HomeMy WebLinkAbout2016-00402 - demo CITY OF ORONO * 2016 - 00402 *
2750 KELLEY PARKWAY DATE ISSUED: 05/04/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 660 TONKAWA RD
PIN 05-117-23-33-0016
LEGAL DESC PARTENS POINT 1 ST DIV
LOT 003 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.
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
PILLAR HOMES TOTAL 76.00
1700 NIAGARA LANE N Payment(s)
PLYMOUTH,MN 55447 CHECK 7025 76.00
(763)475-1700
OWNER
LADD&CAROL STAINBROOK,MICHEAL
660 TONKAWA 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
evoked at any time for d ause.
Applicant Permitee Signature Date Issued Signature Date
�O'V City of Orono FOR CITY USE ONLY
0
P.O.Box 66 Date Received:-G 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
�
�� Zoning Disclosure Signed: Yes kESHO � ❑ ❑None Required
L-5c rJ
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site / Owner Information:
Type: IV Residential ❑ Commercial
Site Address: (2L D � a1nY�� nr��
Owner: 'lj-2 LdA Mailing Address: 6�Dc) I("S �
City: ocon Cp Zip: 5 5, 5(.P
Phone:(t?U • -74-7 • 22(d Email: M LK� . LICU Q.D CI��� , ClSYY�
Contractor/Applicant Information:
Contractor/App.:'[ l0.Y' 11`leSa'Con'tact Person: �r
Address: QOQ 1'1J10-QnA0% Low State License #: k- 21
City: Zip: _5Sq+7 Expiration Date: . 201
Phone: Email: 4-� �� Y�6YYV1_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:X 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
150784
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
$75.00 — Principal Structure $ Jr
00
❑ $50.00 — Accessory Structure x (how many)
1. Subtotal of above permit requested $
2. State Surcharge 1.00
OG
3. TOTAL PERMIT FEE (add lines 1-2 above) $_C r
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 ap ication are complete, true and correct.
�i
Applicant's Signature: Date: 4
Owner's Signature: Date: Zr'
Approved By: Date:
mg i ' f)
(tet,rd V.V-- Pw-ca b 9?— I(Q -3wa
*Zoning Disclosure Required? ❑ YES NO SQL ��W b ft— N 0• (6 T1
*This must be filled out by Zoning Department—For ei'��ernfanswer, a Zoning Official must sign all applications.
*Approved By: C�"� ffi_J0-`- Date: + 2,7 ' l (O
(Zoning Official)
Form Last Updated: July 2015
150784
Christine Mattson
From: Permitting <permitting@minnehahacreek.org>
Sent: Wednesday,April 27, 2016 1:10 PM
To: Christine Mattson
Subject: RE: 660 Tonkawa Road
Hi Chris,
Yes, MCWD's erosion control permit covers both the demolition and the rebuild.
Let me know if you have additional questions.
Best,
Lauren Sampedro
Lead District Representative
Minnehaha Creek Watershed District
15320 Minnetonka Blvd
Minnetonka, MN 55345
952-641-4580
0
�uu ENwu ISO
WAIUSNEO euaKT-
From:Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Wednesday,April 27, 2016 9:30 AM
To: Permitting<permitting@minnehahacreek.org>
Subject:660 Tonkawa Road
Good Morning,
We received a demolition permit for 660 Tonkawa Road. Submitted with the demolition permit was a MCWD permit
#16-034 for Erosion Control for a Single Family Home. Does your permit#16-034 also cover the demolition?
Thank you.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelley Parkway I Orono I MN 155356(physical address)
PO Box 66 I Crystal Bay I MN 155323-0066(mailing address)
2 952.249.4620 18 952.249.4616
2 cmattson@ci.orono.mn.us I www.ci.orono.mn.us
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements
The Minnehaha Creek and information contained in the permit application, correspondence, plans,
maps, and all other supporting data submitted by the applicant, and made a part
Watershed District is hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant
committed to a leadership named below for use and development of land in the Minnehaha Creek
Watershed District. zo op - "i- -D
role in protecting, �
improving and managing Issued to: Mike Ladd and Carol Stainbrook Permit No: 16-034
the surface waters and
Location: 660 Tonkawa Rd Orono
affiliated groundwater
resources within the Purpose: Erosion Control, Single Family Home
District,including their Date of Issuance: 2/1/2016 Date of Expiration: 2/1/2016
relationships to the By Order of the Board ol Managers
ecosystems of which
they are an integral part Tom Dietrich
We achieve our mission District Technician
through regulation, This permit is not transferable without District approval, and is valid to the date of
expiration. No activity is authorized beyond the expiration date. If the permittee
capital project, requires more time to complete the project, an application for renewal of the
education,cooperative permit must be received by the District at least 30 days before expiration.
endeavors,and other The applicant is responsible for compliance with all District Rules and for the
action of their representatives, contractors, and employees.
programs based on
sound science, Conditions: Project to be completed as described in plans submitted to the
MCWD office on January 29a', 2016 according to the provisions of
innovative thinking,an this permit.
