HomeMy WebLinkAbout2002-P05278 - demo � ' PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pos2�s
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 6i2oizoo2
SITE ADDRESS: 1241 Brown Rd S.
Wayzata,MN 55391
P I D: 10-117-23-31-0066
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Census Code 649
Pernut Class: Building �
Pernut Sub-type(s): Garage- etached �T�- �
Permit Type: Demolition � 1� _�� �
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DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 30.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Top Notch Exteriors Inc. OWNER: Monica&Micheal Brown
218 Lyndale Ave. 1241 Brown Rd S
Maple Plain,MN 55359 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Si,enitures Required), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
1. You may be required to obtain other permits, i.e. well abandonmment, etc.
2. Work must not begin unless the permit card is available on the job site.
3. A 24 hour notice is required for all inspections. Call (612) 249-4600.
JOB SITE ADDRESS: I Z-�-[ ��Gw�1 1�1
Occupancy Type: ✓ Residential Commercial
OWNER'SNAME: ���Y�(,l..l�% ��t,�►� Phone: �Z ��
Mailing Address: � �Ql vv� City: 11'0
CONTRACTOR'S NAME: �j�Q��.�1�5�'���d f5 �� Bus.No.: - � ' � �
Mailing Address: ���,rv�[�Gt,�,.Q City:
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Demolition if planned by means of: manual disassembly
heavy equipment �bC(�"
Permits Issued:
# Well Abandonment
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follo�vs:
1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is
complete.
2. Demolition debris will be kept off adjoining property and/or the public rights-of-�vay unless
specific prior approval is obtained in writing for temporary use thereof.
3. Foundations shall be completely removed from the ground.
4. All demolition debris shall be completely disposed of off site in accordance �vith all
applicable PCA requirements.
5. Water�vells must be abandoned in accordance�vith State Health Department regulations.
6. Inspection required when all debris has been removed, before backfilling.
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7. VVithin 5 workin�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).
8. 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 arisin�
out of or resulting from the demolition described herein as performed by the property owner,
his employees, agents, subcontractors or assigns.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanks must
be pumped,crushed and filled with native soils. An inspection is required after the tanl:s are
pumped and before the tanks are crushed and filled.
PERIVIIT TYPE AND FEE CALCULATION
$50.00 - Principal Structure
$30.00 - Accessory Structure
1. Subtotal of above permit requested $
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $
The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit,a�rees to
do all work in strict accordance �vith 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:
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O`VNER'S SIGNATURE: Zi. � " i ' v,-.�� Date: Z (%�
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APPROVED BY: � Date: (, -��-- o Z
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October 4, 1996
Dear Sir/Nladam:
The Minnesota Pollution Control Agency (MPCA) is writing to request assistance in informing
the general public of federal regulations and state rules regarding demolition projects. Recently
MPCA staff have encountered numerous instances in which a demolition contractor had obtained
a permit from a city or county office and commenced the demolition unaware of the state and
federal rules ar.d regulations governing demolitions. Often contractors believe that by obtaining
a city or county demolition permit they have satisfied all requirements.
In an effort to address this problem, the MPCA would appreciate it if you could hand out the
enclosed documents along with your demolition permits. If the demolition permit applicants
have additional questions, please ask them to contact the MPCA Asbestos Team at the telephone
numbers listed below. The MPCA is aware that many cities may already supply contractors with
this information and �ve appreciate your efforts.
Phone Numbers
(612)296-7300 or 1-(800)857-3864
Enclosures
520 Lafayette Rd. N.; St. Pauf, MN 55155-4194; (612)296-6300(voice); (612)282-5332 (Th')
Regional Offices: Duluth•Brainerd•Detroit Lakes•Marshall •Rochester
Equal Opportunity Employer•Printed on recycled paper containing at least 10°o fibers irom paper recycled by consumers.
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Hazardous tiVaste is any waste that displays one or more of the following characteristics:
• Ignitable (will ignite at less than 140°F�, soivents,petroleum products, thinners
• Corrosiv� (pH of 2 or less or 12.5 or more), concrete cleaner,paint stripper, bleach
• Toxic Characteristic Leaching Procedure (TCLP) a test to determine if a material will leak
heavy metals or other toxic materials
• Reactive, esamples include carbides, sodium hydrosulfide, maQnesium
b , potassium
Hazardous `Vastes must be removed prior to demolition and can not be disposed of at a demolition
or sanitary landfill. If you identify any containers or materials that you believe may be hazardous
you must have them tested before proceeding. If you have any question please contact the MpCA
Hazardous tiVaste Division at the number below.
