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Home My WebLink About2014-01393 - demo 3 ; CITY OF ORONO I' I I II I [1 I I I I III' * 20 1 4 - 0 1 393 * 2750 KELLEY PARKWAY DATE ISSUED: 01/09/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 105 ORONO ORCHARD RD N PIN : 35418-23-33-0003 LEGAL DESC : UNPLATTED 35 118 23 : LOT 000 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. GARAGE DEMO ONLY i APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 STATE SURCHARGE DEMO 5.00 GORDON JAMES CONSTRUCTION TOTAL 55.00 5159 MAIN STREET E Payment(s) P.O.BOX 306 CHECK 9239 55.00 MAPLE PLAIN,MN 55359- (763)479-3117 Minnesota State License#: BUIL-20$31961 I OWNER LOWE,JAMES&KELLY 1 105 ORONO ORCHARD RD N LONG LAKE,MN 55356- AGREEMENT AND SWO STATEMENT The work for which this permit is issued shal be performed according to the approved plans and specifications,applic ble City approvals,and the State Building Code. This permit is for only e work described and does not grant permission for additional or related ork which requires separate permits. All provisions of laws and ordinanc s governing this type of work shall be compied with whether or not specific herein.This permit will expire and become null and void if constructs n authorized is not commenced within 180 days of the date of is ance,or if construction is suspended for a period of 180 days at any tim after work has commenced. The applicant is responsible for assuring all r quired inspections are requested in conformance with the State Buil ing Code.This permit may be revoked at any ti • i :cause. / // (2,-'zi,t_a__,i4., Applicant rmi e Signature Date Issued a Signature Date A • •T O�'`}. City of Orono s TY SEt7�`LY D /-� P.O.box 66 Date Receive moi; } writ#7�Q/ 3 93 0 2750 Kelley Parkway a Crystal Bay,MN 55323 Amount: $ ' SAC Credit: (952)249-4600 -.4 G' Homeowncr(s)Signed: 0 Yes {,, Resolutions(Warty)Signed:0 Yes 0 None Required `'I�iES " 7_onin_Disclosure Si_ned: ❑Yes ❑None Re+uired CITY OF ORONO - DEMOLITION PERMIT (Ali permits must be approved by the Building Official and/or Zoning Department) Job.Site L Owner Information Type: NI Residential ❑Commercial Site Address k ei 0 r_orJ,. Vic.t.1/41)(1-: Q . Owner: --X tam tt. L)( Lus- Mailing Address: cymrj`� City: (N-)9_-c,J 0 Zip: 4~;S3`) Phone: c\` 2 GJ')`t • Email: Q Q. t) c-(Ln r,*s e.0 w e J Contractor;/Applicant Information, ; Contractor/App.: 04--'--)z:-.) �4r.V"0 - G_s-c.. Contact Person: C ea 41)^s� rCAr— Address: 'it ti`l l'AA,.-, �'` �� `� �cLState License#: )C- ?)\°1( ' �Cit : m,,..c t.nt,,, Zip: ' Expiration Date: 3/3 t ji C Phone: 44:5 ' 3k 17. Email: Se>In V l .. t3)sec�d",— y rrk,e S- 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: CI Manual Disassembly �w-leavy Equipment ❑Other Perm t(s)Issued: El Sewer Disconnection ❑Well Abandonment# /�. In re urn 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, a. 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. j I 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)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 ❑ $75.00— Principal Structure $ fr.a$50.00—Accessory Structure x \ (how many) r)G 1. Subtotal of above permit requested $ C. 2. State Surcharge 5.00 V _ 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 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 al(,statements made on this application are complete, true and correct. Applicant's Signature: Date: v2—//1 f Owner's Signature: 6A-9Date: - / 1 -f Approved By: I r. Date: 12 -Z2 — i (-uilding Official) ''Zoning Disclosure Required? ❑ YESNO 'This must be filled out by Zoning Department_For her answer,a Zoning Official must sign all applications. *Approved By: Date: {Zoning Official)