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HomeMy WebLinkAbout1991-004090 - demo PERMIT CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South - P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued (612) 473-7357 SITE ADDRESS: tDO DESCRIPTION: 1DE-1-ii-i rr:Ri!h%!l !-t T I i Vpe B,u i 'A.c I I N� Ft2 Lei 7- PRI :..• }"'•!-i Ni- L L. j. REMARKS: FOUNDATIONS & ALL DEMO DEBRIS TO BE REMOVED FROM GROUND AND DISPOSED OF OFF SITE PER PCA REGULATIONS. WELLS MUST BE ABANDONED. INSPECTION BEFORE BACKFILLING FEE SUMMARY: -:,LA I'L 1 1vt 1-rjtf +f L IF �E :pj CC'T 4 7 i 7 i el il A AA 10 j.Ji v v v vv 15 f i-VV V.L L.,Lfv i J. VV 1iyi,,�VVVVV "r jr,4 rki v.E b"cIT v rT! Cii 11 v e ov Vrin 4 7'A 4 T 14. 11 i ill CONTRACTOR: ri � 11 I OWNER: r.rT i.i M E--:- i E:,r,�: F-Hr"Ll'! rl!� —u- -:7 X J L !-it i L I-,I 4k---CAY-39 r, N j%: F r,:-. s r-Mr -T-r }-}r k.,i 14 L E r 16 N D, Ir'I LE rRIKE r-F- F,'P'k J`j�F r:; r r-"M T t r -ii- T-T'%S-1 v r� a I%i 1 .7- 19 [7- p 11`41 T F.i C'ri C 0 NIP L I A N C��'7- V'T T S-PECIFTED AND AGR T ! i t-i c t J.L L )p jf:1-N1- URD J-.1NA)�ICE S N L- 1 e APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e. burning, well abandonmment, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call 473-7357. JOB SITE ADDRESS: 1025 South Brown Road Wayzata, MN 55391 Occupancy Type: X Residential Commercial NaMFa Sea^ne Corwin Phone: 41a0-6099 Mailing Address: 1235 Yale Place x`902 City:Minneanolis CONTRACTOR'S NAME: Northwestern Farm Management Bus. No. :440-6099 Mailing Address: P.O. Box 100 City: prior Lake 55172 Demolition if planned by means of: _manual disassembly x heavy equipment burning (by fire department) Permits Issued: # Burning Fire Department # Well Abandonment In return for issuance of said Demolition Permit, the undersigned owner hereby agrees as follows: 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 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). 8. The undersigned owner shall and' her-by 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 - $50. 00 Principal Structure 1 @ $50.00 = $50.00 $30.00 Accessory Structure (� fi30.00 = $60.00 1. Subtotal of above permit requested $ $110.00 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ $110.50 the undersigned hereby applies to the City of Orono for issuance of a Demolition Permit, agrees to do all work in 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. �( SIGNATURE OF APPLICANT: Date: �{ �J Northwestern'Farm Management Company P.O. Box 100 Prior Lake, Minnesota 55372 Phone (612)440-6099 December 3 , 1991 (DEC 5 1901 Mr. Steve Weckman City of Orno P O Box 66 Crystal Bay, MN 55323 RE: House, garage, old chicken house, a^d well at 1025 South Bron Road. Dear Mr. Weckman: Enclosed please find an originally signed application for demolition permit and our check for $110. 50 for the demolition of the above. I have contacted Stevens Well Co. about sealing the well. Sullivan Services has pumped the septic tank. I understand that you want to be present when the septic tank is removed or filled. I ask that you review the application. If you don't have any questions, please issue a permit and send it to me at P.O. 100, Prior Lake, MN 55372 . If you have any questions, please call me at 440-6099 . Sincerely, Dennis Christensen DC:mc Enclosures Offices: Marshall Prior Lake * Members: American Society of Farm Managers and Rural Appraisers and the Minnesota Association of Realtors DATE TIME CITY OF ORONO CALLED IN 1�2 — /k—�z INSPECTION NOTICE SCHEDULED 42 -1 PERMIT NO. /l 'ZO COMPLETED N fA ADDRESS ID A Y Slz, 1112211 ✓eef S OWNER All-L" 7-_6�m Al ;= CONTR. TELEPHONE NO. 441 D y DESCRIPTION 4j 01 FOOTING 11 MECHANICAL RI 16 WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS O Z 04WALL B S"""' 12 WATER HOOK-UP 34 TREE REMOVAL Q 5 1 AL 13 METER SET/TURN ON 17 SITE INSPECTION t, 07 DEMO—SITE_ 14 SEWER HOOK-UP 06 PROGRESS Q 07 DEMO—FINAL— 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc a O f��/ 42 cc O cc O W CC Q 2 W z W CC OW WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED El STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor onite: Inspector. White Copy/Inspector's File Canary Copy/Site Notice $1AIt EN- 1111111JUTA LitrAmiretn1 ur ntALln ABANDONED WELL RECORD I. LOCATta a Ycu MINNESOTA UNIQUE WELL N0. (leave bleak if not know) County Nae Hennepin Township Nae Township Number Ranh Number Seetlon M. /raction 1. WILL OVTN (completed) Gets $doled of 4 Orono 117N er 23W or 10 SE NW 110 ft. 12/26/91 s Numerical Street Address and City of Well Location or Olstanee from Mad S. DRILLING INITION (if known) Intaraetioa 10 Cable tool 40 Revers ;0 Driven Ito M 1025 South Brown Road 10%1 low Red 1Q Air t(]Pored lap 20 Notary 40 Jetted U iota►A*W Show exact location of well (1n sectlon grid with '1•) sketch map of watt location O. OISTRUCTIO" Yeti obstructed 0 Yes M Obstructions removed[]PIS [3 M If obstructions cannot M i raved, contact 1611 soolloi. 1. WSt 1E]O/mntfe 40 plealw(RD E;]Nest UES 20 Irrigation 10/abbe E7 iebstry l 20 Test Wail E0 Ihnrlapet IC0 Cesmasretol 70 Air Cemdltlesf" 110 2. PROPERTY OWEN'S NAI[ IYillns Address if different than I. CASiM(S) 43 Northwestern propepy ddrl fr l�aM above to(lack 4[:]Threaded 7p Farm Management Prior Lake, MN 55372 s�]PlasticOl . 10 Walled Plastic Cl satela st«t NARORKSS 01 2 Ia. to ft. 1. FORFMTiON LOO COLOR FOR1NT10N /ROM TO If net known. Indicate /orrtlon loll from new wait or nearby well. In. to ft. 1. SCREEN ®Screen@ wen from_ft. to_ ft. (if known) p Open Mole from_ ft. to_ ft. 10. STATIC.7I^TER LEVEL J it.M below C]above land ansate ate Messured 12 26/91 11. WELLHEAD COMPLETION 10 Pltless Adapter 40►orad Parted 20 tasameet offset n lj]Well Pit If. REMARKS, ELEVATION. SOURCE OF DATA - CASINGS RMV V. CA31M PERFORATED. ETC. 12. 0OU1111O 101F TION 1®Mat Cement 101eateofta 10 aewe .euriat 2 bags from 0 M110ft. cu, yds-0 Is. NEAREST SOURCES a COIFTAKIMTiON _ ffet dfrsctiew type Wali dlatofected before sonlfrgl 0 Tet la. Plea ®Romeved 13 Not Pretest l Typo: I[]Submersible 30 L.S. Tyrone SQ NoclpreuHnl Jet Q Contrffogal 40 11. EIISTiM YELLS (Plona sketch louNons of abanoeaed and active walls to remarks section or M beck.) Other unused well(s) on proWtyf [:)Yes One n M1 Abandeneds [3 Permanent p Tsgartry []Mt sealed ,2 000 U. WATER WELL CONTRACTORS CERTRICATION This well was sealed odor my Jurisdiction and this report Is true to the best of my knowledge and belief, 6Ac - �trT West License ft. Address Maple P 2, :N 55359 s+ noe / Gets 12/26/91 Dick Stevens Gess 2 26 9 FICIAL AIAAMO YELL RECORD (May be used for Property Transfer) Naam of Driller ZONWrAIrt JPL2t NT1* Dsaw On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT CITY INSPECTION REPORT OF POST OFFICE BOX 66 1335 S. Brown Rd. O_ONO Crystal Bay, MN 55323 473-7357 / ��y1 ) OWNER Li IC's I_tJ�rf� ADDRESS PERMIT NO.'S. DATES CONTRACTORS City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is 0 an existing system ❑ new construction) 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major upgrading of the system is required at this time. 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. 04 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. ❑ Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may-Le-Quire replace- Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drain i-e Contact the City Inspector at next pumpout. If tanks have not been pumped out withinimmeiate v. epairs mus cplexed VIVi—in-910--d—ays. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table ❑ Low 4 Fair ❑ Lot size ❑ Medium Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage N1 System is causing visible �G / surface discharge. A COMMENTS: ^ Y eL! ) l/�IJ�� �L�(/t { f:'Y I�>"li� (�_� 62J i Date of Inspection Eleptic System Inspector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner On the North Shore of' Lake Minnetonka ON-SITE SEWAGE TREATMENTCITY INSPECTION REPORT OF POST OFFICE BOX 66 O.ONO 1335 S. Brown Rd. Crystal Bay, MN 55323 473-7357 OWNER NOf*'1 -'t ar"" � ?G(�Clf L�:'tf ADDRESS l b,?26 / a,C r? fikeoa-4 Sc �r�o�' LCcKF, AIN 575-31P_ PERMIT NO.'S. DATES CONTRACTORS City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the ab��bo�ovfffe address has been inspected and appears to fall into the category checked below. (This is an existing system El new construction) kGVr?