HomeMy WebLinkAbout2015-01438 - demo CITY OF ORONO * 2 0 1 4 - 0 1 4 3 8
• 2750 KELLEY PARKWAY DATE ISSUED: 01/08/2015
• ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 825 WILLOW DR S
PIN 10-117-23-22-0001
LEGAL DESC UNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE DEMOLITION
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE DEMO-PRINCIPAL STRUCTURE
ACTIVITY 645-SINGLE FAMILY HOUSES(ATT&DET
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.
CLAIM AS A DEMO CREDIT FROM PERMIT#P03120- 10/22/2000
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 5.00
SAMS LAWN CARE,INC. TOTAL 80.00
P.O.BOX 848 Payment(s)
WAYZATA,MN 55391- CHECK 6912 80.00
(612)366-9273
OWNER
BRUNELLO,JOHN
825 WILLOW DR S
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 in conformance with the State Building Code.This permit may be
revoked t :e:orue cau�?
Applicant Permit a ure Date Issued By Signature Date
O City of Orono FO CIT SE ONLY
P.O.Box 66 Date Received Permit# �1 'Q �Qp
2750 Kelley Parkway
Crystal Bay,MN 55323 Amount: S G SAC Credit: d J/cZ
(952)249-4600
folia
Homeowner(s)Signed: , Yes
/ o00
Resolutions(if any)Signed:❑Yes.B None Required
(qkf S H Opti Zoning Disclosure Signed: ❑Yes e"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: �ZS t✓�' �����✓ ,���1�'� JCT�✓ ��
Owner: c 1A/ ril A-e //02- 6 t
Mailing Address:
City: �:� PA- Zip: ��yz
Phone: 6_1/z_ �Z� 7 Q O Email �64e 110 Act), (o,�,
Contractor/Applicant Information:
Contractor/App. L !n/ --Contact Person:
Address: -Pio , 6�� g- l State License#:
City: WJ417 Zip: �1( Expiration Date:
Phone: �IZ�7Y]- 5-7-573 Email- be V 6 Sl"S tAgd �aa>r. 601--
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 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) $
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.
Applicants Signature: VJS_-_V_
___________ Date:Owner's Signature• _____________ Date:Approved By: ----------- Date: 12 zz—�Y----
( ilding Official)
*Zoning Disclosure Required? ❑ YESNO �
.This must be filled out by Zoning Department- For either answer, a Zoning Official must sign all applications.
* Approved By: ----- -�_ 0_AA_/V1 L
------------ Date: �/--
(Zoning Official)
oll REVISIONS
SITE ADDRESS
825 Willow Drive South,Orono,Mimusms.
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NORTH \ • y, 'e-- A ca�7t fNu DESCRIPTION OF SUBJECT PROPERTYLD
\ N89°41'59'W 4,"2 IOQ NEW-40 _
20 10 0 10 20 40 • ,.., - / �I .. ,,.,` _ 1RT'1 The North 235 feel of the East 200 feet of Oovemmat Les 7,Section 10,Township 117,Range 23,
t1ET t"-I sr,w I ; / •,.,,,I.: .. \�-<i:$0 x 1 l\ P9L ' FALLS IN Hennepin County,Minresita.attending to the Gowniment Survey thereof. L_
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SCALE IN FEET
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PRESERVE
— RAND'�.
'vit"A42 I `� g1 NOTES
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This survey does not purport to show all underground utilities.The smote of information from plans and nothings z
will be combined with observed evidence ofutilities an,develop a view ofOnse underground uldilies.Howe ,
• ; .. I ( EDOE J ` t\ [) ..1 nEr tJ t QLQr C laiddoa excavation,the exact location of oedcgroud feabues cannot be accunkly,wngkkly and reliably depicted.
nA'Y SEE r)NE B+. �"'� t'. \ \ ,, lti + Where additional m nmre detailed infornouon is required,the client is advised that ex sverion vary be necessary. `J Q
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1• - wcr T 1 A._7 ♦ )_- r ,.S ` The couuactor shall determine the exact location of soy and aR exioittg odium before conucencing work The Q
N'E'T IA-5 ♦ �' - jriET i" �� contractor shag be fut res W
ty responsible,for any ones all damages•TiesB out ofhs fiihue b exactly 4xnu rd protect all
WtT SIA-4 -4T I'A,r* rcr IAI.;_ �L existing utility facili irs.
3.
