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Home My WebLink About2011-01473 - demo CITY OF ORONO PERMIT NO.: 2011-01473 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 1U23/2011 `" (952) 249-4600 FAX: (952) 249-4616 AD ��ESS : 805 FOREST ARMS LA PIN : 07-117-23-12-0009 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 002 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NO"1'E: ONLY TEARING DOWN A PORTION OF THE HOME! 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 BG DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRAC7'OR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SURE Tf3IS PERMIT}IAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 GURALNIK, ALBERT& VALERIE STATE SURCHARGE DEMO 5.00 805 FOREST ARMS LA MOUND, MN 55364 TOTAL 80.00 OWNER GURALNIK,ALBERT&VALERIE 805 FOREST ARMS LA MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT 7'he work for�ihich 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 no[grant permission for additionai or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shali be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of[he 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 �JY✓ �sted in conformance wi h the State Building Code.This permit may be 'any time for d cause. �/ �z_z �zo l� �� ,�c.� , e�� / �Signature Date � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. v �� o � � . ��-G� ,��` City of Orono FOR CITY USE ONLY `r P.O.Box 66 � � Date Received: Permit# � . ��,3 2750 Kelley Parkway �d � ��, �;�. h Crystal Bay,MN 55323 Amount: $� SAC Credit: o�� (952)249-4600 ��O$y Homeowner(s)Signed: ❑Yes Resolutions(if any)Signed:❑Yes ❑None Required Zonin Disclosure Si�ned: ❑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: Type: � Residential ❑ Commercial Site Address: �� r�2��2 �S G/•, Owner: ��/,/,��(�!��/v i /� Mailing Address: �� f-��S��i2�'S �� City: �f2�/�� Zip: ,�5 �� Home Phone: 1�.�2- 3 g-� �,5 � Z� Alternate Phone: 9�Z �� .�62 G ,.� iitractor/`Applicant"Iriformation: Contractor/App.: Contact Person: Address: State License #: City: Zip: Expiration Date: Phone: Alternate Phone: �` SPECIAL CONDITIONS & I30LD HARIVILESS 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: ❑ Manual Disassembly [� Heavy Equipment ❑ Other Permit(s) Issued��ewer Disconnection ❑ Well Abandonment #�� In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: l. 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 ChapteJ� 79, Construction Site Runoff Control. Submit a $2,000 escrow and an escrow agreement signed by the property owner. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 5. 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 thereo£ ", 6. Completely remove foundation(s) from the ground. � � 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when all debris has been removed, before backfilling. 10. 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). 11. 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. 12. 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 �G�--T�o� a �� $7�.00 —Principal Structure $ -7 �, � U ❑ $50.00—Accessory Structure x (how many) 1. Subtotal of above permit requested $ 2. State Surcharge �.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ � �• n C 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 application are complete, true and correct. Applicant's Signature: Date: (� Z.3�Z�ll Owner's Signature: — Date: Z Z�I! Approved By: Date: / I - 23 -zo ) � Iding ficial) * Zoning Disclosure Required? ❑ YES �O � ��—�t( �m�� c�� S� '��'v� *This must be filled out by Zoning Department—For either a sfi wer, a Zoning Official must si�n all applications. �,Q�/W� e� * Approved By: Date: (Zoning Official) � DAT TIME v CITY OF ORONO CALIED IN a-a� �� INSPECTION NOTICE SCHEDULED o? oZ Z-/l //��7"( J PERMIT NO. �O/ ��COMPLETED `� �" ADDRESS �� ?