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HomeMy WebLinkAbout2015-00069 - demo _ CITY OF ORONO * z 0 1 5 - 0 0 0 6 9 � 2750 KELLEY PARKWAY DATE ISSUED: OU29/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3926 CHERRY AVE PIN : OS-117-23-33-0019 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 004 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-S[NGLE FAMILY HOUSES(ATT&DET NOTE: l. 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. NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIPIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE TH[S PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PEMIT. DEMOLITION OF PRINCIPAL STRUCTURE ONLY. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 SCHERBER COMPANIES STATE SURCHARGE DEMO 5.00 11415 VALLEY DRIVE MISC FEE 0.00 ROGERS, MN 55374- TOTAL 80.00 Payment(s) CHECK 16296 80.00 OWNER WASHUTA,KENNETH 3926 CHERRY AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and [he 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 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 au[horized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended for a period of l80 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a[any time for due cause. � � j � I- ' l ��1 i/S Ap licant Permitee Sig ture Date Issu By Signature Date I �O� City of Orono F R C }�YJSE ONLY 5 /� P.O. Box 66 Date Receive� Permit#4�� � l � 2750 Kelley Parkway �r�,�/ Crystal Bay, MN 55323 C/" Amount: $ � � SAC Credit: (952)249-4600 l/ JJ�/ � � �n Homeowner(s)Signed: ❑Yes �' �,� � Resolutions(if any)Signed: ❑Yes ❑None Required `�kFSH��� Zoning Disclosure Signed: ❑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: Type: Residential ❑ Commercial Site Address: \, �� ����� �" � U Owner: ��� L ����� Mailing Address: , City: l '(G� l.�r�- Zip: Phone: ��� ��<�'��� � 2- Email: Contractor/Applicant Information: ,^ , � Contractor/App.: `��V 1-z l�✓ �� Contact Person: �f`� � "�f��� Address: 1�L��1 �'���`�-y �/ State License #: L�j�' ��-� �� City: �` j Zip: SS�� �/' Expiration Date: ��- / - � S / „ � / ,� � � Phone: �'f �- �2- 3 i �3 Email: -Jc ��-cY,�(,.�i �.Q,���'ut; `��'�1 SPECIAL CONDITIONS & 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 �eavy 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 City will not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s) are not required. 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 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 welis in accordance with State Health Department regulations. 10. Call for an inspection when all debris has been removed, before backfiliing. 11. Within 5 working days of superstructure removal, a final inspection shall be requested. The site shall be left clean and ciear 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 $ ���`� t_ ❑ $50.00 —Accessory Structure x (how many) 1. Subtotal of above permit requested $ � S � 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ � � v �'/� 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. ApplicanYs Signature: �-�--,` � Date: �— ���� 5� � Owner's Signature: Date: Approved By: Date: �J Z6-?'O�� (Building Official) , N��r� ' /� � j * Zoning Disclosure Required? ❑ YES NO �� I ������' r'��j��1 i'"� � �"l —� �� �� "This must be filled out by Zoning Department— Fo it�nswer, a Zoning Off i�ia�must si n all applications. * Approved By: Date: �1�� � (Zoning Official) N �`' �" �Hee ''.y `-9,�� ��_�' (r ,���� �,,�.