
ADDRESSSf 73' ck '(i /7'C l 0 /3 l Vci tt:
OWNER TELEPHONiE NO.Le/ 3 -C156y
CONTRACTOR i a 4t f//1c/S(y)
DESCRIPTION �" l'1C I 1 1")rt
•
uCIFOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y Cl FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. V ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v CIPLUMBING RI CI SEPTIFINAL El FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO
o COMMENTS:
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14.1 1U ,ILiIORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
• 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
Owner/Contractor on site:
Inspector. (_....A._
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