HomeMy WebLinkAbout2016-00856 (demo) CITY OF ORONO * Z 0 1 6 - 0 0 8 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 07/2U2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2480 CASCO POINT RD
PIN : 20-117-23-21-0037
LEGAL DESC : TILLSONS VILLA CARMAN
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-INTERIOR ONLY
ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES
NOTE: NO WORK BEYOND APPROVED INTERIOR DEMOLITION WITHOUT PERMIT. INITIAL:�'
SAC-N/A-INTERIOR ONLY
APPLICANT DEMOLITION-INTERIOR ONLY 50.00
STATE SURCHARGE DEMO I.00
JN BUILT,LLC TOTAL 51.00
801 TWELVE OAKS CENTER Payment(s)
WAYZATA,MN 55391- CHECK 1434 51.00
(612)280-8205
Minnesota State License#: BUIL-BC638412
OWNER
RUDOLPH, STEPHEN&SUSAN
2480 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
the approved plans and specifications,applicable 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 hereia 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 sponsible for assuring all required inspections are
requested in n ormance with the State Building Code.This permit may be ��'���
revoked a ny ime for du c se. )
�
� � �, i �� ) �-�%������ ���-�_ �'�"; �_� i �- (i �
Applicant Permitee Signature Date Issued By Signature Date
/,-�ON City of Orono FOR—�SE ONLY
P.O. Box 66 Date Received: Permit# 2-L��(� �fG
� 2750 Kelley Parkway � � �
� Crystal Bay,MN 55323 Amount: $�_ SAC Credit: ���
� (952)249-4600 ��� i�
`� � Homeowner(s)Signed: e �*,y��
" rF �� Resolutions(if any)Signe�Y s�] ne Required �
\�ql�E�F������� Zonin Disciosure 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: Interior demo only, to prepare house
�for interior remodel. No structural
Type: �■ Residential ❑ Commercial ;'�"r"�>?i;,�:��_.�ms to be removed.
s�te Address: 2480 Casco Point Road
Owner: Stephen J RUdOlph Mailing Address: 2480 Casco Point RD
c�ty: Orono Z;p: 55391
Phone: 763-464-8057 Email: SteVe.rudolph@yahoo.com
Contractor/Applicant Information:
Contractor/App.: JN Bullt, LLC co►,ta�t Pe�so►,: Raino Niemela
Addf@SS: 801 Twelve Oaks Ctr Dr, Suite 812 State �icense#: BC638412
c;�,: Wayzata Z�p: MN Expiration �ate: 03-31-2018
Phone: 612-280-8205 (mobile) Ema�i: raino@jnbuilt.com
SPECIAL CONDITIONS � HOLD HARMLESS AGREEMENT
General I nstructions:
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 copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The Ciry will
not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating
permit(s) are not required.
Form Last Updated: July 2015
150784
4. Submit a$2,500 escrow and an escrow agreement signed by the properry owner(copy attached).
5. Keep all structure(s)enclosed and/or secured until such time as demolition is complete.
6. 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.
7. Completely remove foundation(s)from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. 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).
12. 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.
13. 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 $
�,����1�6 b 1� ��(�,�`�' � ��
❑ $50.00 —Acces�ry Structure x (how many)
� ' �
1. Subtotal of above permit requested $
2. State Surcharge 1.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ `�� � -�C
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 the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all s ments m e on this pplication are complete, true and correct.
;�
; ,
Applicant's Signature: � .,�� Date: 7 ' 7.�`� ���
Owner's Signature: Date:
Approved By: Date: Z-� �
(Building Official)
*Zoning Disclosure Required? ❑ YES �NO
*This must be filled out by Zoning Department—For her answer, a Zoning Official must sign all applications.
*Approved By: Date:
(Zoning Official)
Form Last Updated: Ju/y 2015
150784
•
DATE TIME
CRY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. v9oi6 -WYE)& COMPLETED - �'i
ADDRESS )e-/ SCJ Cast c> P 2
OWNER , TELEPHONE NO.
CONTRACTOR J H 4c&, Cf G�-
E• DESCRIPTION i'VtC)
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0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
• 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
4C ❑ FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
• ❑ FINAL ❑WATER HOOK-UPLLOW-UP
❑AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
d ❑ DEMO-SITE 0 SEPTIC INSTALL
• OWNER/CON RACTORTONERTYOU:_YEN._NO
a COMMENTS: Derv► hoick99r <44) e " // 1,7 r
j Permit has expired per MN Building Code Sec. 1300.120 subp. 11
N. Expiration, no record of a Final inspection.
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4 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
Q 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN to the next Mspectton 24 rows In advance. (952) 249-4600
OwnenContractor on site:
Inspects.
Whit Copyllnopsctor's FIM Canary Copy/SNs Notice