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HomeMy WebLinkAbout2015-01229 - demo CITY OF ORONO * z 0 1 5 - 0 1 2 2 9 * ♦ ' 2750 KELLEY PARKWAY DATE ISSUED: 1U10/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1380 BR[AR ST PIN : 10-117-23-31-0053 LEGAL DESC : MARKVILLE : LOT 000 BLOCK 002 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET NOTE: 1. FOUNDATIONS/ALL DEMO DGBRIS 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 TH[S PERM[T. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 1.00 SUMMIT CRAFTSMAN LLC DEMOLIT[ON-ACCESSORY STRUCTURE 50.00 P O BOX 526 SHAKOPEE, MN 55379- TOTAL 126.00 (612)247-6997 Payment(s) Minnesota State License#: BUIL-BC20626592 CHECK 9398 126.00 OWNER ZITZLOFF,JEFFREY& BRENDA 1380 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[he 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 whe[her 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 construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is�esponsible 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. ) i ������ � �- ��� � o �l A ' an m� e �gnatur Date Issued By S' ature Date O City of Orono � OR CITY USE ONLY �� �- � P.O. Box 66 �` l�� Date ReceivedL��� Permit# �G/,j-�..� �«.�,� � 2750 Kelley Parkway �� Crystal Bay, MN 55323 '� Amount: $�d�,� SAC Credit: (952)249-4600 � � Homeowner(s)Signed: �Yes yF � �, Resolutions(if any)Signed�❑I�es ❑�Ione Required l�kESH��� Zonin Disclosure Si ned: ❑Ye None Re uired CITY OF ORONO - DEMOLITION PERMIT RE�EIV�D (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: � SEP 2 4 2015 �ITY OF ORONO Type: � Residential ❑ Commercial Site Address: �3 �� �����5� Owner: �-� Zi�"z 1o�tT Mailing Address: ��SS S�1�i.�V t�� �`�• City: �X CC' �$ i�f Zip: .SS ��% Phor�e: 1_�Z - Z f O - O Q'S� Emai�: k� �Z C.1, Z.@ °rM�c.+� . CQ�'a'1 � � Contractor/Applicant Information: Contractor/App.: �Si�rhr�n;� C�D��S��'ta� Ll.Ccontact Person: ���c.I� �rP�-�'�?i Address: � �- ��C J�� State License #: �C �Z 6 c� 9� City: � ro�C L Zip: .SS� � Expiration Date: 3`3/' � � Phone: d 1 Z � 247 - �°J� Emai�: $�^^m�tb:�c,��t��qm�.i I . Co� SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT ` General I nstructions: 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 4� � 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 aii applicable PCA requirements. 9. Abandan 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 fiiled 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 $ 75�, 1p �$50.00 —Accessory Structure x (how many) Sa� �Z� 1. Subtotal of above permit requested $ 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) � 1L� �-p 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: � - Z1'"�� � Owner's Signature: Date: C/-�-�`-�1 Approved By: Date: �� � uilding Official) * Zoning Disclosure Required? ❑ YES �� NO �Q� � �� ��j����I�-��7G *This must be filled out by Zoning Dep rtment-For eitr(el►answer,C aZoning OfFcial musi�ign all applications. �`v * Approved By: Date: '�1 �5 (Zoning Official) Form Last Updated: July 2015 150784 � KI M Z�ITZLO F F �/ �/ I I POOL � I EXISTING � � j I ( � HOUSE �, BLOCK 2, MARKVILLE � ��� (9�,9.2)�-------I �,---- �, :OUNTY, MINNESOTA � � � � � ' � -------'�� i . �. �� �_- csss.s�L_ ( � (958.3) � � �-----� � � � SHED j EXISTING � � _:... .. . ��-- . --� � GARAGE � � �s5s.s�.---, I css�.s� � (958.3) � SHED� ( � ----./ S 89°20'30" E 87.50 �--� L-----J ��8�6� � EAST LINE OF WEST 60 �: -----• '�: HALF OF LOTS 3 & 4 I EXISTING � (958.7) I GARAGE I � -•----- --------- -------- 30.00 22.0 �----� �_ (958.7)�- / �� PROPOSED POOL / ��� AND APRON oo I � � �,--L)_ M W �---� � a / (sss.o) - --_.