HomeMy WebLinkAbout2013-00237 - demo �,
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CITY OF ORONO * 2 0 1 3 — PJ 0 2 3 7 *
2750 KELLEY PARKWAY DATE ISSUED: OS/08/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3625 EILEEN ST
PIN : OS-117-23-21-0024
LEGAL DESC : RIEDEL CO STUBBS BAY ADDN
: LOT MB BLOCK MB
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 REMOVF,D FROM GROUND&DISPOSED OF OI�F SITE,PER PCA REG[JLAT[ONS.
2. WELLS MUST BE ABANDONED.
3. INSPECTIONS DONE BEPORE BACKFILLING.
NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
S�WER MUST BE DISCONTINUED AT THF CITY SERVICE BY QUALIFIED CONTRAC"I'OR BI;FORF,DEMO PF,RMIT IS ISSUED.
CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMI"I'.
SAC PAID#3907-06/20/10
APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00
BETZ BUILDERS INC. STATE SURCHARGE DEMO 5.00
300 CRESTVIEW AVE.
LONG LAKE, MN 55356 DEMOLITION-ACCESSORY STRUCTURE 50.00
(612)221-2963 TOTAL 130.00
Minnesota State License#: BC3515
OWNER
RYAN, BOB
3625 EILEEN ST
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only[he 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.
The applicant is responsible for assuring all required inspections are
requeste conformance with the State Building Code.This permit may be
revo d a any time for due se.
� e2 �; ��� 5 , 8' � 3
App icant Permitee Signa Date
Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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'���'� City of Orono FOR CITY L1SE ONLY
� ���� \, P.O.Box 66 Date Received: ' '�� Permit# aC� �� �� �
0 '� 2750 Kelley Parkway �
Crystal Bay,MN 55323 Amount: $��Di SACCredit:
� (952)249-4600
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Homeowner(s)Signed: ❑Yes
,\ �%� Resolutions(ifany)Signed:Q Yes ❑None Required
�7�f�t{���� ; Zonin Disclosure Si ned: ❑Yes ❑None Re uired
- ��C ►�� -�1C�7 ����;f��
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
Site Address: ��� � � 1 �L�`'� ����
�t� /� � l��
Owner. �C"�`i�J �yG�V`-- Mailing Address: �J-��1..� �
City: Zip: �r��� �fV ��J�
Home Phone: Alternate Phone:
Contractor/Applicant Information:
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Contractor/App.: � ����-t�-�tk'� �.— Contact Person: �
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Address: ,�.-�L� c��!�� � State License#: �� ���
City: C/�'7'� Zip: v���� Expiration Date: � �-� `� �'� �
Phone: Ci����'��� �j� Alternate Phone:
SPECIAL CONDITIONS 8� 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#
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to:
1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which
structures are to be demolished.
2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in
accordance with Chapter 79, Construction Site Runoff Control.
3. Submit a $2,500 escrow and an escrow agreement signed by the property owner.
4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
� �
5. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific
prior approval is obtained in writing for temporary use thereof.
6. Completely remove foundation(s) from the ground.
7. Completely dispose of all demolition debris off site in accordance with all applicable PCA
requirements.
8. Abandon water wells in accordance with State Health Department regulations.
9. Call for an inspection when all debris has been removed, before backfilling.
10. Wthin 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).
11. Abandon septic systems 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.
12. 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 $ �✓I �1'
d$50.00 -Accessory Structure x_�(how many) �����`'�
1. Subtotal of above permit requested $
2. State Surcharge 5.00
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 stat ents made on this application are complete, true and correct.
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Applicant's Signature: Date�� ��
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Owner's Signature: ��''' ��`- �� �ate: `�'�S��J
Approved By: Date: `{" L`"�' �3
( ilding Official)
*Zoning Disclosure Required? YES ❑ NO
"This must be filled out by Zoning D artment- For either answer, a Zoning Official must sign all applications.
*Approved By: Date: �' 1U '1 J
(Z ing Official)
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Parcel . Map Scale: 1"= 100 ft. N
ID:
05-117-23-21-0024 A-T-B: Torrens �
Print Date:4/12/2013
Owner Jan Marie Ryan Market $689,000
Name: Total:
Parcel 3625 Eileen St Tax $8,476.26
Address: Orono, MN 55359 Total: (Payable: 2013)
Property Residential Lake Shore Sale $690,000
Type: Price:
This map is a compilation of data from various
Home- Homestead Sale 10/2012 sources and is furnished"AS IS"with no
stead: Date: representation or warranty expressed or
implied,including fitness of any particular
purpose,merchantability,or the accuracy and
Parcel 2.01 acres Sale Other—See Certificate completeness of the information shown.
Area: 87,654 sq ft Code: O NR)eal Estate Value COPYRIGHT OO HENNEPIN COUNTY 2013
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DATE TIME �/
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. a2o/3 • h�3,� COMPLEfED -d 3'
ADDRESS ���� C/��n c�`.
OWNER TELEPHONE NO.
CONTRACTOR ��'Z 13l.Qi�s .
� DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. 1�FOLLOW-UP
� (�DEMO-FINAL ❑ SEPTIC INSTALL �1HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
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� BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. '�� � `��
White Copyllnspector's File Canary CopylSite Notice
INSPECTION NOTICE
DATE TIME /
CITY OF Q �d K� CALLED-IN _�j
SCHEDULED
PERMIT NO. �2�?�_a 'dU a 3? COMPLETED �a-g-<</�—
ADDRESS 3� as ���e ert �-
OWNER/CONTR.
❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION
O CONC SLABS ❑MECHANICAL FINAL �OLLOW-UP
❑ FOOTING ❑INSULATION COMPLAINT
❑POURED WALL ❑ RATED ASSEMBLY O FIREPLACE
❑ FOUND. DRAINAGE ❑ BUILDING FINAL ❑SP INKLER SYSTEM
❑ FRAMING ❑SEPTIC INSTALL �
� ❑SHEATHING ❑SEPTIC FINAL
❑ PLUMBING RI ❑S&W HOOKUP ❑
� ❑ PLUMBING FINAL ❑GAS LINE MANOMETER �
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V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
O CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REC�UIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on site:
�
Inspector:
DATE TIME "
CITY OF ORONO CA�LED IN
INSPECTION NOTI E SCHEDULED S— — 3 '
PERMIT NO. �a��� U D Z 3� COMPLETED
ADDRESS `3625 � (�(�'` �
OWNER TELEPHONE NO.
CONTRACTOR 9 �� L��e�'�
� DESCRIPTION ��'� �� �����
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVEFiING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOii �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. �0 1�L �C� �,
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