HomeMy WebLinkAbout2009-00543 - land alteration � CITY OF ORONO PERMIT NO.: 2009-00543
2750 KELLEY PARKWAY
ORONO, MN 55356- nATE ISSUEn: 08/3U2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2933 CASCO POINT RD
PIN : 20-117-23-31-0048
LEGAL DESC : SPRING PARK
: LOT 094 BLOCK 000
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTG: LAND ALTERATION PERMIT-0-500 CUBIC YARDS
APPLICANT LAND ALTERATION 50.00
AMEC GEOMETRIX MISC FEE 0.00
14525 HIGHWAY 7
STE 104 TOTAL 50.00
MINNETONKA, MN 55345-
(952)935-1010
OWNER
FARWELL, HEATH&JULIE
2933 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved pians and specifications,applicable City approvals,and the
State Building Code. This permit is for only thc 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 atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may bc
revoked at any time for due cause.
/ / �'la'/ lO
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQU[RED FOR WORK HER THAN DESCRIBED ABOVE.
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' � ` ��� City of Orono FOR�I�ONLY
� Q P.O.Box 66 Date Received: � ermit#p�0(��_ ��
�1 2750 Kelley Parkway
� ���t�;�> � Crystal Bay,MN 55323 Amount: $ �J'd.� C.U.P Filed:
�' "��„r�?��y�` (952)249-4600 �� �
��KO$ Approved By: •r� U • Site Plan:
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Recommends: A roval Deniat ❑
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the f3uilding Official and/or Zoning Department)
Job Site/Owner Information:
Site Address: � �"/ � 3 � u St� e o/n f �.o � �
Owner: �/t� �ti �a r i.,w r // Mailing Address: �� ,5�,�f'l� —1;� S�.
$ J: 'fc zlSv�
City: /�.�,�� �� �� f,`3 Zip: S S �oZ
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Home Phone: l� / Z 9� `/ / s� / 3 Alternate Phone: �1 S"z �/3 S� Iv/G
Contractor�/Applicant InformaCion: �
Contractor/App.: ,��vl t c �t,w � c �r.� Contact Person: �a r X �� ��- ��r
l y s z 5" /�,'� h �-4 y �
Address: S�.-�!-� i v y State License#: /�/,q
City: �'1�`�� t �v n/�u Zip: �s 3 y S�� Expiration Date: il//�
Phone: q �� �% 3 S� /vlv Alternate Phone: � -,�°' Z � � y 3 7�/�
TYPES OF USER DEFINED PERMITS
❑ Stairwav to Lake ❑ Retainin�Walls ❑ Temporary Trailer
General-User Defined Surcharge General-User Defined Surcharge General-User Detined
* (Per UBC) * (Per UBC) * $30.00
*Estimated Cost: $ *Estimated Cost: $
❑ Docks—One Time(rron-�ke M�ka) �Land Alteration ❑ Zoning Review
General-User Defined Surcharge e ral-User Defined General-User Defined
❑ Commercial—(Per UBC) �0-500 Cubic Yards *For 0-75'Zone-$30.00
* Estimated Cost: $ $50.00(Needs Site Plan)
Gencral—User Detined ❑ 501+CUb1C Y1T'C1S
❑ Residential- $30.00 $50.00(Needs C.U.P.)
❑ Tree Removal
General-User Defined
*Within 0-75' -$30.00
I herby apply for a User Defined Permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the Ordinances and Codes of the City and with the State
Building Code;that I understand this is not a permit and work is not to start without a permit;and that the work
will be in accordance with the approved plan.
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Applicant Date
(Uea Ae6ried Peccmt OS/08/09)
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Certificate of Fact
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I,Mazk Ritchie, Secretary of State of Minnesota, keeper of the Great Seal of the State
�,. � and custodian of the documents pertaining to the businesses governed by the laws of this ;;,;
State, do hereby certify that: Information Listed below is Current with our office. ,�
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'�-- Name: AMEC GEOMATRIX, INC. .�;,
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File Number: 121354
�� State of Incorporation: CA
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�:` Registered Agent& Office: CT Cor�oration System Inc. � ,�
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`�'' This certificate has been issued on: January 23, 2009 ��
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August 27, 2009
Project 15172.000.0
Mr. Lyle Oman
Building Official R�L'��V
2750 Kelley Parkway F�
Orono, MN 55323 ��G 1,�00
C/�, 9
Subject: Permit Application for land Alteration OFOR
�NO
Dear Mr. Oman
Good Afternoon Lyle, our client (Heath and Julie Farwell) purchased the property at 2933 Casco
Point Road, in Orono. The had Shane homes and Kevitt Excavating demolish the house in May
of this year and while excavating for the foundation of the new house found soils impacted with
petroleum products. The source of the petroleum is a former fuel oil tank that was removed
sometime in the mid 1970's. AMEC Geomatrix was consulted to deal with the impacted soils,
and has received approval from the Minnesota Pollution Control Agency to excavate and
dispose of these soils at a landfill. In accordance with City ordinance I am submitting the
general permit for land alteration. Please find enclosed the permit and drawing plans showing
the planned excavation area. WE plan to dig to approximately 10 feet below the current grade,
and then backfill with select granular materials to a geotechnical suitable condition as
determined by Braun Intertec. We would like to start excavating early next week (August 31St)
If at all possible so we do not delay the house construction any longer especially since it is
getting close to the end of the construction season. We plan to excavate and remove
approximately 100 - 125 yards of impacted soils, and replaced those with clean sand backfill.
Sincerely yours,
AMEC Geomatrix, Inc.
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Mark Keefer, P.G.
Project Hydrogeologist �
Direct Tel.: 952 935 1010
Direct Fax: 952 935 1254
E-mail: mark.keefer@amec.com
AMEC Geomatrix, Inc.
14525 Highway 7,Suite 104
Minnetonka, Minnesota
USA 55345-3736
Tel (952)935-1010
Fax (952)935-1254 ` ' �
www.amecgeomatrixi nc.com
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CITY OF ORONO CALLED IN ` ��7�
INSPECTION NOTI E �,�� SCHEDULED ��`�
PERMIT NO.ar�,�-oa.�r3 COMPLETED << �
ADDRESS a l�3 CL�S G� If'� � /�'_
OWNER CONTR.��f�r'_—�O��fYY�,(
TELEPHONE NO. ��� �L�����0�7 ��� S�
� DESCRIPTION_��`l'��-C. —' ��� �`1"��
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �1 WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 2Q9-4600
Owner/Contractor on
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
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