� � �. � � 960.0 � - i G Y � " ~ I �959�\ m / PROPOSED ; in U � � / PATI •--•• o ... �- � w (959.6) � � �G� a W ss .� °� g i,.so a � 22.0 32.50 �B� \ 0 W °'e� � � p � i w o �o� M o R ,,� � o o � " �� -� � PROP E� IVEWAY °' pO,L59.5) --20.D- - ����, H �� � - �- ,,00 � ___ _- ��rye _ -__ ��^ � (sso.o) �_��960.5) v, 0 9 � C ac SHED / � � ` � ,n PAD ( 60. _5:6 � r-x o �'�` 6.9 - �- � � o� � � ,� (960.8) �n � O �/ � E < LL Z I ( ) a.5o � • I (A' o X I � (s6o.7)r-- / � - - N o � � " SHED r-- �.;;;i � ,sTEPs THRES O �6.00 0,�•,, .�. .. I � I � �-�ELEV- 2. N - � 1.0o I - ,;, � (960.6) , ---- ------•----i-- - ' 15.8 (960.8) - - I �� EXI: , �ssi 3> ; DE TOP OF WELL � --�(960.9) CI csso.a�ss2.� ��` \ ' STEPS / � (960.4) •• � ;� (961.0) - . . ,.., . 1 ^_ ��� . , . ;; . . . . . . ; .:..;. � o.s , . , m -( �._ i�• '•--' : . ---- ---- � �: - ----- � . ---___ � • ----�--______-___(�fi1:�'� : ��ExisriNc -_ -__�,.,> _ ; DRIVEWAY 20.4'- �s.� � . ._...---- - __ _ ----- - - (9so. - ----_� (TO BE REMOVED) N EX ; � /i -- __ --_ __ , ------_ -- - �� GAf�AGE � - _ __ / (961.2) _ _ �(To ee ReMovEo� I (9 .4) /� ' � v. : �: 961.6L---- � �� N 89°20'30" W 87.50 � - J I �96,.o,fi 6 ; _. ,.... � ; .;.. _ . � �: • � r �MANH LE (962.0) 'I .. . .�.'� ��� /I ���--�\ ? i.... :• RIM E EV=961.1 /\\ �/� I \___ ,/ \�---��-- / � � �. �/ U� W �� � � � ,� , � � �\ -f/ (962.2) ��----____ � � � xWELL /�(963.2)r--------�(963.1 � � � � � � � �� � EXISTING O ,..fi � HOUSE // i i� � I O I � PTION OF PREMISES SURVEYED: � O f Lots 3 and 4, Block 2, MARKVILLE � � vs the boundaries of the above described property, and the location ildings, visible hardcover, driveway and selected spot elevations thereon, d location of a proposed house, drive and pool. It does not purport to show any PROPOSED ELEVATIONS (VERIFY) 3nts or encroachments. EXISTING AND PROPOSED ..w��� r� r+�r'� _ i+nn n f�..�J � - � � TIMLV CITY OF ORONO CALLED IN �� INSPECTION NQ����/�� SCHEDULED f —� a �� S �d•� PERMIT NO. � OMPLETED ADDRESS �3 g� �CQ-/' �lf OWNER • T LEPHONE NO. �� 7 ��� CONTRACTOR �-�" �rnQ-�- � DESCRIPTION �-�120 ��`�'`' lt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSU TION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ FI L ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO-SITE ❑ SEPTIC INSTALL 2 ERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a 2 J O ). � O -�' � W � Q � 2 W � W � � � d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED �IS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING 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 i a ce. 5 ) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �r � , � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE _ scHEou�E� �S PERMIT NO.�C%CS'�/faa� MPLETED ADDRESS �r.� ��� ���r��'�' -��- OWNER TELEPHONE NO.(l�l� �� 7�gCT CONTRACTOR ������/,,L_ ` �: DESCRIPTION v�-✓ `���� �✓�� `�jC�-f�� 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 � ❑ INSU ATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FI AL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ S BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO-SITE EPTIC INSTALL � O ERICONTRACTOR TO MEET Y • YES_NO t_� � COMMENTS• W � a � � O �. - � O _� W � Q � 2 W � W � � � d W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g5 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice