HomeMy WebLinkAbout2016-00465 - demo CITY OF ORONO * Z 0 1 6 - 0 0 4 6 5 *
' 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1220 BRACKETTS POINT RD
PIN : 11-117-23-32-0018
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTNITY : 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
BOLLIG& SONS,INC. TOTAL 76.00
11401 COLINTY ROAD 3 Payment(s)
HOPKINS,MN CREDIT CARD 6881 76.00
(952)938-4433
OWNER
HANNAFORD,JULE&ELIZABETH
1220 BRACKETTS PT RD
WAYZATA,MN 55391-
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 app►icant 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 d cause.
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App' Permitee Signature Date Issued y Si ature Date
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�' City of Orono v (� � �O CITY USE ONLY ^,
j �ON P.O.Box 66 (1/" � � Date Received:.�— ") Permit# (A ��
0 2750 Kelley Parkway �" / � �
Crystal Bay,MN 55323 V' Amount: $�� SAC Credit:
� I (952)249-4600 /1�
�� � > � 1 /' Homeowner(s)Signed: ❑Yes
�� ,�^ �� �� ResoluUons(if any)Signed:�Yes ❑None Required
�` 'r-n � �. Zonin Disclosure Si ed: Yes None R uired
'FCSHO�
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Departrnent)
Job Site/ Owner Information:
Type: esidential ❑ Commercial
Site Address: � ��C U��C����� ! ���� ���
Owner: �„�, (�� �TQ����� Mailing Address: �J��� '��'�L���t'�"� P'� �"�
c��: �/�t�y?,�1�� z�P: C���1
Phone: Email:
Contractor/Applicant Information:
Contractor/App.:
d �� Contact Person: U�a"� ��)`��
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Address I I''�J� W (� � State License#:
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City: p� �`�J Zip: �� �, Expiration Date:
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Phone: "ISd"I��.'������� Email:�U)�I���1 ���'1.5 � rrlSn��y�
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.
Demotition by means of: ❑ Manual Disassembly ,�Heavy Equipment ❑Other
Permit(s)Issued:�Sewer Disconnec6on ❑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. 5ubmit 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
icn�vn
4. Submrt a�2.500 escrow and an esc.�ow aareement s�aned bv the�rocertv owne�(coov attachedl.
5. lceeo an sffucturelsl enaosea anaror securea unm sucn itme as Cfemalt�on ts oomo�ete.
8. Keeo ali demolitfon debris off adioinina orooertv andlo� the oubiic riahts-of wav untess soecfic onor
ao�roval is abtamed rn writ+na for temoorarv use mereoi
7 Comoletelv remove toundaUonlsl from the arounc.
8. Comoletelv disoose of all demolfion c7ebns ott site m accordance v+nth all aoobcable PCA reouirements.
9. Abandon water welis in accordance with State Ftealth Deoartrnent reoulations.
10. Call for en ins�ect�on when ell deDns has been removed. before badcfilhno.
1�. 1Nrthin 5 woricirxl davs o/suoerstructure removsl. a 6nal insoection shall be reouested. The site shafl be
left clean and dear of aU debris. with anv excavation filted with earth level v�nth the adiacent around
elevation (excent when such excavation is to be used as oart of a new buildina and such new buildina Es
actualrv under construction l
12_ Abandon sentic svstems oer Minnesota Rules Chaoter 7080. All seotic tanks must be oumoed. crusned
and filled with native soils. An insvection is reouired aRer the tanks are numoed and before the tanks ate
crushed and fi+ied.
13. The undersianecf owner shati and herebv dces indemnifv and hdd hannless the Citv of Orono. its aoe�ts.
emplovees and asstqns from and aqainst al1 cla�ms, dama4les, losses or expenses, indudin� attomey
rees, aaamst the CiN, iis aqents, emplovees ano assqns anstr►q out ot o► resuttlna irom the demdition
descnbed herein as oerformed bv the oroneM owner, h1s emdovees.aae�ts.subcontractors or ass�ons
PERMtT TYPE AND FEE CALCtlLATION
1 ':f�.
