The URL can be used to link to this page

Home My WebLink About2016 - 00905 - demo CITY OF ORONO 111111111311 II 1111111311131111 2750 KELLEY PARKWAY * 2016 - 0 0 9 2 5 DATE ISSUED:: 08/05/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2120 WAYZATA BLVD W PIN : 34-118-23-24-0001 LEGAL DESC : UNPLATTED 34 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE 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 STATE SURCHARGE DEMO 1.00 ERICKSON,BRAD TOTAL 76.00 2486 BOBOLINK RD Payment(s) MEDINA,MN 55356- (612)490-2371 CHECK 5048 76.00 OWNER ERICKSON,BRAD 2486 BOBOLINK RD MEDINA,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. /4 Applicant P- itee Signature Date Issued By"gnature Date OAj City of Orono TY USE ONLYc247// �.j 25 W P.O.Box 66 Date Received: �� `O Permit# (j11/�(O' / 2750 Kelley Parkway Crystal Bay,MN 55323 Amount: $ SAC Credit: (952)249-4600 Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required HpZoning 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: 62 j (2-0 1,3 w Z_-t-ek 8( ✓til (4use) Owner: CJ`ed ,1 EE<ckco r\ Mailing Address: 2c/3 &ho/,'n4 El City: /o1// 5 /^e-t k Zip: 5 3 S--- - phone: 612- l l 0 �3 / / Email: CV1 c kSc 11 6rc.r 6 Ve-ivG. CQen Contractor/App.: C�Ce.44'1 e ca S fl Leo .i . Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Email: SPECIAL CONDITIONS,&NOLD'HARIVILESS 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 XHeavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection El 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. N Ilk — etuk— Form Last Updated: July 2015 150784 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). 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 NI , 1/ 14 $75.00 - Principal Structure — f f-oa ,e, chAA-e„$ 7S-- CV ❑ $50.00 -Accessory Structure x (how many) 1. Subtotal of above permit requested $ 7$ Ot 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 7e . PO 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: !�(e>' e-- Date: 6////‘ Owner's Signature: �� - Date: '%l/ tar By: 4Date: uilding Official) *Zoning Disclosure Required? ❑ YES NO *This must be filled out by Zoning Department-For eithe nswer, a Zoning Official must sign all applications. *Approved By: Date: / O 5/e2 (Zoning Official) Form Last Updated: July 2015 150784 / V DATE TIME CITY OF ORONO CALLED IN INSPECTION _TIC SCHEDULED PERMIT NO. / `L��(�C ,___SCHEDULED / / , ll. ADDRESS '/Z0 Wc4J,' ' Tcei f1/c OWNER l TELEPHONE NO. CONTRACTOR DESCRIPTIONe 0 t ❑ FOOTING ElDEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL El PLUMBING RI El EXCAV/GRADING/FILLING (03 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL ElTREE REMOVAL _Z ❑ RADON SLAB El MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING El MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION El WOOD BURNER/FIREPLACE El COMPLAINT v El FINAL ❑ WATER HOOK-UP El FOLLOW-UP ---IO2E❑ AS BUILT-SURVEY El SEWER HOOK-UP El FOUNDATION/REMOVAL EMO-SITE ❑ SEPTIC INSTALL WNFI/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W Ix C(//1 Ci'tie- hq k-ii / e v/1 c, li,2_cl cc J W C9 F• / i« lv ha I 1 (-Oil CI^ t-: 0-f- -Li: sz 2 W z W cc J d IQ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC CC C.1ORRECT WORK&PROCEEDX ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR L]INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contrac o site: n Inspector: im . a- White Copyllnspector's File Canary Copy/Site Notice V DATE // TIME CITY OF ORONO CALLED IN l�- 3-' /6' INSPECTION NOTICE SCHEDULED /7- l�- / e— PERMIT NO. 1 -��COMP/LaET D /�� ADDRESS a/ ,;\ C (/(/- K - ` _ OWNER TELEPHONE NO.49/ - (/56-011371 CONTRACTOR ,2„ "6`--`Q i DESCRIPTION ;LJ 2-�' C W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Fc ❑ POURED WALL 0 PLUMBING RI CIEXCAV/GRADING/FILLING El WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL O ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP ElFOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z IC - OWNERONTRACTOR TO MEET YOU:_YES_NO c• COMMENTS: cc W o 0 7 �`�'.�+V( L' ,i) cLr�-fl �� CC �/ vv! Q 7 %e/ e i'i L^e 4� ay- / z / f;y 7� 6-C j r,<,/ IQ CC CI W 0 •RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ▪ -W e•RRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY . 0 •a•RECT WORK,CALL FOR REINSPECTION TEMPORARY kJ U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El 0 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 or on site- Inspector r (1-,.€74,,,, White Copy/Inspector's File Canary Copy/Site Notice Planning & Zoning Department Memo To: Finance Department From: Christine Mattson, Planning AssistantUN\ CC: Street File Date: September 20, 2017 G/L: 101-22205 Re: Escrow Refund Demolition Permit #2016-00905 pertaining to 2120 Wayzata Blvd W is complete. Please refund $2,500 to the applicant, Brad Erickson. Mail to: Brad Erickson 2486 Bobolink Rd Medina, MN 55356 w:\street files\wayzata blvd\2120\escrow refund form 2016-00905.docx