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Home My WebLink About2013-00133 - demo CITY OF ORONO * Z 0 1 3 - 0 0 1 3 3 * _ * 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2013 ORONO, MN 55356- ' (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1535 MINNIE AVE PIN : 08-117-23-33-0065 LEGAL DESC : HICKORY HILL : LOT 005 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 REGULAT[ONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DF,MO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 DEAN JOHNSON HOMES, INC. STATE SURCHARGE DEMO 5.00 4700 CTY ROAD 19 MEDINA, MN 55357- DEMOLITION-ACCESSORY STRUCTURE 50.00 (763)479-4820 TOTAL 130.00 Minnesota State License#: 20639439 OWNER LLC, LANDSOURCE 550 25TH AVE N ' ST CLOUD, MN 56303- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 goveming this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced wi[hin l80 days of the date of issuance,or if cons[ruc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible Yor assuring all required inspections are tequested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��_ � �r-- C "��-=__._. � _ __ j � . —� / Z � , � ' / / Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A E. � City of Orono �OR CITY USE ONLY r �O� P.O.Box 66 Date Receiv � Permit#�Qbl '�j 0 2750 Kelley Parkway z � Crystal Bay, MN 55323 Amount: $�c/�• SAC Credit: (952)249-4600 -a .�. Homeowner(s)Signed: ❑Yes F �� Resolutions(if any)Signed:�Yes ❑None Required `��f 5 H�� Zonin Disclosure Signed: ❑Yes ❑None R uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: Type: �� Residential ❑ Commercial Site Address: � �� `�"`�`'"'Tz" �`�`" Owner: �"%�SU`-"- c�� Mailing Address �-�3 SS� z5-f4 �✓�:� "�� '�, c"�.��,a <�-�!s�, "3c�� City: Zip: Home Phone: �2 S�� S�� Alternate Phone: Contractor/Applicant Information: Contractor/App.: ��,(r�l�1.� �la C-L L� Contact Person: � /U �Lt-��--� I Address: J��SD �J'r� �1/'�- � State License#: City: b I.t.� Zip: J��e3C� Expiration Date: Phone: Alternate Phone: SPECIAL CONDITIONS & HOLD 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 ❑ W II 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, Construction Site Runoff Control. 3. Submit a $2,500 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 ail 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 —1 ��v � $75.00 — Principal Structure $ l � � C�� $50.00 — Accessory Structure x I (how many) �� 1. 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. Applicant's Signature: Date: � Owner's Signature: � s �'"-�� Date: �- �a-�� 3 Approved By: ��-- Date: 3� 7�" 7��3 (B ilding Official) - l� � � * Zoning Disclosure Required? ❑ YES NO � C��'�� ✓�1c�� L�� t.� ��'� *This must be filled out by Zoning Departm n – For it er nswer, a Zoning Official must sign all applications✓ * Approved By: /J Date: 1 (Zoning Official) 1 INSPECTION NOTICE � DATE TIME CITY OF �'iN{��dt�.� CALLED-IN SCHEDULED PERMIT NO. �� C%C%�3� COMPLETED,L�� ADDRESS /�i.�_`� ��u�� , �� _ OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP ❑ FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SP INKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL � �yy1Li � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑PLUMBING RI ❑S&W HOOKUP � � ❑PLUMBING FINAL �GAS LINE MANOMETER � o COMMENTS: z Q n J ��(`'�(c% ��[:�(�C—y( v�'F� �O� �<j<C S C�� ,'� W _ � " �/l��rz � ��l�S D��✓'�'•� ��1t{�a o �'1 f�� /J��rc�i,� � ,�CJ�'.3 -- %il,�l' r ��i w fU -� y-/ �� _ ,�> /t� �'� �,�� v � � � O � O � W � Q � W � W � � O � FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED 0 ❑WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN O ❑ CORRECT WORK& PROCEED V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. � STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West inspection Services Inc. Owner/Contr. on site: Inspector: �� ,i•-•� i ,