�� OWNER S��CC�-e- TELEPHONE NO.� �k[C�� CONTRACTOR >; DESCRIPTION r � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a `l v2 '��'e C�,,os p� �+�� ;i�ss�S = � J O � � O � W � Q � Z W � W � , � d W ORK SATISFACTORY:PROCEED I l PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '-�' CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (952� 249-4600 Owner/Contracto o ' e Inspector. White opyllnspector's File Canary CopylSite Notice i . ; . . � . emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File ` Date: June 4, 2013 G/L: 101-22205 Re: Escrow Refund Demolition & Building Permit#2011-01473 and #2011-01475 pertaining to 805 Forest Arms Lane is complete. The Applicant, Albert Guralnik, has requested a refund of his $2,500 building permit escrow. We continue to hold the wetland buffer escrow until iYs in compliance. The as-built survey was reviewed by Jesse Struve. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Alb Gur i 805 F st Arms Lane nd, 55364 � � w:\street files\forest arms lane\805\escrow refund memo 2011-01473&20122-01475.doc � I ESCROW AGREEMENTS DEMOLITION PERMIT#2011-01473 BUILDING PERMIT #2011-01475 AGREEMENT made this day of � � , 20 �� , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Albert Guralnik ("Owners"). Recitals 1. A building permit application has been filed for demolition and an addition to the principal structure located at 805 Forest Arms Lane the ("Subject Property"), legally described as Lot 1, Block 2, Forest Arms, Hennepin County Minnesota. 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering and wetland determination, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and 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 (including planning, engineering, or legal consultant review) associated with demolition permit#2011-01474 and building permit#2011-01475 if compliance with the approved building permit is not accomplished. 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. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 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: ITY OF ORON OWN By: �- ; �ts: ��c� ��c�c,cr'�o� �C�� l�'a �Gr��'��z1 `�C It�rna1 Use t�nly� �; �Or►ginat to Planni�g ,\��t�Prr�pertyOwner 0 Copy to Street File - - ;, r;-.�;- �_?��. ,`r F. _�i'�.i i..._r 4*,�� . ., ;� �J�. � . rf:i. a�.��...,, :ii;: ...C:i�i. f•:C, -'� - ti.l. ,....�i.1 ...t...� . +�.��.i t�._.,.i�_o. aCi� '_ '- ... 4. __ •!'. �E.+.i :'C.' ..i'ii:� __ ' .. -��j. �y�,.'��. r: ' .;�n cit''?*-.s�.i r.a,-!:'�`,�:.��4� !.'�'-' ' -�': .,�i:..- ._ .:�.., _t,"'..y �..a... uC}�` °v""ax;l... v�. '+L;._>,3,�'� -..�. ... - :.�+.'i�= IC'�;�:?'�+_, _"_._..."_'.....__...__=_._ __,�r','�`�i.._ ....�JF',ti'.-=.,_c_�-,..=__ � ' CITY OF ORONO PERMIT NO.: 2011-01485 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 805 FOREST ARMS LA PIN : 07-]17-23-12-0009 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 002 PERMIT TYPE : ESCROW FEE-T1ED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: THIS$500 ESCROW IS ADDITIONAL TO THE ORtGINAL$2000 ESCROW AND TIED TO DEMO PERMIT#2011-01473 AND BUILIDNG PERMIT-#20 1 1-01 475 APPLICANT ESCROW FEE-BUILDING 500.00 GURALNIK,ALBERT& VALERIE TOTAL 500.00 805 FOREST ARMS LA MOUND, MN 55364- OWNER GURALNIK, ALBERT&VALERIE 805 FOREST ARMS LA