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Home My WebLink About2012-01028 - demo ' j CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 z - 0 1 0 2 8 * DATE 1SSUED: 10/15/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 FOX ST PIN : 02-117-23-31-0009 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK 013 PERMIT TYPE : DEMOLIT[ON PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES NO11;: l. E�OUNDATIONS/ALL DGMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SI"TL,PGR PCA REGUI,AI�IONS. 2. INSPECTIONS DONG BGFORE BACKFILLING. APPLICANT DEMOLITION -ACCESSORY STRUCTURE 50.00 ABD Consulting Services, LLC STATE SURCHARGE DEMO 5.00 P.O. BOX 1 F MTKA TOTAL 55.00 MINNETONKA, MN 55345- (952)567-1365 OWNER ABD Consulting Services, LLC P.O. BOX 1 F MTKA MINNETONKA, MN 55345- ACREEMENT AND SWORN STATEMENT The work t�or�vhich this permit is issued shall be performed according ro 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 pennission for additional or related work which requiros separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and bccome 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 afrer 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. � � ' �� /�i /5 i /�-- A�r�Si cant Per� ' e , ignature Date Issue By Signature Date SEPA ATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t ' 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: �a �'�� c` (952)249-4600 t�R�Np4y Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:0 Yes ❑None Required Zonin Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO -DEMOLITION PERMIT (All permits must be approved by the Building Otlicial and/or Zoning Department) Job Site/Owner Information: Type: [✓]Residential ❑ Commercial Site Address: I_3 .�'�' �� 5�� Owner: ,/.�-�3� CoitSwl�r.,w �✓��'%��s��L Mailing Address: 1� �1•t�c.v�, � � City: /�1 �'k'�- Zip: ��`tS� Home Phone: ��L ✓�6`� /s'd5"' Alternate Phone: �� Z Contractor/Applicant Information: Contractor/App.:� __ �__ ' � Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: 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). 1 l. 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 CALCULATION ❑ $75.00—Principal Structure $ �50.00—Accessory Structure x l (how many) �'J�� /� 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 G �� 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: �ik.� � Date: /1> /� /�� s�Z:L'-�Nl��/��.e� Owner's Signature: G��?�_��C��.2:�� Date: /Z� /�� Approved By: Date: / l� ` l� - 'Z,a /2, uilding Official) * Zoning Disclosure Required? ❑ YES NO *This must be filled out by Zoning Department—For eit ` answer,a Zoning Official must sign all applications. * Approved By: Date: (Zoning Official)