HomeMy WebLinkAbout2016-00570-VOIDED 1
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�O^T City of Orono FO�2 CTI'Y USE ONLY
1 V P.O. Box 66 Date Received:`�/73� Permit# �� /�
� 2750 Kelley Parkway
Crystal Bay, MN 55323 Amount: $�L� SAC Credit:�� �
(952)249-4600 /' _�GCy�_\
y � Homeowner(s)Signed: ❑Yes � T�� J
�' �,� Resolutions(if any)Signed:�Yes ❑None Required
l Zonin Disclosure Si ned: ❑Yes
'�kES H��� ❑None Re uired
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CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site / Owner information:
Type: [�,Residential ❑ Commercial
Site Address: Zd )`'r j��.v��w�t� \%��,,,�
/ � 1
Owner: ``)�.� 3�b�^�� `�,�� Mailing Address: SAfV�SL
City: O�Jd�o Zip: .��j°l(
Phone: �l��-' J�1� '-��7� Email: \�`�1�.����� °1�(ltii�.(d✓V�
Contractor!Applicant Information: �J um`n' e� K'�f� � 9"�''�
Contractor/App.:�a�ti r��,�v�e,� V�1.ti�,�r,� Contact Persorr. -� ��►�
Address: �� ��� �`"����S � �' ✓�� State License#: L.,3 d� .S�b SS�
City: av��� Zip: Sr�b 3 Expiration Date: b�� �1 ��
Phone: ��� - �7� J G� �1 S Email: �l�l
SP'ECIAL CONDITiONS'& HflLD HARMLESS AGREEMENT
General I nstructions:
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.
N q4. 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 Sife 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. �, r ,�_ �,,,,,l�
N� «.i
Form Last Updated.� July 2015
150784
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4. Submit a $2,500 escrow and an escrow agreement signed by the property owner(copy attached).
5. Keep ali structure(s) enclosed and/or secured until such time as demolition is compiete.
6. Keep ali 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 shafl 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 � `���1�'�,� $
f'�
� $50.00 —Accessory Structure x � (how many) ��• ��
1. Subtotal of above permit requested $
2. State Surcharge 1.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ S� � ��
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: Date: � ����6
Owner's Signature: �' Date: � � �g �� �
Approved By: Date: �P 7 ��
(B ilding Official)
* Zoning Disclosure Required? ❑ YES ❑ �
"This must be filled out by Zoning Department—For either a�is er, a Zoning Official must sign all applications.
* Approved By: �N UN l�1� �'V�.�Y I'�- Date: U/'lY• ��
(Zoning Official)
Form Last Updated: July 2015
150784
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O VEYING & ENGINEERING CO. RECE1\/ED
.No. 101 Minnetonka,MN 55345 Phonc(952)474-7964 www.advsur.com ...
S � �''��;��,� -�,; ;���� MAY 2 3 2016
SURVEY FOR: .IOHN KIEFFER �_
SURVEYED: June 4,2015 DRAFTED: June 4,2015 ,
�.(;����,��kQ�� CITY OF ORONO
REVISED: June 8,2015 to adjust alignment on Shadywood Road.
REVISED: July 22,2015 to update survey to show additional inforn�ation. �(
REVISED: August 18,2015 to show the proposed addition. � p�{- ! `�
REVISED: September 14,2015 to show a smaller driveway. ����` �('� �
REVISED: September 21,2015 to show a proposed window well. G/� c� �v�
REVISED: September 24,2015 to show a additional information as directed by the client.
REVISED: October 6,2015 to show additional information as directed by the client. ����) '�'
REVISED: December 16,2015 to show new proposals. �
\
LEGAL DESCRIPTION: \\ 1f1
Lot 4,Gust S.Johnson's Addition,Hennepin County,Minnesotas and Part of Lot 5,Gust S. �, � .�,`� � I ��
Johnson's Addition described as follows: Commencing at a point on the North line of Lot 5,said \ �
point being 101.1 feet Westerly of the Northeast corner of said Lot 5;thence Westerly along the � � `�v
Northerly line of said Lot 5 a distance of 129.9 feet to the Northwest corner of said Lot 5, �� .\� �'f� \
_ ` ,�,.�
', \ m �
according to the survey and stake set by Surveyor C.F.Sandhoff on November 5, 1936;thence �� � � \ � �^
Southerly a]ong the Westerly line a distance of 1.8 feet to an iron pipe set in concrete;thence �� �'���� ��� � �
Easterly a distance of 1299 feet to the point of beginning,Hennepin County,Minnesota. ' \ Y \ \ � �'
'_' .1
\ �\', -\ X928.]p � �
LIMITATIONS&NOTES: ������ �� �� �� � �. ����� ��� � � �
-�' � � ��� �� ���: ..� ���. ,; �,.�
1. Showing the length and direction of boundary lines of the above legal description. The � � ��� . 93.;" 9 3 . 9za.� �
scope of our services does not include determining what you own, which is a legal matter. �93g.6 _ _�-_ � � �' �,a '� �',m�
Please check the legal description with your records or consult with competeat legal counsel, _- � � �@� �� �� � � � �
if necessary,to make sure that it is correct,and that any matters of record,such as easements,that ' �'� __—__��';, .��' ��� �f.'��� ��� `��'=' ��`? a
�, �e.' , �935:J N. m �
you wish shown on the survey,have been shown. " ' � "`'' � � � ��� �� .-
6��' 's ' a,.