• Properly install and maintain all required erosion control
informed and engaged measures until the disturbed areas are re-stabilized
constituency,and the • Notify MCWD in writing upon completing installation of
perimeter and sedimentation controls
cost effective use of . When the site is re-stabilized and the MCWD staff has
public funds. performed a final inspection, all silt fences must be removed
(Statement concerning fees for inspections, violations, etc... on following page)
15320 Minnetonka Boulevard,Minnetonka,MN 55345.Office:(952)471-0590 0 Fax: (952)471-0682•www.minnehahacreek.org
}
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
s
r
Inspection/Analysis/Monitorina Fees
The Minnehaha Creek
Watershed District is A site inspection and monitoring by District staff will be performed where the
committed to a leadership activity involves:
role in protecting, . a commercial/industrial/multi-family residential development
improving and managing • a single family residential development greater than 5 acres or of any size if
within the Minnehaha Creek subwatershed
the surface waters and . any alteration of a floodplain or wetland
affiliated groundwater • dredging within the beds, banks or shores of any protected water or wetland
• a violation
resources within the • any project which in the judgment of the District staff should be inspected
District,including their due to project location, scope, or construction techniques
relationships to the
In these cases, the applicant shall pay to the District a fee equal to the actual
ecosystems of which costs of field inspection of the work, including investigation of the area affected
by the work, analysis of the work, and any subsequent monitoring of the work,
they are an integral part. which in the case of a violation shall be at least$35.
We achieve our mission
through regulation,
capital projects, Standard Fee Schedule
education,cooperative District professional staff $ 65.51"
District interns $ 40.35"
endeavors,and other District clerical staff $ 46.69"
programs based on Consulting Senior Engineer $contracted rate
Consulting Engineer/Technician $contracted rate
sound science, District Counsel $contracted rate
Application fee $ 10.00
innovative thinking,an Copy costs $ .25 + actual staff time
informed and engaged Color copy costs $ 1.00 + actual staff time
constituency,and the
I
cost effective use of * Hourly
public funds.
15320 Minnetonka Boulevard,Minnetonka,MN 55345 Office: (952)471-0590•Fax:(952)471-0682•www.minnehahacreek.org
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❑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
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CERTIFICATE OF SURVEY FOR �\ w 0.
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1/ This survey nds to the boundaries of the above described property,
the lasatlan intsof fiveexisshow ting buildings,spot elevations, topography, and the
location of all visible "hardcover" thereon. It does not purport to show
any other improvements or encroachments.
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RECEIVED
APR 2 0 2016
CITY OF ORONO
� • R
Planning ♦ Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: June 21, 2016
G/L: 101-22205
Re: Escrow Refund
Demolition Permit#2016-00402 pertaining to 660 Tonkawa Road is complete. Please refund
$2,500 to the property owners, Mike Ladd & Carol Stainbrook.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Mike Ladd & Carol Stainbrook
660 Tonkawa Road
Lone Lake, MN 55356
wAstreet files\tonkawa road\660\escrow refund 2016-00402.docx
' ti i
DEMOLITION PERMIT
ESCROW AGREEMENT
AGREEMENT made this 2_1 day of 42ri I , 201(o , by and between the CITY OF ORONO, a
Minnesota municipal corporation ("City")and ("Owners").
rol b� �pr'eQbc
Recitals oo�
1. An appLicatiop for a demolition permit has been filed for located at
("Sub'ect Property") legally described as
Lat M02-;Z �' 'r e
2. In conjunction with the demolition, erosion control measures are required as shown on attached
Exhibit"B".
NOW,THEREOFRE, THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement,
the Owners shall depo 't $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the
City for its cost in administeri—ng—IM escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for
all out-of-pocket costs (including planning, engineering, or legal consultant review)the City has incurred to assure that
the erosion control measures are installed and maintained so the property complies with the provisions of Orono City
Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions
associated with the work and to repair any damage to public property or infrastructure that is caused by the work. If
compliance with the approved Land Disturbance Permit is not accomplished within the allowable time period, the City
may bring the project into compliance by use of the security.
3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees, officers and
contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in
conjunction with the required erosion control measures, including but not limited to constructing or completing any and
all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date
specified herein.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt
of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. Any remaining amount of the financial security deposited with the City for
faithful performance of the plans and specifications and any related remedial work will be released after the
completion and inspection of all such measures and the establishment of final stabilization for the Subject Property.
City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements
of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also
request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate
verification that all requirements of the project have been successfully completed.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: CITY OF ORONO OW
By:—(,MKUrVN`�Y
Its: Y111 WIc
Internal Ufe Only: D Uriginal to Finance^Departmentr, C3 dopy t6'9treet File
Form Last Updated: January 2015
150784
scrip t Aoo- 177-.1024/990215
CAROL A STAINBR,OOK 594968430 -
LONG LAKE,MN 55356
Payof
to the SOD �Oa 1
%ft FS
own
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.015416 Apr 21, 2016
Michael Ladd Carol Stainbrook
Previous Balance: .00
Permits
2016-00403 660 Tonkawa 2,500.00
Road
101-22205 `
Deferred Rev-Developer Deposit
---------------
Total: 2,500.00
---------------
---------------
Check
Check No: 7024 2.500.00
Payor:
Michael Ladd Carol Stainbrook
Total Applied: 2.500.00
---------------
Change Tendered: .00
04/21/2016 01:01PM
CITY OF ORONO 0111011 111111mil mill
r 2750 KELLEY PARKWAY * 201 — 004
3
DATE ISS6 UED: 04/21/22 016
ORONO,MN 55356-
952 249-4600 FAX: 952)2494616
ADDRESS 660 TONKAWA RD
PIN 05-117-23-33-0016
LEGAL DESC PARTENS POINT 1ST DIV
LOT 003 BLOCK 000
PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$2500 ESCROW IS TIED TO DEMOLITION PERMIT 2016-00402
APPLICANT ESCROW FEE-BUILDING 2,500.00
LADD&CAROL STAINBROOK,MICHEAL Payment(s) TOTAL 2,500.00
660 TONKAWA RD CHECK 7024 2,500.00
LONG LAKE,MN 55356-
OWNER
LADD&CAROL STAINBROOK,MICHEAL
660 TONKAWA 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.
Applicant Pertnitee Signature Date Issued By Signature Date