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.......;: :; ; SP�CIAL H��ARDOL�� VY,AS�'E;�; `.:;<`<;<>':;`:
Special Hazardous `Vastes are materials that may not meet the above requirements bu
t have been
given special consideration because of their specific properties. The follo�•ing is a list of special
tivaste t3�pes and the materials in which you might find them. Special Hazardous tiVastes must be
identified and removed prior to demolition.
♦ Dry Cell Batteries (button, nickel cadmium, small lead acid rechargeable and other dry cells
♦ Antifreeze
♦ Circuit Boards (old electrical equipment)
♦ Polyclorinated Biphenyls (PCB) found in light ballasts, small capacitors in old appliances, and
transformer oils
♦ 1�Tercury (fluorescent lamps, mercury ssvitches, mercury vapor lamps, thermostat probes, metal
halide lam ps, rela ys, hia h p r e s s u r e s o dium lamps, thermometers, neon lamps, thermostats,
manometers, and gauges). 1�Iany mercury containing materials w�ere used i� wppli����s, or
industrial s��•itches or controls.
If you have any questions regarding the identification, transport, or disposal of special hazardous
�s�aste contact the Hazardous Waste Division at the phone number belotiv.
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:i�\'IIERGRQLTtitI1 STORAGE TA�� .; <
In a demolition any underground storage tank (CTST) must be identified and remov
demolition. In most facilities the presence oi USTs sti�ill be I:notiti�n from the ty�pes of pe�rations
performed at the facility. The most common type of UST that y�ou titi•ill be concerned �vith is old fuel
oil tanl;.s that have been abandoned. The folloti��ing are some clues as to ho�ti• to identify a potential
UST.
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� A site`valkover may provide clues as to the presence of an abandoned UST. Heating oil tanks
usually exhibit spillage during filling, especially if the tank is old and has been filled repeatedly over
a number of years. Staining of the soil with or without the characteristic odor of fuel oil may be an
indicator of the presence of an abandoned fuel oil tank. If the soil appears to be undisturbed, check
for the presence of a fill pipe or a fill pipe that may have been cut off below ground level and
covered over.
Fuel oil tanl:s are generally buried near the foundation of the building. Check the basement of the
structure for the placement of the furnace and any piping to an outside wall that may remain. If�
the pipina has been removed, look for a hole or patched hole in the waIl in the general vicinity of the
furnace or the area where the furnace once resided. The fuel oil tank, if present, should be on the
other side of the wall, near the foundation. Fuel oil tanl:s of greater than 1,100 gallons capacity
should be registered by the tank owner svith the MPCA. Contact the Tan�:s and Emergency
Response Section at (612) 297-8679 to see if there is any information that indicates the presence or
former presence of a tank at this site.
USTs are generally buried 36"-42" below ground. Metal detection devices such as those used by
NSP to locate metal gas lines and electrical`ti�ires may be capable of detectina the presence of an
UST if it isn't buried too deep.
Soil borings in an area of the site suspected to contain an UST can be conducted, but this can be a
costly option. If the soil is sandy or othern•ise relatively porous, a metal rod may be driven into the
ground to a depth of 48" or so in areas suspected to contain a buried UST. Escavation may also be
an option, however, this is labor intensive, may be costly and will be disruptive of the integrity of
the site.
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The presence of unsealed w�ells is a concem in many older buildings. Any unsealed or improperly
sealea wells need to be identiFed and a licensed well contractor needs to be contacted to properly
seal the well(s). The following information includes some clues on hosv you might locate an
unsealed well and who to contact to learn more about them.
Locatina unsealed`vells is a combination of research and educated guesses. There are three areas
�ti•here records of old `vells may be located:
♦ llinnesota Geological Survey (612) 627-=�78-�,titi•ater�ti•ell records by section, totir•nship and
range, and sometimes b}• address,
♦ Minnesota Department of Health Well l�Ianagement Unit (612) 21�-0811, Pre-1990 the���ells are
classified by year and the contractor that drilled the �vell,
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♦ City Inspections Department and local w�ell contractors. � �
Another way in which to identify unsealed R•ells is to look for clues: some clues are:
♦ tivindmills, usually would use wind power to draw water out of a well
♦ unaccounted for pipes or areas in the foundation where pipes used to run
♦ the building was constructed and occupied prior to municipal water being available to that area
♦ well pits or shacks
a magnetometer may be used to identify metallic objects within 3-4 feet underground
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•CFCs (chlorofluorocarbons) and HCFCs (hydrochlorofluorocarbons) are man-made refrigerants
that destroy the ozone layer.
•CFCs and HCFCs must not be released into the atmosphere. These re:rigerants must be
recovered by technicians certified by a U.S. EPA approved program using proper refrigerant
recovery equipment.
