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Home My WebLink About2011-00261 - demo CITY OF ORONO PERMIT NO.: 2011-00261 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/29/2011 • (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-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO GARAGE i APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 MILLER, SCOTT&MICHELLE STATE SURCHARGE DEMO 5.00 85 OLD CRYSTAL BAY RDS TOTAL 55.00 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 r 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 re /ked. y tim f r due ause: , • fl!�l Xyl iIG� "l / _Applicant Permitee ignature Date Issued By Signature nature Date (/ I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 1 City of Orono „ � FOR CITY USE ONLY 70-V. 0.�, O P.O.Box 66 2750 Kelley Parkway Date Received: Permit# d• Crystal Bay,MN 55323 Amount: $ SAC Credit: \\L_l`N (952)249-4600 Homeowner(s)Signed: 0 Yes Resolutions(if any)Signed:0 Yes 0 None Required Zoning Disclosure Signed: 0 Yes 0 None Required CITY OF ORONO-DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) teor.`)iT; Type: 5 .Residential ❑ Commercial Site Address: b6 S • Otd 6://,/ /21 Owner: 9,61(41 tVt{LLLLL(L Øti_tIcc Mailing Address: P.OJ &I7z-e7 City: Dmo Zip: Home Phone: Z .14-0L41 01-04 Alternate Phone: 14012-1-q&f• Contractor/Applicant Information: Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Alternate Phone: Sl'ECtifirCOND1TIONS & HOLD HA ESS 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. eat Demolition by means of: (Manual Disassembly .Heavy quipment ❑ Other Permit(s)Issued: ❑ Sewer Disconnection ❑ 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 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). 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 Fl $75.00—Principal Structure g $50.00—Accessory Structure I (how many) I 4 (what) 1. Subtotal of above permit requested $ c 2. State Surcharge $ 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 55i _ 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. /// �� G/ Applicant's Signature: ��'(./ Date: � /� 1/Z//// Owner's Signature: i� Date: Approved By: Date: (Building Official) * Zoning Disclosure Required? ❑ YES NO *This must be filled out by Zoning P epartment—For eithe nswer,a Zoning Official must sign all applications. * Approved By: I/ / Date: 0qZ0 ( / (Zoning Official) Reset Form ELf DA E TIME CITY OF ORONO CALLED IN � / J INSPECTION NOTICE SCHEDULED 3- co PERMIT NO.(90//—40214 at {t L L a ADDRESS 7t /L7 /I S" OWNER`SC714,/ I Pr TEL ONE NO.f/ a 4(0/-42Z CONTRACTOR DESCRIPTION '/Zw ' LAI 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING U. Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS (1/ 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT 0 FOLLOW-UP WI 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: tx a — 6A/e/e i-.'e/{-6 HmS e. j '' Sn,.,..L-� ill Le v 6 6Ado-e" C� 4. Q A pi!L0 x 7� 1C.(,L C-04-10 .5 6T z r/Z T' t ,,r- f.�s W z W cc -sd W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO 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) 249-4600 Owner/Contra i • Inspector. White Copy/Inspector's File Canary Copy/Site Notice