HomeMy WebLinkAbout2012-00126 - demo ` .
"� ' • CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 Z - B 0 1 2 6�*
DATE ISSUED: 02/24/2012
f ORONO,MN 55356-
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 3508 IVY PL
PIN : 20-117-23-42-0024
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: LOT 183 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE:
1. FOUNDATIONS/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 2448 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED.
CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
APPLICANT
DEMOLITION-PRINCIPAL STRUCTURE 75.00
J S STEWART COMPANIES,INC. STATE SURCHARGE DEMO 5.00
11099 LAMONT AVE NE
HANOVER,MN 55341 DEMOLITION-ACCESSORY STRUCTURE 50.00
() TOTAL 130.00
Minnesota State License#: L703 PAID WITH CC# 8391
OWNER
WILSON, STEPHEN
3510IVY PL
WAYZATA,MN 55391
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 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 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, r if construction is
suspended for a period of 180 days at any time aft work has commenced.
The applicant is responsible for ass ing a re red inspections aze
requ m co ormance with Stat ui n .This permit may be
oked at an ime for du se.
, -���l �
cant Permitee S�gnature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, �
• ,
,�0� City of Orono FO CI USE ONLY /
O O P•0.Boa 66 Date Receiveda� / /Z Permit# �� —� �07fo
�;,,.��,.. 2750 Kelley Parkway �p
���r�� � Crystal Bay,N1N 55323 Amount: $ SAC Credit:
���f���yc (952)249-4600
��O$ Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:0 Yes ❑None Required
Zonin�Disclosure Si�ned: ❑Yes ❑None Re uired
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zonin,Department)
t_,� �'te/Owrier<Information �"
Type: �Residential ❑ Commercial
SiteAddress: 35� �1 )t� ���C�
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Owner: ,� �G�-� �l:C�Z ����- Mailing Address: '��CU � �-1," �L
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Clty: ��' ��,�s' �7:
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Home Phone: �^ � •� - �i��-` � �, '� )�1 Alternate Phone: �� I�- �>�n�' � �`. 7 `��
_,., , �ctor/Applicant.Iriformation: �
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ContractoriApp.: ��-� ���i;JC�-� ,� Contact Person: �+Y� c e, �
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Address: c
Y ��`1 � �-���U}t-t v� State License #:
Cit �'�OY�- Zi ��-���`�
y: p: �� � Expiration Date:
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Phone: ��/i�_ - �� '==� �-- �(i� `�t:_� Alternate Phone: � ( �'� - � ��.' ��` `�1 ��1 �
�� � �� ��. '' SPECTAL�;�(.�1�LDTT�°ONS &`HOI�D 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, ConstYuction 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 CALCULATION
� $75.00-Principal Structure $ ��•��
�$50.00- Access�rv Structure x I (h.nw many) �� ' C��
l. 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.
�
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A licant's Si nature: � � �� ��� Date: � c� � �
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Owner's Signature: `` Date: � �1- �Z�
Approved By: � %T
-.. / . ����"' Date: Z - Z. � � 1 Z
J ui ding Official) _
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* Zoning Disclosure Required? � YES ❑ NO ��;����6Y1 I�J � °
*This must be filled out by Zoning De art nt—For e' er answer, a Zoning Official must sign all applications.
* Approved By: Date:�2����
(Zoning Officia
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`" CERTIFICATE OF SURVEY FOR
PILLAR HOMES
OF LOT 183&PART OF LOT 182,TAYLORS
SUBDIVISION OF SPRING PARK LOTS LAKE
HENNEPIN COUNTY,MINNESOTA \ MINNETONKA
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� �� i��� � �� �" LEGAL DESCRIPTION Of PREMISES:
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Lot 183,and the Southeastedy Half of Lot 182,
\� � �' 1 TAYLORS SUBDIVISION OF SPRING PARK LOTS �
� ���/ � ��
` o�.denotes iron marker set
�\�--` __ .:denotes iron merker found
�-�1�.,�/ -u.-� ezisNng contour line
\ -��. Proposed contour line
� [es� : Proposed spot elevatlon
\'-=�':�r;"� '.
\ � Proposed drainage direclion
�,\ �YBearings shown are based upon an assumed datum.
This survey shows the boundaries of the above descrlbed property,the
location of hvo existirg buNdings,topography,floor elevationa,end the location
• � EXISTING�f all visible"hardcover'thereon,and the proposed location of e proposed house,
F��US eck.driveway and sldewalk thareon.It doas not puryort to show any
N3486 other improvements or encroachmenfs.
IMEHEBVCEA7IFYTNATTM6PIAN,9PECIFlCATiON.ORREPORT ���,
O(AG60 M`aLni Ca�E ��KA�'��� WASPREPANEOBVAIEORVNDERNYdRECT3UPfRN510NAN�
� 12-PO-11 PROPOSEDHOUSEANOGRADESSHOWN GRONBERG 8�ASSOCIATES� INC. rHnriunaou�rucevSecPAcaEs6iauiEr:aHEERu+oW+o ��� —
w.Mn GONSULTINGENOWEERS, surtveroRu+oeRTMe.n`hs�T�s*nrEovWm+Eso'rn _29
LAND SURVEVORS,SITE PLANNERS
- MS NORTH WILLOW DRIVE,LONG LAKE,MN.55]SB %�;,,,r ��' �! - -�
MCxEO BSYd77�1711 . Huce 5 uuMBER � 11eJJ7A
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11-SS�A
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED Z-z7- ►Z 3��c7
PERMIT NO. 070!a- d4la-!o COMPLETED N ti t
ADDRESS�S� `� ��1v �PI�c�P
OWNER TELEPHONE NO.
CONTRACTOR P� �.4-� ��►•..e.5
� DESCRIPTION �� G
� _� �
W �G9�Ilil.T ❑ PLUMBING FINAL EXCAV/GRADING/FILLING
��f�--
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIflED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contracto it
Inspector.
White Copyllnspector's File Canary CopylSite Notice