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HomeMy WebLinkAbout2011-01284 - demo ' � CITY OF ORONO PERMIT NO.: 2011-01284 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSVEn: 10/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 315 HOLLANDER RD PIN : 25-118-23-43-0014 LEGAL DESC : HOLLY ACRES : LOT 001 BLOCK 002 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING & STRUCTURES NO"T'E: DEMO AND FILL IN SWIMMING POOL **CALL FOR INSPECTION W E OF THE CONCRE"I'E IS OUT BEFORE BACKFILL[NG. INSYECTOR WILL DECIDE WH�N TO COMG BACK AFTER THAT. (INI7'IAL) NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORG BACKF[LLING. APPLICANT DEMOL[T10N -ACCESSORY STRUCTURE 50.00 KRUGER EXCAVATING STATE SURCHARGE DEMO 5.00 7577 175TH ST E PRIOR LAKE, MN 55372- TOTAL 55.00 (952)447-8335 OWNER FAGRE,NATHAN&CONSTANCE 315 HOLLANDER RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. "I his permit is for only the work described and does no[grant permission for additional or related work which requires separate pennits. 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 no[ commenced within 180 days of the date of issuance,or iPconstmction is suspended for a period of 180 da�s at a��me after work has commenced. appht�Tcant i a required inspections are re rman t e Code.This permit may be r c t any ' o use. �>/ �// /� /C� / Z / / pplicant Permitee Signature Date Issue Signature Date SEPARATE PERMIT REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 16/29/2011 01:58 9524476169 PAGE 61/02 . � � � � g��� ��� ���_� � $q City o�Orono � P.U,Box 66 <'. . :; .,:,;. ,;:�? ...0 . 5�TTS�;UNLY :::: � :.: .... p, 0`:. Q �3te'k�CelYFd::". I�etitiit�#;��. O � 1+Q. 2750 ICelley Aazkway �', Crystal�ay>MN55323 AinoUnt:,'.: '$.`.: � `SP��CRe.., ,- -:,.,. ���.��. (952}2a9-4600 �k��_ . � `Honteownes(s).Sign,ed;:':' ;d:Yes`:':.',.-,,, �12esolutions(z;fanY);Signod;G]�:Xes:O,None:,�eq�ited�: Zonin`;Aisoiosure Si 'ed�. ; es::'p,Norie.R `aired.; CITY OF ORONO-DEMOLITION PERMIT (All permirs Inusi be approved by the Building Offic�al and/or Zoning pepart�ment) ,��'J�4-0NL7.7.��,,�;1y,:�� � �.'l,';I 'y �y�,{'�{�a,"Y<s':i�1`��1�h��g'rrf+�"";�I�I�4�r;b,rla;�lr'r:'Y/��::r i�ps�,c,G,,:'1. '. �r. .,���,caw.::��• �.�'^"'"''9, .�i '�' 'Wp�;7�wR��"i�l�,�1�:I, ��� �..� ti�; ��.�'�,i/¢n�70 '�;i'/`�'+, Ty�e: �Residential ❑ Comac�,e,rcial Site,A,ddcess: �l � �� �� �.�' 11f/l. Owner: � '� �� ��p��(%`�U` �('l �— Mailing Addzess: City: ��`� Zip: S �� �� , . I�oz�,e Phone: Alternaate Phone: 2� � 7JZ z., ���i't�`a��x;�k:��P�Pl7�car��-�In�t���ra�?�¢' ;''f % ,.,�cu., ., ~-t�1f � �r��.ere� ua� c� n�. Conbractor/A��.: � C ►1/��j Contact�'exson: � �� �n/�, I � �� �1 S — c� ,A.ddress: S� State License#: �✓� City: �r � zi�: '�� ��piration Date: k�hone: �J C.—'�1��r ��3 � Alternate Phone: ��� ���Z � � � J y „ „ ,,, .;.;.., � ,,,,, , ..., ,,., .. . < '"'�� � . i � , � , � �,a��-ip ,r> .�, d i, ,r,�„•t � �e:i� ' � � � � . � y ,:, � � „ , ,,,�N�, ,� ;- . � ,, . �l , , , „___ �, f �� , �ItiD"1 1 f���r �' ,�r�np � , n; �U°;; . . , ... . ,,.., . � ����,„���„ ,l �����:� �;�;ir,�,N: General Zr�structions: l. You z�aay be requized to obtain otk�er�ermits, x.e_: well abat�do�z�nent, sewer, etc. 2. Wox�C znust not begiz�unless tlae�ermit card is availab�e oz�the job site. 3. A 24-48 k�our notice is required�ox a11 inspec�ions. Ca��(952) 249-4600. 