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.
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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:
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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} $
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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
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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