HomeMy WebLinkAbout2016-01444 - demo • ' CITY OF ORONO * 2 0 1 6 - 0 1 4 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: 1ll2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3295 CRYSTAL BAY RD
P11V : 17-117-23-41-0013
LEGAL DESC : TOWNS(TE OF LANGDON PARK
: LOT 002 BLOCK 002
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE:
l. 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 SURG THIS PERMIT HAS BEEN PULLED BEFORE ISSUING TI{IS PERMIT.
SEWER DISCONNECT PERMIT#2016-01426,NO WELL.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
SCHERBER COMPANY, LLC TOTAL 76.00
20160 75TH LANE N
CORCORAN,MN 55340- Payment(s)
CHECK 17577 76.00
(763)497-1100
OWNER
BLASKO,GREG
3295 CRYSTAL BAY RD
WAYZATA, MN 55391-
AGREEMENT AIVD SWORN STATEMENT
'fhe 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 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 after 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. .
D � �`�� l� � Z 1 , /� (�
App ' a ermitee Signature Date Issued By S ature Date
O City of Orono FO[t CITY USE ONLY
g- � P.O. Box 66 Date Received: —�� Permit# �� � � � y y�•
� 2750 Kelley Parkway
Crystal Bay, MN 55323 Amount: $� SAC Credit:
(952)249-4600
,' ,` ��� Homeowner(s)Signed: ❑Yes
y� � �l� Resolutions(if any)Signed:❑Yes ❑None Required
G
��KES H��� ��� Zonin Disclosure Si ed: ❑Yes ❑None Re u'ued
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building O�cial and/or Zoning Department)
Job Site I Owner Information:
Type: �,Residential ❑ Commercial
Site Addres� �-y� L ' �
Owner: ` f� � Mailing Address:
� �
City: ` Zip:
Phone: Email:
Contractor/Applicant Information:
4
Contractor/App.: A��(✓L�(.'+-�►i �u � Contact Person: �f ��"`'�'—�'�Y,r�"
Address: �/�o� 7� L�_ v'" State License#:
�
City: �—�'` � �--t--�Zip: � Expiration Date:
Phone: l.�l� -������� Email:
SPE�IAL CONDITIONS & HOLD HARMLESS AGREEM:ENT
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: [�Sewer Disconnection ❑Well Abandonment#�� ��C I
�����1�f a���, o�����
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 (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 (n ' �
150784 `,�,�
4. Submit a $2,500 escrow and an escrow agreement signed by the property owner(copy attached).
5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
6. 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 thereof.
7. Completely remove foundation(s) from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. 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).
12. 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.
13. 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 � 1
, �� C�(./
$75.00 - Principal Structure $
❑ $50.00 —Accessory Structure x (how many)
1. Subtotal of above permit requested $
2. State Surcharge 1.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $
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: // -(v�` G�
Owner's Signature: L� � Date: �/'�(� �(`,
Approved By: Date: � ��
( uilding Official)
* Zoning Disclosure Required? ❑ YES (� NO � �� ���j
"This must be filled out by Zoning Department- For eit4�ier answer, a Zoning fficiaTmust sign all applications.
* Approved By: Date:
(Zoning Official)
Form Last Updated: July 2015
150784
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MINNEHAHA CREEK � WATEItSHED DISTRICT
QUALITY OF WATER ""`_ QUALITY OF LIFE
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of stafements and information
contained in the permit application, correspondence, plans, maps, and all other supporting data
submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY
GRANTED to the applicant named below for use and development of land in the Minnehaha
Creek Watershed District.
�KJ — (��'���/►►lY
Issued to: Greq Blasko & Whitney Windmiller Permit No; 16-547
Location: 3295 Crystal Bav�Road Orono
Purpose: Erosion Control- Sinqle Famiiy Home
Date of Issuance: 10/5/2016 Date of Ex iration: 10/5/2017
,
By O�- er o t�ie Board of�/iana�ers
� � ti
' �`,� ,`i
� ��-i� \ A � � � �
Rachel Wdrkin U�
Permitting Technician
This permit is not transferable without District approval, and is valid ta the date of expiration. No
activity is authorized beyond the expiration date. If the permittee requir s more time to complete
the project, an application for renewal of the permit must be received b�i the District at least 30
days before expiration.
