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Home My WebLink About2009-00760 - demo CITY OF ORONO PERMIT NO.: 2009-00�60 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/27/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4355 CHIPPEWA LA PIN : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVGD FROM GROUND&DISPOSED OF OFF SITE,NER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. 1NSPECTIONS DONE BEFORE BACKFILLING. APPLICANT DEMOL[TION -PRINCIPAL STRUCTURE 75.00 HAWKINS TREE LANDSCAPING STATE SURCHARGE DEMO 0.50 1776 CANTERBURY SHOKOPEE, MN 55379 TOTAL 75.50 (612)366-5566 OWNER YOUNG,JOHN& LYNN 4355 CHIPPEWA LA MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicabie City approvals,and thc S[ate Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 an time after work has commenced. The applicant is responsib ssur' all required inspections are reques�p co m ce witl e ate Building Code.This permit may be rev ed [ y 'm or du au . G� � � � �l� o�`7i �� A ant Permitee Signature Date Isse[e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� City of Orono I E ONL1' /�}/�Q Q O . O P.O.Box 66 Date Receive : � ermit#��✓ / �� ;� 2750 Kelley Parkway � � ��G r_ a Crystal Bay,MN 55323 Amount ��-/� SAC Cedit: �,��,��i}y�o� (952)249-4600 � �exoa Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required Zonin Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Buildii�g Official and/or Zoning Department) Job Site/Owner Infornlation: Type: [�.Residential ❑ Commercial I Site Address: "'7�5� �J`�/�y� �� Owner: �� /��"��1 Mailin Address: � � City: Okti`!� Zip: Home Phone: Alternate Phone: Contractor/Applicanf Information: ,� �--- , Contractor/App.: /�-��'w�/<-�� /Z� ,�,��o5�'�Contact Person: /��,1�� ✓L��s" S Address: �� C!��Q Y�� I�� State License #: City: �IlOPE�.��Zip: / Expiration Date: Phone: �52 �� ll�`� Alternate Phone: j-/2 �� " S-�G=� 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 o£ ❑ 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 as follows: L The structure(s) shall be kepf enclosed and/or secured until such time as demolition is complete. 2. Demolition debris will be kept off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 3. Foundations shall be completely removed from the ground. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water wells must be abandoned in accordance with State Health Department regulations. 6. Inspection required when all debris has been removed, before backfilling. 7. 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). 8. Septic systems must be abandoned 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. 9. 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 (how many) (what) 1. Subtotal of above permit requested $ �.5.� 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) � ��v 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 w'th the ordinances of the City and the regulations of the State of Minnesota, and cert' s t t 1 s nt ade on this application are complete, true and correct. Applicant's Signature: Date: - �� Owner's Signature: Date: Approved B,y: �� Date: �� •��- �`i (Building Official) * Zoning Disclosure Required? ❑ YES ' p � �'� �1W� �" �� `�% � � *This must be filled out by Zoning Depailment—� r eith r answer, a Zoning Official must sign all applications. �-- /� (�f' � 7 7 * Approved By: � � � %�� - Date: � � 7 � (Zoning Official) r/.�� DAT (� TIME v CITY OF ORONO CALLED IN ��a�/" ' INSPECTION NO IC�{' -7 SCHEDULED ��3�/�t' � PERMIT NO. ��"' -�C /��COMPLETED ADDRESS �35� �G� !f 7�2-(,�� ---IV OWN ER CONTR. /-I C�`..c.,t?k-�� TELEPHONE NO. �0(1 (c� -" � l� CO "'��-�-��D � DESCRIPTION ��Yl� �i`/��, I � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL +/ ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � W a � � � �� '� � C' �C�i� I' � 0 � W � Q � Z W � W � � � d W ❑WORKSATISFACTORY:PROCEED C, OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED -' ISSUE C IFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � � � � White Copyllnspector's File Canary CopylSite Notice