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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) W 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. cc W W IAA1 O 14 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