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HomeMy WebLinkAbout2015-00680 - demo , , CITY OF ORONO * Z 0 1 5 - 0 0 6 8 0 * 2750 KELLEY PARKWAY DATE ISSUED: OS/29/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 945 FOREST ARMS LA PIN : 07-117-23-12-0019 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 000 BLOCK 002 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE NOTE: l. FOUNDAT[ONS/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. APPLICAPiT DEMOLITION- PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 5.00 CHUCK'S EXCAVATING TOTAL 80.00 760 WEST 96TH STREET Payment(s) CHANHASSEN,MN 55317- CHECK 5262 80.00 (952)496-2874 Minnesota State License#: SW-L3320 OWNER EATON, BOB&JENNIFER 2721 COMSTOCK LA N PLYMOUTH, MN 55447- AGREEMEIVT AND SWORN STATEMENT The work for which[his 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 grant permission for additional or related work which requires sepazate 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 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 4> „ � � � �6 G?`"`L--� S `���—�� \� l Z� l� Applicant Permitee Signature Date Issued y Signature Date �O�T City of Orono Fo ci 1�usE orrL�' � 1 y P.O. Box 66 Date Received: ` Permit# � � 2750 Kelley Parkway Crystal Bay, MN 55323 Amount: $� SAC Credit: (952)249-4600 '� ti Homeowner(s)Signed: ❑Yes yF � �, Resolutions(if any)Signed: ❑Yes ❑None Required `q/�ES H�4� Zoning Disclosure 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: Type: Residential ❑ Commercial Site Address: ✓ 7J`� �c4'�NS� !�,(✓�--s ��x'`�� Owner: Mailing Address: City: ��,�n/� Zip: Phone: Email: Contractor/Appticant Information: Contractor/App.: ���'i1�5 �"xC Contact Person: ��G�G�� } T� �, � Address: ��L'� �/ ��o -s� State License #: �� � City: �Z�' ��/�� Zip: ��-S�l�Expiration Date: �7 �:� � v�D(O Phone: / 5� "� �� �� �7 EmaiL �it/c�����S E; ,� c�«,�i ��q _C E>^'� 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. K�ep 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 $ �,��• � ❑ $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. • � ' � G� �� c �� �C � Applicant s Signature: �ate. � Owner's Signature: Date: \ r�� Approved By: � Date: uilding Official) * Zoning Disclosure Required? ❑ YES NO �� r1� �Wll.. ��. ��j — ('�-�� *This must be filled out by Zoning Department— For ither answer, a Zoning Official must sig�1�II applications. �� � � ry * Approved By: �/Yb , Date: �J' Z"l' � (Zoning Official) / DATE TIME /� CITY OF ORONO CALLED IN �L— INSPECTION NOTICE SCHEDULED PERMIT NO.���`��OO�j�JOCOMPLETED 'L ���— ADDRESS ��'� /�✓c�� �/w�,f �,� � OWNER TELEPHONE NO. CONTRACTOR ����s ����'���-� � DESCRIPTION �G�"'��� �/ti� l~ir ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLA�NT v �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a �o k 5� G�e..�o Co wt��e,L�e — j � � ` 0 /�-L�G✓ �Lt�'L�f.�<� w /w $4�rt � �aCl��6`+v >. � O � W � Q � 2 W � W � J GW ❑WORK SATISFACTORY:PROCEED �?RQJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. 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