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Home My WebLink About2011-01054 - partial demo of house , CITY OF ORONO PERMIT NO.: 2011-01054 ' 2750 KELLEY PARKWAY ORONO, MN SS356- DATE ISSUED: 09/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 725 FERNDALE RD N PIN : 36-118-23-12-0002 LEGAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE - Part+a ► ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: * CONTACT MCWD 952-471-0590 FOR EKOSION CONTROL PERMIT,EROSION CONTROL TO E3E IN PLACE PRIOR TO DF,MO NOTE:THIS PERMIT IS FOR PARTIAL DGMO OF HOME&ATTACHED GARAG�. —_---_� l. FOUNDATIONS/ALL DEMO DEBRIS'I'O BE REMOVED�ROM GROUND&DISPOSED OF OFI=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 QUALIFIED CON'I'RACTOR BEFORG DEMO PERMIT IS [SSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLGD BGPORE ISSUING TE l[S PERMIT. APPLICANT DEMOLITION- PRINCIPAL STRUCTURE 75.00 MEADOWCREEK BUILDING CORP STATE SURCHARGE DEMO 5.00 6955 BAKER AVE NW TOTAL 80.00 BUFFALO, MN 55313- (612)616-2252 PAID WITH CC# 1687 Minnesota State License#: 20573604 OWNER SOWADA, MICHEAL& MARGARET 725 FERNDALE RD N 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 [he State Building Code. This permit is for only the work described and does no[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 whe[her or not specified herein.This permit will expire and become null and void if construc[ion 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 responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked a� time for due cause. � r � � �-3 � �� Applicant Per 'tee Signature Date Iss ed Signature Date SEPAR�TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' ��,�� `11 Z U Ci of Orono - O�,p,�,o h' c Kci � ��5�ovi.1� P.O.f3ox 66 Date Rzcei�cd:��y_ /� Pemut= ��J��- /�� 2750 Kellzy Parlcway .� � ' �* Crystal Bay,MN 55323 ;lmount: S �T�� S:'1C Creciit: _ x � o' (952)249-4600 _ ��04� Hcmi�r�ner(s)Signzd: ❑1"es Resolutions(if'any}Si�ied:❑ti'es ❑None Reyuired 7.onvi�Disclosure Si ed: ❑Yes ❑\one Rc uired CITY OF ORONO- DEMOLITION PERNIIT (All pt�rmits must be approved by the Building Of£cial andior"Loning Department) Job Site/Owner Information: Type: �Residential ❑ Commercial Site Address: �ZS �2i�11�dc�.Q.p If�d � �< Owner: �� q S�u-'��-�'� Mailing Address: c��: �vo�� z�p: �39 I Home Phone: �� P��y�3 Alternate Phone: �� -�D.-7737 Contractor/Applicant Information: Contractor/App.:�o�cldw�� v..i�t�ti� �Dv-�, Contact Person: �0.� �u.V�� Address: �A�� RO..kQ�r �'1172.�J State License#: aC�"13(0'L��f City: � Zip: � Expiration Date: � 1 I."c Phone: („p 1� - �,t I l,Q--�1)� Alternate Phone: 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$2,000 escrow and an escrow agreement signed by the property owner. 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 5. 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. 6. Completely remove foundation(s) from the ground. 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when all debris has been removed, before backfilling. 10. 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). 11. 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. 12. 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 ALCULATION �$75.00-Principal Structur C�� $ 1 S �� " �� $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) $ �o-� 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: v� `�� Date: � 9 1� ./ ' Owner's Signature: � Date: ��__ Approved By: Date: g - �� - 1 � �Building Official) * Zoning Disclosure Required? ❑ YES �NO � ��f�t.0 va �(,�-� ` *This must be filled out by Zoning Department—For eit r nswer,a Zoning Official must sign all app ications. . * Approved By: Date: 1/� ( oning Official) � ��,�-c�` m �w O �0 2 �s��-� Ga�v i�2o� ,/�-�i r�� ; CS/n.(9 S<U��l LO/`�T1'W c- 1 L �-F i n/ �(/-� C-1 �/1.( d�lL. � `�6 r�`--� p2�G , MINNEHAHA CREEK � WATERSHED DISTRICT QUALITY OF WATER � QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, The Minnehaha Creek maps, and all other supporting data submitted by the appiicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant Watershed District is named below for use and development of land in the Minnehaha Creek Watershed District. committed to a leadership role in protecting, Issued to: Mike Sowada Permit No: 11-293 improving and managing Location: 725 Ferndale Ave. N. Orono the surface waters and afFiliated groundwater Purqose: Erosion Control — Garaqe Addition resources within the Date of Issuance: 9/23/2011 Date of Expiration: 9/23/2012 District,inc�uding their B r of the B r a agers relationships to the � - ecosystems of which Luke SChwitzer District Technician they are an integral part. We achieve our mission This permit is not transferable without District approval, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee through regulation, requires more time to complete the project, an application for renewal of the permit must be received by the District at least 30 days before expiration. capital projects, education,cooperative The applicant is responsible for compliance with all District Rules and for the action of their representatives, contractors, and employees. endeavors,and other Conditions: Project to be completed as described in plans submitted to the programs based on MCWD office on September 22, 2011 according to the provisions sound science, of this permit. • Properly install and maintain all required erosion control innovative thinking,an measures until the disturbed areas are re-stabilized informed and engaged � When the site is re-stabilized and the MCWD staff has performed a final inspection, all silt fences must be removed constituency,and the cost effective use of public funds. (Statement concerning fees for inspections, violations, etc... on following page) 18202 Minnetonka Boulevard, Deephaven, MN 55391 •Office: (952)471-0590• Fax: (952) 471-0682 •www.minnehahacreek.org / SEC. 36-]18-23 - . �v, , , • � i��,d p�-M. �-� � �1�-n�S ` '''� M?�+�4�� '{�` F;'a;,: � '- r , u /�� " �� !�'s� -+�z� � \ � � O � � N o � � � ) � \ / i � i �� - � , . .� I � � . . y�0�� . ( .�. � .. ��,P ------------------�--------�._.. ...._._.--�--------------- .50.1 �.o .. •�� BLACKTOP '_a:o"' ,o.s / � ,� o DRIVEWAY , ��,�� ,PROPOSED � � �:�v�� '�� NSHED^ ��o� o �. ADDITION � �1� to.s °' � � ��li�,�', � (�oo�.$) . �, . 3� .�m e� . �� A� �O °'�. --- (toos.$)_'.. ;� < � Om ' ' Y � � f`�4 3� ---'�--�,�•_� -�`.�_t��".. �- --. ' . t� C 1..................:.�. 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