I � rc.r lA-lo , 1 { Contact GOPHER STATE ONE CALL at651-4544)002 for precise nrsik bcatim of utilities prim bany ' 3
i 1•s= Jf i excavation. W
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\ No title cormaitment was provided or relwd upon as to in"-of rarod
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LEGEND ` / The subject property appears ee t fl wiWn Zone h(area o age,d outside the 1-penned annual chum tannualw, x
_-.. i 11 ` \`\ l n t 1l , , 1 arcas of io.ing;w chance cheer flow Reeding where average dry I a ere fess than(foot,rotes ed Iia arcual chmce
AIS Detonate Advertising-Infomiauttul Sign • / 4t V stream flooding where the contributing drainage ares is les thin l egwre rade,or areae protected from the 1% 0
AC Denotes AU Conditioning Unit I / 3 , annual chance flood by levees.No Base Flood Elevations or depths are shown widlin Ws zone.Insurance purchase is fD
BFE Denotes Baument Flea Elevation I ��' '.n � `
not required se these sones earl Zone A(Areas with a I%emuai chance of flooding and a 26%thence of Moding
CB Denotes Catch Basin �it I V. - � - \{ ', i2r /d flood elevatims are shown wittb�thesee mss.), per the National Flood Wraaoce Program,Flood lnwnnct
c Ra
CBOX Denotes Curb Box - I / �' ` , /1 1 Map Comrmmi Panel No.27053CO04E,daW tuber 2,2004 s
COL Denotes Building Cohtmn 7 Septa acquired from the Federal Emergency.
Maoegetm t Agency web Site. OFS sy
BEE Denotes Building Entrance Elevation
Area kforwtion: Gross: 47.000 sq.R-1.079
TB Dencus Tele/Comm.Box/Ped eq 1 \ i ✓ �--- 1 •g
CHH Denote Cttmmuakatioo Hendhok - N / ` I 1 R/W: 11340 aa.R-0260 ecru y <-* o
CMH Denotes Commmitation Manhole i W I J \ \ 'r.', _ 1 N 1 Net: 35,660 sq.R-0.619 acres
CONIC Denotes Concrete Surface n / y* Re1LAaq � ( 1 W st0 Ftp Current mxaung and setback information:ODIVAN2ty�
CMP Denoted,Corrugated Meal Pipesi2e \\ r / 1 .. I - i>ax7�' a tEaro 1'r vG
tri aE le-a suNf ` Zoning;RR-1B-One Famil Rural Residential O 5
rots s 8� Y N3 D0
DIP Denotes Ductile Iron Pipo/Sitt v uEr-i- ENO uc�' � � !( ., 1 m� '--- . ..
EB Den"Electric Bac eax2 , Building Setbacks:Front Yard 50 feet
EHH Denotes Electric Handhole I I I y, ' - S PI yy, 1 Rcar Yard-50 fed
TRAN Denotes Electric Transformerser 4i_a r (/ `I ♦ •`aA 1 w[T IB-9 ` Side Yard-30 feet
EMH Denotes Electric Machok I \
EM Denote Electric Meter •.�... , �� \ •yatA ` Building Height:2-12 Steranes-30 feel
FH Denote Fire Hookup ' ..•.. I!I � \ 1 ° •1 Nat 1 *Zoning sad Setback information provided by the Planning Deprrtmea of the City of Orono.
FP Denotes Flag Pole
FE'S Denotes Flared End Secaoa cv, W, ® v `x ��_� 0+r,h,W"v --�" �... „:12 4
' ` Survey coordinate and berating to:Heoaeps Courcy
GASV Denotea 0 Valve xEttara / aQ I ... siL� a2aP \
GFE Deride Gauge Floor Eleven. �� I / L \ 4�--^'� _ i• : No modiGcauno b Win survry or akeuh may be performed by any person usher than the surveyor signing this
GM Denotes Gore Moser I , .-.. Its
persona under his direct supervision.This drawing and data a protaded by federal copyright iaws. W
",. / > `•^" `1 on and redistribution w proper ceasent
GDL Derides Growd Light T' l\�I , T � �.. � °\ `• � � Q
GP Dom.Guwd Post � x _ ,
•v \ ` - ti. Benchmark: Waw elevation of lake Mmactonlra Nmxmba 20,2012.=927.70 fed
GYW 17amue Guy W ie aFi`i •.,♦�. _ •;:a� \\ �11`,I, (Per Minoehalo Creek Watershed district web site) 1-
HCS Denotes Handicap Perking Sign " l I h + • 52 v, \ ,
HYD Denotes Fix Hydrant I I 1 \ a A, _...'A�� ��� 1� w Wr
LP fenoue Light Pok �'i v[4 is• Yo- .;�` - \ . sA r. " , 1 O Ca
MB Denotes Mailbox • .y \ \ .9 COSMO HOUSE\� '� EXISTING HARDCOVER INFORMATION
NOP Denotes No Parking Sign a Fsi
OHU Denotes O—head Utiliy Lire l� I \ \ 1 Grew[ dar ew 2,105 aq.fL