2. Showing the location of existing improvements we deemed important. —f saa.i__---�, @ y�4'� '� "o �� '`'�� � �
" 9I6.fi-. ���`� G. .'9 1439� . � c? 928.] �
-" X 9 �9 2 . '`��9J1. � � �
3. Setting new monuments or verifying old monuments to mark the corners of the property. � ,,-- -- —9+��a ' �c��x ` �� � ,`� �. �� ,� "'
4. Showing elevations on the site at selected locations to give some indication of the topography � ��9 '�.'.9 �s� � � 5�� 93�3 �, �,>, �
g1� �ea.e '`�i �sasa9y'''� �Te' , c+\
of the site.The elevations shown relate only to the benchmark provided on this survey. Use that p`� 9a�e - 9 6, \ , , :�ti , o�
benchmark and check at least one other feature shown on the map when determining other ��5• � � x, �: , ' xa.s:a �,r''�,o�5�. `�V°'s .� = ��� �
elevations for use on this site. � �� �� �59� �' �s� `� '� �� �', ,po�'0 r�ru�^d' � �' '� ' �� � ,'�
� �•2 ��� `� , , eo�r9� � o� 'a ��
STANDARD SYMBOLS&CONVENTIONS: � p1 5 `L��� � \\ �' 9`�'x J^ ��p ��/ ' �
°�"Denotes 1/2"ID pipe with plastic plug bearing State License Number 9235,set,unless � 9'90 ��� ��� \ ' -946'6 N�� �
otheTWiSC 17otCd. �� � �� � �� � f e�s.a � �Xea.e_ � �_�6E`� �E \
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CERTIFICATION: I �� � q�� _.� res�95�3�,�e����� e„ 9•e - � `1`�5�,ha � �g�c'��
� � ; .'d0��� e�e. $q Fe��'e 1�', � �� �.
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I hereby certify that this plan,specification,report or survey was prepazed by me or under my I } E�y kp 3 9�' 9� 9�' \
direct supervision and that I am a licensed Professional Engineer and Professional Surveyor under I e,�� -' 948.6 �
the laws of the State of Minnesota. � � �- -_ ,e�"° X"'�' � ---- 9� �
I ' �y.8_ _ � _ • c•F ��•
T ed Name: James H.Pazker � o�`�v o 9��6 �f y�b •> � %� /f�,�°��„�le�� ssa.e
Signature: YP l� , v� 5 � .v s.a.oc • d�
g h 1���o�dn°�G -`� +vn�'t .e oP," en.z 9 ' �5-�-1 , P�oP'�n 1\j�9
Date:December 16,2015 Re No. 9235 �,���� �q"� � g ��e
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SILT FENCB/STR9/1'LOCS — SF — �O� �" �o o� �
Drw. No. 151229 TB �j�� _ 00570
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AD E YING & ENGINEERING CO. �
1(�� n r,MN 55345 Phone(952)474-7964 www.advsur.com ' �� �L
t �� c�—
SURVEY FOR: JOHN KIEFFER �ECEiVED
SURVEYED: June 4,2015 DRAFTED: June 4,2015 �o ``' �6�� i�AY 2 3 2016
REVISED: June 8,2015 to adjust alignment on Shadywood Road.