• Esamples of appliances that contain CFCs and HCFCs include:
♦ refriaerators ♦ dehumidifiers ♦ central air conditioners
♦ room air conditioners ♦ vending machines ♦ heat pumps
♦ freezers ♦ chillers ♦ ice machines
♦ food display cases ♦ �vater coolers
•Refrioerant substitutes (including HFC-13-�a) must also be recovered and not vented to the
atmosphere. .
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•Some fire estinguishers contain halons which destroy the ozone layer.
•Halons must be recaptured tivhen recharging, sen•icing, or retirin�the unit. There are a number
of companies in l�'Iinnesota that have the proper halon recovery equipnent. �
�HaIons can be used as total flooding agents in areas such as computer rooms, libraries, spaces
floors, and near electronic and medical equipment.
•Halons are also found in some portable fire estinguishers.
Halon fire estinguishers must be remo�•ed from the facility prior to demolition.
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' DEi110L�Oi� L��I'U��;L �CCEPTABLE A��D �AeCE�'T�BL�`�?tFAS1'ES
In the disposal of demolition debris, certain materials may or may not be acceptable at the
Demolition Land Disposal Facility (Demo LDF). Certain Demo LDFs ha�•e Industrial Solid �ti'aste
1lanagement Plans (ISW`IP) that allo�r• them, under special provisions, to accept some of the
follorving materials.
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� F cceptable Materials:
'� di-ytivall (demolition only) ♦ untreated wood ♦ ceramic fi.Ytures
♦ plastic ♦ conduit ♦ glass
♦ insulation (fiberglass/cellulose) ♦ wiring ♦ roofing, shingles
♦ tile (ceramic, floor,vinyl) ♦ metal ♦ built-in cabinetry
♦ asphalt ♦ butiminous concrete ♦ masonry
♦ concrete (including rebar) ♦ masonry/bricks ♦ tree stumps
Burned out buildings: must be sure that no hazardous materials or asbestos-containing materials
remain and that the threat of smoldering or reigniting is controlled. Some Demo LDFs may not be
able to accept burnouts because of the potential for hazardous materials to be present. In addition
burnouts pose a serious threat of smoldering or reigniting at the landfill. Check with the Demo
LDF before brin�ing the material to the landfill
Unacceptable i�Iaterials:
♦ infectious�vaste (needles, body parts, dressings, etc. from hospitals, mortuaries, nursinD homes)
♦ untreated setivage (sewage sludge, sludge compost, and septic tank pumpings)
♦ street s�ti•eepings (should be tested to determine if they are hazardous (TCLP))
♦ tires (compaction difficulties, floating effect, and waste landfill space)
♦ major appliances (all hazardous materials must be removed including mercury, PCBs, and
chlorofluorocarbon (CFC) refrigerant gas, commonly l:no���n by the trade name FreonO
♦ yard waste (creates leechate, gas, settlement problems, and �}•astes landfill space)
♦ household ��•aste ♦ paint cans ♦ construction ���aste
♦ cardboard ♦ caulk tubes ♦ aaricultural chemicals
♦ machinery or engine ♦ mattresses or ♦ treated lumber
parts furniture
♦ railroad ties
Some types of Industrial tiVaste may be accepted at a demo LDF depending on the individual
landfill's permit. Industrial Waste typically accepted at Demo LDFs includes,
♦ asbestos-containing materials
♦ construction waste that is the same as demolition ��•aste, such as �vood or insulation
If you ha��e any questions about acceptance of any ���aste at a Demo LDF please contact}•our nearest
NIPCA Solid Waste Specialist.
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OTT�ER ISS�S :
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Other issues that may arise include local demolition permits, gas lines, and electrical connections.
The Gopher one-call can be used to identify gas lines. Also,you are reminded that for aIl
demolitions, whether asbestos is present or not, the notification form must be sent to the MpCA
asbestos team.
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For more information about any of the above listed programs please feel free to contact the
individual program or call the NIPCA at 1-800-6�7-3864.
Asbestos Team: (612) 297-86$�
Underground Storage Tanl�;s: (612) 297-8679
Hazardous ��aste: (612) 297-8�11
Refrigerants/CFCs/HCFCs: (612) 297-71�3
Demolition Debris Disposal: 1-800-6�7-3864 (identify the location in question for the•proper region)
Nlinnesota Department of Health �Vell l�Ianagement Unit: (612) 21�-0813.
This guidance document is not intended as a substitute for reading the rules or regulations and
ma�:ing your own independent determination of its applicability to your demolition. Examples in
the guidance document do not represent an eshaustive listina of types of materials or projects to
which the rules or regulations might apply.
