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Home My WebLink About2017-00106 - demo � CITY OF ORONO * z 0 1 7 - 0 0 1 0 6 * 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2017 ' ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 669 M[NNETONKA HGLD LA P[N : 06-117-23-44-0007 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 003 BLOCK 002 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: SAC PAID#2819-1973 l. 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 24-48 HOUR NOTICE[S REQU[RGD FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONT[NUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE[SSUING THIS PERMIT. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 NITTI ROLLOFF SERVICES STATE SURCHARGE DEMO 1.00 12351 CLOUD DR TOTAL 76.00 BLAINE, MN 55449- Payment(s) (763)412-2651 CREDIT CARD 9940 76.00 OWNER SHIELDS, MICHAEL&MELISSA 800 LANEWOOD LANE N PLYMOUTH, MN 55447- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 I 80 days at any time after work has commenced. The applicant is responsible fo uring all required inspections are requested in conformance w' e State Build' Code.This permit may be revoked at any time for d c se. � ,,'' �/ �,''�' � i � Applicant Permit � naturt�� ate Issued By ignature " Date ✓ � ' � ' Q/�� City of Orono FOR Ci1'Y USE OyLY P.O.Box 66 �,r'('( � ., . j/� "Y� 2750 Kelley Parkway Date Received: %]I�I,.,'� Pemut# --- _--- ._,' C��J C, �. r' �T � Crysf21 Bay,MN 55323 qmourn: ��6D SAC Creitit�-�� { � �ss2�2as-asoo �� ,.�,�,,�� t i� ,` � [lome�a�ns)Signed: ❑Yes l' / ,� \'O� G�� /�� Resolulions�if any)Signed:❑Ycs ❑Nonc Rcyuired ��FS H U�` rl' `Loning Disclowm S�ed:_Q Ves IYone ltequired_ ��.�� CiTY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zaiing Departrrient) J�b Site!�wn�r Information: Type: � Residential ❑ Commercial Site Address: �ob ' �1 � �n�Fa �� `� � �i. � � 1�� 1�l � Owner: ��k:.� ��''►�� 't8'rb Mailing Address: �c� ��',n�� Q,, ` � P ti City: ��t�n n Zip: �53�(0 Phone:._Ul � ��(� ,��0) v Email: Y''1ic�tie � . ��J�.�d�5 �Q Jrn�, �. c,o,..,. Contractor 1 Applicant Informatian: ContractoNApp.: �,�".�.��'�+�F- �',�v�(�5 Contact Person: _M ��h�� Address: «ti Li�%� ��'� State L+cense#: City: �� Zip: �S��c Expiration Date: Phone: �3��l� �-�S i Email: `�'i� � h��,��n,-�ci�,.� , l':��-., SPECIAL CONDlT1C?NS 8�HOLD HARMLESS AGREEMENT -�-----� General Instructions: 1. You may be required to obtain other permits, i.e.:weU abandonment,sewer,etc. 2. Woric must not begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required fflr afl inspections. Cal!(952)249�60d. 4. Sewer must be discontinued at the City service by qualifled contractor before demo permi#is issued. ( sassembly 0 Heavy Equipment ❑Other Demolition by means of: Manual Di ;�_� �� v� Permit s)Issued: �Sewer Qisco��0 Well Abandonment# , ��` C7�?_��-7- �, _ .__ _ _ . �1�_�-�_ In return for issu�"ance of said Demolition Permit,the undersigned owner hereby agrees to: 1. Submit a survey, aeriai photo or sketch showing aN structures on the property. Note which structures are to be demolished. 2_ Submit a survey, aeria! phot�or sketch showing proposed erosion control measures in accordance with Chapter 79, Construction Site f�unoff Contral. 3. Submit a copy af permit approval from the Minnehaha Creek Watershed District (MCWD). The City wili not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s)are not required. �orm Zast Updated: Jufy 2015 IS0789 ! � ' � 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). 