HomeMy WebLinkAbout2015-01517 - demo ` � CITY OF ORONO * 2 0 1 5 - 0 1 5 1 7 *
2750 KELLEY PARKWAY DATE ISSUED: Ol/05/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2845 LITTLE ORCHARD WAY
PIN : 09-117-23-21-0011
LEGAL DESC : LITTLE ORCHARD
: LOT 005 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE
ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. INSPECTIONS DONE BEFORE BACKFILLING.
DEMO OF POOL ONLY
APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00
STATE SURCHARGE DEMO 1.00
SAM'S LANDSCAPE INC TOTAL 51.00
P O BOX 848 Payment(s)
WAYZATA,MN 55391- CREDIT CARD 2184 51.00
(612)366-9273
OWNER
BERGERSON,SHAWN&ANNELIE
2845 LITTLE ORCHARD WAY
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 Ciry approvals,and the
State Building Code. 1'his permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
sha►I 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
-j'�� �� � /� �� /�
A plicant Permite ture Date Is e y Signature Date
�-----_
//�ON� City of Orono Fox c�Tv t;sE o�vLv
P.O. Box 66 Date Received: �'�. ' Pennit#���(�� ��
� 2750 Keiley Parkway
� '� Crystal Bay,MN 55323 Amount: $ �SAC Credit: �
(952)249-4600
y � ,� � Homeowner(s)Signed: ❑Yes UCI C'i2�� '
F' � n- Resolutions{if any)Signed: �Yes ❑None Required
!�f S}�O�'�i� I Y ( "Lonim�Disclosure Si ned: ❑Yes ❑None Re uired
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Offlcial and/or Zoning Department)
Job Site ! Owner Information:
Type: [�Residential ❑ Commercial
Site Address: �-��/S� �-i��e (O !'C�f av-�_ �/�,�n
Owner: ,4 h�e���c �� Y'�,�crs o r� Mailing Address: �-�'�/.S' L��/c Q r��,gh�L ly��
�
c�ty: r��,Q z�p: SS'3�/
Phone: �s�' �a D y a-/�9 Email: _G��n ��i e .v �i w1�c�/. �Or�
Contractor/Applicant information:
Contractor/App.: S�r�s ���(�'�•�_� Contact Person: Rm c h �fj�
Address: f D �o� �'�f� State License#:
City: z� Zip: SS� 9' Expiration Date:
Phone: �!a1--�6G'9,�-�� Email: S�M_S �a��S�« c� � C�r�a�l �o��
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General I nstructions:
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 quafified contractor before demo permit is issued.
Demolition by means of: �V}anual Disassembly �Heavy Equipment ❑ Other ��� l �� ��
Permit(s) Issued: ❑ Sewer �c r�ection ❑ Well Abandonment#___�' � 1 �
� � ! \
In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to:
1. Submit a survey, aerial photo or sketch showing al{ 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 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.
Form Last Updated. July 2015
150784
=ro�r,� Sam Vandeputte �:�� ���� �� ���gmaiLco��; B
Subject Sign&email back
�ate December 2,2015 at 7:18 AM
'c; Annelie Bergerson - <nn@amai � ,,
Here is signature page for city permit, I would like to get it turned into city today, so I can also stop by
if needed.
Thanks
Sam Vandeputte
Sam's Lawn & Landscape, Inc
PO Box 848 Wayzata MN 55391
O 763-478-0200
F 763-478-0300
M 612-366-9273 (YARD)
a��;.cc�rit
4. ��.in c�5?s.::7:-z:.r�)t•5I'rJ 61 rs:v�a7�-e�e�1 s�:d!p i�F�n7:H?r-�:•'�r-:^._pa•crartw�i �
S Krr.r-al;�r rf4r.:5.ri•.vr�_ard�c�zer�m���rRl f��:i hny ra Jri�r_iiti_n secm�l_M
+3. k'cee a r.aern rc•7 r..e;�io vR�drinirg pm�r.er�arl•ir R9 .•isrlu i�h:sar'way :v rte: ;�)btifi: u�u�
cp�n�;.c ,r cxtr�ac �a�iUrs7(a-�r�:rary�t.:-e Un�eu'
. ::�rpgly•r •�p.yr fwudatiui:s�rx�m:.�U.Ifd.
i �:nTpd�6';Jau_sref�l tl.-.nr.hU-r�PJlfutlf:ini•iyr.��a�•�ncc.ith at a�lr4vlo"vllfe..�mimts.
