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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. —�, ��- z3- �-�_ `�l �� L, � (��% �1 ��-R-�---� S �� l (�� � `y�� / 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 ___ . _ _, _, __ .. _.. _. . ____ _;._.u.__ _.F_.__.��. _.....__.���,.�,...�....�,_.�.. n,..�.�,. �.�.��,... ..,,�.�„_ .� ,a.,�;. ,.�. . .. .� ,. .y,,..6,%-_ _ � Cn � CERTIFICATE OF SURV�Y F4R ' w OR�1�0 COPY .� IN LOTS 16 & 1 '7, BLOCK 2, MAXWELL'S ADDITION TO CRYSTAL B ..t HENNEPIN COUNTY, MINNESOTA �...: 50 � --- i :::� (952.5) I •- p ------------------------------- �----• �'�'E EXISTING � HOUSE � I / /1272 I � �958.1 956.6) O / f � ( �� I� '� '. N / A� _.,...__.. O � ►r �'••. �'PROPOSED WAL� ' i /� � S 8 9 18 4 2� E . TW_960.0 �H� 14 0.0 0--- ` / ,�ew-ss�.s � ��� LOT CORNER // W (95s.e) ./. '' FALLS IN FE,PlCE =%s E_ rs•,, , /,_., � •�9,�.3 E— ;ro M�956.5 , .� :: . . • , : W � / � ) R�P�EN�E 956 '• ` �� ' �� / � .. _ ;� '� .-. . , ' F ' �'• ' 'as�:o... . . . • . S�� . �.._ .. -----•-••-----.. .. � � � 958 ., .. 2�.0 30 0 0 � � � TO BE REMOVED •�•,: • � � LC� � G���, N / � � �E - - - �' � � - � PROPOSED � � � � o �.�`o e ' / I� - - , Op F — ---- � / DRIVEWAY ' � � ) N N �— - -�� / � � � / '^ W / / - -----.=8.. _ .-.--- ---- � V 1 w � � � ; � ,,.5 � ` /� / � 29.5 980.5 � / � p °' M : PROPOSED � �j � � �., '•i... 6.5 (A) HOUSE o �6 r� � �- � • /� � osEo #1224 � �}' .., ;: u - WA / r : : �"�'l / ; EXISTING HOUSE 8.21 0 ; ; p N .�•., � �C� r�o, TO BE REMOVED / � � , �. � �� n - � - .-..... - � O O �. '• / o � ��� Q �(9622 ,, � . : � M '•..: �57.6 � D 21.29 (E) Q J. w � '-•--••-'•- -V:�:••��----------------•-._._...----•-••- • 960.8 W� � QV '•. .� � :� �' � � EXISTING ��BLACKTOP �� `^ � E— "'' woo� ! � SHED �,� ROADWAY �9 FENCE � �� (959.1 (961.9) �(962.0) .•--•"'.. . FOUND SPIKE 0.3•••"'�� „ � � � . i ����...................... N 89��3' 42" W 140.0�_-�----�...�-�_-fi SOUTH OF LOT COR. � � ,., ° � / :--. ' � �; ' __ `ZZ4 �Y iGr S'�Y�C�" , � :, ,- : � :...; ,- .:- / : . : - I , . .... , � �15 - bi��o ._ , _ _ _ ' i 50 —_��,— i LEGAL DESCRIPTION OF PREMISES : / � I � �� Lot 16, and the South half of Lot 17, Biock (ssa.$) (ssbs) � __g64'� — �� .. / —�� �_ (963.8) _ �9s,.5� o : denotes iron marker set �� (963.9) �� ning Plan , . � ^ n .�i_� t � ,�,. ,.�,. .___ ____�._._ r_ . .._ � 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: �—_ a ����c�'ir►�2 G �cSGG`t rl���� o � �li LL d c L� f-a•c!� �,,.�aaP � re rtico t,� ,f— � �`` Dos� Of ��p.�e//y � 7��r•a e o-�d'��a � . o � S�uJ�✓ o�seb� n e�e�? W � - I,J� !� � ,�� /"G -uS G.0 - Q . � - �rs�os� o fr' Qll ��6��s �,,, ��v�er � -T �6C ,���a-y � W � j W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑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: a� W a � J O �. � O � W � Q � 2 W � W � � d 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