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HomeMy WebLinkAbout2014-00059 (demo) : CITY OF ORONO * Z 0 1 4 - 0 0 0 5 9 * � 2750 KELLEY PARKWAY DATE ISSUED: 02/OS/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3225 CASCO CIR PIN : 20-117-23-43-0021 LEGAL DESC : SPRING PARK : LOT 029 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE (p�?5 �-w�t,�- I-`c��`�-�-y NO`I�E: l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED PROM GROUND&DISPOSED OF OFF SITE,P�R PCA R�GULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 HOUR NOTICE [S REQUIRED FOR AL,L INSPEC7�IONS. CALL(9�2)249-4600. SEWER MUST BE DISCON"I'INUED AT THE CITY SERVICE BY QUALIFIF,D CONTRACTOR I3F,FORE DEMO PI:RMIT IS ISSUED. CHECK 1�0 MAKE SURE'I'HIS PFRMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 STONEWOOD, LLC STATE SURCHARGE DEMO 5.00 153 E LAKE STREET TOTAL 80.00 WAYZATA,MN 55391- Payment(s) (612)462-4000 CHECK 12499 80.00 Minnesota State License#: BUIL-BC594315 OWNER LEESTMA, MARTIN& KATHRYN 3225 CASCO CIR 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 Codc. This permit is Yor only the 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 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 a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in c man e with the State Building Code.This permit may bc revok ny time f due cause. Z - 5-- / / Appl� mitee Signature Date Issued By Signaturc Date * . ` 4► �(� City af�ronn �R Cri'Y U51E OAILY . . )��� ; P.O.Box 88 Dme Rettrved; Pmmit i!Y� �{VD 2780 Keftey Perkwey ( � Cryata!Bay.MN 55323 I Amoimk S SAC Cmdit � (962}249-4600 'j,F, � Homwwtrcr(s)Signcd: 0 Yta c�` V� Resolatiams{ftany)Signed: Yes ❑Noae Requirad �'r�SHOQ'� Zonin Diwlosare3i Yw ?Jona ired ClTY OF ORONO- DEMOLITION PERMIT (All permks must be approved by the 8utkling Oificial and/or 2oning Dapartme�tj � ,�J �c�;Sit�L Owr�er'fnf.c�rr�aa�ir�n: � ' Type: �Residential ❑ Commer�cial 3ite Address: �22 S �'^5� Q C t r� 1-�- �('cn1 c Owner: /L1M�����K Mailing Address: "'��-� cw��Q ��`-� City: o �c�S C� zip: 55�'1) Phone: �5 Z- 'Loo- �(8'1 a Email: N�1-cz a (a� c��145�►", �� Cor�tra��mt/Appkca�at lnfiot�na#�nr�:•:.� Contractar/App.: 5�'�'����c Z , �� c Contact Person: 5�� Address: 1 S'� � ���=-� ST State License#: '�i�5� �3�5 City: �✓�/�_ Zip: �5 3 K 1 Expiration Date: �f��f Phone: ��2- H L2- y o�� Emai�: S�tN C� Yt'��ac Z .co.-� -�.:C�a1d�'a£��f:ttaL�;N;�����i�{�l��!l���'.:, - General Instructions: 1. You may be required to obtain other permits; i.e.:weli abandonment, sewer, eta 2, Wark must not begin unless the permit card is availal�le on the job site. 3. A 24-48 hour notice is required for all inspections. Cafl (952)249-4800. 4. Sewer must be discontinued at the C[ty service by qualified contractor before demo perrnit is issued. Demofition by means of: ❑Manuai Disassembly [�Heavy Equlpment ❑Other Permit(s) Issued: [� Sewer Disconnectinn �]Well Abandonment# i� return for isauance of said Demol�tion Permit,the underslgned owner hereby agrees to: 1. Submit a survey, aerial photo or sketch showing all strudures on the propertyr, Note which struct�ares are to be asmolished. 2. Submit a surv�y, aerial photo or sketch showing proposed erosion control measures in accordance with Chapfer 79, Construction Site Runoff Control. 3. Submit a copy of perm(t approvai 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 dacumentation stating permit(s) are not required. . � 4. Submit a$2,500 escrow and an escrow agreement signed by the prQperty owner. 5. Keep all structure(s) enclosed and/or secured until such time as demolition is compleie. 6. Keep aA demolition debris off adjoining property and/or the public rights-of way unles5 specffic prior approval is obtained in writing for temporary use thereof. 7. Completely remove foundation(s)from the ground. 8. Cornpletely dispose of all demolitian debris off site in acc,Qrdance with all applicable PCA requiremerrts. 8. Abandon water we(Is in accordance with State F�ealth Departmer�t regulations. 10.Caif for an inspection when all debris has bsen removed, before back�lling. 11. Within 5 working days of supsrstructure removal, a final inspection shail be requested. The sfte shaN be (eft clean and clear of all debris, with any excavation filled with earth level with #he ' adjacent ground elevatlon(except when such excavstlon Is to be used as part of a new building and such new bullding is actually under construction), 12.Abandon septic systems per Minnesota Rules Chapter 7080. A!I septic tanks rnust be pumped, crushed and filled with native soils, An inspection is required after the tanks are pumped and before the tanks are crushed and filfed. �3.The undersigned owr�er shsll and hereby does indemnify and hofd harmless the City of Orono, its agents, employess and assigns from and against all claims, damages, losses or expenses, including attomey fees, against �e City, its agents, empfoyees and assigns arising out of ar resulting from the demolition described herein as perfor�med by #he propetty awmer, his employees, agents, subcontractors or aseigns. PERMIT TYPE AND FEE CALCULATt4N � $75.00—Principal Structure $ '7� ❑ $50.00—Accessory Structure x (how many) — 1. Subtotal of above permit requested $ � � 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above} $ gQ r The undersigned herby applies to ity of Orono for issuance of a Demolition Permit, agrees to do all the work in a strict accordan w the ordinances of fhe City and the regula�ons of the State of Minnesota, and certifies that all a ents made on this application are complete, true and correct. Applicant's Signature: pate: I - LO- ""� Owner's Signature: �r�""`� Date: � '���� Approved By: Date: (Buifding Official) *Zoning Disclasure Required? YES ❑ NO 'This must be filled out by Zoning D artment- or either answer,a Zaning Official must sign all appficat ns. , "Appraved By: \ Date: ��� ' � (Zoni g Official) ' �/� . DATE TIME� CITY OF ORONO CALLED IN INSPECTION NOTI E GSCHEDULED PERMIT N0..�4' w ����` COMPLETED, �S� ADDRESS 3�a�—�.SG-o C'��c�c OWNER TELEPHONE NO. CONTRACTOR ���� , � �; DESCRIPTION � � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHOREM/ETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ��LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: DPr.�•� �� `ld�c�"'' �1�� � �ll o� - , a �6� � �/�2.�G /N 5����o n._ D�' �S.� 0 _� ,19r� �e. ...� 4J'4'���l1�4 -- �. � O � 7�P�/� �S 4 Ir�qJ 3�v4c-�'4✓t a q W .,t 1 � f�'!�S S t�� �S T//�'!e Q ^ r � �.Q�,,.��� �•�14�� w � j d W ❑WORKSATISFACTORY:PROCEED T COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 j 249-460� OwnerlContractor on site: Inspector. �`"" White Copyllnspector's File Canary CopylSite Notice