`� r'�G81tuC^..a_��.el�n�rrrcrlarra i�:��';d(p F�JUi CeFor-rneV r..g.da'niG
1'.. �&::•_i�i •�x::n-nn�.r�er a� y�ee r��e t,e� i«•ra.•r.r, r.af.-•-:�:.rl:tll r
f1.:i�lhir 5�nrcrv3 d::t�ff L119i:pIISll.l:r!�Ly11�9.1 a=nal r:P:f'101?.�9II I�;1yJl�lYIC�. T�C:!C�.11�Y.
c�cc:r air. cua-a1 H; ;a��r. s:c1� _rT Cr.,:v�.-.'O�11;A`V;''1!`lII�le�rc �:•nf Mr. ar.�-,-.r r�»�nJ
c�r:+n�:cv��.,:^r r.��le.�ar.'i axcn:aYr_r�s tn o-.iz�3y a5 p+�1�sf e ir:t ao�l:ry�7d-:i.ch i-�:�hbll�lf�i_
a."•���'?���9'7JR£TC.J1�.
'i :�.icn�p>;eCUt 3r�+.��r iv pc�Gli�rr.zab�t[6 CP6:te '�)aC� Fll nece�rzn,:nas[ta;aan�r�.:�vs•ied
4t;t�gi:'riU na.•,r suL-. ;.r is�t)r�,f S V�l feJ b:_�!-w_:sr es arr.:i.n�a1 air�at, 'r 11•a la'�ks�rc
tfdFYfl:ilnc i�ed.
'b. -Pr���_r�itnac-:mw-aiGl yti�1F tI1K cir_e.rdmriFj o�d hr,h harrc�c.¢E I�r C.:o'Or=m, G acr.r-;
mNa�^-=:nr�f a-ragia'u��i ard aa�rs.:l c�n:.e:ricy�.�, �<r�a U� r.w-'�ers. rcuanE an-rnar:
feca,ag:irv•ic c:m,,�.11s E.1:+!v.nr��•�re_s��w�:xgi:cn:�i;1r�it ta.t r.!3e1Gru G�m-nc�r.nrinrr
:._.s.iLrJ'„�_n as=c�nrri�:n r.;-na:�:�.'�..•c•:��ri ins e-�po.rr�. a_nn*F ;ut•isr.S�:_is�•��sc Eis
PERNiT TYPE AND FEE CALCULATION
[ i�5 pp-Pri�:G:,e1 S:ru�-turP 3
�_;50 OC-Kcw_ssor�;U'.1Gturr�x � �ha::ma�� ���—
t Su�!c.a C°3bC'.'E�:P�n•it ieczuusL?:f �) ---_
2. Stzte�crr:t�:rc,= ��:m
3. TOTAL PERMtT PEE ia��lines 1-2 atr��j �
1'ti W7:![c's'r.:•'��{hOtt'�ae:�ies:o me Citi:ai�,r-ro°;•;53119'•]��f a DeriulAinn Pa�n�,ag��s tc�a
all'���,urA�, a stir„ac.ory:anw•x�t� .h..,.n�dinan:es C"!'e:;R�ara Uie rr.q�,�-ia-�of ihe S�lt ul
RUtSnr:uty ar.-[,tE'�B5 t!'et el!BI&Ie�ne�ds nad�an-r;app;eilon sre�crr�:Ir..M [-.E�itd;�`�Ec�.
i,._'
AnP1iG8nYsSignature: -- =�—�-- D�tr. ��-i_�-
- �d c. /
Uvmer's 5lpnelurr: It r -- D&te. �� � �" v
A�rtfoved By- � _ ' U:alr. � >/ -
_�Ifiii�.:::T:.�; _ Z � !
6
"Zo�inpDlaclosweRequirsd�' 'rE5 �tdt'i
'T,-<•rus:Le file�o�:�r z:.;�� i,�..��0-i_r�.- o•eFr��':1r:+��x.a�.,� ������..�:�rc.:gr at a�ti'cp-•.
. �11 i
"ApProveu e�y: Ca�, __ � �_�6./
;Zn--g•'iii[aal�
rr.�.��:�.!t.�f.� _w�a:�,�
��-Z.
Hennepin County GIS - Printable Map Page 1 of 1
He�n.-��,;,� ' ■ � � `
� ,4 � . .M„.: � .,,� ..., .���,.._ ., -. .� ,.k
_ ���� �
�-,, . -� . _- a ,..
� � �'"�� � � �. ���' �
'. ��. ��... . � s . ^��" Y��,
� t � �°�... ^ �
%�. �, °` � � -�'�' � F
� +� �-.
� � �` ����' ,�� � � `� '�����. �'
� y 5 �
�5 ��§ ����' - � �4 ,�.l1✓�T' ��Y . ��� � ..
+ 'gY r�1'i .'T+� F ��r �;��.•` 1`.
� � ;
�
. �'�
�i
�
..
v
� s 'i",.t�`�i - s4 , J� .
�
,r � - ,. .s... ,. _ �,.+. .;..: �t
, , ., .. . -. �..
