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Home My WebLink About2013-00362 - demo s • CITY OF ORONO * 2 0 1 3 - 0 0 3 6 Z * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3884 CHERRY AVE PIN : 08-117-23-33-0084 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 003 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE RF,MOVED 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 QUALIFIGD CONTRACTOR BEFORF.DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORG ISSUING THIS PERMIT. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 ENGLUND, DOUGLAS STATE SURCHARGE DEMO 5.00 3884 CHERRY AVE P.O. BOX 285 TOTAL 80.00 MOUND, MN 55364- OWNER ENGLUND, DOUGLAS 3884 CHERRY AVE P.O. BOX 285 MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and [he State Building Code. This permit is for 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 at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with The State Building Code.This permit may be revoked at any tim r d cause. /��/�� / /� Applicant Permitee S Date Issu By Signature Date SEPARA PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � r � l.�"" -�� .Iq �`"� City of Oro�o r______..._._. �:,��r,ri'�'i:sE o�i,'t'--_.. ._..___� „ / �� -�,�j�-�y � P.O.8c�x 88 j E3xt�•Stzti�cive<i' -- — Ya��uit t� �LZL�1_..�� '� V \ 275`J}461t�y P�rk,itay ; - ' ; �, Crys>a!E3tt}�,hth��3:'3 s Anu,uitc S.��.�f,Crcclit; _ ! i9�2124fis-��+�iC ! _ _ � �e .� � a. � 3 t�I��at3e nst}�ta)Si�'u;.;�: �I'cd ;i . = f" j - � , , �. ti ' � Resc�Jtat;�m�tsf�s}•J Si�;nrd.CI Y� Cl��r c R y `t� �. '\�,� b t�`1 � �c:as�;�L'�stieteisur�Si�n�.W�Ye� �;vatEe Ree��,:c<! ! � ��4„��;,. C� 4�3 ' ,�-�----' ��;-�tnN �„'d CITY {3F �?Rt1Nf� - Cl�M4�iTtt3N PERNtIT (Aif�ec�ni6s must b�a�rt�ved by fr�e Buif�;.n,Q�€u;iUt��sCilor 2aniz��e�rartrneni5 �J� °b�Site I L'�vs�ner lrifi�rm�t��n __.�«�—s Type: �Residentia( � Commercial StiE {�C1;j�'SS: .��{',� l �.-�tt%f_'3_..��1I� O�uner: �v�1�.5 a„r� �n,. � � P�l�i6it�g Addr�ss: ��L( C�P r r� �� ct��: � o�,�b zf�,: s"S3G L! ��ane: 7�3— 5�4� — �1 qy �J �m��: c-�,oL+,a , e� � /u.no� � ti w►a�l , c.b� i C�nfr�ctor I ApPlieani �r�fQrmat+r�r�: � Contracto�lAp�.:l�t�� r��,5��,::.��•. �;.i's�. Cor�i,��t}��rsan: ,�t�i��' <;,Y� �� Address: �� 5.'�,.' .�:� ;�-, i,�'�:� Sta#e Lie�nse#: �� Ci �� l,�'��" Zip� ��'� Ex�air�tson �at�: t�� ''�� 't��2" �6�t` �inail; r�uE��.'.�'��v',;,ti��c.e��fi��rL��'`� Phone: -- -- - - _,�...________.._ ____ __.._ ._____ ,.._.. �__.. � SF!EElJ�� CC`1ND�T'Lt�NS�&mi�C��C? HAR�kt�LESS A{��E1X�E�1T _4� 1 �...�...� _ _ o_._._._.� Generai insttu�t�o+3s: '(. �ou may be requir�d#o t��i.�sr nth�r{�ermits, i.e.:iveil abandonr��€�t, sewer, �Ec. 2. V�lprk n�usi nat begin unte5s the permit carti is availabie on th�joa sit�. 