4. Sewer must be discontinued at the City sezvice by�ua��fed contractor be£ore demo peza�z�it is issued. Der�o�atxon by me�s of: Q Max�ua.l Disassembly�Ieavy�qui�mcnt ❑ Otla.e�r Permit(s)�Ssued: ❑ Sewer Discor�z�ection ❑ Wea�,A,bandonmez�t# V ��\ �\ 1 �� Yn returu fo�issuance o�'said bemolit�on Permit,the undersigned owner hereby agrees to: �_ Submit a su�rvey, aerial p�Zoto or sketck� showing al� sttuctures on t�e p�roperty. Note whick� siructures are to be demolished. 2. Su6m.it a survey, aezial �photo or sketch st�owi,�g proposed e�rosion control rneasures in accordax�ce with Chapter 79, Constructfon Site Runoff Control. 3. Submit a$2,000 escrow and an escxow agreemer�t s�gz►ed by the pxoperty owner. 4. Keep all structuxe(s) enc�osed and/or secured untiI suc1�titx�e as demolataoz� as com��ete. 10/20l2611 01:58 9524476169 PAGE 02/02 5. Keep all deTnol�tion dEbris off adjoivaang properiy and/or the�ublic�gb,ts-of way ut��ess specific p�ior a��roval is obtaaned in writi�g for temporary use t�aereof 6. Comp�etely remove foundataon(s)fronn tbie g�ound. 7. Comp�etely dispos� o� a1l demolitior� deb�is off site i�a accorda,nce wit,h all ap�lica.bae pCA require�aen►ts. 8. Aban�do�n water weals iur�accordance wi.th State Health Depa,rtment regulatioxas. 9. Call for an inspect�on when al�debris has been removed,before baciaFl�iurng, 10.W�tlai�a S working days of supersbructure removal, a fiuxal inspection sha�� be requestcd. '�e site sha11 be left clean az�d clear of all debris, w�th any excavat�on �lled with eattk� level with the adjacent groucad elevation (c�cept when sucla excavation is to be used as part of a�:ew building aiad such new building is actua��y under c�nstruction). . � 11.Abaz�do�. septic system�s pe�r Minnesota Rules Chapter 7080. All sepr,ic tar�,ks must be pum�ed,. crushed a�nd �i��ed with native soils. An ir�spectaon is rec�uiXed after the tanks are �unnped and before the tanks aire crushed and f�led. 12.The ur�de�rsigmed ownex sb�s.i�and hereby�oes ar�demnify and hold k►armless the Cxty of Orono,xts agents, exuployees and assigns from et�d ag�.inst all claiunn�s, daznagcs, losses ox e��cnses, includang attorncy �ees, against the City, its agents, enn�loyees axad assigns arisir�g out of or � resulti�g �icom the demolition described herein as per�orn�ed by the propexty owner, k�is employees, agents,subcon�tractors ox assigns. PERNII'T TYpE AND k'EE CALCYTLATIO�T ❑ $75.00—Principa� Structur� $ 6� • {�'$50.00—Accessory Structu�e z� (how miany) � O� 1. Subtotal of above permit requested $ .� �" 2. State Surc�axgc 5.00 O� 3. TOTAL PER�VIIT FEE(add luics 1-2 above) $ � The wndexsigned.herby appaies to the Caty of Orono�or issuanc�of a Dem�o�ition Permit,agxees to do a.11 the work in a strict accoxdax�ce with �the oz�dinances of t�e C�ty and� the xeguaations of the State of lV�innesota,and certa�es that at�statements made o�a tkais application a�re eom�lete,true a�n,d correct. PP��cant's Siguature: -�"" Date: �'� /—'� � Owner's Signature: pa�; A.���roved By: Date: _ I 0 � t I • ?.o // � • ' mg O£Uic�ial *Zoning Disclosu�e Required? ❑ YE� O s�is Imust be filled out by Zoning Dep ent—For ei�tl�eK we,a Zoning Official rnust sign all applic rio�us. *AP�roved By: Date: v� �� �� (zoning Official) 10f21f2011 16:46 32-755-0317 FEDEX OFFICE 5�63 PAGE 03 • 5. Keep ala d�ntolition deb�is off adjoinir�B P�o��' $.t►d/or the public rights�of way un.kss specafic p�ior approva! is airtaincd in writ�ng far ter�porary a:se th�reof. 6. Completely remove foimdatio�►(s)�ront�li�g�und. 7, Completely dispose af al! deano�itxon debris oi�' site i�t accondarrce with all applic�bla .PCA requir�rnents. 