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Home My WebLink About2004-P07672 - demo �iTY F R PERMIT C � � �N� Permit Number: 2750 Kelley Parkway- PO Box 66 P07672 Crystal Bay, Minnesota 55323 Permit Type: Demoiinon (952) 249-4600 Date Issued: �i2si2ooa SITE ADDRESS: 2695 Kelly Ave Fxcelsior,MN55331 PID: 20-117-23-14-0008 DESCRIPTION: Proposed Use: Residential Pernut Class: Building Census Code 645 Permit Type: Demolirion Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: �'I�UIl(kLl1UILS%All 11CIIlU 11CDi15 LU DC ICIIIUVCU lIUIII�IUUIlU OL(11S�JUSC(1 Ul Ull S1LC PCi'YI.H IC�UlilllUlLS. VVC11S mist be abondoned. Ins�ecrion before backfillin¢. FEE SUMMARY: Permit Fee: $ 50.00 Valuation• $ 0.00 State Surchazge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: Stonewood Design Build OWNER: Charles&Roseanne Simpson 4420 Shoreline Dr. 2695 Kelly Ave Spring Park,MN 55384 Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF NIINNE UILDING CODE REQUIREMENTS. �vus�'�ct'�� P'�,�. �/�� CANT PERMITEE SIGNATU ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Requiredl, 1-Auulicant, 1-Monthlv Reuorts, 1-Assessin¢, 1-Finance Page 1 07/O1/2004 14:12 FAX 9524710639 STONEWOOD � /Zi� f�001/002 � ,. �9076�2 �-�a-- � , � R5L � ZYy - �{G)G CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (2750 Kelley Parkway) Crystal Bay,MN 55323 SPECIAL CONDITIONS &HOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e.weil abandonment, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. JOBSITEADDRESS: 2695 Kelly Avenue Occupancy Type: ✓ Residential Commercial OWNER'SNAME: Charlie & Rosanne Simpson Phone: (952) 471-0379 MailingAddress: 2695 Kelly Avenue City: Orono CONTRACTOR'SNAME: Stonewood Design Build, LLC Bus.No.: (952) 471-0584 MailingAddress: 4420 Shoreline Drive City:Spring Park Demolition if planned by means of: manual disassembly ✓ heavy equipment Permits Issued: # Well Abandonrnent In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows: 1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is complete. 2. Demolition debris will be kept offadjoining properiy and/or the public rights-of-way unless specific prior approval is obtained in writing for temporary use thereof. 3. �ounda.tions 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 Depariment regulations. 6. Inspection required when all debris has been removed,before backfilling. O7/O1/2004 14:12 FA% 9524710639 STONEw00D f�002/002 . � .. • � 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 aad such new building is actually under construction). 8. The undereigned 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. 9. Septic systems must be abandoned per Minnesota Rules Cha.pter 7080. All septic tanks must be pumped,crushed and filled with native soils. An inspection is required after the taaks are pumped and before the tanks are crushed and filled. PERNIIT TYPE AND FEE CALCULATION ✓ $50.00-Principal Structure $30.00-Accessory Structure 1. Subtotal of above permit requested $ 50.00 2. S�te Surcharge $ � 3. TOTAL PERMIT FEE(add lines 1-2 above) $ 50.50 The undersigned hereby applies to the Ci f ono for issuance of a Demolition Perrnit,agrees to do all work in strict accordance with ' ances of the City and the regulations of the State of Minnesota,and certifies that all sta s e on this application are complete,tnte and correct. APPLICANT'S SIGNATURE: Da�: 07/01/04 OWNER'SSIGNATURE: iv/p �°`'' Date: APPROVED BY: Date: 7. 9 •�Y Reset Form / (6�� E TIME � �� r� �. � �c; � CITY OF ORONO CALLED IN INSPECTION NO E/`( SCHEDULED ' �� PERMIT NO. � ` � COMPLETED ADDRESS ' � _ I � OWNER '��U� (��C CONTR.'�\�(�C.�CX� TELEPHONE N0. ��' �� DESCRIPTION �- (�t,�nC�t�l� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � �. J 1 O a � O � W � Q ti 2 W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the nei�t inspection 24 hours in advance. (J52� 249-4600 Owner/Co , o s�te: Inspector. White Copyllnspector's File Canary CopylSite Notice