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Home My WebLink About2013-00479 - demo . CITY OF ORONO �z 0 1 3 — 0 fd 4 7 9 * " 2750 KELLEY PARKWAY DATE ISSUED: 06/11/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 455 FERNDALE RD N PIN : 36-118-23-14-0013 LEGAL DESC : HAUSER LAUER WCC ADDN , : LOT 002 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFiLLING. DEMO SWIMMING POOL AND FILL IN APPLICANT DEMOLITION -ACCESSORY STRUCTURE 50.00 SUPERIOR LAWN& LANDSCAPE STATE SURCHARGE DEMO 5.00 P.O. BOX 207 ST. BONIFACIUS, MN 55375- TOTAL 55.00 (612)964-7043 OWNER JUANG,ANDY&GRACE 455 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed accordinc 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 grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype 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 within 180 davs of the date ot�issuance.or it�construction is suspended for a period of 180 days at any time afier work has commenced. The applicant is responsible for assurin�all required inspections are requested in conformance with the State Building Code.This permit may be revoked at anv time for due cause. � ��i� � � �1 � 13 � � A" licant Per �te Si nature Date PP K Issued B��S� ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. • �O�O City of Orono FOR CITY USE ONLY P.O. Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Amount: $ SAC Credit: (952)249-4600 � >- Homeowner(s)5igned: ❑Yes yFr �,� Resolutions(if any)Signed�❑Yes ❑None Required �k£SH�� 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: �� l�C��P K'�- �� Owner. ��4Ce <'V�Q•✓1� Mailing Address: �r'�.J"� �3?�A1P��,►�, c�ty: ��9T�� z�p: ��3q� Phone: �Cf�_ ��a.- �l �� Email: �� (] Cv�.�/��, �c�►�^ �T Contractor/Applicant Information: Contractor/App.:��,ve,rzir�rr 1�t ? �-r��r�Jtic'�m Contact Person: �-2�})Lh �YZ�'ck ,�. Address: 'P� �J� �� State License #: City: ��"��d�n� Zip: �� Expiration Date: Phone: >l�- �i��[- �?D`I�_ Email: C.a��q��[� ��zr[l`p�l�✓1•S� 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 �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 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 wells 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 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 $ [� $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 statements made on this application are complete, true and correct. Applicant's Signature: � Date: �o—�l "' �� Owner's Signature: Date: Approved By: Date: � � � � � �3 (Building Official) * Zoning Disclosure Required? ❑ YES � NO *This must be filled out by Zoning Department—For either answer, a Zoning Official must sign all applications. * Approved By: � Date: oning Official) l � � • C/'� �r� �' ATE� TIME CITY OF ORONO � CALLED IN '� � � "� INSPECTION NOTICE SCHEDULED � �'> � PERMIT N0. -'-�� -"'��+�L�� t{��/COMPLETED _ , ---. ADDRESS � :�� -, �- c- ► r �.a �� l�_ Kc{ � OWNER TELEPHONE NO.�'� t� ��` �� CONTRACTOR `C ./''�- 'Z i�i (_ �;c.�.�-%i'1 r,_� � c �c 1 c-- _ C (�� ( �--� �: DESCRIPTION � / � � � �7 " � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREN✓ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � � W C � J O � � O � W � Q � Z W � W � j d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP OADER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALIED IN � INSPECTION NOTICE lL SCHEDULED �(��/�—/� � PERMIT N0. �`��3 ��d 77 g COMPLETED l � ADDRESS �SS eV�L�JIiYt G{GL-�2 /� /(� OWNER TELEPHONE NO. CONTRACTOR p ��'1 � �-�C.,��=�� : DESCRIPTION _47�� `J�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C O � � � � � O � W � Q � Z W � W � � � �'P�TE W�ORK SATISFACTORY:PROCEED ��O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WiLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor Inspector. White Copyllnspector's File Canary CopylSite Notice