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. � � � Minnesota Pollution Control Agency
Notification of Intent to Perform a Demolition
�� Type of I�lotification [ ] Original [ ] Amended [ ] Project Cancellation
Demolition Contractor: Building InformaHon•
Name: Building Name:
Address: Address/Location:
City,State,Zip:
City,State,Zip: County:
Contact Pcrson: � Phone Numbcr(s):
Phone Number(s): Age of Bldg.(years): Size of Bldg.(sq. ft.):
Number of Floors Including Bzscment Le�el(s):
Buiiding O�vner: Present Use of Bld
�.:
Namc: Prior Use of Bld
g.:
Address:
Dates when demolition or intentional burning
will Begin & End
City,State,Zip:
Notification must be postmark:�or received ten(10)working days
Contact person: before demolition begins. 'Se�i:�m#5 fer emergency demolitions.
Phone Number(s): Boch Beginning and Ending dates should be amended in writing as
necessary to reflect current projec;dates.
If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containine�faterial (R�C�n in the building
to be demolished, it must be remo�•ed by a licensed asbestos contractor prior to demolition. The State of l�Y-
Notice of Intent to Perform an Asbestos Abatement Project must be used to notif�•for the asbestos removal.
Is nonfriable AC�1 present in the structure to be demolished ? [ ] YES [�j NO
If YES complete items 1-9. If�O complete items 3-9.
1. If ACI�I will be left in place for the demolition indicate the amount of Category I and/or Category II
nonfriable ACI�I left in place.
Categ.I Linear Feet Categ.II Linear Fzet
Square Feet Square Feet
Cubic Feet Cubic Feet
ategorv I nonfriable ACM means 2zbestos-concaining packings, Cate�orv Ii nonfri�ble A ��;neans a:_v rnaterial,excluding
g�skets,resilient floor covering,and asphalt roofing products Category I nonfriable AC�1,containir.g nore than onz percent
containing more than one percent asbestos, asbestos thac,when dry,ca:.not be cn:.:.b1ed,pulverized,or
•Category I nonfriable ACII is not allow•ed to remain in place reduced to a powdcr by h�.;.pressure.
for demolition if it is in poor condition. •Category II nonfriable AC�I is not allor�•ed to remain in place
for demolition if it has a high probability of becoming crumbled,
pulverized,or reduced to a powder durine demolition,transport,
or disposal. (ex transite,cement,siate roofing)
2. Description & Location of AC�I remaining in place (including floor R and room R):
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3. Company and/or individual that conducted the building inspection and the procedure used to determine the
presence or absence of ACM(including analytic method): *Prior to demolition ail building�must be inspected by an EP:�
accredited inspector.
4. Description of planned demolition and the specific method(s) that will be used:
S. If the demolition was ordered by a government agency, please identify the agency and attach a copy of the
order:
Name: Title:
Authoriri�:
Date of Order(M/D/'Y): Date Ordered to Begin(M/D/1�;
* Notification for an emergency demolition must be submitted as early as possible before demolition begins,but not later than the
following working day. A demolition is considered an emergency ONLY when the facility has been deemed struc:::rally unsound and
in danger of imminent collapse. If the structurally unsound building is known to contain any regulated ACti1 or is suspected to
contain any regulated ACII,special pracedures�NST be followed. If you are unaware of the special procedures,
instructions/regulations can be obtained by contacting the AfPCA at the address or phone number listed below.
6. Description of procedure to be follow•ed in the event that unespected R4CNI is found or Cat. II nonfriable
ACi�I becomes crumbled, pulverized or reduced to powder:
7. Waste Transporter Information: 8. �Vaste Disposal Information•
Transported Name: LandFll Name: •
Transporter Contact: Owner/Operator:
Transporter Address:.. Address/Location:
City, State,Zip: Ciry,State,Zip:
Phone Number:
Phone Number. �
9. I certify that the above information is correct and I am a bonafide representative of the demolition
contractor or building owner and have authority to enter into agreements for my emplo�•er.
Si�nature of Contractor/Owner
Dat�
Send or Fa�to: For questions call:
Asbestos Coordinator-Air Quality Division 612-296-7300
�L�1 Pollution Control Aoency 1-800-657-3864
520 Lafayette Road North Fa.�c: 612-215-1593
St. Paul, NL� 55155-4194
S� ' -""--�"' � Po�r �. DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO E SCHEDULED CP� .�.�L _�����
PERMIT NO. � � COMPLETED
ADDRESS r��� ��O/.lJ/'� �� . �
OWNER CONTR. �� �d�ti--
TELEPHON E N0. �11�� �`t C � rl' �� � �
� DESCRIPTION r� "—' �/Lt�>
� 01 FOOTING � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU: YES_NO
� COMMENTS:
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W�WjORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
2 �
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
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Owner/Contr on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice