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Home My WebLink About2009-00133 - demo CITY OF ORONO PERMIT NO.: 2009-00133 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUE�: 04/OU2009 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 290 CRESTVIEW AVE PIN : OS-117-23-14-0018 LEGAL DESC : BAYSIDE ADDN TO LAKE M[NNETONK : LOT 000 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES NOTE: l. FOUNDATIONS/ALL DEMO DEE3RIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO DETACHED GARAGE ONLY APPLICANT DEMOLITION -ACCESSORY STRUCTURE 50.00 HOCHSTEDLER, SCOTT STATE SURCHARGE DEMO 0.50 290 CRESTVIEW AVE TOTAL 50.50 LONG LAKE, MN 55356- OWNER HOCHSTEDLER, SCOTT 290 CRESTV[EW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding Code. This permit is for only thc work described and does not gran[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 specitied 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 are requested in canformanc with the State Building Code.This permit may bc revoked atany time f r ue cause. ;; ._ � _Gr �� c��j '� � � � � �y i`� r�_.� C C�Yj��.d7� � � Ap ic,ant Permit Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ��¢0��`� City of Orono FOR CITY USE O�LY `Y P.O.Box 66 Date Received: Pennit# ii�u �j 2750 Kelley Park�vay n� �� i�'�v ►y� Crystal Bay,MN 55323 Amount $ SAC Credit '� V � ��a�,�� .��.o� (952)249-4600 \�Oa�� Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required Zoning Disclosure Signed: ❑Yes ❑None Required CITY OF ORONO -DEMOLITION PERMIT (All pennits must be approved by[he Building Ofticial and/or Zoning Depariment) Job Site/Owner Tnformation: Type: [�Residential � Commercial Site Address: �� 1 t /'�,J f �/�� 0�V� , � Owner: �j��,v�� ( �C��).f��-��/ Mailing Address: � ��'� �� _� City: � �G l�Vl L� Zip: S S � � � �. _ .. l L , ,l � ' �� / � Home Phone: � ��' �'� � � � J � Alternate Phone: �C� �,� L� ��-' �� Contractor/Applicant Information: ,� Contractor/App.: �p j � Contact Person: �, � � r' Address: State License#: City: Zip: Expiration Date: Phone: Alternate Phone: SPECIAL Ct?NDITII7NS &I�QLD HARMLESS AGREElV1ENT G eneral 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 ther ��3D�CC� � ) Permit(s) Issued: ❑ Sewer Disconnection � Well Abandonment# 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 andlor 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) �P�GC h'i C� l;W�4�what) 1. Subtotal of above permit requested $ S(�-D� 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �j�� 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. � ` I v� .� 3I �� Applicant's Signature: ;`i;�(�,�(��i�'c�(/ ' Date: / � � `� �' f�% Owner's Signature: �� , c,�� ; �-� ��— Date: ,3 � r Approved By: �� CI Date: `�- � � �5 Building Official) P�r- L��le , l,t,,�':�i-� -fh/t'�h��'�`'e`� * Zoning Disclosure Required? ❑ YES dN0 *This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications. * Approved By: Date: (Zoni�g Official) Reset Form � ` � AT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �-'B'fl PERMIT NO. —D COMPLETED ADDRESS O�,C1� �/7I��//�� OWNEQ ��/�_�� /�ONTR. TELEPHONE N0. S��` �`�— �'ll,� � 7Sl� � DESCRIPTION ��`�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ 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 � OWNER/CONTRACTO MEET YOU:_YES_NO � COMMENTS: � � � � � � � O � � ° � ( - � Q � � t�� c� i31,� l��d r� � z W � W � � d �,�/ W� ❑WORK SATISFACTORY:PROCEED C/APROJECT COMPLETE W ❑CORRECT WORK&PROCEED C SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice