HomeMy WebLinkAbout2013-01128 - demo ` " ' CITY OF ORONO
� 2750 KELLEY PARKWAY * z 0 1 3 - 0 1 1 2 B *
DATE ISSUED: 10/23/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3320 NAVARRE LA
PIN : 17-117-23-44-0059
LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA
: LOT 001 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 REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECTIONS DONE BEFORE BACKFILLING.
NOTE: A 2448 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED.
CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
MIKIE'S LANDSCAPING LLC STATE SURCHARGE DEMO 5.00
11039 COUNTY RD 16 TOTAL 80.00
WATERTOWN,MN 55388-
(612)221-3657
OWNER
PASCUZZI,PAUL
3320 NAVARRE LA
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEME1vT
The work for which this permit is issued shall be perfortned 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 sepazate
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 y time after work has commenced.
The applicant is sponsible for ass � g all required inspections are
requested in c ormance with th ate Building Code.This permit may be
rev t im u
. ..� ��i 2� l3
i i
Applicant Permitee gnature Date Issued By ' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB
1 - ���0
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O City of Orono FOR CTI'Y USE ONLY
P.O.Box 66 Date Received: Permit#
� � 2750 Kelley Parkway
Crystal Bay,MN 55323 Amount: $ SAC Credit:
(952)249-4600
"'� ,� Homeowner(s)Signed: ❑Yes
�E' �,� Resolutions(if any)Signed:�Yes ❑None Required
t'9KFSH��� Zonin Disclosure Si ed: ❑Yes ❑None Re uired
CITY OF ORONO - DEMOLITION PERMIT
(Ail permits must be approved by the Buiiding Official and/or Zoning Department)
,�ob=�Sit��Owner 1nfo.r�a#ion:
Type: �Residential ❑ Commercial
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Site Address: /��� �'r� (�G��LQ.-
Owner: Mailing Address:
City: �Y 1/��l'�. Zip:
Phone: Email:
��on�"r��k�r/.Applican'�=1�forma�tior�: -
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Contractor/App.: l e .S�( / Contact Person: /�1,(� f��2C �
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Address: JI���I C'I�• ��, S State License#:
City: 1/Vu �G�'O�✓✓1 Zip: 5 S 3� Expiration Date:
Phone: ��4�� D�s2�• ,�j�O,S� Email: Y'Y�` F� C�f G� �Li f 7 Py�'Ie�. !�o�
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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 ❑ Well 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 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.
/��"� - - ►
.
4. Submit a $2,500 escrow and an escrow agreement signed by the property owner.
5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific
prior approval is obtained in writing for temporary use thereof.
7. Completely remove foundation(s)from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA
requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. 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).
12.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.
13. 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
❑ $75.00 — Principal Structure $
❑ $50.00 —Accessory Structure x (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 m e on this ap lication are complete, true and correct.
Applicant's Signature: -- Date: `� �.1'7�J�
Owner's Signature: N �/� Date:
Approved By: Date: 10 " Z 3 '�3
uilding Official)
*Zoning Disclosure Required? ❑ YES � NO
"'This must be filled out by Zoning Department-For either answer, a Zoning Official must sign all applications.
*Approved By: D�! lA Date:
(Zoning Official)
�
DATE TIME `�""'
�ITY OF ORONO CALLED IN
�ry•7►3 INSPECTION NOTICE SCHEDULED
PERMIT NO.���3 •l�//a S� COMPLEfED �
ADDRESS 3�0�0 �a�rre. L,,,
OWNER , � TELEPHONE NO.
CONTRACTOR n��C'i C,S La�t.�.e��.s s
� DESCRIPTION Ue�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ;�Q�LOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL V❑ HAHD COVER REMOVAL
J 0 PLUMBING RI ❑ SEPTIC FINAL ❑ f-0UNDATION/REMOVAL
2 OWNERICOMtiACTOR TO MEET Y�OU:_YES_NO
c�.� COMMENTS:
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W ❑ RK SATIS,FACTORY:PROCEED �f�a✓ ���v�ROJECT COMPLETE
W ❑CORRECT WORK 3 PROCEED W4S 4'��lf�ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
pwnerlContractor on site:
Inspe�tor: M-- �
White Copyllnspector's File Canary CopyfSfte Notice