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HomeMy WebLinkAbout2007 - P11231 - demo PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11231 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 7/30/2007 SITE ADDRESS: 2655 West Lafayette Rd Unit# Excelsior,MN 55331 PID: 21-117-23-24-0039 DESCRIPTION: Proposed Use: Residential Census Code 645 Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Demo Home&Accessory Structure Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells must be abondoned. Inspection before backfilling. FEE SUMMARY: Permit Fee: $ 80.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 80.50 APPLICANT: Lee-Lyn Construction OWNER: Ronald&Esther Martens 729 Newton Avenue SE 2655 West Lafayette Rd Watertown,MN Excelsior,MN 55331 il(Z—5Cp(o —700 CIO, THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. =7 7/ _p.p./. C": CANT PERMITEE SIGNATURE ISSU D BY SIGNATURE te' 1 •(- OYN2{1 ("41 Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 r 4 O.046 City of Orono 1 ,''- FOR CITY USE ONLY P.O.Box 66 Date Received: Permit# 4 j I v w 4it„ 2750 Kelley Parkway �,Y fr Crystal Ba MN 55323 Y Y Amount: $ SAC Credit: ��C,,+,,�l�' 'iia o (952)249-4600 \$Ko 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 r Site Address: gL' C----5 t' )� (Q .1a L�—Q- r r t Owner: (-RD I& a lA4 h-1 S Mailing Address: City: �c-\e,-,_ .- ---e..,..- ,`,- Zip: Home Phone: ?5-02 s-9(96 L 77 I 1 Alternate Phone: Contractor/Applicant Information: Contractor/App.: sc�;,`gi,5 J—41. Contact Person: a--')- ekt,51.t .-ti".. Address: 7d'7' ijeit/AriviAti5C State License#: 3 531/ City: (pox,tet- h Zip: .5-37W Expiration Date: 3—yi - 03' Phone: 9c,9 1-i -y 3,2 (q' Alternate Phone: e /i.g 3i) ?010 • 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. e4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued. Demolition by means of:, 'Manual Disassembly XHeavy Equipment fl Other Permit(s) Issued: n Sewer Disconnection n 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. It 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 F1 $50.00–Principal Structure 30. 00–Accessory Structure (how many) (1f). (what) 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ gO , 512) 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 certi .-s that all state. en . made on this application are complete, true and correct. , , - V Applicant's Signature: -, e - Aft& I i Date: / –/7—.07 I� Owner's Signature: /��1j„ij/���;,.-r„'Date: ? -��'©7 wI'� i � Approved By: _tie Date: –2 - 26 ) '6) (Building Official) * Zoning Disclosure Required? n YES _ NO *This must be filled out by Zo ng IV-p. -tment—For her answer, a Zoning Official must sign all applications. * Approved By: 2 Date: 7–Zia ”°7 (Zoning Official) V �DAy TIME CITY OF ORONO CALLED IN INSPECTION N ) �J SCHEDULED rt./7e GTO PERMIT NO. `/ / COMPLETED --//- ADDRESS 02655- (Ai. L OWN ER CONTR. ZeeU �c TELEPHONE NO. &I a 3L7 7e9/0U DESCRIPTION Depr / — W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 0. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC 0. CC O CC O 0. W CC W W CC d Wi WORK SATISFACTORY:PROCEED [1 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED 7 ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El ❑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 OwnerIContrac� ite: Inspector. White Copy/Inspector's File Canary Copy/Site Notice