HomeMy WebLinkAbout2010-00756 - demo • � CITY OF ORONO PERMIT NO.: 2010-00756
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/23/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 4415 NORTH SHORE DR
PIN : 07-117-23-43-0017
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 018
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE
ACTIVITY .
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NOTE: DEMOLITION OF BOATHOUSE
APPLICANT DEMOLITION -ACCESSORY STRUCTURE 50.00
STERLING SYSTEMS STATE SURCHARGE DEMO 5.00
2265 WAYATA BLVD
LONG LAKE, MN 55356- TOTAL 55.00
(952)697-1060
OWNER
TWOMEY, DAREA&CHRIS
150 2ND STREET NE
MINNEAPOLIS, MN 5541:r
AGREEMENT AND SWORN STATEMENT
Thc work for which this pennit is issued shall be performed accordin�lo
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permi[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 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
requeste in conformance with the State Building Code.This permit may be
revoke a[any tim r due cause.
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pplicant Permitee Signature Date Is ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
23/08 2010 13:57 FAX 763 354 1803 ARCTIC CAT INC /002
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`�-�,�<.--:� Homeo+veer(s)5igned: Yas
Resoh�ddoas iif a�Y)Si@roed:�Yas[]Ftaoe Rcqniiml
xoAifl D�GaeaC - YeS Niono Wted
CTi"Y OF OROlYO-DEMOLITION PERIVIIT
(Atl pea�uts cm�u ba appt�by tho Bua7aing o�aiel and/orZo�gaPart�enRl
3ob Site/Owner Infona�ati4n:
Type: �Re.sidentia! ❑Commerc3al
Site Address: �fG" _ dl�i��f��a �'�'yE .�,�,?..e,wlo. �N• .
Ovvt�er: �[2rs ���� Mailing Addr�ess: ��� A�. .5.�6,�2..
Ciry: ,�i7�n�9 Z.ip: �'S°��z"3 ,
Hcmve Pl�Qne: Alternate Phone: "7�`3�- I 7�S
GQnttactar 1 Applicaat Iaformation:
Cc�ntractor/App•: T ni�ta„�,���G Contact Person: �w,�S
Address: Z2.�S �Z�Ta��.,� St�License#:
City: �� 1 � Zip: �S35L Ea�piration Date:
Pi�one: gS'Z• !a�?- I b�o� Altem�e Phoa� LofZ ?o� - .�'7'`�
SPECIAL CONDITI4N8�HOLD HARMLESS AGRECMENr
General Iastructions: �
i. Yqu may be required to obtain othec germits.f.e.:well abandanm�ent,sewer,ctc.
2. Work must not begin unle�s the permit c�nd is avaiiable on the job site.
3. A 2�-48 hour aotice is r+equir�fa all inspections. Catl(952)249-4�fi00.
4. Sewer must be discontinued at ths C�ty s�ervica by gual�fied contractor bcfore dema permit is
issued.
A�nolitlon by means of �Manual Dissssembly �,Iieavy E�uipment ❑Othar
Pennit(s)Issued: ❑ Sewer Discannectian ❑Well Abandonmetrt#
Tn retum far issuamce of sa►d Demolitian Pexmi�the unders�gned owner hereby ag��ees as follows:
1. The s�tructure(s)shall be kept eQclosod a�i/or sscured un�'l s�h rime as demolitian is
complete.
23/08 2010 13:58 FAX 763 354 1803 ARCTIC CAT INC 1Q►002/002
Aug 23 10 01:10p Sterling Systems 7635440218 p.3
2. Demolition debris will be kept off adjoining property and/or the public rights-of way unless
specific prior approval is obtained in writing for temporary use thereof.
3. Fouadations shaJl be completely removed from tf�e ground.
4. A[t deroolitio�debris shall be campletely disposed of�ff site in accordance with all
appficabte PCA requiremeMs.
5. Water weils must be abandoned in accordance with State Health Deparnnent regutations.
6. Inspection required when all debris has been removed, before backfilling.
7. Within 5 wa7dng days of superstruchu+e rexnoval,a final inspection sbali be requesied. The
site shall be left clean a�d clear of sll debris,with any excavation filled with eatth level with
the adjaceat ground elevation{except when such excavation is to be used as part of a new
builcfing and s�ch new building is actually under constivction).
8. Septic systems must be abandoned por NI'mnesota Rules C'6apter?080. ALl sepiic taaks
must be pumped,crushed and filled with native soils. An inspection is roquired af�r the
tanks are pumped and before the tanks aze crushed end filled.
9. Tl�e undersigned ovvner shall and hereby does indernnify and hold harmless the City of
Orono, iis agents,em�loyces and assigns 6rom and against al(claims,damages, los.�or
expenses, including ettorney fees,against the City,its agents,employces and assigns arising
out of or resulting from the demolitian described herein as performed by d�e property owner,
his employees,agents, subcoetractors or assigns.
PERMiT TYPE AND FEE C.ALCULATION
❑ �75.00—Principal Structure
Q1 $50.00—Accessory Structure__�__�(how many) �„T i.�+sE (what}
1. Subtotal of above permit requeste� � �b •��
2. State Surchacge $ 5.00
3. 'POTAL PERN�TT FEE(add lines 1-2 above) $ �S'� a�
The undersigned herby appl�es to the City of Orono for issuance of a Demolition Pecmit,agrees
to da all the work in a stricx acoardance with the ordinances ofthe City and the regulations of
ttee Staie of Minnesota, and cert' es that a.11 staxernents made on this application are complete,
true and correct
Appucant's Sigoature: Dabe: � D
Uwner's Sigo$ture: ,/ Da[e:
Approved By: Gl�-�-- Date: � "2� "!v
(Building Officiat)
t Zon�ag Discbsure Req�ired? � YES �O
*7'his must be ftped out by Zoning Depnrnnen[—For er answer,a Zoning Og'icial must sign sIl epplicadons.
*Apprnved By: Date:
(Zoning Official)
Res�t Form
�t�l !�[�Er TIME
CIn OF ORONO CALLED IN ���`�
INSPECTION OTIj�,E SCHEDULED 0 22 O /���
PERMIT NO. �D�V���75� COMPLETED
ADDRESS �7�� ��r/'T/( �`�— l
OWNER TE PHONE NO. ��Z g�7 lS�
CONTRACTOR '��
� DESCRIPTION �'l�aG
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PRQCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PRO�EED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDlTIONWlTHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETIJRPI
❑STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next inspection 24 hours in advanca (952) 249-460�
Owner/Contractor on site:
Inspector. � � �
White CopyMsp�tor's File Canary CopylSlte Notice