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Home My WebLink About2007-P11403 - demo PERMIT CITY� OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11403 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 9/11/2007 SITE ADDRESS: 1500 Bracketts Pt Rd Unit# Wayzata,MN 55391 P�� 11-117-23-33-0006 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: Demo Principal Structure and 2 Accessory Structures 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: $ 110.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 110.50 APPLICANT: Charles Cudd LLC OWNER: Bruce Paddock 275 Market St-Suite 445 2700 Medicine Lake Rd. E Minneapolis,MN 55405 Plymouth,MN 55441 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. APPLICANT PERMITEE SIGNATURE S UED BY SIGNATURE � Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � , J c�`� �p-```� City of Orono `� � \ P.O.Box 66 FOR CITY USE ONLY ��d- �'� Date Received: Permit# �k.,,, �� 2750 Kelley Parkway ��a �}�� ` Crystal Bay,MN»323 � � �� Amou�t $ SAC Credit: ,,� <r��a�f� (9s��za�-aboo <+t��aa,l �� Homeowner(s)Signed: ❑Yes Resolutions(if any)Sigied:❑Yes ❑None Required Zonin Disclosure Si ned: ❑Yes ❑None Re uired CITY OF ORONO-DEMOLITION PERMIT (All permits must be approved by the Building Otfcial and/or Zoning Department) �;+i� il� �+� � N .Y'. � �':': �-.i: Type: � Residential ❑ Commercial SiteAddress: l�� Br�r_�'iS ��rn+ �- Owner: 8�� n�c�v c� Mailing Address: qZ� .S h ad ��r�a._ �z��' City: (�i^o r1� � zip: 553`1/ Q Home Phone: C��2-" �j�S [ — �---�'�.(' Alternate Phone: � � � g��¢�� g�...d�. � ..l�tlp. Contractar/App.:_ C l,a v-�.a.g Cvc�d (� . Contact Person: V�w. L � �Ie5 v� Address: �7� /'�'la r,cQ.�r ��tr�'�" ,S�c �l"F�tate License#: �� l 3 S�f�7� City: ��/��S Zip: �S�f�'S� Expiration Date: ��"G� � �� Phone: G��2r3��- l'7�`� l�r'Z�--f�7��- Alternate Phone: �3 Zi� SPECIAL CONDITIONS,&, �, �,s, .. ,� $,�� ,�� 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 far 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# ��=��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/ar 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 ��`�� ,Ly� (what) �'$30.00—Accessory Structure c� (how many) � 1. Subtotal of above permit requested $ � j� � 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. ' ature: �' ''y''` � Date: �/�l o Apphcant s Sign � , . �`� Date: �� Owner s Signature: Approved By: Date: (Building Official) * Zoning Disclosure Required? ❑ YES ❑ NO *This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications. * Approved By: Date: (Zoning Officia]) Reset Form � � � f�/ `�0�`�`� City of Orono I Y SE ONLY � �� P.O.Box 66 Date Received: �� Vermit# �� = 2750 Kelley Parkway (� C.� �}� � ` �' Crystal Bay,MN 55323 Amount $.__�_�__��_`�SAC Credit: ♦S o�'8, `�'o��rb sy to;� (952)249-4G00 � _ �'°'�`-`� Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required Zonin r 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 ' � -t- i�. Site Address: lSex� Brac_�S ��+� Owner: 8�� -dd��-� Mailing Address: q� S h ad �� 2�� City: �r�'"�v Zip: 553�� Home Phone: Alternate Phone: Contractor/Applicant Information: Contractor/App.: �h z�r(R 5 �vc�d � Contact Person: �� esv� Address: ��S �a✓�-r 5�� S1'c `�`E�tate License#: �� 3� `�� City: Z�/��s Zip: �S 4�S Expiration Date: �a"��` � °1iv� Phone: 4��2- 3°�y- �7:3�1 Alternate Phone: C� z— E7�'��3 Z� SPECIAL CONDITiONS &HOLD HARMLESS AGREEMENT Genera] 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# ��3�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. , t . 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 warking 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 �'$30.00—Accessory Structure oZ (how many) �a.�� s� (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: Date: Owner's Signature: Date: Approved By: Date: _`j-7- 0 7 uildmg Official) * Zoning Disclosure Required? ❑ I'ES,� 0 NO *This must be filled out by Zoning Dep,ar�ment�;�or ei�answer,a Zoning Official must sign all applications. � ;.�- �!. � * Approved By: Date: (,Zoning Official) Reset Form ;� r .�� ✓-� ✓ TIME CITY OF ORONO CALLED IN I� � INSPECTION N ICE SCHEDULED � PERMIT NO. '� OMPLETED ADDRESS I�� .Ic_.-� I f--s-'� OWNER CONTR. TELEPHONE NO. � � � � DESCRIPTION �-�, U �� ✓L�t-f � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPT C FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z w � W � � G . W� �VORK SATISFACTORY:PROCEED CI PROJECT COMPLETE W ❑CORRECT WORK&PROCEED rl ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. � [f'i i3(�� White Copyllnspector's File Canary CopylSite Notice