�e 'Li 5� 2 �� � � ,.a,� � \sy.`� � `�` ,�,�9> OSCALE20 IN 40 FEET 60 \j��J ��=�`��� �, ��02-�— � �qM �/�(i��.°�2 0 � �$vy4 = EXISTiNG SPOT ELEVATION. 2+�02g P�eR��'Y� eO.o � �,\ � �+��` X(998.0)e PROPOSED SPOT ELEVATION \ �� � ��., w���. `�� � DtRECT�ON SURFACE DRAINAGE � µ� � � E �.�s �dQ,..�„i �� e `f.� ,Gs � �'�'� \N.9�,a � GFE =GARAGE FLOOR ELEVATION �ry1 `P �� '�� TFE = TOP OF FOUNDATION ELEVATION � 01�� �' c�� �� � � �-, LFE �LOWEST FLOOR ELEVATION EXISTiNG E�l 'C�S �� / � �o � _��� HOUSE {� , }�-1 �, �' � ,/ i � \ . 7 C �� ^.�R`'���r—�-/� � \' s � \\ � �^, 4 �`f \ � aFp . . � i :� � . . . � �.;� �—,A� a.n�� � `o �. . . , r �A�da�fhr � �� (/ m � '�"" `��USE S , ."_,.I 9�� \ � y ` 9`� , � ``a`� � `0 5> . ��b�`h� � �O "„ f s a (� � ��o� \ )4,��.,s m �\ ��f mQvai GARAGE a5�e . o�e�. :3�'y��� `Yy � . � �. ti��n �4'�e' �,.� 9a \ \ ... '��' b U�^. x �� .�6��E� �,��'� .9', �\ V(7�M0 /;N� ��J '� � � . �q;��� - iA � \�- ' ExIS71NG ��a ��.��� � �9s�...f •,� � � �� HOUSE 30 rn 5 .C�i,� \ �1, M1q �y mOON 'i 6 y."o`__ 992 \ � PORCH �'.-�� � ��o w rn i' ,�-_ --- ,Sz' nl�'7N'G 5 1 ��� . , � i�/ . ��az/� ,�^h o� < <=,seo HOUSE ��%�"t90���/ °`�/�,s° � \ r �� \ � �.tg�j� '_— ..15�� p�,, �. Op�E ��, F�Fcd9`.9.5 2'� p i � �..J� .._ ' r � � SHE � � � �� � �S 'S ^� .�0'_.. h � ���� O I�0�ji7 � '�' Tr j� P� �,'� ' LEGAL DESCRIPTION: �(n �- 1�"^-��' g�'� / !q�"s`s� �'� 9 \�"�\ 9�' o �*4 e ' i ~o' �9 � LOT 12 AND 73, BLOCK 5, CRYSTAL � �� i � _ �.��„ %_ A6'�Op ���Ss �. >� �z ,, ./� �� 8AY VIEW, HENNEPIN CO., MN. �Q - .i� �v.y l - ... ._ �]f dd+s � ;!15� '� qh'�"� � �' , i " Y�- _. .'�5Q i'�.. � , / � . CHERR Y __ ___ - ,, �� ;,P ,95�5� P lJ 8-117-23-3�-0019 ; ADDRESS 3926CHERRY AVENUE ... �____r� ' . ID 0 � � � . _ ,\ y. o-� �� �-' � j' �Y' ,- LOT AREA= 24400 SF/0.56 AC � ` ________----"-��`� a i' X 25% = 6100 SF HC ALLOWED Q� � Y °"�BENCNMARK°� ...`... �`, . `'�h�.. . J � O TR sAN uH y^i��--, 'a'' SURVEY IS SUBJECT TO CHANGE PER � �U � �E�E° = 9`i.s iO TITLE OR EASEMENT WFORMATION � � � : I �� y4,�.'n.' � �/1/ � VERIFY A�l DIMENSIONS AND � �� a2;�Y�a ELEVATIONS WITH HOUSE PLANS I�.� �= - � �yg� I ��9ti' ,,�5 VERIPY ALL SETBACKS WITH CITY � �� � h� � � ��€k � � ' �� NOTE — ���. � SOME TREES ARE SHOWN FOR REFERENCE �P"�� � � NOT ALL TREES ARE SHOWN � �5� g $ �$�� � • � � �� �< 4 � d p S'�Y � � ��2 � r � DATE TIME '" CITY OF ORONO CALLED IN � INSPECTION NOTICE q SCHEDULED -- — PERMIT NO�O/�'��D / COMPL ED ADDRESS 3� OWNER TELEP�/f� NO. CONTRACTO �iti� � DESCRIPTION �L�-�t� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANJCAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREP�ACE ❑ COMPLAINT J � FINAI ❑ WATER HpOK-UP ❑ FOLLOW-UP w ❑ AS BUILT-SURVEY ❑ SEWER HpOK-UP ❑ HARD COVER REMOVAL � �J DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL J 2 OWNERfCONTRACTOR TO MEET YOU:_YES�NO 7 � � � � COMMENTS:___1�__ ./� i�,_.�� W a , � � O � o� O � W � Q � 2 w � W � J d � W ,. �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �� �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTiON TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContractoron site: �-� %i t' i� 1 E'i (`C� � ;>%�/l Inspector. `_�L' 6 White Copyllnspector's File Canary CopylSfte Notice