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Home My WebLink About2013-00037 - demo � ' CITY OF ORONO * 2 0 1 3 — 0 0 0 3 7 * . 2750 KELLEY PARKWAY DATE ISSUED: O1/15/2013 . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2789 PHEASANT RD PIN : 21-117-23-32-0005 LEGAL DESC : REG. LAND SURVEY NO. 0310 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET �P�l n-� �� Ld-4,�.c..C_o� � ,S � � //5-�� 77�n c��,��5iu G�,�.e. � � �,�� -�6-� �//� � �<g�, °u ¢ � ��-� . �� w/�s � ;� APPLICANT DEMOLITION - PRINCIPAL STRUC"I�URE 75.00 STONEWOOD, LLC STATE SURCHARGE DEMO 5.00 7407 WAYZATA BLVD MINNEAPOLIS, MN 55426- TOTAL 80.00 (952)697-5590 Minnesota State License#: BC594315 OWNER TEYNOR, GAIL&JOSEPH 13225 CARDINAL CREEK RD EDEN PRA[RIE, MN 55346- AGREEMENT AND SWORN STATEMENT ['he��ork for�vhich 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 pennission for additional or related work which requires separate permits. All provisions of laws and ordinances gover��ing 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 responsi le for assuring all required inspeclions are requested in co �th the Slate iTdi g Code. rmit may be revok� ime for due c� se. /��' 1 ��-�(�"�3 l / / IS // / / p nt P ' e Signature Date Issued By ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . ��"� City of Orono FOR CITY USE ONLY ��f�O�� P.O.Box 66 Date Received: Permit# �; � 2750 Kelley Parkway �"��;- � C stal Ba MN 55323 �� ' rY Y. Amount: $ SAC Credir ��:�;�,;,'. a (952)249-4600 `��O~�'� Homeowner(s)Signed: .�Yes Resolutions(if any)Signed:�Yes ❑None Required Zonin Disclosure Si ed: ❑Yes 8 None R uired CITY OF ORONO-DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) 3ob Sit�;#�u�Z�`<: „ �rf`r�t��..'=.„ Type: �Residential ❑ Commercial Site Address: 27QR �t4Sf�tJ'� �� , OQD�� , �JII�J �-'�3 g I_ Owner: `�FY,tJc�'iZ , �v�2L�- �eS�QH Mailing Address: �31�„S� ch�o�n� ci�g,� �„p City: �� 'PQp►-a.p�.F_ Zip: �53��„ Home Phone: Alternate Phone: Cc��r1��;:�� t��:. Contractor/App.: SToiJ��+Jc�o� � t.LC. Contact Person: SV��1GvS�lt-F�St�f Address: 7'io'j ��YLA'f'I°r G3 LVp State License#: 2oSS�131 S City: �1QtS Zip: SSLI�.` Expiration Date: �-3) -1� Phone: �157--�04 7� S'�g o Alternate Phone: .«�.s. ;L�� ..�.,. �'��;.��S i��"a`r�T��'IE�T"I', 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$2,000 escrow and an escrow agreement signed by the property owner. 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 5. 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. 6. Completely remove foundation(s) from the ground. 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when all debris has been removed, before backfilling. 10. Within S 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). 1 l. 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. 12. 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 rvm $75.00—Principal Structure $ 7�7'�� ❑ $50.00—Accessory Structure x (how many) c� 1. Subtotal of above permit requested $ ��— 2. State Surcharge 5.00 �y��— 3. TOTAL PERMIT FEE (add lines 1-2 above) $ �Y' 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 wi ordinances of the City and the regulations of the State of Minnesota, and certifies that all st ts made on this application are complete, true and correct. Applicant's Signature: Date: � i� �3 Owner's Signature: � Date: l?�l !�S Approved By: �� Date: ��' 15 ^ �3 (B ilding Ofticial) , * Zoning Disclosure Required? ❑ YES OC�� ('l��Le i Ct ( �j(J CLI�-�'��/1`w(�� *This must be tilled out by Zoning Department—Fo ither ans er,a Zonmg Official must sign all applications. * A roved B : �/��/�N''��i�� Date: � � �� PP Y (Zoning Official) , < • • O¢O�O City of Orono FOR CTI'Y USE ONLY P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway � ,; � Crystal Bay,MN 55323 Amount: $ SAC Credit: �� (952)249-4600 Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:�Yes ❑None Required Zoni Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO -DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) : ,; {�a t�, Type: �sidential ❑ Commercial Site Address: a`�� P ��-�-e+�►�tJ �-ca.,rJ Owner: F�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor/App.: �.$ .�• �C.• Contact Person: iM,� k P /g-�` n'� Address: o�`�L(o �• State License#: � � 3 Q G 3 a City: Zip: S 5U3 3 Expiration Date: Phone: G S 1-�( �D - l3ss Alternate Phone: �o /�� q�y-y3y0 . .., ;,. �... ,�� , ,., � w,a�. General Instructions: 1. You may be required to obta.in 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 qualifiec�contractor before demo permit is issued. Demolition by means of: ❑ Manual Disassembly ,�eavy Equipment ❑ Other Permit(s) Issued: �Sewer Disconnection ❑ Well Abandonment# In return for is�uance 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$2,000 escrow and an escrow agreement signed by the property owner. 4. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. . , , , 5. 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. 6. Completely remove foundation(s) from the ground. 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when all debris has been removed, before backfilling. 10. 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). 11. 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. 12. 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 $ ?J� � ❑ $50.00—Accessory Structure x (how many) 1. Subtotal of above permit requested $ 2. Sta.te Surchazge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 0 �- � 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: il '�"''�` (,/"" ' Date: �'�S��3 Owner's Signature: . . ( ��y� � Approved By: Date: (Building Official) * Zoning Disclosure Required? ❑ YES ❑ NO *This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications. * Approved By: Date: (Zoning Official) � 5. 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. 6. Completely remove foundation(s) from the ground. 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when a11 debris has been removed, before backfilling. 10. Within 5 working days of superstructure removal, a final inspection sha11 be requested. The site shall be left clean and clear of a11 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). 11. 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 aze pumped and before the tanks aze crushed and filled. 12. The undersigned owner sha11 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 $ ?jr�. � ❑ $50.00-Accessory Structure x (how many) 1. Subtotal of above permit requested , $. 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) .$ D v• � The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to do a11 the work in a strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all sta.tements made on this application are complete, true and correct. Applicant's Signature: l�'`�"'�' C�"y ' Date: 1'�S-/3 Owner's Signature: . � ��y-� � Approved By: Date: (Building Official) * Zoning Disclosure Required? � YES ❑ NO *T'his must be filled out by Zoning Department=For either answer,a Zoning Official must sign all applications. * Approved By: `� Date: (Zoning Official) � S� DATE TIME V CITY OF ORONO CALLED IN �' 2 Z INSPECTION NOTICE �7 SCHEDULED �� PERMIT NO.��—�OD'�/ COMPLETED ADDRESS a 78 T� �/��G''`� �-G OWNER TELEPHONE NO.�/Z 9�9 �3 y�.� CONTRACTOR�S� �C • j DESCR'IPTION ��'� ��"� � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a o ��Q T /�-G�c%�7 ��,�>t?�./Pc� � AS ��o� c�c� - -7-�rd� S-, ° 13.�st.�.e s c .�sr � o �ta r�'.�.,<<�s� � _ W '" Q ,�� E'� �c��-�� • � z W � W � � � �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. /�_., White Copylinspector's File Canary Copy/Site Notice