The appficant is responsible for compliance with all District Rules and for the action of their
representatives, contractors, and employees.
Conditions: Project to be compieted as described in pians submitted to the
MCWD office on September 14th, 2016 according to the provisions of this permit.
� Properly install and maintain all required erosion control measures until the
disturbed areas are re-stabilized
� Notify MCWD in writing upon compieting installation of perimeter and
sedimentation controls
• When the site is re-stabilized and the MCWD staff has performed a finai
inspection, ali perimeter control must be removed
(Statement concerning fees for inspections, violations, etc... on following page)
We collaborate with public and private partners to protect and improve land and water for current and future generations.
:.:...............................:...................................................................................................................................................
�
�
1 ,,. �
��.r��IT No. �
3 `'� • -
ISSUED TO: � G►�S � / �1 � � � �
FOR; �rit> Si a y-, . •
•�r S � 0
LQCATED AT; Z� � �
By The Board of Managers t�f the
MINNEHAHA +�REEK WATER�H�D UISTRICT
15320 MI1'�NET I�KA BLVD., MINNET(JNKA, MN 55345
952.471.0590
(} ..�..
Si nature: Title: T� ` i ' `
g �
PERMIT EXPIRATION DATE: � '.'� �
POST C4I'�1SPICLTOUSL'� AT PRC�JECT SITE FO►R I'R4JECT DURATIQN
QR A MINIMUM QF 10 DAYS
DATE TIME
✓
CITY OF ORONO CALLED IN
INSPECTION N TI E ry SCHEDULED ��a'��/L ��d
PERMIT NO. �' COMPLETED
ADDRESS �a�S Cn�S�tL .�� /��
OWNER TELEPHONE NO.��a '�&a ' 7yd3
CONTRACTOR SG���'��✓ �'�-s�- � 'ry
� DESCRIPTION �r� ��� �J4 ��� 't�✓4
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ ME�HANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01MNERlCONTMCTOR TO MEET YiOU:_YES_NO
c�i, COMMENTS:
�
� - sG1��r �F-- hJ�-b��/ -� �isco.c�Le���
O —��S � �?le c?�f(,L - �`5�G �l�Nc_�G
�.
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W
�
Q
2 �� � ��
W
�
W
�
j
W T�ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
�
W rO CORRECT WORK S PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call ror the next inspection 24 hours in advance. (952) 249-46�0
OMrner/Contractor on site:
Inspector: � ��-� �'�
White CopyAnspector'a Ffls Gnary CopylSits NWice
Planning & Zoning
Department
Memo
To: Finance Department
From: Christine Mattson, Planning Assistantyr\
CC: Street File
Date: December 5, 2017
G/L: 101-22205
Re: Escrow Refund
Demolition Permit #2016-01444 pertaining to 3295 Crystal Bay Road is complete. Please
refund $2,500 to the contractor, Scherber Companies.
Mail to: Scherber Companies
20160 75th Lane N
Corcoran, MN 55340
w:\street files\crystal bay rd\3295\escrow refund form 2016-01444.docx
DEMOLITION PERMIT 20ib " O i i/t('J
ESCROW AGREEMENT
AGREEMENT made this `/(G day of /t/� 20 /4, , by and between the CITY OF ORONO, a
Minnesota municipal corporation ("City") and L 43 (S/k_• , ("Owners").
c-1Y cv
Recitals
1. An application for a demolition permit has been filed for 12` 1.5 vy� to at I7
("Subject Property") legally described as
2. In conjunction with the demolition, erosion control measures are required as shown on attached
Exhibit"B".