j,��r�.uu— rnncipa� �uucwre � � -� � -
n n i,
U $50.00)—Accessory 5tructure x�,�(how many) v� �`�
;� „�
?. Subtotal of above c�ermit requested $ / � ; ""
2. State Surcharoe 1.00
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'�. TOTAL PERMIT FEE tadd lines 1-2 abovel �, ._. / 0 ► �/U _ _
The undersioned herbv aoolies to the Citv of O�ono for issuance of a Demolition Permit, aarees to do
all the work in a strict accordance with the ordinances of the Citv and the reauiat�ons of the State of
Minnesota. and cert�es that atl statements made on th�s a�bl�cation are oomolete.true and oorrecz
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Aoplicant's Signature: �/���� '� � Date: ` � �
Owner's 3ignature: � �`� y " �,� �� � �aie: _�-� � �✓
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Approve�B�y: _ � uate �
�3uilding Ofticial) , �
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'Zoning Dlsclasure Required? �] YES �NO �a'�u
'This must be filfed out by Zoni g ent—For either wer, a Zoning icial must sign all applications.
' Approved By_ Date: ��/�
i Zoninq Official i
Form tasf Uodated: Julv 2015
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, _ ,.__ 181826 ,`
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� FIRST MINNETONKA CITY BANKS
RE11V��:��F�;RHCi�:E:7'T�� �'f�ITN7 �-'�'-••-� � Minna�onka M���azoia
������' Glen lake Statlon:(952)935-8663•Coun�ry Village�.(952)935-5995
I�A� �QLl�T�= -. �:�FJ:' a�;����,�l t, �i
: ' �s-�aasisio ��
����' DATE 208401 �z �!
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4�:`� PAY TO THE $:#:�::�::#: i,IT'v i�t�' i>>�'ut+lU�:�:#::#:�:��:�::*:�:�:*:*�:��:�::*:#:�:�::#::#��:�:�:�::#::�::#::#: I ����:•.�,Sii+��.GU�:*:#:
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ORDER OF
:*�:�Ttti��i i�Hi�liL.�paG FI':�E NUt�1t?F�EC, o.r�� i iQrr1U�.'1�:�:�1_I�C+��i 1 Kr,
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�S THIS DOCUMENT HAS A MICRO-PRINT SIGNATURE LINE,WATERMARK AND A T"'^"""""""' " `� �'"-' ��'--- � �
7; I / _
City of Orono . � ��.�..._.
, City of Or�no 2750 Kell�ey Parkway _��_!�
� Orono MN 55356 952-249-4600 '��
2750 Kelley Parkwav �
,�,���r Orono MN 55356 952-249-4600 �"�' " Receipt No: 3.015488 May 2, 2016 �
Receipt No: 3.U15491 May 2, 2016
Bollig & Sons
Bollig & Sons Previous Balance: .00
Previous Balance: .00 Permits
2016-00466 1220 2,500.00
Permits bracketts point rd
Voids receipt - 3.015488 2,500.G0- �01-22205
101-22205 Deferred Rev-Developer Deposit
Deferred Rev-Developer Deposit
--------------- ---------------
Total:
2.500.00- Total: 2,500.00
______________
Check
Check Check No: 181826 2,500.00
Check No: 181826 2,500.00-
Payor:
Payor: Bollig & Sons
Voids receipt - 3.015488 Total Applied: 2,500.00
Total Applietl: 2,500.00-
---------------
---------------
Change Tendered: .00 Change Tendered: _--V4___`_-.00-
Duplicate Copy 05/02/2016 12:56PM
05/02/2016 01:18PM
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DEMOLITION PERMIT I�a� b������� r��yfi tt�
ESCROW AGREEMENT
AGREEMENT made this�_day of � �i U Y 20�, by and between the CITY OF ORONO. a
Minnesota municipal corporation("Cit}r)a�t�l P � RP Gv HannafotfdlwnB(5).
f(8G C� ,:
� An applicatwn for a demolrt�on perm�t has Ueen filed for j�rll�"tUt v IOCated at
j � ��� 011 F ('Sub)eCt Ptopert�/') 1eg211y desCnbed as
�h�lt �Femfi tiol►IQ.
