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Home My WebLink About2013-00941 - demo - . CITY OF ORONO * Z 0 1 3 - 0 0 9 4 1 * . 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3048 NORTH SHORE DR PIN : 09-117-23-32-0004 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL COKSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET NOTE: l. FOUNDATIONS/ALL DEMO DE[3RIS TO E3E REMOVED FROM GROUND&DISPOSED OF OFF SITG,PER PCA RGGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILL[NG. NOTE: A 24-48 HOUR NOTICE[S REQUIRED FOR ALL WSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUGD AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFOKE DL'MO PERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORG ISSUING THIS PERMIT. APPLICANT DEMOLITION - PRINC[PAL STRUCTURE 75.00 D.S.M. EXCAVATING STATE SURCHARGE DEMO 5.00 2916 ENTERPRISE AVE HASTINGS, MN 55033- TOTAL 80.00 (651)480-1355 PAID W1TH CC# 0444 OWNER KALLAS, KATHRYN D 11653 CEDAR PASS HOPKINS, MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifica[ions,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 specitied 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 Yor a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conf ce with th Stat u ding Code.This permit may be revoked at ny e r due „ e. , � Q ` � � � " %�' i � %�` � � � � -�'___ �'��,v( �'I i /7 i l� Applicrant Nermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �O�T City of Orono �USE ONLY 4 �� " 1�/ P.O. Box 66 Date Received:� L / Perrnit# oZ6�.��0 0 2750 Kelley Parkway �,,- Crystal Bay,MN 55323 Amount: $J��' SAC Credit: (952)249-4600 '� � Homeowner(s)Signed: ❑Yes �� , Resolutions(if any)Signed:❑Yes ❑None Required t�kESH�� Zoning Disclosure Signed: ❑Yes ❑None Re 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: 3(�y� /yd�`� �y�� D�- Owner: �7�Id��h/U�j� /�3G1��S• Mailing Address: Z�/�7 w19�� ' C ity: /ni�✓N�6L1f� Zi p: �� Phone: 9�Z 9DS' 9d5� Email: Contractor/Applicant Information: Contractor/App.: �.5�/!� �X.�91�4'1f�L //�• Contact Person: /�/�'� l�d��N+� Address: 7i9/!o �ilrl'�2-ls� h'Y� State License#: City: �V�S Zip: ��33 Expiration Date: Phone: GS'1 �4"/3� Email: 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 1 ��l��-d�'�1�3� Permit(s) Issued: � Sewer Disconnection ❑ Well Abandonment# is�uv� ��/, �/,_3 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. a �. Submit a $2,500 escrow and an escrow agreement signed by the property owner. r 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 $ Z`7 - `�� ❑ $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) $ �-� �-1` 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: 9-/Z�!3 Owner's Signature: Date: Approved By: �,�,1.,� �t-lJ Date: �"��"�r� (Building Official) * Zoning Disclosure Required? ❑ YES � NO I�j �(Q� "`This must be filled out by Zoning Department—For eit er answer, a Zoning Official must sign all applications. * Approved By: \1�1\li� Date: `1 ' '� ��J (Zoning Official) �`��'� � T TIME �/ CITY OF ORONO ca��E�iN �� INSPECTION NQTICE SCHEDULED 9 -S-�4r-G�s�-- PERMIT N0�1,�3 COMPLETED � ADDRESS � OWNER TELEP ONE NO. /d �'r1�' S CONTRACTOR S �va� � DESCRIPTION / "" ✓/1'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � � DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W � � J O � � O � W � Q � 2 W � W � J ��N�ICSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTiON TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlConVactor on site: Inspector. C_ White Copyllnspector's File Cenary CopylSite Notice �'� ATE TIME � CITY OF ORONO `��ED IN q�'� INSPECTION OTICE � SCHEDULED -�T %c�� PERMIT NO. 3�� COMPLETED �� K ADDRESS � � OWNER ELEPHONE NO. ��'��g CONTRACTO �L�• �%��/�� . � DESCRIPTION ��Yl��l�l/ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a � J 0 � � 0 � W � Q � Z W � W � � d W RKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN O STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED �INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContra ite: inspector. White C nspector's File Canary CopylSite Notfce