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Home My WebLink About2015-00163 (demo) CITY OF ORONO * 2 0 1 5 - 0 0 1 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: OS/14/2015 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4565 BAYSIDE RD pi� : 06-117-23-21-0010 LEGAL DESC : BAYSIDE BERRY FARM : LOT 2 BLOCK 1 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: DEMO PRMCIPAL STRUCTURE AND POOL 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. RELOCATION TO 4555 BAYSIDE RD SEPTIC AREA-NO SAC DUE APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 5.00 DENALI CUSTOM HOMES, INC. DEMOLITION-ACCESSORY STRUCTURE 50.00 18283 MINNETONKA BLVD. TOTAL 130.00 DEEPHAVEN,MN 55391- (952)476-2679 Payment(s) Minnesota State License#: BUIL-20175394 CHECK 11300 80.00 CHECK 11507 50.00 OWNER DOUBECK,TIM&MARY 4565 BAYSIDE RD MAPLE PLAIN, MN 55359- 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 goveming 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 w th the State Building Code.This permit may be � revoked at any time for due; use. � _� `_�,.,., ------ ,py', i�(� 1.��.�.-�_� 5 �l �l � IS Ap t i e Sign ture Date Issued By Signature Date �O ` City of Orono FOR CITl'USE ONLY l�/ P.O.Box 66 Da[e Received: 2.•�15 Permit# 2��7 '�� 2750 Kelley Parkway �/,� Crystal Bay,MN 55323 Amount: $�...�J.�SAC Credit:N��." (952)249-4600 � � y ,� Homeowner(s)Signed: ❑Yes E' �,� Resolutions(if any)Signed:❑Yes ❑None Required !�'�f S H�� Zonin 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) Job Site / Owner Information: RECENED APR 10 2015 Type: (� Residential ❑ Commercial C�-�pF ORONO Site Address: 4565 Bayside Road, Orono, MN Owner: Tim and Mary Doubek Mailing Address: 17046 Valley Road �;�y: Eden Prairie Z;p; 55347 Phone: Tim's Cell Phone: (612)801 .3076 Email: tjdoubek�gmail.com Contractor/Applicant Information: Contractor/App.: Denali Custom Homes Inc. Contact Person: Joe Mailhot Address: 18352 Minnetonka Blvd State License#: BC175394 City: Deephaven Zip: 55391 Expiration Date: 03/31/2017 Office - (952)476.2679 Phone: Joe's Cell - (763)452.8347 Email: Joem@denalicustomhomes.com SPECIAL CONDITIONS & HOLD 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. 4. Sewer mus# 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: ' ❑ Well Abandonment# Pending Septic System 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 (MGWD). 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. ;�� City of Orono y FOR i��rti �se c�h[.y� P.O.Box 66 I3ew R�c��i _�fG�-S i'��nnst tt 2fj��lfc /� e `./ 2750 Kelicy Parkway � � Ctystai Bay.MN 55323 Amuunt 5--�� At'C rc.1�� .j�t� -- � � (952j 249-4600 ; �, � , � N�-�mc�,µnez� �Si��r:j ❑`t'es � Rex�hitu�as f si's�rM��1 S�paxd ❑'1'�, ❑ti��ne Reyz�.re# �'��;�j� ��' �,t�� txenm Ih�.t,iwe5a ti"es ticnu;tte�wred `-7�' ��`-��li��" C �� CITY OF ORON� - DEMOLITION PERMtT =r��--,' j �� ,� :� (AN permits mus2 be 8pproveQ tsy?he Budrfing;Jfftaat andro�Zun«r�rpartr�rnt'= -' �.._____.._�_— �1�.0� b �'�J`�mi� (, Job Site / Owner Information: � Type: (� Residential ❑ Commerciai Site Address t-;c:.� c� ��._��r�,�. ��}� C �- �`�= '` ' �-��1��%`l � _ '�,�- _ Owner: i ,�. -� ��;4 7 r -, }�-?� Maifing Address: � �C��fc:� �:''��,; :�{'�.�� City: t_��r� E r�_e� � ?rp: �,��:;;-t t Phane:,��`�;� :� ,1 :��:, t - '(r� �G- EmaiL +._T(c,.�:�:��:�_�s��.,�:_ r'r�v,-. _._.__ � . Coniractor 1 Applicant InformatEon: ___-,---_ _ _ _ Contra�tor/App : :� .��:,,,,_ i, C�,��r��-. 4�c,�«f S Contact Person: ;;�f � ._-. t,��'-�� Address: [��`�x r'�..�.��.K� �:,,z� State Lioense#_ �x 4"�°�'�`;`t , City: �,��-�.�,�„ Zip. ��'. �� I Expiration Date- :3��?i ��r;� '� -. Phone: [`t��,� :�,,�t'. �;c;�1 ? Email: h�-, ,.-�. ,��:=.�t��4`t . .