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Home My WebLink About2014-00543 - demo .-� CITY OF ORONO * z 0 1 4 — 0 0 5 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3655 NORTH SHORE DR PIN : 08-117-23-34-0050 LEGAL DESC : CRYSTAL BEACH ; LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE (�c�-i v'�1 ��f 5 5�r�j le �- -l�-ow� NO"I'L': l. FOUNDATIONS/ALL DEMO DEBR[S TO BE REMOVED FROM GROUND& DISPOSGD OF OFF SI"l�E;,PER PCA REGULAT[ONS. 2. WELI,S MUS'T BE ABnNDONr D. 3. INSPECTIONS DONE BEFORE BACKI�ILLING. N07�E: A 24-48 H�UR NOTICE [S REQUIRF,D FOR ALL INSPL;C7�IONS. CALL(952)249-4600. SEWER MUS'I�E3E D[SCONTINUED AT"i'HE CITY SERV[CF,[3Y QUALIFIED CON'I'RACTOR I3EFORE DEMO PERMIT[S [SSUED. CIiECK 1'O MAKG SURI;'1'HIS YF,RMIT HAS QEEN PULLED BEFORE ISSUINU THIS PERMI'I'. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 5.00 HAGEN, AL& DONNA TOTAL 80.00 3655 NORTH SHORE DR WAYZATA, MN 55391- Payment(s) CHECK 5010 80.00 OWNER HAGEN,AL& DONNA 3655 NORTH SHORE DR WAYZATA, MN 55391- 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 pennit is for only the work dcscribcd 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 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 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 T3uilding Code.This permit may be revoked at any time for due cause. � �� ,� � , __,�-�" � .� �� t i � Applicant Permitee Sign ture Date [ssued By gnature Date � ,�D l0 �O� City of Orono FOR CIT USE ONLY 'r ? P.O.Box 66 Date Received: �v'� Permit# �Q� `I'J � 2750 Kelley Parkway Crystal Bay,MN 55323 Amount: $�� SAC Credit: (952)249-4600 y ,�" Homeowner(s)Signed: ❑Yes �' �,� Resolutions(if any)Signed:�Yes ❑None Required ��kESH�� Zonin Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official andlor Zoning Department) Job.Site/Owner tnformation: Type: � Residential ❑ Commercial Site Address: -3 � ��/ /V�o r� .S� ��-e �r�Uo Owner: A( d- �dh hu �'d ��.n Mailing Address: � �' -- � `'X -5 City: C��v No Zip: �5 3 �--.� Phone:�r� 1 �- 7R�1 - �.l5 Z Email: _�I � � o+ `S ��. q�y a h oo . r„a W� Contractor/Applicant Informa#ion, ; ' ,! Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Email: �PE�IAL��IDITI�I�IS� W�LD°ii�4�1Lf�CS�4�ftE�EAA,�IT 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 � copjr 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) f�om 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 harmtess 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 pe�formed 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) $ � . Ot� 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: l/lJ`- Date:��h e � �� Owner's Signature: Date: �1 Vh� Z �'d�� Approved By: Date: 4 - � I - �/Y (Building Official) * ��+v�,,� • � Zoning Disclosure Required? ❑ YES NO 'This must be filled out by Zoning e rtment- or eit er answer, a Zoning Official must sign all applications. * Approved By: Date: �%�// (Zoning Official) �� D TE TIME / CITY OF ORONO CALLED IN — — �_V INSPECTION N TICE SCHEDULED — � PERMIT NO.�� COMPLETED ADDRESS ��SS N.��'l�Y� �✓�l I�� OWNER TEL NE NO. �� CONTRACTOR � DESCRIPTION ��-"�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAR COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL C/�.,'"`- F ATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J ' O � � O � W � Q � 2 W � W � � d W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in dvance. (g5 ) 2 -46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site No ce DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMR NO. o?��S/'�SE� COMPLEfED "!/' ADDRESS ��s /VOr� v�.�a i e �i`• OWNER ,�14��TELEPHONE NO. CONTRACTOR � DESCRIPTION ��0� � � � FOOTiNG � PLUMBING FINAL ❑ EXCAV/GRADiNG/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL V� HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: a Perw►;� ��e r �.•,��D 7�� ' 4 j � o �i`r.tG �r�s�ec��st. — �. o� 0 � Q /7ar,� s. .�" D• 6e,�s 6�.!� e t s.�� 2 .��- �5f�� t-...,�i♦ — W � / � +O//71<� J � ❑WORKSATISFACTORIF PROCEED OJECT COMPLEfE W ❑CORRECT 1NORK 3 PROCEED ❑ISSUE RTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerfContractor on site: Inspeator: � White CopyAnspector's Flle Canary CopylSfte Notke