HomeMy WebLinkAbout2015-01246 - demo CITY OF ORONO * Z 0 1 5 - 0 1 2 4 6 *
2750 KELLEY PARKWAY DATE ISSUED: 10/23/2015
ORONO, MN 55356-
• 952 249-4600 FAX: (952) 249-4616
AUDRESS : 1224 BRIAR ST
PIN : 10-117-23-31-0074
LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE
: LOT 000 BLOCK 002
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET
NOTE: (SAC PAID#8279 Ol/02/1986-NO NEED TO REPORT AS DEMO CREDIT-BECAUSE NEW HOME ISSUED 09/29/15#2015-00961)
l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&D[SPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECT[ONS DONE BEFORE BACKFILLING.
NOTE: A 24-48 HOUR NOT[CE 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.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
EVERLAST ENTERPRISES INC. TOTAL 76.00
4109 NORTH SHORE DR Payment(s)
MOUND, MN 55364- CHECK 8225 76.00
(952)472-7287
Minnesota State License#: BUIL-BC591566
OWNER
HILLIER,JAMES
1224 BRIAR ST
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 goveming 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
suspende a perio l80 days a�any time after work has commenced.
The ap c t is res on ibl � ' all reauired inspections are
reque ed' conf ce wit State Building Code.This permit may be �,����
rev ed [any 'm or due a e. —�,
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Applicant Permitee Signature Date Issued By Signature Date
� City of Orono FOR CITY liSE ONLY,
� //�0�� P.O.Box 66 Date Received: �`��(/�it# �7���-�"' C �y�
J � 2750 Kelley Parkway �
( Crystal Bay,MN 55323 � � Amount. $ SA�Credic:__
(952)249-4600 � �.: /r /�%�, _���` �� S��' �`� 8� �
� a.� � Homeowner(s)Signed: ❑�'es---___
y �
f �/ y1 i� Resolutions(if any)Signed:�Yes ❑None Reyuire��
, " / p.
��fS H���� (V I,onin Disdosure Si ned. ❑Yes �None Re uired � � a�
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: 1224 6RlAR ST, WAYZATA, MN
JAMES HILLIER SAME
Owner: Mailing Address:
Cit WAYZATA ZiP: 55391
Y�
Phone: 612-916-6574 Ef1181I: JIM HILLIER@HONEYWELL.COM
Contractorl Applicant Informafion:
Contractor/App.: EVERLAST ENTERPRISES IN�ontact Person: JAMES CLEARY
Address: 4109 NO SHORE DRIVE State License #: BC591566
City: MOUND Zip: 55364 Expiration Date:
Phone: 612-868-0748 Email: JIM EVERLASTENTERPRISES.COM
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions:
1. You may be required to obtain other permits, i.e.: weli 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# NA
�z��F('Ct i( E�:"��1, <�r ��'�`(it i�i�.}
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. INCLUDED IN GENERAL PERMIT
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�equired.
Form Last Updated: July 2015 � I 5 � 3�/�
1�0784
• 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 ait 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 fina! 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
actuaily 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 resutting from the demolition
described herein as performed by the property owner, his employees, agents, subcontractors or assigns.
PERMIT TYPE AND FEE CALCULATION
[� $75.00 — Principai Structure $_ 7s�, o0
�$50.00 — Accessory Structure x�(how many) 5�•�V
1. Subtotal of above permit requested $
2. State Surcharge 1.00
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
ali 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: �� ��
Owner's Signature: � Date:
Approved By: Date: i�_ � �
uilding Official)
*Zoning Disclosure Required? ❑ YES �'�NO �� u,� � �5 3��
'This must be filled out by Zoning Department— For ei fer�swer, a Zoning Official must sign all applications.
* Approved By: ,Y V��� Date: �V • ' ' ��
(Zoning Official)
Form Last Updated. July 2015
1507R4
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50 —_��,— i LEGAL DESCRIPTION OF PREMISES :
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� �� Lot 16, and the South half of Lot 17, Biock
(ssa.$) (ssbs) � __g64'� — �� ..
/ —�� �_ (963.8)
_ �9s,.5� o : denotes iron marker set
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ning Plan , . � ^
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ID �
�� "� DATE TIME
CITY OF ORONO CA ED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. - � � OMPLE�TyED.,_
ADDRESS .��� /�r` �� �
OWNER TELEPHO N0.�5� ��� 7��7
CONTRACTOR � �r ��
>: DESCRIPTION � �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE S TIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU: YES_NO
c�.� COMMENTS: �—_
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W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 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
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary CopylSlte Notiee
l�% ���� 7 �' TIME � /
� 1
CIN O ORONO CALLED IN �� �a � ==yc�
INSPECTION NO CE SCHEDULED 1(,�-�G'f--1 '
PERMIT NO. 5'��2�C MPLETED
ADDRESS � �� � `��
OWNER TELEPHONE NO �a-� -�3�
CONTRACTOR � I Le-��—
� DESCRIPTION �� C���
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED L�PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. (952 - 6��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice