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Home My WebLink About2008-00306 - demo � " CITY OF ORONO PERMIT NO.: 200&00306 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUED: 1UO3/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1255 DICKENSON ST PIN : 02-117-23-31-0027 LEGAL DESC : MINNETONKA BLUFFS : LOT 000 BLOCK O15 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES APPLICANT DEMOLITION -ACCESSORY STRUCTURE 30.00 SAMS LAWN CARE, INC. STATE SURCHARGE DEMO 0.50 P.O. BOX 848 TOTAL 30.50 WAYZATA, MN 55391- (612)366-9273 OWNER DETTLOFF, MARION 1255 DICKENSON ST 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,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 wi[h the State Building Code.This permit may be revoked-ai7a�[ime for due cause. -��,� �- � l� l � l� � �� -�� i �_� t C�7'y1C��^ / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . x • � � Clty Of OCO�O ��, , P.O.Box 66 � � � � � /- 4� t"1i ��teae�.ved- �'�it#Fr��"'+�� J� 2750 Kelley Parkway �� q Crystal Bay,MN 55323 � ,�� 'if�"�'` � � �� (952)249-4600 � ��-f ; s� s�;��,�� ,�,�: � �. a�'� � £ � }� E t, � r �� ' ��H� . . . . .5 ,';�� a.� CITY OF ORONO-DEMOLITION PERMIT I� ' (All permits must be approved by the Building Official and/or Zoning Department) I Type: ❑ Residential ❑ Commercial I�I Site Address� � .� ,�•S� � i� -erSov� SI- !GL 1�oh�c pn rm I D y 1� � Owner: _�o�h ��r �� F� Mailing Address: CitY: I' Zip; Home Phone:, Alternate Phone: II Contractor/App.: �ia w�S ��vv� ��,�,�, Contact Person: SG� yk V r,ryll'�{r �, 1�e, Address: I' �� o:�- ��/ �' State License#: II City: I��h.�Z��K Zip: �S^3�l Expiration Date: I Phone: -� ' �(+,1.— 3 6 C� �,� ?3 Alternate Phone: 7C � ' �7 ��D U General Instructions: I 1. You m�y 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. I� 3. A 24-48 hour notice is required for all mspections. Call(952) 249-4600. I 4. Sewer must be discontinued at the City service by qualified contractor before demo pe�mit is issued. , I Demolition by�neans of: � Manual Disassembly �Heavy Equipment ❑ Other li Permit(s) Issue ❑ ewer Disconnection ❑Well Abandonment# �� ,�tis cc�hee L�cl -f�=�'�� .gh�v� �98z � � � In return for issu�ance of said�emolition Permit,the undersigned owner hereby agrees as follo s: � 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is I complete. i II 2. Demolition debris will be kept off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 3. Foundations shall be completely removed from the ground. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water wells must be abandoned in accordance with State Health Department regulations. 6. Inspection required when all debris has been removed, before backfilling. 7. 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). 8. Septic systems must be abandoned 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. 9. 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 �50.00—Principal Structure ;0�' S'''`�� $30.00—Accessory Structure_�(how many) f�F�L's� h�(�(l��y� (what) 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 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 sh-ict 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: ��—_�`�-----� Date: - „ Owner's Signature: ;�'��-�=��- ---�- Date: ,-;% . � Approved By: �� / Date: / d- 2v- �� (Build' Official) * Zoning Disclosure Required? YES ❑ NO *This must be filled out by Zoning Dep —For �her answer,a Zoning Official must sign all applications. * Approved By: Date: I(7�Z0/��_ oning Official) �� Reset Farm u � F � �� - � cr1Y oF a��o .�� :�� _.. _ _ � SITE PL�1!� G��A�i[4!G r�LA�d � � :� � � � �-� �- .�4`I �/ n�Y � ::J ,�.:!�� 4�� yl � G�APPRO�E� � _-:— - .- �� h � ; .;� �,:, ,nr �� ` ❑ �1�'��V�t� ��di i�`� 4��,��i��`�;� �. 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' , l . . .._ �� _ , � . � ., ' ' .; . .. . . . . . � � �� ✓ � D�AT D „/ TIME CITY OF ORONO CALLED IN �� u --�- INSPECTION NOTI 2/� SCHEDULED � � 0�"�N PERMIT NO. • � ' QJv�COMPLETED ADDRESS � 5 ��Cl�-�I�S OV�-� OWNER CONTR.s TELEPHONE NO. �� a �� "! ��3 � DESCRIPTION Ul � /I/1 � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q � FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACT R TO MEET YOU: YES_NO � c�., COMMENTS: C'l l'%IG{/� � a � � O �. � O � W � Q ti 2 W � W � � d WORK SATISFACTORY:PROCEED Cl'PROJECT COMPLETE W ORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CO RECT WORK,CAIL FOR REWSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CA�lTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 Owner/Contractor on site: Inspector. White Copy/lnspecto�s File Canary Copy/Site Notice �