NOW,THEREOFRE,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 (including planning, engineering, or legal consultant review)the City has incurred to assure that
the erosion control measures are installed and maintained so the property complies with 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. If
compliance with the approved Land Disturbance Permit is not accomplished within the allowable time period, the City
may bring the project into compliance by use of the security.
3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees, officers and
contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in
conjunction with the required erosion control measures, including but not limited to constructing or completing any and
all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date
specified herein.
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. Any remaining amount of the financial security deposited with the City for
faithful performance of the plans and specifications and any related remedial work will be released after the
completion and inspection of all such measures and the establishment of final stabilization for the Subject Property.
City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements
of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also
request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate
verification that all requirements of the project have been successfully completed.
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 ORONO OWNERS:
By: kat (7,4_, i
Its: 7 .O t'1 LN ALO LII dJ
,......., Atev-c-i
Internal Use Only: i Original to mance Department D Copy to Street File
aft
Form Last Updated: January 2015
150784
•
City of Orono
2750 Kelley Parkway
952-249-4600
Orono MN 55356
Receipt No: 3.016950 Nov 16, 2016
• Scherber Companies LLC\
•
Planning and Zoning 2,500.00
2016-01445 3295 Crystal
Bay Rd
101-22205
Deferred Rev-Developer Deposit
Total: 2,500.00
Check 2,500.00
Check No: 17581
Payor:
2,500.00
Scherber Companies LLC\
Total Applied:
Change Tendered:
.00
11/16/2016 04:O1PM
P 111111 I i S8%iE iBERi
COMP
20160 75TH AVE N"'I' � iiuhu �1 1' & Iiii �jil i11Vlr
CORCORAN,MN 55340 www•kleihbank.d0m
3)497-1100 oi
75-1565/919 -/
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MEMO Z-D-7.0,,c / •�
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AUTHORIZED SIGNATURE
ill 1758 ln. I:09 L9156541: 00032136460'
• CITY OF ORONO II 1� �1 1 I11II1I I 1 I 1 1� 1 1 1 11 11
* 20 1 6 — 0 1 44S *
2750 KELLEY PARKWAY DATE ISSUED: 11/16/2016
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3295 CRYSTAL BAY RD
PIN : 17-117-23-41-0013
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 002 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#2016-01444-PAID BY:CONTRACTOR,SCHERBER CO.LLC-CK#17581 -$2,500.00
THEY ARE AWARE THE MONEY WILL BE REFUNDED TO HOMEOWNERS.
•
•
APPLICANT ESCROW FEE-BUILDING 2,500.00
TOTAL 2,500.00
SCHERBER COMPANY,LLC Payment(s)
20160 75TH LANE N CHECK 17581 2,500.00
CORCORAN,MN 55340-
(763)497-1100
OWNER
GREG BLASKO,WHITNEY WINDMILLER
3295 CRYSTAL BAY 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 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 after 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. J
,i/ //10
Applicant Permitee Si nature Date Issued y Signature Date
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. .2 o a Iyyy COMPLETED �� • as-/y
ADDRESS 3a ys Cry a- Gar /111 .
OWNER TELEPHONE NO.
CONTRACTOR &--df er (O . L LC
Z. DESCRIPTION ae to cII4L
Y
0 FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADINGIFILLING
0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL ❑TREE REMOVAL
e ❑ LATHE 0 MECHANICAL RI ❑ SITE INSPECTION
It 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT
0 FINAL 0 WATER HOOK-UP FeI±OW-UP
Y 0 AS BUILT-SURVEY 0 SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS: PerM•C /Z &9e✓ II,/ems ?r ca /f /r
cit of / so .
7!a re s /tam) 5 . P. 461• a•2 X65
7tit� • s we• — e'scrbcd) f e roe / •J5
Q
74 r,,.,.1 ,v4r14J
5
0 WORK SATISFACTORY:PROCEED ECT COMPLETE
N
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
o CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hams In advance. (952) 249-4600
on site:
Inspector:
White Coovllnsosotors File Canary Copy Notice