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Home My WebLink About2013-00282 - demo � CITY OF ORONO * 2 PJ 1 3 - PJ 0 Z 8 2 * ` 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1510 NORTH ARM DR PIN : 08-117-23-33-0078 LEGAL DESC : HICKORY HILL : LOT 020 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACT[VITY : 645-SINGLE FAMILY HOUSES (ATT& DET NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED 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 REQU[RED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERM[T. APPLICANT DEMOLITION- PRINCIPAL STRUCTURE 75.00 ATLAS HOMES INC STATE SURCHARGE DEMO 5.00 14450 117TH AVE N DEMOLITION-ACCESSORY STRUCTURE 50.00 DAYTON, MN 55369- (763)691-9044 TOTAL 130.00 Minnesota State License#: BC20269686 OWNER Real Assets LLC 550 25TH AVENUE N ST CLOUD, MN 56303- 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[he 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 aze reques[ed in conformance with the State Building Code.This permit may be revoked at any time for due cause. -- ''—��'�s`�� / Z� / 2_0�3 / / Appficant Permitee Signature Date Issued y 'g ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO O City of Orono ox TTY USE ONLY �- � P.O. Box 66 Date Received:�� Permit# d�3—� � �� 2750 Kelley Parkway Crystal Bay, MN 55323 Amount: $ �� p SAC Credit: (952)249-4600 >. Homeowner(s)Signed: ❑Yes y�' �,� Resolutions(if any)Signed:❑Yes ❑None Required `qKFSH�� Zonin Disclosure Signed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: Type: � Residential ❑ Commercial Site Address: � '� �� fi� �� "�'� ,- _ Owner: �� '��S��S Mailing Address: � h U ��Z�� -� �- �� c�ty: �T � t�� zip: :; �, ��3 Phone: �! �� Zo r1�� Email: J.:��Sc� ,ti �-z��c�-�-� �� ,-„�,��.�� , ��M, Contractor/Applicant Information: Contractor/App.: rl 1 ��'� ��°�`�=� ��' Contact Person: ,�'�� J Address: ��`�� ' State License#: �L- ��L�`�� °�% -� c l J City: �'� � Zip: �' � ?� � Expiration Date: � � � '"I Phone: �E 7 �� l �1 C �t�( Email: �M�� „�.;�:t�l � ��,, � c�� ✓�l, 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 all 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 all 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 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 $ �� . C- �' �$50.00 —Accessory Structure x�_(how many) �C' - �'�-� 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ `1� � � � 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: vwL w` Date: v� z� /�� Owner's Signature: Date: `� 2Y�3 Approved By: �'�� Date: � - z� � �% � � (Buil g Official) * Zoning Disclosure Required? YES ❑ NO "This must be filled out by Zoning D artment-For either answer, a Zoning Official must sign all applications. * Approved By: Date: '�� (Zonin Official) DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO�TJ�E DD��,��SCHEDULED ' _�6 � PERMIT NO. o� � � C,!O�A PIETED � ADDRESS �Sl � �/`JOr�'—�� /I-�'v►`'— ��"' .�RSS C�f��.� l OWNER TELEPHONE NO. CONTRACTOR �: DESCRIPTION � lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: /�.t'p �►'u� I°�S� w a � J O �. �---�C, � �•- � O � W � Q � Z W � W � j GW ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �Q52� 249-46�� Owner/Contra r Inspector. White Copylinspector's File Canary CopylSite Notice