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HomeMy WebLinkAbout2016-00039 - demo CITY OF ORONO , II I I'' '1 H * 20 1 6 - 00039 * 2750 KELLEY PARKWAY DATE ISSUED: 01/26/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 460 ORCHARD PARK RD PIN : 32-118-23-23-0009 LEGAL DESC : ORCHARD PARK : LOT 010 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: (NO NEED FOR SAC,SEPTIC AREA) 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 1.00 CARLSON CONSTRUCTION TOTAL 76.00 527 8TH ST SW Payment(s) BUFFALO,MN 55313- CHECK 4739 76.00 (612)363-1166 OWNER MULHERAN&JON NORRIS,PATRICK 460 ORCHARD PARK RD 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 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 at any time for due cause. er Applicant Permitee Signature Date Issued Btgnature Date OW City of Orono FOR CITY USE ONLY C P.O.Box 66 Date Received: i - 3 110 Permit ONLY, ((C^ t 2750 Kelley Parkway �7 C� Crystal Bay,MN 55323 i)i_ C k– Amount: $ /r3` SAC Credit: N`� �� -7" i. L (952)249-4600 I�,�3 cl Zr Homeowner(s)Signed: 0 Yes .,...._ rr_=/ ma ' Resolutions(if any)Signed:❑Yes ❑None Required Zoning Disclosure Signed: ❑Yes ❑None Required Zgi(v upecakti ygivd CITY OF ORONO - DEMOLITION PERMIT eJVW inwiT (All permits must be approved by the Building Official and/or Zoning Department) Job Site / Owner Information: Type: g Residential ❑ Commercial Site Address: 1 (,O Orckarc, Park road Owner: Fpj-YjCh.Mu\InvDoi f`TphAi0rri- Mailing Address: 4118 I-faIl9rth Lk) City: e Cc.IQ 1s I or Zip: 5533 I Phone: (60149 -- (054+ Email: . itU i tr1P1 fawn ilNrPOi I tow Contractor/Applicant Information: Contractor/App.: Ca rI S 6)1 D h s trus f 1'Vh Contact Person: Wa.CALU2diaeL11 Address: p612_15 Sf• 5 w State License#: 0 b� toZip: 553/3 City: �a Expiration Date: Ly . Phone: Wt.- 5L05-- ( I tido. Email: V SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT V 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 a copy of the permit(s) from the MCWD or documentation stating permit(s)are not required. Form Last Updated: July 2015 15 —(n Zk 150784 �1/ T 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). 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)from 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 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 P $75.00 - Principal Structure $ 16 ." ❑ $50.00 -Accessory Structure x (how many) 1. Subtotal of above permit requested $ --i S '°a 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 1 & ' o 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. I,:. Applicant's Signature: If Date: fit/ it/ 1D Owners Signature: ff/ _ Date: I f t 2..1 1 b Approved By: emi / Wlqi Date: ( uilding Official) *Zoning Disclosure Required? El YES rO 1,5 -3T10 pradv'l ivy Y", �' ,0 31a *This must be filled out by Zoning Department-For her answer, a Zoning Official must sign all applications. 'r`4P(A *Approved By: CSO k Date: l • ( 4 ILO (Zoning Official) Form Last Updated: July 2015 150784 v 1 ••• Verizon 12:20 PM 46% . RONO COPY ust 460 Orchard Park Roa. Done tet. ' . ' 7y-i'k ‘ a .4 i.;4 t V ' 4. '' )4 AO,,,.4:44".. ' , ro -(2 .,,.. i ., _./.v . „,,,,,,,t. , .. , ,, , -- ,. ,,.......,, ,s„,, AP' ' . - role ''11,4 (7i C e r '" ;.),«,O.,,.7. 1 .ea{, gra , .t ,ems # SfQ •. - ' 5 C -1.----e5 . i j .