2. In coniunction with the demoifion, eros�on control measures are reauired as shown on attached
Exhibii"g
NOW.i?iEREOFRE.THE PARTIES AGREE A3 FOLIOWS:
;. OEPOSIT OF E8CROW FUNDS. Contemporaneouslv wrth the execution ot this Esaow Aaoeement.
the Owners st►aU deposit 52,500 with the City. AN accnied iMerest. 'rf any, shal! be paid to the City to reimburse the
Gin ior its oosi in aamin�stenna the escrow account
2. PURPOSE OF ESCROW. The ouroose of tAe escrow is to ouarantee re�mbursement te the Crtv tor
ali out�f-pockat costs(�nduding plannmg,engineenng,or legal consultant review)the Crty has i�curred to assure that
the erosion contrd measures are installed and maintained so the propeRy complies with 1he pravisions of Orono Cky
Code Chaoter 79. The fitlanaal security mey atso be used by the City to eliminate any hazardous cond+Uons
assoc�ated wfth the worlc arW to rePa�r any damage to publ�c property or inTt-esVucture that+s caused by the work. tf
compl�a�ce wiU�the approved land Dlsturbance Pertnit is not accomplfshed within the allowable time period,the Gry
may bnng the pro�ed into compllance by use of the securrty
3. RIGHT OF EHTRY. The Owners hereby grant the City, its agents, employees, afficers ana
convactors the rtght to enter the property to peKortn all work and inspections deemed appropnate by the CAy tn
oonjunc6on with the required erosion conVd measures,inGuding but not timited to conetnicbng or oornpiehng any and
ali of the agreed upon improvernents shoutd the Owners' oo�tractor �ot compfete those improvemenfs by the date
soecmea nerem
3. MONTHLY BILLING. As the Citv receives oonsultant biNs for incurred costs. the Gitv wiU in tum
send a bitl to the Owners. Owners shaN be resDonsible for payment to the City within 3Q days af the Owners' rece+pt
Oi DHI.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the OMmers do not make oavment
to[he C+ty withln the 6meframe outfined in#3 above.shalt issue a Stop Work Order unril tl�e Owne�s pay all expenses
invoiced vursuant to #3. The Ci1y may draw from the escrow account without furtfier apaoval of the Owners to
reimburse the City tor eligible expenses the C+ty has�ncurretl
5. CLOSING ESCROW. Any remaininy amount of the flnanaal securitv deposrted with the CRv fo�
faithful oerformance of the plans and specifications ar� any related remedial work will be released after tne
complecion and inscection of aB such measures arW the establishment of final stab�lization for the Subjeet Property
City Staff shaM review the tertns of this escmw agreemeni Mro times per year to determlrte whether the requiriements
of the project heve been successfuNy c:ompleted and whe;her iE is approp�ate to retum the funds. Owner may a�so
reuuest the release of the funds, and sucA iunds shall be released upon Crty Steff receiving the eppropnate
ver�fication that all requirements of tF+e pro,iect have been suocessiuNy compfeted.
6_ CERTIFY UNPAIO CHARGE3. Ii the proiect is abandoned by Owners, or 'rf ifie eliqibte expenses
irtcuRed by the City exceed the amount in escrow, the City shatl have the nght to ce►tify the unpaid balance to the
sub�ect properly pursuant to Mmn. Stat.§§415.01 and 368.0't2
CITY: CtT7 OF ORONO OWNERS:
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i letere�!Use Osly: o ON�1wl to FiRaoce Dep�rYneent o copy to saeet flk
�12/2p1g No addtional permit required for t�rdown:1220 Bracketts Pant Rd,Orono
� � '`'� Reply � �' ;��; Delete Junk � � ••• �
No additional permit required for teardown: 1220
Bracketts Point Rd, Orono
Terrence Chastan-Davis � Reply � �
�� �-s ��,
You; 'Melanie Curtis' (MCurtis@ci.orono.mn.us); Christine Mattson (Orono �
16 E3LAIR
Photos
�'7 Evernote �
Good morning,
The MCWD will not require an additional permit for the demolition of the current home at 1220 Bracketts
Point Rd.The proposed project has already been issued a permit for Erosion Control under permit number
16-138.
Please feel free to contact me if you have any questions or concerns.
Thank you,
Terrence Chastan-Davis
District Representative
Minnehaha Creek Watershed District
, �
952-641-4581
-�.
A41NN�HAF��4 CR�EK
WATERSHE� DISTR�CT
� �� �
/ ��� L1AIF ___ TIME
CITY OF ORONO CALLED IN -��^. ��
INSPECTION TIC� `�., SCHEDULED � I1—�L�
PERMIT NO. ��"�U OMPLETED
ADDRESS � D
OWNER T PHONE NC�Z-�! ��7��
CONTRACTOR � , b
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSP TION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED ALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �lEINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �'R6df6T COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White CopyAnspector's File Canary CopyfSite Notice