The URL can be used to link to this page

Home My WebLink About2015-01145 - demo � ' CITY OF ORONO * z 0 1 5 - 0 1 1 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1105 BROWN RD S PIN : 10-117-23-24-0004 LEGAL DESC : LJNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTYTYPE : RESIDENTIAL �;(�`.� (��f�C`��I 51�� f��'� C01�1STRUCTiON TYPE : DEMO-PRINCIPAL STRUCTURE NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF S[TE,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 THIS PERMIT. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 1.00 NORTON HOMES DEMOLITION-ACCESSORY STRUCTURE 50.00 18215 45TH AVE N, STE D PLYMOUTH, MN 55446- TOTAL 126.00 (612)386-7661 Payment(s) Minnesota State License#: BUIL-BC639221 CHECK 13862 126.00 OWNER Norton Homes 18215 45TH AVE N,#D PLYMOUTH, MN 55441- AGREEMENT AIVD SWORIv 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 sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ;� ,�.� � r . '"� �- ��--__ -_-r_..y � �i � �' i `._5 plicant Permitee Signature Date Issued B Signature Date Q City of Orono ITY USE ONLY � �^ P.O.Box 66 Date Received:��S Permit# �= V 2750 Kelley Parkway ' Crystal Bay,MN 55323 Amount: $ SAC Credit: (952)249-4600 '� � Homeowner(s)Signed: ❑Yes ,� yF �,� Resolutions(if any)Signed: ❑Yes ❑None Required {7'�ESNv�� Zoning Disclosure Signed: ❑Yes ❑None Required C�'`,C.UC-- �l K C�N.cXi- Ll��h"vW�Y v' CITY OF ORONO - DEMOLITION PERMIT Q �� 1) (All permits must be approved by the Building Official and/or Zoning D� t) Job Site / Owner Information: �,p�� .�.�,� � \ � Type: �'Residential ❑ Commercial �Q�., -� , �Q��,J�1" � Site Address: l � � � �� . �. ��♦J�" � , �N A Owner: 0 E� Mailing -� � �s� /�f� �� D � � City: �L��}� Zip: J'��0 Phone: Z�P3 - 'rJ,'r�7-Z l ( I Email: �at-lrI � ��J�'��5.�o�., Contractor/ Applicant Information: Contractor/App.: /Ut)K-'t'o�1 ��u� Contact Person: �tf�IS �Oit-r�� Address: �-?/dl�- State License #: ��.�oJ��-� City: Zip: Expiration Date: �4� 2�� Phone: (o I Z -�v'8�o-7��0� Email: CK�-I�I�N��Z�J t�-c�+t,l�5� �-��`ti- 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 struGtures 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 $ 75"' � $50.00 —Accessory Structure x �(how many) � ' 1. Subtotal of above permit requested $ �ZS ' 2. State Surcharge 1 .00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �� .00 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 Owner's Signature: Date: Approved By: Date: `� � � � �5 ( ilding fficial) * Zoning Disclosure Required? ❑ YES ��NO �; �L� �'�;�� :�.�1�'p� �� :S'��I �}�� Z�I`j-.0� 14'� ''This must be filled out by Zoning Department-For eit r nswer, a Zoning O�cial must sign all applications. * Approved By: C Date: q' « �15 (Zoning Official) Form Last Updated: July 2015 150784 M I N N E S 0 i p Minnesota Department of}iealth SEALING NOTICE VERIFICATION � Well Management Section f'.O. E3ox 64975 This is to verify that this office received a notification on 8/7/2015 that a well sc. Pa�i,Minnesota 55164-0975 (Minnesota Unique Well No. 0000157489) is to be sealed by DEpARTMENTorHEAITN (651)201-4600 or 1-800-383-9808 MOTZKO WELL DRILLING 8i: Well or Boring Location Address: 1105 S BROWN ROAD ORONO 55391 Location: County Hennepin No. 117 Range 23 Section 10 NE SE NW This well must be sealed in accordance with the Minnesota Rules on Wells and Borings. MDH staff may be on site to inspect the well sealing. NORTON HOMES 18215 45TH AVENUE NORTH, SU�TE D PLYMOUTH, MN 55446 � � N t+ t s o t A Minnesota Department ofHealth SEALING NOTICE VERIFICATION � Well Management Section P.O.Box 64975 This is to verify that this office received a notification on 8/10/2015 that a well St.Paul,Minnesota 55164-0975 (Minnesota Unique Well No. H000325992) is to be sealed by DEPARTMENTorHEAtTN �651)201-4600or I-800-383-9808 MOTZKO WELL DRILLING 8t: Well or Boring Location Address: 1105 S BROWN ROAD ORONO 55446 Location: County Hennepin No. 117 Range 23 Section 10 NE SE NW This well must be sealed in accordance with the Minnesota Rules on Wells and Borings. MDH staff may be on site to inspect the well sealing. NORTON HOMES 18215 45TH AVENUE NORTH, SUITE D PLYMOUTH, MN 55446 c � �� DATE TIME' CITY OF ORONO CALLED IN �� 'S�J`_ INSPECTION NOTICE �SCHEDULED /�7--�t S � PERMIT NO. �� '� � C MPLETED ADDRESS l/�—S `� `��/�-- �S OWNER �/ s� TELEPHONE NO.P�°Z`y�� C�NTRACT�A � �V�� _ � DESCRIPTION �� ll� ❑ FOOTWG ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ��F�fPFIk� ❑ WATER HOOK-UP ❑ FOLLOW-UP k7 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNEFUCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � / � I� G �O �U rvt.d��"GG � � O � W _ Q !��..� -�'� �sr..,� — � z , � �eGl�. ,r � n�t�� .�.. {.✓as�� o�c `�re,f W � j � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: � Inspector. � White Copyllnspector's Ffle Canary CopylSite Notice � .� C� DATE 1 / TIME CITY OF ORONO CALLED IN /D �S�5 � INSPECTION OTICE �,( SCHEDULED /O -�5 /G� PERMIT NO. ��-S"��`� COMPLETED ADDRESS �l D S �eY�vL�'L �Ge.- S OWNER TELEP NE NO�a -�Jl�� CONTRACTOR l �� DESCRIPTION GC�t�t.C_._ � Y�-- ll� ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a � �43, �e�c,✓ -+c c ��c� rc� ��vc �i��f j — o ,P�.LS�n N �2P�t�/�+� � � � ►,v� �C ��d�p.� c�o,o�- 0 � — QC w�v�u C -F /G• s.OG 5�' O� GcJ• N- `F �/esSc.�� 2 'L 4.q l� �,v —� ( — -- Sc Q �L �i/c�i�Gt1S �u - , . � � ��.� �! �NG..-t�a.�c Si�i -!e it�'�L' J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��.`6RREC�RK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector. � White Copy/lnspector's File Canary CopylSite Notice