•,
� - 't a . � �� �� �.�
s�?��°'�` � °�„�:�a � -� �. �'
Y ���� � :
�
. ,
,y��' , ���,. , �� .�,�„
�
.� ? �
.: r,;�- , < { , c*
��
.� �.. _ - -
,
e w
�?�', .
�.. x�
� .," ,.:�' � '�
. . �
¢, �. ±
.�,>!. ' §C��'`.s�.* � - �i K. . �rlf
� � "� �{
- { z. , w-`
... a . i{ - . .
�.
+y, � A
y �'''C .L z . 9R�� � ' � I.` Y K� �
• .
. � t'A."� � . '����. .�p� '.� ir � ' �. .
` �S , �p
• � w ,.
�. . �;,� .,�Wt. , � �,_ � `+.
:` �
.- . -� �, "� .
_ � �� ,� ,i. !
. �s k' ,. Y,,'� ��w
�.,,�,. � „� * "� �.. � ^ �
r � _ '
.�
. �
; � �} ' .. �a.,
<r . -.�� _. � }
� ,. p� �.. p # �4
. . , , ;,°°� '�r'�'" � ,,'�
..' ) �. , �.�ti ...-�'�r ��:.,-, ' � ' . � . �
,
4' . -. r
• yNs •,'
r �i y
' - ! �` ` �:l . *'. ' •.^
�Y # . .. . . . ..
� �. 4 L� . �..R:. �...'_��.; '� f�'� . .
� , �
` :.
., . }G`. Mm, " `-`,j,� � �"rs� t x, " a .
g _ �, � � �fup ,-�— Fr..,�
`�rk� K�� n� Y Y ¢� �.x¢ 3' � 1:J x s �1 � N, A
+�A' � �re y . •e ;��` . �'� ' 3� w~
�
a,` `a j' �
ti
�, �m .Ja' 4�+�M! "�`�y� he - �
.^yw��k'`�a-.. � f ~;�>,A. °� �;°���s , �� •+ ` ,d
,, ,� "� � , �
r % y ,,p^ V,� ,
fi E.* ��4y�i g's+r�'� n �-\. . . . i.
� �� P y . �� - 'y
��a��r.�:�da �a�' � � ,. -',, � a j. !�'��, •Aw."v,$��'�. . - �`,
-� � ' x. Ngu �,
�.�:�, ,.r3v 4 �.".� �. t�'l,� .
ak �t�� � ,�, a b
` .� +' �+� ,,� -. s � �
��` * °�:� ���.� �� '�. `� �u.�
�,,,� ,;�, � f � . ,.:+ �;� f��� ���� , � �
�.� � '� �'� � � �_ ,� �.
��F� ���.�� � ` �r �' .
'� ,�*.. "� . _ �?: ��,����,�',� '�"
,�a �`= "�� ,��°,'�'d:�,"���;�'� �` ,� a:t�. I
. � �
y'�� `���. . .;��v. � X����+,�';� + �` ,����1
;
. ., ,
� `. .�, �� �.�Y� _�`,� . �,
- . ,ti . ,` - � ,y
.,
� . . $YIY�1`. .. i .f� �"�a�• .. ... 6 .:t� � 4 k °^I �y�. �
' . . }I)'�i. .
Parcel Map Scale: 1"=50 ft. N
ID: 09-117-23-21-0011 A-T-B: Abstract
Print Date: 12/1/2015 �
Owner Market
Name: S S Bergerson&A Bergerson Total; $4,547,000
Parcel 2845 �ittle Orchard Way Tax $63,463.26
Address: Orono, MN 55391 Total: (Payable: 2015)
Property Residential Lake Shore Sale $5,900,000
Type: PYIC@: This map is a compilation of data from various
HOme- sources and is furnished"AS IS"with no
Homestead Sale 08/2005 representation or warranty expressed or
stead: Date: impiied,including fitness of any particular
purpose, merchantability,or the accuracy and
completeness of the information shown.
Parcel 2.19 acres Sale Warranty Deed COPYRIGHT�O HENNEPIN COUNTY 2015
Area: 95,392 sq ft Code:
,�� �� ;r���•n'
https://gis.hennepin.us/Property/print/default.aspY?C=453042.7506985014,4978749.94712... 12/1/2015
� � V
'� � � DATE TIN�Fr
CITY OF ORONO CALLED IN '�-' � ^ ��
INSPECTION NOTICE SCHEDULED /-
PERMIT NO.d0/S-D/S/7 COMPLETED
ADDRESS C�B i d
OWNER TE EPHONE NA. ' 7 'S 3
CONTRACTOR
� DESCRIPTION �?��� ��
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOU ATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ R ON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
_ ❑ AMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
�
Q
�
2
W
�c
W
�
�
d
W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 ours in advance. (95 � 249-460�
OwnerlContractor on site: "�
�,.
Inspector_
�
White Copyllnspector's File Canary CopylSite Notiee