8. A,bantlon wat�r wc�ls in accorda�nce with Stat�Health Department r��lat�or�s. 9. Call for atx inspectron when al.t debris h�s bcer�removed, befare backfillir�g. 10. Within S wadcing days oiFsupecstn,cture remov�l, a��al inspection sl�ll be r�quested. TF,e sit� shall be !eft clea� art�d cleat' o£��i debris, with any ��cavation ��kd with earth level with t�►e adjacent ground elev$tivn (exc�pt v�vhen such exca�atio� is ta b� used as part of a new bu.ilding and such itew buildittg is a�ctually under construction), 1 I.Abandon s�ptic systems peir Minrresota Rules Ch�ptcr 708Q. A►11 sepLic t$nks mt�st be pur�lped, crushed and �1led with native sails, An inspection is req�fred afte�r �he tar��s � �� �d before the tanks are a.rushed anrd filled. 12.The undersigned owner shall and her�by does irrdemnify and hold�aarmless the Ciry of Omna, its aSent�s, emiployees and �igns fro� and against a11 cla.i�ns, dama$es, losscs or ex�r�ses, inciudir6g attorn�y �ecs, against the City, its ggerrts, employees and assigns arisix�g out of ar resulting from the dear�rolition described hereirt as perforr�ed by th� p�operty o�wr��r, his employ�s,agents,subcornractors or essigns. PERM�T'TYPE AND.k'EE CALCULAT�ON ❑ $75.(f0—Principal Structure � �$SO.U4—Accessory Structure x�(how m�nY) � �.�- 1• Su6total of al�ve permit rcquestcd $ �fl� 2. State Surcharge 5.00 3. �'OTA�L�EI2MIT FEL� {�dd l�ries 1-,2 a�ove) $ � � �� The undersi�aea�herby applies to the City of Omno for issuance af a I�ernoiiticm Permi�a�s to do all the wor�c in a strict accoraar�ce with th� ord�n�nces of tlte City amc� the regulatia�rs of the Stat� of M�nncsota,and certifies that a�l statements made on rhFs applicatio�arc compfete,true and correct. �.. App#icant's Sig��tnre: 0"l /_ /� Date: � � O+weer's Si��ature: ' � Dabe: I� r ^ �1 A�p�oved By; (Ruiiding Officiaf} Date: * Zaning Di�cloguire Reqtre�d? [� Y;�S ❑ NO *'i'tais must be flled out by 7oning p�pa�nt-For eitbeir answer,a Zon9ng Offoial m�st sign aIJ applications. *A►P�roved By: (�ing Official) D�: 16/28/2011 02: 43 9524476169 PAGE 04f05 1. See Photo 2. Erosion control- we will be using 8in bio Iog on the down hill side of pool, pool surrounded by timber retaining wall so any run will be contained with the 4 walls 3. Cashiers check will be dropped off Friday am for 2,000 � 4. We will be bring in 230yrs of dirt to fill in the pool We will be hauling concrete out and fill ba�k in at the same time, when would your inspector like to see the site? ��c� � fZ- �N , w�-��e � �o rn-e c�-� � �Q ( 1 �(�� 1 S vT ��-f"� 2l= � I�'G�-� 1 ) _ � �\ �[S �c�� (L__ lN �� \ C�-e C, t � l��nl � y � � � (�C� �Z�- ��n"� ' � �� � � , � ,, 1l�����' � . L�.;�r\J •\�� �� :;� 1. See Photo 2. Erosion control- we will be using 8in bio log on the down hill side of pool, pool surrounded by timber retaining wall so any run will be contained with the 4 walls 3. Cashiers check will be dropped off Friday am for 2,000 4. We will be bring in 230yrs of dirt to fill in the pool We will be hauling concrete out and fill back in at the same time, when would your inspector like to see the site? Y�C.,�, �f < � � �G� �,'� ,�' �� � \ — . ��' �✓ �, �� � �� ./ ���' - ��'� �� `�,���:� � �.