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Home My WebLink About2016-00546 - demo CITY OF ORONO 1111111111111111111111113 2750 KELLEY PARKWAY * 2 0 1 6 — 0 0 DATE ISSUED: 05/18/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 1185 WYNDMERE RD PIN 26-118-23-41-0009 LEGAL DESC WYNDMERE LOT 003 BLOCK 001 PERMIT TYPE DEMOLITION PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE DEMO-INTERIOR ONLY NOTE: THIS DEMO PERMIT WAS REQUIRED BY ROGER,SO THAT THE CONTRACTOR COULD START THE WORK BEFORE THE INTERIOR PERMIT WAS ISSUED. INTERIOR DEMO ONLY-NO SAC ISSUES APPLICANT DEMOLITION-INTERIOR ONLY 50.00 STATE SURCHARGE DEMO 1.00 STREETER&ASSOCIATES TOTAL 51.00 18312 MINNETONKA BLVD Payment(s) WAYZATA,MN 55391 CREDIT CARD 7322 51.00 (952)346-2499 Minnesota State License#:BUIL-BC-001380 OWNER WLAZLO,TONY&MICHELLE 1185 WYNDMERE 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 in conformance with the State Building Code.This permit may be revoked at any time for due cause. fS nn � Applicant Permitee Signature Date Issued By Signature Date w O� City of Orono FO C7Y USE ONLY �L P.O. Box 66 Date Received: / /�!� Permit 2750 Kelley Parkway Crystal Bay,MN 55323r (952)249-4600 ''mO�t' $—= — SAC Credit: y Homeowner(s)Signed: ❑Yes 7��F� �l G~ Resolutions(if any)Signed:❑Yes ElNone Required 9'YES H O�� Zoning Disclosure Signed: ❑Yes ❑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: Reisidential ❑ Commercial t, Site Address: &S W'("J JME-R-7 Owner: f Mailing Address: City: 62 '`mac Zip: Phone: Email: Contractor/'Applicant Information: Contractor/App.: S�i2L`-T��'— ��SOc Contact Person: Address �' �3iZ '�TKu .yq State License #: I" 0 City: r� �('lAT° Zip: S�`�( Expiration Date: Phone: I Z1�1- �� I Email & �'Z- 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. 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 ❑ $75.00 — Principal Structure $ ❑ $50.00 —Accessory Structure x (how many) 1. Subtotal of above permit requested $ 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ The undersigned herby appliesJi' ' y f Orono for issuance of a Demolition Permit, agrees to do all the work in a strict accordah ordinances of the City and the regulations of the State of Minnesota, and certifies that alls de on this application are complete, true and correct. Applicant's Signature: Date: J 2oi(.Q Owner's Signature: Date: Approved By: Date: (Building Official) * Zoning Disclosure Required? ❑ YES ❑ NO 'This must be filled out by Zoning Department-For either answer, a Zoning Official must sign all applications. * Approved By: Date: (Zoning Official) Form Last Updated: July 2015 150784 DATE TIME CITY OF ORONO CALLED IN INSPECTION N TILE SCHEDULED /� PERMIT NO. ' S COMPLETED — '�_ ADDRESS OWNER TELEPHONE NO. CONTRACTOR 5�� ✓'� I�S ' j DESCRIPTION klgnz D 1,4 W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: 0 OP.hte cJo✓k G4T► lct� cc 0 W Q W LU ❑WORK SATISFACTORY:PROCEED O1GC7 COMPLETE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspectiog44 hours in advance. (952) 249-4600 OwnerlContractor on site: `C Inspector. White Copyllnspector's File Canary Copy/We Notice