�e,,��,,-��, �c�, SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT Generaf Instructions: 1. You may be required to obtain other permits, i.e.: well abandanment, sewer, etc. 2. Work must not begin un{ess the permit card is available an the job site. 3. A 24-48 haur notice is required for al! inspedions. Cali (952) 249-4600. 4. Sewer must be discantinued at the City service by qualified cantrador before demo permit is �"'� issued. w\O�,d �� \" D( Demolition by means of� (�Manua! Disassembiy � Heavy Equipment �Other �sr I;•. �'� <. - �ermit(s) Issued: ❑ Sewer Discannection ❑ We�l Abandonment# �� °� �.5, f�� !n return for issuance of said Demolition Permit, the undersigned owner hereby a ees to: 1 Submri a survey, aerial photo or sketch showing alf structures on the property. Note which siructures are to be demofished. 2. Submit a survey, aerial photo or sketch shawing proposed erosion control measures in accordance with Chapter 79, Construction �rte Runotf Confral. 3. Submit a copy of permit appravaf from the Minnehaha Creek Wafershed District {MCWD). The City will not issue a demolilian perm�t without a capy of the permit(s} from the MCWD ar documentation stating permit(s} are not required. , 4 Submit a $2,500 escrow and an escrow agreement signed by the property owner. � Keep aN structure{s} endosed andtar secured until such time as demolition rs complete. � 6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior approvai is obtaineci in writing for temporary use thereof. 7. CompMetely remove foundation(s) from the ground. 8. Completely dispose of aIl demolitian debns c►ff site in accordance with afl applicable PCA requirements. 9. Abandon water wells in accordance v�rith State Healih Department regulations. 10. Call for an inspectian when all debns has been removed, before laackfiliing. 11 Within 5 working days of superslrur,ture removai, a finaf inspection shall be requested. The site shal{ be ieft clean and Uear af all debris, wfth any excavation filled with earth ievei with the adjacent ground elevation (except when such excavation is ta be used as part of a new building and such new building is acivally under canstrudion?. 12. Abandan septic systems per Minnesoia Rules Chapter 7080. A!I septic tanks must be pumped, crushed and fifled with native soils. An inspectian is required after the tanks are pumped and before the tanks are crushed and fii{ed. 13. The undersigned owner shaf! and hereby does irtdernrnfy and hold harmfess the City of Orono, its agents, empioyees and assigns fram and against a!! claims, damages, fosses or expenses, including attarney fees, against the Gity, its agents, employees and assigns arising out af or resulting from the demolition described herein as performed by the property awner. his emp4oyees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATIUN � �75.40 - Principal Structu�e � >? �' � � '`� �50 00 -Accessory Structure x � (how many ,�p� �.� � � Subtotal of above permit requested $ 2. State Surcharge 5.00 3 TOTAL PERMtT FEE (add lines 1-2 abavej � The undersigned herby applies to the City of Orono for issuance af a Demolition Permit, agrees to da al! the work +n a strict accordance with the ordinances of the City and the regulatians of the State of A/lir:nesote. and cert+#ies that a!I statements made on this application are complete, true and carrect , , .s.-_�_.�--�-._`__-;�� " Applicant's Signatur� � . ..— _ Date: �{�_f _ /,,, Owner's Signature: �J�1 � � te Z"� C�r � � � Approved ey: Date 2 ^ 9 - t� ( ilding Jfficial> " Zoning Disclosure Required? ;_,; YES ;NO "This must be filled out by Zan�ng Department - r eith er a Zor;ng Off�cFai rnust sign a€# app��cations ' ApProved By: Da+e (Zoning fficial) Christine Mattson From: Christine Mattson ' Sent: Friday, April 10, 2015 3:15 PM To: 'tjdoubek@gmail.com' Cc: 'joem@denalicustomhomes.com'; Melanie Curtis; Lyle Oman Subject: 4565 Bayside Road /#2015-00115 &#2015-00163 Attachments: Escrow Agreement- Building Permit w Erosion Control 2015-00115 & 2015-00163.pdf Good Afternoon and Happy Friday! We received an updated demolition permit application for 4565 Bayside Road. Please sign the attached updated escrow agreement combining both permit numbers and return at your earliest convenience. No additional escrow money needed at this time. If you have any questions, please don't hesitate to contact us. