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Home My WebLink About2009-00162 - demo . CITY OF ORONO PERMIT NO.: 2009-00162 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 05/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4060 DAHL RD PIN : 07-117-23-11-0020 LEGAL DESC : PIRATES COVE : LOT 016 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET NOTE: 1. FOUNDA'I'IONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE A6ANDONED. 3. INSPECTIONS DONE I3EFORE BACKFILL[NG. SAC PAID#1280-06/13/1975 SEWGR WILL BE DISCONNECTED BY LECY BROS-MARK LECY 952-944-9499 APPLICANT DEMOLITION- PRINCIPAL STRUCTURE 75.00 VE[T COMPANIES STATE SURCHARGE DEMO 0.50 1400 VE[T PLACE ROGERS, MN 55374- MISC FEE 0.00 TOTAL 75.50 OWNER NEVE, MR&MRS.JAMES 4060 DAHL RD MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according[o the approved plans and specifications,appiicable City approvals,and the State Building Code. This permit is for only the work described and does not grant 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 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. "l�he applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be re oked t any time for due cause. D'�,,,.� I�l'�c�v,.�-� .S i o y i c'� �i D i !� Ap licant Permitee Signature Date Issu d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . c��'.� `�'ZZ � ,..,�� City of Orono FOR ' �'IiSE OhLy. � `:• P O [30��v6 DateReceived: �' Pennit# �Q(?�� OZ ��a �� 27�0 Kelley 1 �rk��a�' .� �y° � �� a�r Crvstal Bn� �1��3 Amount: $ �y � SAC Credit� a;� ��`c��d'.a¢o'';�� (9>�)�1��hri�i � (� 13�Icl`� ��0:% Homeow�ier(s)Signed: ❑Yes ��c'� � Resolutions(ifan��)Signed:�Yes ❑None Required 7_onine Disclosure Si ned: ❑Yes None Rec uired CITY OF ORONO - DEMOLITION PERMIT (AII permits must be appro�-cd by the[3uilding 011�icial and/or Zoning Department) Job Site /O�uner Information: Type: � Residential � Commercial Site Address: �� ti � �c��ti�� Owner. ,T, w� A%r..e;�c_ Mailing Address: y�G.,�-1��,�� _.�� City: �1 rc�r� a , /��n Zip: Home Phone: ZS.�- �� ' -3�= � � Alternate Phone: )�a- �`��- ! 7`� ' Contractor/Ap�licant Informatioir. � ) 9 �/ Contractor/App.: �,��r � Contact Person: ��/c.�<<�t 7�� ✓ (a `'1 �J Address: �4/OQJ (,�C:�� e.-< State License#: � City: ✓� Zip: 5�S �7 Expiration Date: Phone: ��-3 �� --8 ' ��`-1� Alternate Phone: SPECIAL CONDITIO�VS & HOLD HARMLESS AGREEMENT� General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Work must not bebin 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 discontin�ied at the City service by qualified contractor before demo permit is issued. Demolition by means of: � Manual Disassembly � Heavy Equipment ❑ Other Permit(s) Issued: ❑ Se�ver Disconnection � Well Abandonment# �,�ti� <- ��J�� In ret�irn for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: I. The structure(s) shall be kept enclosed and/or secured until such ti►ne as demolition is complete. / [ �N '��u f�c v'�5 � �� v�av�t� 7u� h`� � ( �t,C.,J t��'� LnJ K�F_ �� 5 ��k L�--�� a.-��{`f -J`f`�`�f �.��y,((.�.w,.►.- 2. Demolition debris will be kept off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writinb for temporary use thereof. 3. Foundations shall be completely removed from the gro�ind. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water wells must be abai�doned 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 tilled with earth level with the adjacent bround elevation (except when such e�cavation 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 undersi�ned owner shall and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assibns from and against all claims, damages, losses or expenses, includinb 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 � $7�.00—Principal Structure � $50.00—Accessory Structure (how many) (what) 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 Sv 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �`j —� The undersibned 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. A�plicant's Signature: - i' �'�,�-�z�"� Date: `j�- �' �� Owner's Signature: /U//� Date: Approved By: � Date: `�'�-0� Building Official) x Zoning Disclosure Required? ❑ Y S [►�' N�O �I'Lt�u`' hwse AI��y �,�p� *This must be filled out by Zoning Depa ent For ' her answer,a Zoning Official must sign all applications. * Approved By: Date: �{�Z��4� (Ztsning Official) Reset Form