REVISED: July 22,2015 to update survey to show additional information. �
REVISED: August 18,2015 to show the proposed addition. �b J ��n � �.�� CITY OF ORONO
REVISED: September]4,2015 to show a smaller driveway. ����`�
REVISED: September 21,2015 to show a proposed window well. �i��
REVISED: September 24,2015 to show a additional information as directed by the client. 1
REVISED: October 6,2015 to show additional information as directed by the client. o
RE.VISED: December 16,2015 to show new proposals. � �
, \� � D�
LEGAL DESCRIPTION: G � �
Lot 4,Gust S.Johnson's Addition,Hennepin County,Minnesotas and Part of Lot 5,Gust S. �\� ✓�� ��
Johnson's Addition described as follows: Commencing at a point on the North line of Lot 5,said � V ��, '. '�� if �/
point being 101.1 feet Westerly of the Northeast comer of said Lot 5;thence Westerly along the � � L ` ��J I f �1 ��
Northerly line of said Lot 5 a distance of 129.9 feet to the Northwest corner of said Lot 5, �� � ' \\ �V" � �L�+ � (�
_ �. , � A � �
according to the survey and stake set by Surveyor C.F.Sandhoff on November 5,1936;thence �� " \ � �
Southerly along the Westerly line a distance of 1.8 feet to an iron pipe set in conerete;thence �� �'���� ��� � � � �
Easterly a distance of 129.9 feet to the point of beginning,Hennepin County,Minnesota. � �' � \ � ��
__ .,�
�\ ' \��•. .\ X928.7 f � l
1 �� �; �' '�
LIMITATIONS&NOTES: -- — _ ��'- � _ ��.�� 4 � ; � �
1. Showing the length and direction of boundary lines of the above legal description. The �� � ������_ �s,t;" � ese.� �
scope of our services does not include determining what you own, which is a legal matter. �93y.s _ ____ _ � �' ',s ' �'.��.�.� '�.
Please check the legal description with your records or consult with competent legal counsel, ,- '�, �. >� .. � � �
'-� -�" ' e �!'`�'� "�'�-. �.,� a
if necessary,to make sure that it is correct,and that any matters of record,such as easements,that __--_` � �, '� 3; ' , �r vas:a �.��: �� � �
you wish shown on the survey,have been shown. —x� eaa.i__----_ � "`'' @6% k'k�,,-9,�po �� � s��','s���" � —
2. Showing the location of existing improvements we deemed important. �"� a�s.s, 9"�'` '�-' o J'939� cn"' Boot - 9Z8.� o O
3. Setting new monuments or verifying old monuments to mark the corners ofthe property. --" - —s'��x � �'�� ��� �_ ,�'�- '6H„se �`�� �3�, � �
4. Showing elevations on the site at selected locations to give some indication of the topogaphy ���9 ' ,=9 's� � ' � 5%^ke��, ga� ',�, �'r
�gl e4�.e ;'�� 9 , s Z.e. .
of the site.T he e levations s hown re late on ly to t he benc hmar k provi de d on t his survey. Use t ha t p aae �9 �'. � �9µ,'~ -'�`„'s. " g;a, ', ' ���
benchmark and check at least one other feature shown on the ma when determinin other
elevations for use on this site. p g � � ���� — 9" � x � � � x���� ����°�s�� � , � �� �
� � � ' � �� , '°r�°��d� � ��, ,�
i � 1'�n,'�p� 9b � �: ,' ' �n 9°° � �� �� �`
STANDARD SYMBOLS&CONVENTIONS: � � 5 2�0• � .,-'.c'X �� 5i� `'� �
"�"Denotes 1/2"ID pipe with plastic plug bearing State License Number 9235,set,unless � "9.° �i� N:� �' ''6'6 ��� , �\
otherwisenoted. I � � � � �� `� �f9.e.� xs".s_ ��5� �e� �
� s.�� -' � °3 n ,� � .�.��0�1:� g�3�� � _ � ,
CERTIFICATION: I e,e !e.� �ezhg5o �gl� 9 9:� q�` �� 1 5�y'� \ 89
I �� . �'doo(/ 5' O 9ae�. $q se'�ce � ��\ ,.
I hereby certify that this plan,specification,report or survey was prepazed by me or under my I �_ E� kp 3 9�� 9�». �
direct supervision and that I am a licensed Professional Engineer and Professiooal Surveyor under � �, -' 9�86 � ;�'�
the laws of thc State of Minnesota. I -- z�°°�xaszs��� ___ e�� ��� �
� �e, , _ ',
T ed Name: lames H.Parker 1 �o'��� o aae ,u s.s.e :,, , :� 'fa,,�e`��V�e�� ssa.s
Signature: YP lu ', � ��. �" 'S � �°' sas.tiC • ��d�
g' �O . � hone����� --Re=.��� i � �oP' eo.s es. ���+ ..--�oQ '� ��1�g
Date:December 16,2015 Re No. 9235 �
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