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Home My WebLink About2013 - 01231 - demo CITY OF ORONO H I 1 111 Ill 11 11 1 I 11II. 1 * 20 1 3 - 0 1 2 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 11/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2060 WEBBER HILLS RD PIN : 03-117-23-34-0015 LEGAL DESC : WEBBER HILLS : LOT 008 BLOCK 002 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 IN-GROUND POOL APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 AL TRANSTOR STATE SURCHARGE DEMO 5.00 PIONEER PIONEER TRAIL TOTAL 55.00 LORETTO, MN 55357- (763)286-2650 PAID WITH CASH 55.00 OWNER ANDERSON,JASON&JAMIE 2060 WEBBER HILLS RD WAYZATA,MN 55391- 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 i• conformance with the State Building Code.This permit may be revoked a y time for due c. 111►� -(7/1/ix‘w /7 11� Ap• . t Permitee Signature Date Issd By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 , City of Orono 7 CT�'Y USE ONLY y� 3/ -$.04/0W PO. Box 66 Date Received:J� Z //3 Permit#�rV�3 —O�� 2750 Kelley Parkway ITT) Crystal Bay,MN 55323 Amount: $ S3 SAC Credit: (952)249-4600 h Homeowner(s)Signed: 0 Yes Resolutions(if any)Signed:❑Yes ❑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: [' esidential ❑ Commercial Site Address: C> 6 -C O w'P_t)b-p V /74/ ti S Owner: o- Soyr A rid-er.SG h Mailing Address: City: 0 VY)h (9 Zip: Phone: Email: Contractor/Applicant Information: Contractor/App.:A- I V'41/1.51 Contact Person: & 4- Address: -<-7-7 90 Piokit.e.,,, f7t State License#: City: Zip: c. Expiration Date: Phone(' 7Z 2 ) ; A Email: SPECIAL CONDITIONS 8g 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 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) . CD0 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 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: - /�� 2� "—/3 pp ' Date:9 L�'t/ 1�� Owner's Signature: Date: Approved By: Date: (Building Official) * Zoning Disclosure Required? ❑ YES ❑ NO *This must be filled out by Zoning Departmen For either answer, a Zoning Official must sign all applications. * Approved By: MI Date: • /1 ''L2 l? (Zoning Official) CITY OF ORONO CALLED IN /(— 3 TIME V INSPECTION NOTICE / SCHEDULED /�.� PERMIT NQ 2L 73 `��r COMP. ET � ADDRESS G�() i 6� fl OWNER TELEPHONE CONTRACTOR C 2 DESCRIPTION /UG /7`( LU 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL LI TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ty ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO to• COMMENTS: cc a cc O CC W CC 12 W W CC ❑WORK SATISFACTORY:PROCEED ' TO Fit9JT COMPLETE ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑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 advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2013-6i0 3I COMPLETED 10 .Ur Je ADDRESS a-0 o AJQ4ie, OWNER TELEPHONE NO. CONTRACTOR nn-- 37. DESCRIPTION b'�and tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT Q ❑ DEMO-SITE 0 SEPTIC MAINT „INE LLOW-UP QEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTORRTO MEET YOU:_YES_NO • COMMENTS: f ervt t 4o/ 'v e'Q a .4c a cr•zo:L l n a tete-/G�l O CDR`?O $If /an/— 0 u_ cc Q/l &wt., 2 n WQ.o/�11•� -dg/�/ c. d ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C 1 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. Cd/" White Copylinspector's File Canary Copy/Site Notice