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Home My WebLink About2014-00902 (demo) Y ' ' CITYOFORONO * 20 14 - 0P1902 * � 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 AllDRESS : 3510 BAYSIDE RD PIN : OS-117-23-13-0016 LEGAL DESC : ACJDITOR'S SUBD. NO. 203 : LOT 000 E3LOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDEN"I�IAL CONSTRUCTION TYPE : DEMO - ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES �o�rr:: l. I�OUNDn�I'IONS/ALL DGMO DLBRIS"i'O BE RGMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSNF:C�I�IONS DONG F3I:C�ORG BACKFILLING. APPLICANT DEMOLITION -ACCESSORY STRUCTURE 50.00 STATE SURCHARGE DEMO 5.00 LARSEN, GREGG & STEPHAN[F. �510 BAYSIDE RD TOTAL 55.00 LONG LAKE, MN 55356- Payment(s) . CHECK 17011 55.00 . OWNER LARSEN, GRE�;GG & STEP�IAN[E 3510 BAYS[DE RD LONG LAKE, MN 55356- AGREGMENT AND SWORN STATEMENT l�he ti�ork ibr which this permit is issued shall be perfonned according to thc approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permita All provisions of laws and ordinanccs govcrning this typc of work shall be compied with whether or not specified herein."I'his permit will expire and become null and void if conslruction aulhorized is not commenced�+'ithin 1 RO days of the date of issuanee,or if construction is suspended for a period of 180 days at any tim�after work has commenccd. I�he applicant is responsible for assuring all required inspcctions are requested in conformance N�ith the State I3uilding Code.'t�his permit may be revoked at anp�time for due cause. � !'S/� \ / / nppli P �tee Si � re Date Issued By S' ature � Date O Clty Of O�Of10 . FOR CITY USE ONLY , P.O. Box 66 Date Received: Permit# � 0 2750 Kelley Parkway Crystal Bay, MN 55323 Amount: $ SAC Gedit: (952)249-4600 '� �- Homeowner(s)Signed: ❑Yes � F �,� Resolutions(if any)Signed:�Yes ❑None Required t�XESH�� Zoning Disclosure Signed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official andlor Zoning Department) Job Site / Owner Information: Type: � Residential ❑ Commercial Site Address: �� ,,s�"?.e-.-- I��-�- •� --� Owner: �r`2�� GA��-�--� Mailing Address: �G►�vc-.� City: /`'`��,•t v Zip: .553�Z. Phone: (=�/ 2 - � r � - �-! �"�'� Email: G'�Ars-�r� �.I��ti,�y�� dt� Contractor/Applicant Information: Contractor/App.: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Email: 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 afl 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) enciosed 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. Compietely 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 backfi�ling. 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) $ �J . �� 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: Date: ��s/� y 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) ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION�TI�� SCHEDULED PERMIT NO. .� v3 COMPLETED �-� � - ADDRESS .3SiG L-Sk..s,�� P�- OWNER GY�� Lert�-'L TELEPHONE NO. CONTRACTOR ��a— ��y � y�77 ,3v/ -o��YU� '�o��-J. _pG�cu� >; DESCRIPTION ��'�"� -5��''� � W ❑ FOOTING ❑ PLUM ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS FI L ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. (��LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: , a �c�', ��s<� �?o�� f-�;. �E� `l� �'« l/ �� v?t� /i`'��Y��u%-�. �. � ° S� , G<' <P, �9 e� �4• � i . W � QG N'1 �t'f c'— • c�r'r✓I '�-- �' - OC'%nZ� �i,v1 l � W �N1GG fsr�e � .5�4d� �� t t� � � � !�/' L !✓� /✓(4.� ! d �'rv<<L oZp/rj• dCJ /�o'! ��?4� W ❑WORKSATISFACTO Y: PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑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 OwnerfContractor on site: Inspector. /.�-- White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION�TI��a SCHEDULED PERMIT NO. _ COMPLETED �- �� U3 ADDRESS 3b�ib k�. � ,�i0- OWNER GYe� �Qr3o--1 TELEPHONE NO. CONTRACTOR �a�a— 7/� - y�7 .��y-ovqc�a �c��r�._Go�v� � DESCRIPTION �e'.yr S�,pr.�Z � ❑ FOOTING ❑ PLUM ING FINAL D EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLqNDS Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS FI L O SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. (��LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER FEMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/FEMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � � a ��✓r�rt�� o�� #`. �� G'� !l ��v 4 j ' a �� /��S/�Fr�/�rs-�. � � � `S� � �'� � a�� .%c � i ` W � d H? �P��'—� C�r'v✓1 �" r� - G�=��`ZJ � ��s�7 l Q � Z � /S�t wt�a cu,�t i' Sd�d� r� �Sr� c� �' ja/� G !�./ i✓tQ.�i. � � ❑WORKSATISFACTO Y: �� , O��a ��! PROJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOfi �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector.�/.�. �— White Copy/Inspector's File Canary CopylSite Notice