3, A 2�#-48 hour notice is rec�uir�c!fc�r all ;n�peciio�s. Ca1{ (�52} ��9-4�t�fl. �. Sewer must b�discontir�ue� ��th�Cit}f service b}�qualifi�d cantractor before dema permit is issued. F Derno{iiion by means c�f: [,� M�rs;��€ �Jisassembly �t��a�y Equi�rrs�nt � t�4h�r Perrnit(s� issued: {�Sev��r aisc�,r��cfion �b'�ell Ak�aricionment# In return far is�suance of said Qeinolition Permit, the unclersic�ned ow�er h�reby agrees to: 1. Subrnit a survey, aeria! ph�lt3 �r sk�tcF� s3�o�sir�rg �19 siructures on th� �roperty. I4nt� Y��r�h sFrueCttres ar��to #�e dsrn��i�f��c�. 2. Submit a sur�rey, aeria{ p6�o�o tsr sketCt� 5ho�vin� proposed erosit�r� ct�ntro! m��sur�s i^ accordance with Ctra�rfer I�. �c�nstructi�n Site Runoff Controt. 3, aui7�r�it a cvpy ofi pc;rmit a��`�rc�s�al irr�m�th� ivlirnehr�t�a Cr�e{s Vstatcrsi��d Di;�triet (MCR�IrD). �'f�o � Cl�� bVtl� t1C�I ISSU£.' 8 C:P,t71�.��E�IQEI E3�i"1'T1i� �l�:�lC}E1� i'3 CO{3jf 0� �P18 '�]£3filTlt�S� �COt71 ��'18 NiC�1J� OI' • �iocum�niatinn stati�g perrnit�sj�rc not requir�c�, 4. S�l�mit��2.5Q0 escrow�r�d .�n �serow agreernent signet# tay#he prope�y o�vn�r. 5. ��e��Il sfructure(s) enclpse� andlor secur�d us�til such iirne as d�:ms�l€tiun is eamp4ete. 6. Keap aEl demolition debris t�� adjaini�tg pr4pert�r andlor ths pub4'sc rigY�ts-of way unfc�ss sp�cific prit�r��prnva! is c�t�tain�d in �.�rrifing for ternpor$r�y use thereof. 7. Completely reir�ov�four�d�'�ion�s�frorn the�round. 8. CampleteCy disposs cf a!I der�toliti�t� deE�ris of# ss#e in accorti��ce �vith a1{ app(icable 3�CA requir�m�nts. 9, ,4tsando� water wells sn accerdance wifh �tate Heal#h D��a�tment regu(ations. iCt.Call fc�r ar�inspectior, when a;l t�ebris has bee� removecf, befor� t�actcfilling. 'i 1. I,Nithin 5 warking d�ys af su�ierstructure rem�val. � firal inspectian sh�l� k�e request�;d. The sit�: � shaEl be left clean and cle�� of a#( d�bcis, w�t� any excavatson fi(1��i w�i#h eart€� lev�! �rrith tl�� adjacent rrouncf eE�vation ��xce�at wher� such ex�avafian is tc� !ae us�ci as part af a new�u6ldin� and such n�w buildii�tg is acluaily�ander cc�nstruction). 12.Abar��on se�tic systerns �a�� ;��in�esot� Rules C�a�ter 7C7�0. All�ep�ic Car�ks mus� be pt=m�e�; crusheci ancS fiiled ��rith naEive. soils. An inspectior� is requir�tf �fier the tanks are �urr�psd ant? k�efore the tanks are crrss�ed �x�d fill�d. �3,7h� ursd�fsign�d o4vner shail and h�rr�by does incier�nify and hoi�i h�rrrtl�ss the City oi C3ror�t�, its ager�ts, empi�yees an� ��signs from �nd agair�st aif ci�ims, clarnages, IQsses ar expe��s�s, ir�c�uding aitarr�ey fees, a�,�inst the C;st�,r, <ts agents< ernployees and assic�ns arisinc� aut c�f c�r r'�sultirrg trc�r�a fhe derna�i#ion desiribeti t�erein a� ��rformed t�y ttte �rnperty aivr»r, his empioyees> a�ents. subcon�r�ctors or�ssigns. PER�'tlT TYPE A[�C� F�E CALCULAT�{�N �{ �75.QQ— Princ'tpaf St�uct�c�� s -- � ��(1.00 —Accessory Struytu�� x----.--(how many) �. SubCotal of at�a�=e �e�-mit request�d � 2. State Surc�t�rge �.�0 3. TQ'CAL PERMIT �EE �add lin�s 1-2 ab�ve} �� - � ...._., The under�ign�d i�erby ap�lies i4 ��3�: Cif.y of Qrono for issuat�ce af a [3emo(iti�n P�rmit, ac�rees to c4o s11 the wc�r� �n a �trict acca�danc� �;�tth Eh� ord`tr��n�es of the Ciiy �snd t'�e regulatir�ns Qf the State cf Mir��esc�ta, and cc;rtifies that aEk sta��r��ei�ts rtzada o�tlais appiicatian�!e complete, tr�e�ncf caerec�. � � �Oppiicani's S��nature: '��._ �f��''� _ C7ai�. ��"'� �Jt_.....___--- �,� dvsrner's�ignature; __ .,m._ L7�te: �1y��i� L� 1 3 Approved By: ._�. �" '`ti"`—� _ [3�te: _ C `1 - ZL i� {.�tjil�ing C3tfici�f} ��r�tt�g�Iscic,sure Requir�cl? („�,� YES (��3 � 'This must b�filEed aut t�y�c�n;r�� C3��aartrnent--.Fr�r e' er answ��er,a Zonirsg Offici�i must sic�n aiI��SplEcali,��s. * Appraved By: �_� � Daf�: (�c�ning Ol9icia3) V'a��anc� � �ZA.�� ► . " • , P,r•�al�r ��' �'�'� �;.rn. a�. ��'`R?� �1-- �^�� ''�_ City of Orono F ciT usF o�[.v /�� P.O.Box 66 Date Recei�ed: �Pa�mit��3�"� �� 0 \` 2750 Kelley Parkway �/"_ �� Crystal Bay,MN 55323 Amount $ SAC Credir. I (952)249-4600 a i \ ,� ;� � Homrowuer(s)Signed: ❑Ycs r �\�l. ,�/\ � / Resolutions(il any)Signed:❑Ycs ❑None Reyuired �� f�S�NU�� Zoning Disdosure Signed: ❑Yes ❑Nonc Required CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: �i Type: �esidential ❑ Commercial Site Address: � �S�Sy (��-��/ ClU`�, C)� ��C� Owner: �-�� Mailing Address: City: Zip: Phone: ��13- q 7� ��5� Email: fi��'� � �{L"'�r� o c..Gti^'� Contractor/ Applicant Information: Contractor/App.: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Email: � 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 ail 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. . � . , 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 6. Keep ail 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 resuiting from the demolition described herein as performed by the property owner, his employees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION J[j $75.00 — Principal Structure $ �� ❑ $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) $ 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: , � Owner's Signature: ' •:"�.��r Date: �'l, �� Z �1 3 Approved By: Date: (Building Official) * Zoning Disclosure Required? ❑ YES NO �This must be filled out by Zoning Department—For e er answer, a Zoning Official must sign all applications. * Approved By: Date: (Zoning Official) a�u �p� ��D�4� S�- � � DATE TIME CITY OF ORONO CALIED IN INSPECTION NOTICE SCHEDULED 7-l�t-13 � PERMIT NO. o�Dl3 �OD��COMPLETED ADDRESS � OWNER T LEPHONE NO.��I Z �3 l Z�� CONTRACTOR MG�U1l.LuC.� ��. >; DESCRIPTION �� V�Q� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALITOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice �� DATE TIME �/ �� CITY OF ORONO CALLED IN /�� INSPECTION NOTICE �/SCHEDULED � PERMITNO. �nL,'3'��'CO PLETE � ADDRESS � �/�C�� OWNER TELEPHONE N . �1U�d�O��o��io , CONTRACTOR � >; DESCRIPTION �O"�' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j �� Ed(�/�� C� �4�T � Q�r� � c� � r-� r. r.. � � � ,K � � ��1/��-Q �•�� -C O � W � Q � Z W � W � � � ORKSA ISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. 1'.t_ � White CopyllnspectoPs File Canary CopylSite Notice