5. Keep a!I structure(s)enciosed and/or secured until such time as demolition is complete. 6, Keep all demolition debris off adjoining praperty and/or the pubiic rights-of way unless specific prior approval is obtained in writing for temporary use ihereof. 7. Completely remove foundation(s)from the ground. 8. Completely dispose of all demolition debris ofl site in acoordance with al4 applicable PCA requirements. 9. Abandon water wells in accordance with State Health Qepartmertt regulatio�s. 10, Cal1 for an inspection when all debris has been removed, before backfilfing. 11. Within 5 working days of superstructure removal, a flnal inspecti�n sha(I be requested. The site shall bs left clean and clear of all debris, with any excavation fiiled 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 constructian). 12. Abandon septic systems per Minnesata 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. 13. The undersigned owner shall and hereby does indemnify and hald 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 resuiting 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 � ' �� = �"l+`� , ( �,� ❑ $50.00 —Accessory Structure x {how many) 1. Subtotal of abov� permit requested $ 2. State Surcharge 1.00 3. TOTAL PERMlT FEE (add lines 1-2 above) $ O� The undersigned herby applies ta the City of O�ono for issuance of a Demolition Permit, agrees to do all the work in a strict accordance wiQi the ordin�nces of the City and the regulations ot tt�e State of Minnesota, and certifies that all state�rr,�ents made this application are complete, true and correct. � �� / ,/ '��" � _ �- i7 Applicant's Signature: � � �� 'j Date: o Owner's Signature: ,�z �S� S�. Date: U/ �O /' 17 Approved By: Date: ( uilding Officiaf) *Zoning Disclosure Required? ❑ YES � ND �G'� r �� /4 � �v�� This must be filled out by Zoning Department—For eitheklanswer, a Zonin Official must si n all a lications. 9 9 Pp '"Approved By: � Date: (Zoning Officia Form Lasf Updated: Jufy 2015 ISU784 . � �- � ✓ _ � � DATE TIM -,� CITY OF ORONO CALLED IN � INSPECTION NOTICE 1,, SCHEDULED PERMIT NO..�� OO��W COMPLEfED ADDRESS � ��p C� ��—�<<—C� �� L�- OWNER TELEPHONE NO.��3— l Z —Zfr��( CONTRACTOR �%�� %�� DESCRIPTION �(�� L��P�YI(`, 1o1��C�� IC._- ' �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO-SITE ❑ S PTIC INSTALL i ERlCONTRACTOR TO MEET YiOU: YES_NO � COMMENTS: � � q,45_ G�G'L��G d SGc��_i - Gr`sc,o�c�tccZ`� ��.� O ' �C/iC`� K4S �LpGJ�'C �rb 4��si ` �' - Co��.a c 6a� � ►'� .--�o�.e_ �iiL 6t c� �q s �Y �f� ` S � �Sr �..,. �-a Q� .!.� — W � Q F+ �� C.,t<< � �rC3.e � �'c�✓��cC ' 0� W � W � � � �r�K SATISFACTORY:PROCEED ❑PROJ ECT COMPLETE � ❑CO RECT WORK 8 PHOCEED ❑ ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours�n advance. (952) 249-4600 OwnerlContractor on s�te: Inspector: /�`^� Whits C.oPYMspector's Fil� C�nary CoPYISks Notke ,� , f ,�� _/'� � � j DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ,, � SCHEDULED ' , %`7 __�-'�'�-� '!7 PERMIT NO. •-�� / 1 �L-C��COMPLEfED ADDRESS �L�1" � �/ �f /�� 1CIlc� [ � OWNER TELEPHONE NO. - �� CONTRACTOR /_ta //��/ � C'f�� DESCRIPTION ��i��= � ��7 C;� � ��{'��j�-�, l�`ii ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES�NO y COMMENTS: � '�� ' � � , � W � o �n� �m.o��r�- - ��'�.s �S � �e�—t��K!� � S•�� -- � ° " Iv�aao ,�a�w�� L'ary �ol� 'L�e — W � Q � 2 W � , �/ .L` �.�� P.D � � ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARHANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: � Inspector. �`^� White Copyflnspector's File Canary CopylSfte Notke