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Home My WebLink About2009-00661 - demo CITY OF ORONO PERMIT NO.: 2009-00661 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUEn: 10/OU2009 • • 952 249-4600 FAX: 952 249-4616 ADDRESS : 1981 FAGERNESS POINT RD PIN : 18-117-23-14-0005 LEGAL DESC : FAGERNESS : LOT 004 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : �C�NGLE FAMILY HOUSES, DETACHED NOTE: l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONGD. 3. INSPECTIONS DONE BEFORE BACKFILLING. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 MICHAEL GALLUS CONSTRUCTION INC. STATE SURCHARGE DEMO 0.50 6306 EHLER AVE. DELANO, MN 55328 MISC FEE 0.00 (612)709-9796 TOTAL 75.50 Minnesota State License#: 20061956 OWNER WHITTINGTON-GGROENKE,MICHEAL&JULIE 1981 FAGERNESS PT RD WAYZATA, MN 55391- 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 the State Building Code. This permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall bc 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 applican[is responsible for as ring all r uired inspec[ions are requested in conf mance with th State u�ding Code.This permit may be revoke at any t e for due cau . / ' -� a--- /v� / / U � / / Ap icant ermitee Signature Date Issued By Si �ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . ��` City of Orono FOR CITY USE ONLY , ` O , `rO P.O.Box 66 Date Received: Permit# a�, 2750 Kelley Parkway � �a� �'''4��'"""�� :�= � Crystal Ba�-,MN 55323 Amount: $ SAC Credit: �^�i^�-y�j�y�fc.�o (952)2�9-4600 �sao$ Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:0 Yes ❑None Required Zonin Disciosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (Ali permits must be approved by the Building Official and/or Zoning Department) i Job Site/ Owner Inforniation: Type: �Residential ❑ Cominercial Site Address: �9� � �u-� r�.e 5 S �� Owner: 1/��1�. -e �'�1 �-� �� W�� "''Mailing Address: /�/ F��-y�".,ss P� �L City: �� c� Zip: Home Phone: Alternate Phone: Contractor/Applicant Information:" Contractor/App.: ��C��t� ��c�5 �ci�,5��• Contact Person: �a� �� S Address: �3� �(�� State License #: � a�d� �`��b City: ��``'"`� �N Zip: ��3 Z� Expiration Date: vu4-- 2� i� Phone: �� - -��S - � � i� Alternate Phone: v� z- z bv 3 y 3 7 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions: 1. You may be required to�obtain other pern7its, 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 Pernlit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment # In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is complete. 2. Demolition debris will be kept off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereo£ - . �, 3. Foundations shall be completely removed from the ground. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water wells must be abandoned 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 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). 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 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 arisin� 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 ❑ $50.00—Accessory Structure (how many) (what) l. Subtota] of above perniit requested $ � 2. State Surcharge $ .50 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 certi es that all statements made on this application are complete, true and correct. � Applicant's Signature: G�— Date: v / O ,�'1 1 1 � Owner's Signature: � �� t�� Approved B}�: Date: (Building Official) * Zoning Disclosure Required? ❑ YES NO *This must be filled out by Zoning Depar nt— eit er answer, a Zoning Official must sign all applications. * Appro��ed By: Date: � � � � � (Zo in�Official) �� DJ E TIME CITY OF ORONO CALLED IN � � ` � � INSPECTION NOTICE SCHEDULED -�? PERMIT NO. a�q��ol COMPLETED ADDRESS 7L� , OWNER CONTR. TELEPHONE NO. 4-�S� � DESCRIPTION �v T' �!f�� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU: � YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: � ; Inspector. �--ti.��" r -� �-' White Copyllnspector's File Canary CopylSite Notice