I •,'E` `�. 1 Gravel Driveswy: I,I88 an,.R <
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PIIS Denotes Parking sign �- t I �-%`• Z4•g \ ,:Go1 j \ ,�--oHu� \ -. t , concede snrfca: 242 sq.R t � t-�
PIV Denotes Pon lndiskr Vt. I `` ♦ _ \ Eu - 1 -' \ r s DacE 242 sq.R LJ F�
RCP Dema Re-inforad Coarse Pipe/Sixe YCT i\5 BEE "AA \ I �\ ` , 1 Stene: 61 w.R M--t 0. IWrs
RD Denotes Roof Drain • + t \\ \,\ \\ / t Total: 3,838 sq.R
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SOD
H Denotes
SaannWaryM n k � ( l w� \ \ 1\ O
:i� - T' \ d, ✓��.�^- �•tav22�\ 1 I Hardcover Percentage-GrossAm: 3.838(47,000= 8.17%
\-..� + �.Y _ mg � \ .\ \ 1 gst.n .. 1 tiaMcover Percentage-Net Area: 3.838/35.660=10.7tS%
STP Denotes Soup Signa tETiAtU �\�, / \,,.NW41'69 200.00 .) ') \ ' •� t W
SY Duress Septic v. U
STMH Denote Stn-Manhole 'r+-t--__ .-I r,wr 'Y 1 1 •,. �C`` \ P
TRS Denote.Traffic Control Sign
TL Denotes Traffic Legh[ .. r: I i--___ I • r ;_ �.a I .,:: \ 1\ \ \ I \ 1 1 under
m certify that this anon or x ens ice sed by me or
I I t' •.:...�. \ \ \ under my direct sopenoioo�and�that 1 am�daly Licensed lad Surveyor
UGC Denotes Underground Coon--ration Line I ''I': \ \ �w \ �A 1� ;\ \1 1
under We Iowa of the State of Minnesota
UGE Den"Underground Electric Line \ 1 1 SEr
UGO Dentis Uode ground Gas Linc t\ \ 1 1 / ,\ t y I I
Deed this 28W say of Ymember,2012.
SAN Denotes Underground Smeary Sewer
ST Denotes Underground Storm SI \\ \\ '\ / I t , SATHRE-BEROQUIST,INC. DRAWN
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DBP
UP Denotes Utility Ibk \ \ \ \ \ r \ \ I
CH
ULP ..ea Utibty/Ltght Pok \ 1 \ \ \ / ,1 1• ( 1 1 CHECKED
JW1 Denotes Top Nut of Hydrae \ 1 \ \ \ —"J/
.: 'Y-- , 1 DATE
NMN Denotes Water Manhole \ .1,•., .
OB J
WV Denotes Water Valve \ . David B.PemlxeMn,Profesiarial Lend Surveyor 1123/2012
Whne
ET A-1 Denotes Wetland Desuou leg ldenifrer ,cAi _�._ e , , 1 Minnesota License No.40344 SCALE
Denotes Ex' Contour • ` ANO.
—(MED—Denotes Proposed Conker OB
40995-00-00
3
• Denotes Found Monument-As Denoted 1 1 1 FILE:
SNDRY-ALTADWG
Qa Denton Farad Cast-Imo-Monument TOWNSHIP-RANGE-SECTION
O Denotes 12"by 14"hon Pipe Set and Mmktd
117-10-23
by license No.40344 HENNEPIN COUNTY
POL O D-otra"Pointm trine"ata -
R/W O Denotes"Right of Way"limit set BOOK:XXX PAGE: XX
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS R 7 E LC I 1 OW �-
OWNER TELEPHONE NO., L� a(t- 75Z
CONTRACTOR D'1/1� I
DESCRIPTION ��nqo Pre
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING El MECHANICAL FINAL [:1 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v EMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
r ❑ PLUMBING RI ❑ SE TIt
FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W/❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑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
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectio 4 hours in advance. (952) 249-4600
Owner/ actor on site:
Inspect
White Copylinspector's File Canary Copy/Site Notice
"1 0 DATE r, j" TIME
CITY OF ORONO
CALLEDIN
INSPECTION NOTICE. SCHEDULED
PERMIT NO. "� C COMPLETED ,+
ADDRESS ' �:� L C' / �;!QCz- ✓�/� S
OWNER TELEPHONE NO. '���
CONTRACTOR
DESCRIPTION
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
J)
❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
r ❑ DEMO ElSEPTIC MAINT. El FOLLOW-UP
Q
❑ DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL
v ❑ PLUMBING RI 1:1SEPTIC FINAL' ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES FINAL'
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 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. f
White CopylInspector's File Canary Copy/Site Notice