�\'',� � �,��c��� ' � � \ J C�� � � DAT TIME ✓ CITY OF ORONO CALLED IN � Z � INSPECTION NQTICE GG.,� SCHEDULED o �� � PERMITNO. �10����/2a / COMPLETED ADDRESS �l� 7�`LGC.[�t c�.?J�� iCd' OWNER TELE NE NO. �5� -a9�-��93 CONTRACTOR - �Q/✓ �� >; DESCRIPTION / � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � GW ❑WORKSATISFACTORY:PROCEED /�ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. �_ White Copyllnspector's File Canary CopylSite Notice . ' , � . • , • • • • � • , emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street File Date: 12/18/2012 � GIL: 101-22205 Re: Demolition Permit Escrow Refund Demolition Permit #2011-01284 pertaininy to 315 Hollander Road is complete. All inspections have been finalized. Please refund the $2,000 escrow currently held to the property owners, Nathan&Constance Fagre. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Nathan&Constance Fagre 315 Hollander Road Wayzata, MN 55391 w:�.street files�hollander rd�315�escrow refund memo 2011-01284.doc Oct-21-2011 10:Olam From-CITY OF ORONO +9622494616 T-244 P.001/001 P-698 DEMQt-ITION PERMIT 2011•p1284 ESGRC3W AGREEMENT AGR�EMENT made thise� �s�day of 0�'•'�°�, 2011 , by and between the CITY oP OROHO, a Minnesota municipal corporation("CiCy")and N�than&Constance Fagre("Owners"). Recitals 1. An appllcation for a demolition permit has bee►� filed for the �ool located at 315 Halland0r Road ("SubJect Property')legally desCtibeB aS I.ot 1,Block 2,Nolly Acres,Hennepin County,Minnesota, 2. In cenjuncflon with the demolition erasion control measures are requ�red as sl�o�vn on attachEd Exhibil`A". NOW,THEREOFR�,7N�PARTIES AOR��AS FOLLOWS: 1. DEP051T OF �SCROW FUNDS, Contemporaneously w(th the exEculion ef thls Escrow Agreement, the Owners shall deposit$2,000 with the City. AI! accrued interest, if any, sha11 be paid to the City ta reimburse ihe City for its cost fn administering the escrow account. 2. PURPOSE OF ESGROW. The purpose of tha escrow is to guarantee r��lmbursement to the Gity for a�l out-of•pocket costs(including planning,engineering,or legal Consultant revlew)ihe City h&S inCuffed to assufe that the vrosion c�ntrol measures are installed and mairltained so the property complie�with the provisions of Orono City Code Chapter 79. 7he financial security may also be used by the City to elimit�ate� any hazardous conditions associated witti the worK and to repair ony damago fo publlc property or infrastruCture th��t ls caused by the�vork tf compliance wiih the approved Land Disturbance Permlt is not accomplished wlthfn the altowable time period,the City may bring the pro�ect into compllance by use af the security, , 3. RIc3HT OF ENTRY. The Owners h�reby grant the Cfty, Its agents, employaes, officets &�nd ' contractors the rEght tn ents� the property ta perform all work �nd inspectlans deemetl approptiatE by the Clly in conjunctlon wllh Ihe requited erosion control nteasures,including but not limited to consirucUng or completing any and all of the agreed upan impravements should the Owners' contractor not complete thost; improvements by the date specified herei�. 