HomeMy WebLinkAbout2014-01273 - demo CITY OF ORONO * z 0 1 4 - 0 1 z 7 3 *
' ` � 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3260 NORTH SHORE DR
PIN : 08-117-23-41-0007
LEGAL DESC : LJNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
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 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 DEMO PERMIT IS ISSUED. CHECK
TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 5.00
R.A.Anderson Properties,LLC TOTAL 80.00
3205 CRYSTAL BAY RD Payment(s)
WAYZATA,MN 55391- CASH 80.00
OWNER
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R.A.Anderson Properties,LLC
3205 CRYSTAL BAY RD
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 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 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 are
requested in conformance with the State Building Code.This permit may be
revoked any time fo e cause.
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pplicant Permitee Signature ate Iss d By Signature Date
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• � " City of Orono ����,Y
�O� P.o.Box s6 Date Received: Pe�i:l1
O 2750 Keqey Parkway
Crystal Bay,MN 55323 Amo„nr. S SAC Ciedit:
(952)249-4600
'� � Ilam�eowne�(s)Signad: ❑Y�
�F �,� xesotucio�<�f any>s��a:p Yes p rroa xaquirea
l�kFSHOR� . Disclosure ' : Yes Noae �
CITY OF ORONO -DEMOLITION PERMIT
(Ail pertnits must be approved by the Buiiding Officiai and/or Zoning Department)
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Type: ;� Residential ❑Commercial
Site Address: �Z�� Nv`�'����bt�G ��i
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Owner: �Wi1��3�-1�1���;�Icn7lailing Address: 3� ��A��
c�ri: z�p: 55�'1 t
Phone: ����•�Z '$�6 Email: /�L�,Q�1 A� �—�.�� .��
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Contractor/App.:�M� Contact Person: �G
Address: State License#:
City: Zip: Expiration Date:
Phone: Email:
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General lnstructions:
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 �T ��.�L
���Permit(s) Issued:�Sewer Disconnection ❑Well Abandonment# . �`v"��'
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 pubiic rights-of way unless speafic
prior approval is obtained in writing for temporary use thereof.
7. Completely remove foundation(s)from the ground.
8. Completely dispose of ali demolition debris off site in acxordance with all appiicable PCA
requirements.
9. Abandon water welis in accordance with State Health Department regulations.
10.Call for an inspection when all debris has been removed, before badcfilling.
11.Within 5 working days of superstructure removal, a final inspection shall be requested. The site
shall be left ctean 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 Ciry of Orono,
its agents, employees and assigns from and against all daims, damages, fosses or expenses,
including attomey 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, subcontradors or assigns.
PERMIT TYPE AND FEE CALCULATION
�$75.00—Principal Structure $ �S.�
❑ $50.00—Accessory Structure x (how many)
1. Subtotal of above permit requested $ �S •�
2. State Surcharge 5.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ � •�
The undersi�ned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do
all the work in a strict acxordance with the ordinances of the City and the regulations of the State of
Minnesota, and certfies that all statements made on this application are complete,true and correct.
Applicant's Signature: Date: � 1
Owner's Signature: �_ Date:
ApP�oved By: Date: !b •� a - f�1
( ilding Offiaal)
*Zoning Disclosure Required2 ❑ YES NO
'This must be filled out by Zoning Depa�tment—For e' er answer,a Zoning Official must sign all applications.
*Approved By: o'�G , '`- /yl ,C � Date: /V '3�' �--
(Zoning Official)