HomeMy WebLinkAbout2007-P11404 - demo PERMIT
CI1'Y OF` ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11404
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued:
9/11/2007
SITE ADDRESS: 1450 Bracketts Pt Rd Unit#
Wayzata,MN 55391
PID: 11-117-23-33-0004
DESCRIPTION:
Proposed Use: Residential
Census Code 645
Permit Class: Building
Permit Type:
Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Principal&Accessory Structure
Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells
must be abondoned. Inspection before backfilling.
FEE SUMMARY: Pernut Fee: $ 80.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Charles Cudd LLC OWNER: A1&Martha Reed
275 Market St-Suite 445 1450 Bracketts Pt Rd
Minneapolis,MN 55405 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
. ��iY�-�'L
'APPLICAN .RMITEE SIGNATURE ,SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
1
f�����, City of Orono Fo 1TY usE on�[.v
P.O.Box 66 Date Received: Pennit# �� ��
!/Q � l 2750 Kelley Parkway
;a' � �� f Crystal Bay,MN 55323 y((�;� C�� �A�-
�,`';� Amount_ $ ��„ ..7 SAC Credit: v$�
��'e �i� �.�.o,' (952)?49-4600
' .�y��aa4'i�
Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:❑Yes ❑None Required
Zonine Disclosure Si ned: ❑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
`� i n�±
Site Address: ��5� �Yzc.t�-e- !r� rJo;►�it I`
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractox/Applicant Information:
��ar i ;
Contractor/App.: �e 5 (.�.c�c� C�,r��2�Contact Person: ��� �� 1c'�S��
Address: 0�75 i�?��t �1: � �F4S State License#: o�vi 3 S 47�
City: ���S . Zip: $��'� Expiration Date: �,``�� � °�'E'
Phone: �'� 2' 3�i�- �7 3'? Alternate Phone: �i 2 ��`7c' `f�'70
SPECIAL CONDITIbNS & 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# o��`f.3��
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows:
1. The structure(s) shall be kept 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
�$50.00—Principal Structure C.�a'✓r�`���� ������-�
�'$30.00—Accessory Structure�-� - (how many) � � ��� (what)
1. Subtotal of above permit requested $ �°��`�
2. State Surcharge $ .50
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: --G� ����c.e Date: Q 7 C"�
Owner's Signature: Date:
Approved By: Date: �• 7-b�
( uilding Official)
* Zoning Disclosure Required? ❑ YES [.�NO
*This must be filled out by Zoning Depa �nt er answer,a Zoning Official must sign all applications.
* A roved B : � Date:
PP Y 1 U
,i� f�g Officia])
�
Reset Form /
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EXCELI.ENCE IN FINE HOME DESICN AND GONSTRUCTION
FACSIMILE TRANSMITTAL SHEET
TO: Evelyn Tu�na� FROM; Jim Llllesve
COMPANY: Clty ot Orono DA7E: September 7, 2007
FAX NUMBER: 952-249-4616 TOTAL OF PAGES: 3
(Inaluding eovOr D�6a)
RE: 1450 Bracketts Pofnt Road, Orono
NO7ES/COMMENTS�
HI Evelyn,
Attached is the slgned demo permit application that we have been discussing.
Please process on your end at your earliest opportunity.
Call with any questlons.
Thanks�
Jim Llllesva
Charles Cudd Company--Custom Division
INTERNATIONAL MARKET S(aUARE
275 MARKET STREET, SUITE 445
MINNE4POLIS, MN 55405
PMQN�: 612.359-1739
FAX: 612-604-1239
£00/T00 'd 098�# � 'I 'I QQ11� S3'I2i`dH� £ 9190 £££ ZT9 Z0�9T LOOZ�LO'd�S
- -
�� ✓
�� DAT • TIME
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS_���_ C.��/L� � ` T�
OWNER CONTR. c � P.0 l -1� �
TELEPHONE NO. �� —�� �O '� "�/ , �
� DESCRIPTION � / /
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL (� ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED �! ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR `J CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site: ,
Inspector. l�./ lTi i���S
White Copyllnspector's File Canary CopylSite Notice