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Home My WebLink About2010-00070 - demo � CITY OF ORONO PERMIT NO.: 2010-00070 • 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 02/19/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2655 SHADYWOOD RD PIN : 21-117-23-23-0023 LEGAL DESC : PHEASANT LAWN : LOT 000 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 VEIT COMPANIES STATE SURCHARGE DEMO 0.50 1400 VEIT PLACE TOTAL 75.50 ROGERS,MN 55374 OWNER HADDEN,JULIE&TIM 2655 SHADYWOOD RD EXCELSIOR,MN 55331- 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit wil( 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 requ ted in conformance ith the State Building Code.This permit may be re at an time f r d cause. � / '� / �V / �/ /�V App cant ermite Si ature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4�� City of Orono FOR CITY USE ONLY O O P.O.liox 66 Date Recaived: '�- � i- � Permit N zG�l U--�p -7`, �,•,,,. 2750 Kclley Parkway �l�^ ��, r Crystal Bay,MN 55323 Amount: S�SAC Credit: i�;i�,t�- (952)249-4b00 ,� Homeowner(s)Sigrud: �Yes Resolutions(if any)5igned: Yes ❑None Required Zonin Disclosure Si ned: es None Re uired CITY OF aRONO-DEMOLITIUN PERMIT (Ali permits must be approvcd by the Building Official and/or 7Aning Departmeat) Job Site/Uwner lnformation: Type: � Residential �Commercial Site Address: �(oS S S�ao�C� l.JoO� f?o4o�C_ _ _ Owner: l:r� l�Q.��.-� �: `� ��i%'� Mailing Address: City: �rn n a Zip: �'S 3 3 i Home Phone: �./a � �-`�r - �(O? Alternate Phone: �S2 - 9��- '�'Z�4� Contractor/Applicant Information: ' Contractor/A . �� Contact Person: to, rr � � �. Address: Iyo00 �/�.;-� !�/a�� State License#�; _�� City: y Zip: SS 3 7`� Expiration Date: Phone: 7�3 � ��8- G �3 y Alternate Phone: 1.��l9 0- n/ 7� ,_� k ;;�:;��z.. k�`:SPE_4"��.. ��C4k�TD�`1'�(3NS.:` 1�OY.D�HA�tMX:k� ��:�'GRE�II�ENT�: ' +< . ��. :-_ 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� ��- ��f so✓� l7. ta i r� 7E'� �..� f�,� 4n� 5«�� t� �� S �• JConh Demolition by means of: � Manual Disassembly �Heavy Equipment ❑ Other T,-� Ua•oPc�t c� G cc.Y Co�str�.�E��^ Permit(s) Issued: ❑ Sewer Disconnection � Well Abandonment# �l „ - �8�S In return for issuance of said Demolition Permit,the undersigned owner hereby agree s follows: l,�`6�c'`�� - 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 ctear of all debris,with any excavation filled with earth level with the adjacent ground elevation (exccpt 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 ab�ve permit requested $ �� C�O 2. State Surcharge $ .50 3. TOTAL PERMIT FEE(add 1 ines 1-2 above) $ �5 '�o The undersigned herby applies to the City of Orono for issuance of a Demolitivn 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. Applieant's Signature: . � � Date: � —9- o2O�� Owner's Signature: ` - _ Date: v� '9` �� Approved By: Date: Z'� �—'�� (Building Official) * Zoning Disclosure Required?� YES ❑ NO *This must be filled out by Zoning De artment—For either answer,a Zoning O�cial must sign all applications. * Approved By: Date: Z-/� - /� ��, 7_oning Ot�icial) Reset Eorm �` � �� DATE TIME V CITY OF ORONO CALLED IN � � ! �/U INSPECTION OTICE , � scHEou�Eo -`� � � `�� PERMIT NO�� O COMPLETED ADDRESS � C� � � ' OWN ER CONTR. TELEPHONE NO. C-C�/� � '7ll g`-' /�C� � � DESCRIPTION �-�_``"'�'� + ��+ /�`-� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO i � � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED ��ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETI}RN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46QQ OwnerlContractor on site: Inspector. (`�V � White Copyllnspector's File Canary Copy/Site Notice