% v,4,,, , d o �' 1 04 r 4. .% :".°*''..""' *"' "'' N h, i !/` M 'fiNti--4, W '')''' k-- r ,k, 1 /1-S Tf '.y. OP ,l.- -� ml ",. ,. , ' 4 4 4(2 0 00Aalli 7)at I- P(In 201to -CCDO3C1 'Iz 12:21 PM ?6 ' , a . ORONO COPY . , oo(?-:4‘4.. firth I"'N, ,t, 111111•1111111111 ',.....,1 - -"*.4.•:4*Ae' .'''iii" , ., 4: , -4,, ' I , ''. NA, 4', &Zak' * ..„ , , ' 4 44 # i li i 4 ' 4 . • C 4 t ,., ,,,,,,, .,, .1.,..4,, / (i/r-' . ,., sr '''•,' ‘, ','•011 ' '''/ 1'0Iq ' ' *g''' '.',' / - 4, Ilk •,,,,„,, ,, .. ',,,-,.. .„,t,,,,.., I ..14, ' 't''' tile'' C Zvi"' _Ahlit N wef f Jar '.. • e 1%4-.' . 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ACt../-k-� / h 1C /( OWNER TELEPHONE N.e _/O(o a39-D-1/y CONTRACTOR f `-7/(j v)e/S DESCRIPTION ,f_ 1 C. eO va c W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL , ❑ DEMO-SITE 0 SEPTIC INSTAL�t 0 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO r4 COMMENTS: ((1/2- 31c3-- // (2 W Q. o 7-4(44 cie, v5 4,4 cc W ( ` • S - 4c2 kaa -c- (( 4 CC Q di Gl r 2 W z Lu ac J 0 W V •AK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC , O,.A RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 'CZO ID CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 OwnerlContraor on site: Inspector. C'`r- -1 ���-o4 White Copyllnspector's File Canary CopylSite Notice V E TIME CITY OF ORONO 312.1CALLED IN / hIP INSPECTION SCHEDULED ��5— A 9. PERMIT NO. t COMPLETED � ADDRESS �0� ��.�1-��C',! �- Pvt-ic- OWNER TELEPHONE NOEL' ' /- ---/1 / CONTRACTOR l�tk -4CL_ i DESCRIPTION l J m Lu ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO co COMMENTS: eL No , h-- a ofx Al-_,.„7.- , 5644,,p1 -f 41 4 7 c O 1,Ce., 44-1&- Q . [S-5>d /- /'r 'ed'edl j�MII �ld T b123446(.12 W Z W CC d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CtW • CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY RRECT WORK,CALL FOR REINSPECTION TEMPORARY is 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 hoou ' advance. (952) 249-4600 Owner/Contraeter Inspector. White Copyllnspector's File Canary Copy/Site Notice if9-7-- upen DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 5/(p'1(p ?tel PERMIT NO. 2-o I --tz c' 1 COMPLETED ` ADDRESS 4-lo b brcin. rte! P Ie- 2d OWNER TELEPHONE NO. lc I z-3k3`1 bio CONTRACTOR /rd �P• DESCRIPTION fp • • I ►'�a 1 W ❑ FOOTING 0 DEMO-FINAL - 0 S:-TIC INAL Q ❑ POURED WALL 0 PLUMBING RI 0 : CAVA RADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 REE R OVAL ❑ RADON SLAB 0 MECHANICAL RI • SITE INS- CTION Q 0 FRAMING 0 MECHANICAL FINAL I) RATED WAL 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE a COMPLAINT --1 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 41 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL 2 . ❑ DEMO-SITE 0 SEPTIC STALL Z OWNER/CONTRACTOR TO MEET YOU: YES NO 2 COMMENTS: ct ku --rrif.... 7 J / o 0Aa W CC 0 ' FD % 4(144-I'd, If2te- . . W ' „I/IA.,/Ae_Aeiiii , d W ❑ • SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW I RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑ •RRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN Cl CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED-CALL TO ARRANGE ACCESS. Callfor the next inspection 24 hours in advance : / ) 249-4600 ,/ OwnerlContractor on site: Inspector. � / J!i� White Copyllnspector's File Canary Copy/Site Notice