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Home My WebLink About2015-00415 - demo CITY OF ORONO * z 0 1 5 — 0 0 4 1 5 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2015 � , ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS � : 1340 FOX ST PIN : 02-117-23-31-0019 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 014 PERMIT TYPE : DEMOLIT[ON PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTNITY : 645-SINGLE FAMILY HOUSES(ATT& DET NOTE: (SAC PAID 6446 09/02/1981)(NEW HOME PERMIT ISSUED IN SAME MONTH) 1. FOUNDATIONS/ALL DEMO DEBRIS'iO BE REMOVED FROM GROUND&D[SPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. [NSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 HOUR NOT[CE IS REQUIRED FOR ALL[NSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE C[TY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE[SSUING THIS PERMIT. (SEWER DISCONNECT ISSUED ON 04/29/l5 #2015-00504) APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 5.00 CHAMBERLAIN FINE CUSTOM HOMES DEMOLITION -ACCESSORY STRUCTURE 100.00 11578 CHAMBERLAIN CT EDEN PRAIRIE, MN 55344- TOTAL 180.00 Minnesota State License#: BUIL-BC661410 Payment(s) CHECK 943 180.00 OWNER Chamberlain Capital LLC 11578 CAHMBERLAIN COURT EDEN PRAIRIE, MN 55344- 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 perrnit is for only the work described and does not gran[permission for additional or related work which requires separa[e 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 l80 days of the date of issuance,or if construction is suspended for a period of l80 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 at any time for due cause. �� ,, ��/ �'-� ��' F��-+ �z�t ZSYncr.e.,67 �/ � �' l� Applicant er itee Signature Date [ssued By ignature Date O City of Orono FOR CITl�v ONLY � � P.O. Box 66 Date Received: ' '�1��rmit# �—/G•-f � 2750 Kelley Parkway lp� oo , _- Crystal Bay, MN 55323 Amount: $ /W-�SAC Credit�c_Fd �0�l�(p (952)249-4600 ... , C��•��tf � � _..,...,.,,...,,.��a�gr�ea: ❑Yes _. �� yF� '\ �,� Resolutions(if any)Signed: ❑Yes ❑None Required q,rFSH�� Zoning Disclosure Signed: ❑Yes ❑None Required CSc�v�a��2�� '� CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/ r Zoning Department) �� ,��'� Job Site / Owner Information: �°�'" Q� Type: � Residential ❑ Commercial n Site Address: ��'� �v� S�:�� l� Owner: ��1{ac�l�.��? 1�4��'� �� ? �' Mailing Address: �15�� (,��m��r✓!�� C f ° �'�n r',�c,�� ",v. City: ��n �-�:�,,d�.: Zip: 5��3 y`l (� � �/ � n �, , Phone: I ��, `�G y �`" �� -� Em ai l: ��z�� !��i m�i�lc��il �'c��G'- �;.,,,,r, Contractor/Applicant Information: v�� Contractor/A �1�;�� pp.: �,/�-- �-� �� :� �r Contact Person: cr t ci�'j''.� � •�•� ��. �� I(/ Address: State License #: / � . �i City. � �� Zip: Expiration Date: 3 %C , r� Phone: �� EmaiL ��"r't-� 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 gf: ❑ Manual Disassembly � Heavy Equipment ❑ Other � Permit(s) Issued: � Sewer Disconnection ❑ Well Abandonment# � ��5-aG5�U �,l�R// In return for issuance of said Demolition Pe�mit, 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. �� -t5 � 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 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 $ /J� �v � $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) $ /�� `� ` 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: «�``4�''/`�= Date: y/ ' `� /> Owner's Signature: r/ �C�✓,�� Date: ��f�--� Approved By: `X�^ Date: �f '�3-1� (Building Official) * Zoning Disclosure Required? ❑ YES NO "This must be filled out by Zoning Department- For e� er answer, a Zoning Official must sign all applications. �- * Approved By: ��416 Date: �t'lJ�J �� (Zoning Official) d5 -3�i� — f2e� � C�� DATE TIME � ITY OF ORONO CALLED IN INSPECTION N. TICE SCHEDULED {� PERMIT NO. � cOMPLETED ADDRESS " l` OWNER T EPHONE NO. �� `� �� CONTRACTOR �; DESCRIPTION � -�� ly ❑ FOOTING ❑ DEMO-FIN�f/)'n/�SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING �` ��"`;\ U EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL " ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTtON Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a �-(�aZar� u.s �n � J O � � O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adva ce. 249-4600 OwrterlContractor on site: Inspector. White Copyllnspector's Flle Canary CopylSite Notice � � � DA TIME � ^ CITY OF ORONO CALLED IN -�� INSPECTION l�'T,I� SCHEDULED —� — ��'� PERMIT NO. N(� � !� C PLEfED ADDRESS l�`� �%�i LrTs ) OWNER T PHONE NO. � 7 CONTRACTOR � DESCRIPTION � � ly ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ LUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMB�NG FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: f W � a _�"h O i � � � ��?�i._ l� ` � � O � � � Q � ✓ l'^ �� z � l � W � W � j d W ❑WORK SATISFACTORY:PROCE ROJECT COMPIEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O I�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 4 hours in advance. ) 249-46�� OwnerlContractor on site: � Inspector. White Copyflnspector's File Cenary CopylSite Notice �� =�� DATE TI CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ,'�' �,,�I r '�'_.,��'�� PERMIT NO. �L- � ��-•C'(`,�-It J COMPLETED r ADDRESS 1 .��{'(`' � � � �S�"' OWNER TELEPHONE NO. CONTRACTOR I C� ` � DESCRIPTION N`" �� ly ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO / � COMMENTS: T_Tffn.f s � ti�:�-�:� Y�:v-�'.�Z� �f S�(�1{ � �-��-- �n . � � � O 1 a� J�6 �r�tL /`t5�oe�fs.�, G't 6�� r� � O W ` Q T�lCr� ks 4 i'l�c� 5-�'s�� J�C 2 -�LI�c �i�'L C �,_7� i S �t •sLO W � W � J W ❑WORKSATISFACTORY:PROCEED /�PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANEN7 ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. 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I � � � � � � oQ°� ; -- — - \\�- i N �� + , I il , � � � � i � ,2 i , �� ,o W a�R `Q� � o��, �� ` ` WELL TO � , ,r.-, � � � REMAIN o I � , , � \ � �� r �I � � ,o}' J � � � / / � � I �4 INCH IRO� � i� �'eiR ��. � I � � � .r� � j � I � � �� ECALCULAT D � \ � , � ' ��,I �/� I I POSITION 96 9 �, �. �o � � 1 � � — ►