3. MONTHL.Y BILLING. As the City receives consultant bills for ineurred costs, the Cily will in turn send a bill to the Owners, 4wners shall be responsible tor payment to the City within 3p days af the Ownsrs' recaipt at bill. 4. DISRURSEMENT FROM �SCRQW ACCOUNT. In the avent thmt the Owners do noi make�ayment ta the Ciry within the tlmetrame outlined in#3 above, shan issue a Srop Wo�k Order un1U �ne dwners pay�II exp$nses involced pursuant to #3. The City may draw from tha es�raw account without furtner approval of the Owners to �eimburse the Clty for eligible expenses the City has incutred. S. CLOSING �SCR�W. Any remaining amount ot the financial security deposited with the C3iy for faithful performance Of the plans and specifications and any related remedial Work wlll b9 released after the completion and inspeotion of atl sucn measures and the establishment of final stablti2at�o��for the Subje�t PropeRy, 6. CERTIFY UNPAID CHAROES. If the project is abandoned by Ow�ers, or if the eligibte expenses incurred by the City exceed the amount in escrow, the City shall have thE right ta certity the unpaid balance to the subJe ny pursuant ta Mlnn. Stat.§§415.01 ancf 36�.012, CtTY: CIT F d OW By, �Its: '�' �� -�IetgrqAl'U$e Only: • • . La Originill to�inftnce Depflrtmunt q Cppp tu Strect File ' I t90784 . • , , DEMOLITION PERMIT 2011-01284 ESCROW AGREEMENT EXHIBIT "A" — Erosion Control 150784 �C����`��G� , a.r�� .��n. �� 1. See Photo 2. Erosion control- we will be using 8in bio log on the down hill side of pool, pool surrounded by timber retaining wall so any run will be contained with the 4 walls 3. Cashiers check will be dropped off Friday am for 2,000 4. We will be bring in 230yrs of dirt to fill in the pool We will be hauling concrete out and fill back in at the same time, when would your inspector like to see the site? ��,�p �-� � � ��� �� � ���' ��� � �� ����' � �� - � �-C,�,��.� �.�. �;� � � � � �� ���\ ��.� C_it�y of Orono 2750 Kelley ParkMay Orono !�I 55356 952-249-46� '• Receipt No: 3.405826 �t 24, 2011 Itrueger Excavatirn,� Previous Balan�e: ,pp Persits �1i-01284 315 Ebllarider 2,444.00 141-2�245 Deferr�d Rev-Developer Deposit Tatal: �lqpp,� NeM Balar�e: P,004.00- t�r�eck Check No: 194189 2,000.00 Rayor: Nrueger Excavating Total Applied: �,ppp.pp Change Tendered: .(yp 10l24/2011 08:�i �� � ` ' CITY OF ORONO PERMTT NO.: 2011-01301 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 315 HOLLANDER RD PIN : 25-118-23-43-0014 LEGAL DESC : HOLLY ACRES : LOT 001 BLOCK 002 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000.00 ESCROW IS CONNECTED TO DEMO PERMIT#2011-01284-F DEMOLITION OF POOL APPLICANT ESCROW FEE-APPLICANT 2,000.00 FAGRE,NATHAN&CONSTANCE TOTAL 2,000.00 315 HOLLANDER RD WAYZATA,MN 55391- OWNER FAGRE,NATHAN&CONSTANCE 315 HOLLANDER RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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. AII 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 as commenced. ican �s resp e inspections aze requested in confqrm e tate ' ng Code.This permit may be revoked at an ue cause. ' l /�/ /Di � / Ap t Permitee Signature ate Iss Bv Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � + � ; o� � ; �. � �O � � M i � � � �., j � � " �' � � 2 f � � � � u � �q L i �7.. I " `�' oy I -� �- D r `1 lG � k.� � � � ¢'[ . �,, j �. �., ����. � � , � � �: �� 1 = i �" - , � � � � y I V {L � i _ _ � � � � � � �. � , =4 � � � � � , a ; � � _ j 't� � � I � � � ; � �: j � -,,, a, � � � � i � � � u � � $ � a � � �� � � � � = C �� �•� � � e��- 1ry p p . . � ',��° � N � � � �� � d �� �, � a � � � �` � z , ���w � � �. � . 6; �- a � � � � � �� a ,vC � � � � �, � � �I ° � � € � � � � � � � � � a r� � �� w� . : . � W�, � r���