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway ' Orono ', MN I 55356 (physical addressJ PO Box 66 I Crystal Bay `; MN ; 55323-0066 (mailinq addressJ �° 952.249.4620 ' � 952.249.4616 � cmattson@ci.orono.mn.us �? www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, May 25, 2015 � . � � ORONO COPY � ��.. :n . .. ...y .� . . a. . _. ,. �NI S3ttlIJOSSY �d �2i3HNOH� . ,. ' ' . 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M \ � .�o�� \ \ � \ � 1��! 1 ��:: �� -1 OZO-_ \ ►+o�E �SE ti -O � � � � \ \ � LO? f � � (10 . )y�7EST ��(1023.0 �.08+; � � � � � \ JO �bt O /� \� HOLE �- Y \ � \� \\ \ � � \ �O � � � \ _��PROPOSED SILT � �J " \ \ N �� \ \� � \ `>>Q ��A\ �� AND TREE PRO—/�IOZO� � _ �"�� \ �� •� 00�� \ � ��': TECTION FENCE� �� \ \ � � � !�j �� \ � \ � s;� \ \ �� •• � � i �6+ � \ � :i — � � \ MARY `_�—' — \ � \ \^ \ \\� \\ � l�Op� ��\\ � �\ \� �o;i \ \ � PTIC a'•n PROPO�O � / \ O \ \ � °f�� s�r�c EXISTIIV� � E / I \ � \ \ �� ( \ \ � \ \ ^,:O'�� ANKS 10' x �h1' \ \ PROPOSED � 1'�3�. �� \ �i4 `�6+� \l�� \ \ \ �� ^ � —� � ROCK BE� �� \ 10' x 22' / � � � � \ � � � � ,;� ` \ \ \ ROCK BED � / \ N � \I \ �� \ \� \ \ \ �� \ � � \� r EXTENSION/ � � �M �� \�� \\ �\\ \�� \ ��\ \ �� \�� 1020.� � ��/ �� \ ��`9 6'� � �\� \�� ti. �� \ �� '\�� G� / / � j�\ 9��`�',--�- � -�-�--�-�-�---�`� � -� -- � - � - - -- � / / , � \ \ � � � �. � �j � � \ \ \ � � � —T �-�`' \ �\��A� � � �� \� �� \�� \� �� \ \� �� ' �9 ? \ \ o \ � � �� \ � :? � � 5 . �o � �� 1 \ �� / / /� ss �`�s � � � � � � � � � � � � :;�� / � � .�.—,�� _ � � � � ��..,� ��-�—�� \'�—'�— 1 — � ----\�— �_ //��/ //� � % � � :,� \� \�\\ � � � \ � � � � \ 1 / i / � t e ' � � � �:, x � I` s � � �`� .�r ::.. ;p�:: ;.� �,,,, ; • � �,..,.,} arn :�€ �„r �� 1... J� �T� �",��"'' � '�,� �'""""� �� ,� - .,.�. �s ,�,,� . iL� .s. �.«�'j �� "fr �::: � � � ��j` ,:.:"� K�! .....�.-e. � ��_�., :? �' •� L:� � DATE TIME v � ITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED �� !� PERMIT NO. � � COMPLETED _T ADDRESS `7 � lC� � A� �l .�� - ` OWNER TELEPH NE NO. �Lt?�Z-�I�-L�1'� CONTRACTOR � (��{ �-��• � �/r►'►� � DESCRIPTION �P'��i �� ( ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEETYOU: YES_NO , � COMMENTS: T �- � a 'Cl. ��' � � " _ � O �. L � O � W —' � Q � 2 W � W � J GW ❑WORKSATISFACTORY:PROCEED JECT COMPLEfE � ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 49-460� OwnerlConVactor on site: "�' Inspector. White Copyllnspector's Ffle Canary CopylSite otice DATE TIMfS / � CITY OF ORONO CALLED IN `� INSPECTION NOTICE � ^^ SCHEDULED ZC� / ft'�1v� PERMIT NO.� �'�� /'��COMPLETED ADDRESS ��J �n� Cjc.�--1 S 1 C�.rC' rI OWNER TELEPHONE NO��3 ��-��y7 CONTRACTOR � f � �; DESCRIPTION � � � � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ E IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO M�ET�QU:_-_ YES_NO _ � COMMENTS: EroS)b"w �or+ti✓v! /�' ��e. W C o ��v� ,pa•:�t ,lJ4 .'!s �',.b .�.. �.,,. bBl,�..o � � A'�s�'4.�C — °° - �/e<l �s 6��.1 �ro�cb� W Q � � 4S t e�BL. `i!� �t.. � �Lc�K�0 �� 2 � � O f'� �5 �G�'�-�r.�l�rt W 2 j GW ORK SATISFACTORY:PROCEED O PROJECT COMPLEfE W�69RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN �NSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Ca11 for inspection 24 hours in advance. (g52) 249-46�� Owne ontractor on site•�TO e Inspector. �-- White Copyllnspector's File Canary CopylSite Notice