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Home My WebLink About2010-00088 - demo CITY OF ORONO PERMIT NO.: 2010-00088 e 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/17/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 85 OLD CRYSTAL BAY RD S PIN : 04-117-23-21-0004 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 009 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. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 MILLER, SCOTT&MICHELLE STATE SURCHARGE DEMO 0.50 85 OLD CRYSTAL BAY RDS TOTAL 75.50 LONG LAKE,MN 55356 PAID WITH CC# 7460 OWNER MILLER, SCOTT&MICHELLE 85 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356 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 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 wbrk has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with thi.State Building Code.This permit may be revo ed at• time for due ause. , � 17 //O App scan a e�gnature Date /. `-� // / as/6 Iss.eSignature Date SEPARATE PERMITS REQUIRED FOR WORK 0 HER THAN DESCRIBED ABOVE. +0�‘ City of Orono USE ONLY /O✓ O P.O.Box 66 Date Recei__'./'70 Permit#0 O/O( 9 SJ 2750 Kelley Parkway IA4'14: Cryst (952)2al Bay,MN 55323 Amount: S 7'5 SAC Credit B 49-4600 Homeowners)Signed: ❑Yes Resoledions(if any)Signed:El Yes 0 None Required Zoning Disclosure.Signed ❑Yes ❑None Required CITY OF ORONO-DEMOLITION PERMIT (AB permits must be approved by the Building Official and/or Zoning Department) Job Site/Owner Information: Type: p Residential ®Commercial Site Address: 85 S Old Crystal Bay Rd Owner: Scott&Michelle Miller Mailing Address: P. O.Box 247 City: Orono Zip. 55356 Home Phone: (952)404-0494 Alternate Phone: (612)810-1542 IContractor/`Applicant Information: Contractor/App.: See Above Contact Person: Scott Miller Address: State License#: City: Zip: Expiration Date: Phone: (612)961-6612 Alternate Phone: 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: NI Manual Disassembly ❑Heavy Equipment Q Other owoi 1Q14 Pernit(s)Issued: ❑Sewer Disconnection 0 Well Abandonment In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows: 1. The structure(s)shall be kept enclosed and/or secured until such time as demolition is complete. 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. Foundations shall be completely removed from the ground. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA requirements. 5. Water wells must be abandoned in accordance with State Health Department regulations. 6. Inspection required when all debris,has been;removed,before backfilling. 7. Within 5 working days of superstructure removal,a filial 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). 8. Septic systems must be abandoned 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. 9. 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 (how many) (what) 1. Subtotal of above permit requested $ 76.00 2. State Surcharge $ .50 3. TOTAL PERMIT FEE(add lines 1-2 above) $ 75'50 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: 1i,ii4z1 f7 to utatta / Date: Owner's Signature: /. . Date: 2I 17 /11) Approved By: /iffy Date: 2-- t") • f / ' (Building Official) *Zoning Disclosure Required?0 YES El-ND Cm...) hcusc. AAv'eoecti gyp,,,\te) 'This must be filled out by Zoning Departm-'. F''e''. answer,a Zoning Official must sign all applications. *Approved By: /` Date: 7J 17/2 0 t 6 ,y'�,• Offic t $T i1 n` n Rid A v.. DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 02010-66t88 COMPLETED k-Lz--lar ADDRESS 5 ac O X757 y OWNER TELEPHONE NO. CONTRACTOR fl DESCRIPTION (-1"JO' er"' &'34^AO 0 FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS Cl) ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNERrIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT • 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP • 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL S OWNER/CONTRACTOR TO MEET YOU: YES_NO C") COMMENTS: cc Q.. c O ` c O LU cc Q , W W cc 2/WORK SATISFACTORY:PROCEED 1:1 PROJECT COMPLETE WCC ElCORRECT WORK&PROCEED 111ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (.) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contra it • Inspect° White Copyllnspector's File Canary CopylSite Notice