�L PrUPVieY 6- 1025 `Se7ae,' &VJU,J0/rro MAI 1 Meets r exceeds current City standards in all respects relating to design,construction,and locution.Appears to be operating properly. F72 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major upgrading of the system is required at this time. 3 Does not meet current City standards in many respects relating to design, construction, or location.Appears to be operating adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at this time. 4 System may or may not meet current City standards for design, construction or location, but is failing to properly treat and dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwaters,or is creating a safety hazard, or is otherwise creating a public nuisance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION Checked items may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. ❑ Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. 'thin 48 hours to eliminate surface discharge. El Drainfield is saturated and visibly discharging untreated Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace- Inspection risers (4" dia. pipe) must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out withinmediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑ dequate 13High water table ❑ ow Fair ❑ Lot size Medi ❑ Poor ❑ Lake,wetland,or stream // ❑ High ❑ Inadequate ❑ Drainage ❑ System is causing visible surface discharge. ,'" COMMENTS: ow", At A.l fl/:o Jl�LC/CF,4 e 6u,'J J,[�:VA, �/� GZIJ�l�Cc 1�L��Jc Lti lYiyOf d 6!/JCQ� rec&Prrzea-& CIYIU e'tleAll a -j �Oat4,9 f0 OVZ)i(� ccz�. Date of Inspection Septic Syste spector Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information, This report must be kept on the premises with system location and pumping records. WHITE COPY / Inspector's File GOLD COPY/Homeowner f Phone (612) 440-6099 Northwestern Farm Management Company 16228 Main Ave. P.O. Box 100 Prior Lake, Minnesota 55372 July 6 , 1988 City of Orono P. O. Box 66 1335 S. Brown Rd. Crystal Bay , MN 55323 Dear City of Orono: We received your On-Site Sewage Treatment .Inspection Report dated 6-30-88 for the house located at 1025 S. Brown Road in Orono. We did pump the septic tank in August of 1985 . I ' ve included a copy of the bill for this work. Also, we are arranging to have the septic tank pumped again in the near future. If we need to do anything further, please let me know. Thank you for your consideration. Sincerely, � 1 r Dennis Christensen DC : jn * Offices: Marshall Prior Lake Members:American Society of Farm Managers and Rural Appraisers, National Institute of Farm and Land Brokers, and the Minnesota Association of Realtors CITY OF ORONO Date ADDRESS Connected to CODE SEPTIC SYSTEM INVENTORY CARD Municipal Sewer WELLDATA Address �Z �POC..l}/J RD-. Property I.D. /0`W"?-23 7 CJpr�% I O Standard trench ❑ Mound / o System type ❑ Other Legal Description z Permit No. 1UDiur= Date of permi Installer O No. Bedro Garbage Building type jeiF/7 067 iCli or G LaundryDishwasher Disposal o i: E o SEPTIC TANKS: Material Ca m c pacity 1) 2) ° �J�C� w o Proper outlet and inletrb ,�te B ffles Liquid depth to RO level Height of tank b to tabl ©K sice 24 nearest building `" O DRAINFIE Total I n of line N ber lines Trench width Y C Total treatment a a(sq. ) ei ht of dr ' field above water table U Type of filter material Soil ty E L Distance from n re dg. Tile a Perc rate min/in ° U � Depth of fill over drai ie Depth of rock over tile under the C a E c W p a. U LOCATION INSPECTION RECORD PUMPOUT RECORD SKETCH I DATE COMPLIANCE DATE GALLONS ) 9-9� IVOSa RFi -'Ifi-' NO'1"P� J � I � f32 /Uo -Ve-F-acVuG .�' $ 985 1 7-.2f-S� I 3 N3-,70 spa 1 - �VO S'u�XMIV&",�7m-,;*,o(o -30-88 Gi1�ti WgS Jusr IVSjOe /-IM4Sc_ .�cl' ; -- I 1 I Include: 1) Well location 2) Distance from house to septic tanks,dist.box, and drainfield C— CONFORMING S—SUBSTANDARD N —NONCONFORMING 3) North arrow and road