MOLIND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail be performed according[o 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 afrer 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 Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � CITY OF ORONO PERMIT NO.: 2011-01476 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 1 v23/2011 952 249-4600 FAX: 9�2 249-4616 ADDRESS : 805 FOREST ARMS LA PIN : 07-117-23-12-0009 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 002 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: ESCROW FOR DEMO PERMIT#2011-01473-PD CK#3137 ON 1 U23/11 BY:ALBERT GURALNIK APPLICANT ESCROW FEE-BUILDING 2,000.00 GURALNIK,ALBERT&VALERIE TOTAL 2,000.00 805 FOREST ARMS LA MOLJND, MN 55364 OWNER GURALNIK,ALBERT&VALERIE 805 FOREST ARMS LA MOLJND, MN 55364 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 additionaf 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 a[any time after work has commenced. The applicant is responsible fo suring all required inspections are requested in conformance the State Building Code.This permit may be � revoked a �time fo ausa l/ iZ3 iZo// cYi" `��c / ��-z3 -1 Appl cant Pe ' ee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. C:}„ { 'vl y �J �i'�Yf:� �'i:li% �`i: =V `'dY'''t,5id'r i�t"�fIV �}`•i .,'�- ' f�-:_-� -��, ..��JC� �sIC �=i`-'t"1'G�Js_ � tieceip: iV;�� .tltl�l�`�� h;_3v ?�. �:1i. i;i�E'i'� +:.'i1'"a:.Yi'_f. �i��,,�;-:_L :i�:dl'iw�� ,iii; �'�T`R7 i i=. ?`1 i i-� t�-• r, " j�;�s;, ..�.. U1��; �'.•u '1t'��: . .��) l��t'�u� ..it -• {r.� - �,f�� 1V_- �LVJ ��tor+.+av �{�':-.liclfai�lr.a.' ' .. L`��'��a' i L ad:: '•,�;n('.:�Ci i.i'��G�'. � �i�BCR. P�`;;: �;;;' ' i'I,%`v',iJC' �-'a��Ji�� , i �i:G�?'i f�il�'u%Y�l�: �i��Ldi fi�Lii�C� i.Ul��„v�� r• l,�(u.'I�� ?�fIJF*'�:;. �i�{� f�='�_;ay �;•;j��_____.___--- :L1�.., .. 1. i � Christine Mattson From: Albert Guralnik [aguralnik@gmail.com] Sent: Wednesday, June 05, 2013 1:08 PM To: Christine Mattson Subject: Re: Building Permit Escrow Refund Please send mail to 12000 county rd 11, Burnsville mn 55337. Alternatively I am more than happy to pick it up from the office. In fact if you do not mind I prefer to get it in person. Thank you Albert On Jun 5, 2013 11:22 AM, "Christine Mattson" <CMattson(a�ci.orono.mn.us> wrote: Hi Albert, I am preparing the building permit escrow refund request and need to know the address of where I should mail the check. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical address) PO Box 66 Crystal Bay MN 55323-0066 (mailing address) � 952.249.4620 g 952.249.4616 � cmattsonna ci.orono.mn.us �J www.ci.orono.mn.us i r � g "� � �... ��.. � �� ` , .�. . � ., ��x�c . ��t�t ' .�J;;- ,� _ . ,.,.�;.,. ..... .. .. ., ..�.' .d� :: :�H.;:.� S'P'�.. � !� � `__._.."__.��.A. _��_�_� _ ., . � � �- ' _- : - � , '�.. j� �� i I .❑�.', ( + B -o� o � , — - � Gi, :❑� ''''''"""��''''��'"� u., - i_ � v.: - � � o ` " `. 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GerreraA� Fe�e�s �nsp�ecti�ons�8} � N�otes� ARpl�nt D�tail� CD[let��E� �'�� a Seq InspectionType Inspector Date Stat� H Fee Rec i ► - � �� 2 'FoundationSurvey614FramingChfiAT ,1l3�12012 ;P Y '0 _ - ----�-- -- - _._ . �3 PouredV4'all ;W'GIB 1Z,'Z3,'2Q11 ;P Y 0 ' __ _ ,_. . , � _. ; �4 _ Framing ' ' �5 �Insu�lation �WGIB 3fT1'2Q12 _,p ,Y ,� _ j _ _ . ____.___. . , . __ _ __ _ � _, r . � a�-Bu��ilt Su!rrey JSTR 5tZ8J2013 P Y U ; I �� -- - - �. . 7 Final _ WGIB �6J1212012 F Y aQ � _ _ _ __ , __ _._._. �8 �Final REINSPEGTIOM1J 'LOh,�A 1U112J2012 ;P ;Y ;Q 4 � __ _ _____-__1 , i �. �� --� aaa M� o��t� —