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Home My WebLink About2009-00411 - demo CITY OF ORONO PERMIT NO.: 2009-00411 �' • 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: 07/15/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3443 CRYSTAL PL PIN : 17-117-23-43-0005 LEGAL DESC : NAVARRE HEIGHTS : LOT 002 BLOCK 002 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 REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. DEMO OF PRINCIPAL STRUCTURE AND ACCESORY BUILDING. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 WESLEY BERDICKSON 6705 HIGHWAY 12 STATE SURCHARGE DEMO 0.50 MAPLE PLAIN, MN DEMOLITtON-ACCESSORY STRUCTURE 50.00 (763)479-1107 TOTAL 125.50 PAID WITH CASH 125.50 OWNER HAGEDORN, THOMAS 3443 CRYSTAL PL WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[grant 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 any time after work has commenced. The applicant is responsible for assuring all required inspections are requ sted in on ance with the St uilding Code.This permit may be rev at y ime cause. �� / / ic n e D e Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ¢�� City of Orono FOyt c'� v USE o�LY /� O . O P.O.Box 66 Date Received:7 /SU�� Permit# T-dlj �/ �,,,,,, 2750 Kelley Parkway � ��'��%� '�`. Cr stal Ba MN�5323 �. � Y Y� Amount: $ SAC Credit: , ,� ��..�o (952)249-4600 �E°KO$ Homeowner(s)Signcd: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Reyuired Zonin Disclosure Si ed: ❑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 Infornlation; � � �� Type: ❑ Residential ❑ Commercial Site Address: L L � -- Owner: " �°/1�Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor/Applicant Information:�� Contractor/App.: ��`��a�ct Person: Address: J,2.� State License #: City: �� ` Zip• � Expiration Date: Phone: � �.��p �` ��q Alternate Phone: SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions: L You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Wark 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 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 hatmless 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 I (how many) (what) l. Subtotal of above permit requested $ �7 S. D � 2. State Surcharge $ � � .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �7 S � 5� 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: . r S -c1 S , Owner's Signature: �,,+ �p�S(�(�o5�-� {�� Date: "7 - i � -o S Approved By: Date: �i- i S - o� uilding 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: �j• Date: "�- � S - �1 (Zoning Official) DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTIONNOTICE SCHEDULED 'I-23-�( .� PERMIT NO.�DO�I�QC��I � COMPLETED ADDRESS �`1�13 �R-4S1�C-- �� OWNER ��o/L�" CONTR. I.��s �3eNoiucSa�1 TELEPHONE NO. � DESCRIPTION ��n� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING � MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPL4INT Q�[}i DEMO-FINAL ❑ SEPTIC INSTAI.L. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � � jd�WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. �� PHOTO TAKEN INSPECTOR WILL RETURN ❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on si e: Inspector. White Copyllnspector's File Canary CopylSite Notice