HomeMy WebLinkAbout2015-01442 - Demo ' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 5 - 0 1 4 4 2 *
DATE ISSUED: 1U18/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3898 CHERRY AVE
PIN : 08-117-23-33-0085
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 003
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE
ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. INSPECTIONS DONE BEFORE BACKFILLING.
DEMO EXISTING DETACHED GARAGE
APPLICANT DEMOLITION -ACCESSORY STRUCTURE 50.00
STATE SURCHARGE DEMO 1.00
ROBERT CRAIG HOMES INC. TOTAL 51.00
464 2ND ST. #101
EXCELSIOR, MN 55331 Payment(s)
(952)470-6639 CHECK 13039 51.00
Minnesota State License#: BUIL-8846
OWNER
ENEVOR, SHAWN&BRIDGETT
3898 CHERRY AVE
MOUND, MN 55364-
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 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 wi[hin 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
rev a for due cause.
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O City of Orono FOR ITY USE ONLY ' )
�- � P.O.Box 66 Date Receivecy�_�Permit# �0�5_d� D�
� 2750 Kelley Parkway
Crystal Bay,MN 55323 � � Amount: $ . (.� SAC Credit:
(952)249-4600 ^ ���
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�y � Homeowner(s)Signed: ❑Yes
�' �,� \r Resolutions(if any)Signed:�Yes ❑None Required
l9KESH��� 1 ��� Zonin Disc1osure Si ed: ❑Yes ❑NoneRe uued
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site I Owner Information:
Type: [� Residential ❑ Commercial C�`��''"�l D��'' �'`�'9��
Site Address: 3 g�$ �l�t2�a-y /�'V•
Owner: -Sl��wi4 3�D6�X'1"���o�. Mailing Address:
City: Zip:
Phone: Email:
Contractor I Applicant Information:
Contractor/App.: �'�E+ef �t�G 6�i,�Ei !ti-. Contact Person: �3
Address: —�C�� 'r=' sT- ��� � State License #: Q G D o 8 8�
City: �Cc��i/o�- Zip: �S33I Expiration Date: � 3/ �O/�
Phone: (o�z- ��10- �22�o Email: R.IP�2te.N G (��6w�a.��. C.��
SPECIAL CONDITlONS & 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 Gity 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#
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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.
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 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 ail 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. AI� 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 $
� $50.00 —Accessory Structure x �N�(how many)
1. Subtotal of above permit requested $
2. State Surcharge 1.00
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 a ements made on this application are complete, true and correct.
, � `� �/�/c�'
Applicant s Signature: Date: / �
Owner's Signature: SS"� '� �'R-w►f� Date:
Approved By: Date: � /�
(Building Official)
r �
* Zoning Disclosure Required? ❑ YES NO
*This must be filled out by Zoning De art ent-For ' e answer, a Zoning Official must sign all applications.
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* Approved By: � ��'V l� � � �' I�—'' Date: � � C� ��
(Zoning Official)
Form Last Updated.� July 2015
150784
Christine Mattson
From: Christine Mattson
Sent: Monday, November 09, 2015 3:57 PM
To: Rjpetersen6@gmail.com; 'robertcraighomes@msn.com'
Cc: Roger Peitso; 'montrosemattsons@gmail.com'
Subject: 3898 Cherry Avenue/#2015-01178
Attachments: Escrow Agreement- Building Permit w Erosion Control 2015-01178.pdf
Per our conversations, please have the property owners sign the enclosed escrow agreement. The permit is nearly
ready to be issued. We will call you when it's ready and tell you the balance of the permit fee to be paid. When you
come in to pick up the permit, please have the signed escrow agreement and check for$2,500 with you.
If you have any questions, please don't hesitate to contact me.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway ; Orono ; MN � 55356(physical addressJ
PO Box 66 ' Crystal Bay � MN �j 55323-0066 (mailing address)
d' 952.249.4620 ; g 952.249.4616
� cmattson@ci.orono.mn.us � � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
OUR OFFICE WILL BE CLOSED: Wednesday, November 11, 2015
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� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE ^�I�,J SCHEDULED �S ` � C.�
PERMIT NO. �'l S '77zCOMPLETED ��
ADDRESS �!���5 � f�f
OWNER TELEPHONE NO. �P �Z ��'��j�I
CONTRACTOR �
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�, DESCRIPTION
ll� ❑ FOOTING EM - ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI �r��❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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2 OW RICONTRA�TOR TO MEET YOU:_YES�NO
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W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO 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 adva Q
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED �=tS
ADDRESS 3�p8 � �,�,er��liC �
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION r� ���� GtIti�L��a�1r�c.�L1 '-" , �r�f•Q
W ❑ FOOTING ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERiCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W �1M1IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� �LCO,SRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advance. (g52) 249-46�0
OwnerfContractor on site:
Inspector. ��-1 / �
White Copyllnspector's File Canary CopylSite Notice