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2015-00428 - demo
CITY OF ORONO * z 0 1 5 — 0 0 4 z B * . . 2750 KELLEY PARKWAY DATE ISSUED: 06/22/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 405 NORTH ARM DR P1N : 06-117-23-32-0003 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERM[T TYPE : DEMOLITION PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF S[TE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 HOUR NOT[CE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIF,D CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK TO MAKE SUR�THIS PERMIT HAS BEEN PULLED BEFORE ISSUING TE[IS PERMIT. NOTE: DEMOLITION CONTRACTOR SHALL INSPECT STAKED SEPTCI S[TES WITH PROPERTY OWNER PR[OR TO EQUIPME ' N��vt r�6 D�J � s c� �TU E�SUR� 1•�0 �tsTV izQ�l.�C� 0� S�-#'Tt 'c �q-S ��. APPLICANT DEMOLITION- PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 5.00 NYEN COMPANIES LLC DEMOLITION -ACCESSORY STRUCTURE 100.00 3480 COLINTY RD 21 MAYER, MN 55360- TOTAL 180.00 (952)955-2955 Payment(s) CHECK 4121 180.00 OWNER Source Land Capital 18215 45TH AVE N, STE D PLYMOUTH, MN 55446- AGREEMENT AND SWORN STATEMEIYT The work for which this permit is issued shall be performed according to [he 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 sepazate 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 y time for due cause. - r...------ - ��� - �� / � � i nt Permitee Signature Date ssue By nature Date �i ��" �y City of Orono L (D ; F �t t�sE o�t.v : �'�v�Ia,, F.O.Box 66 �� 1 Date Receivzd�j�� permit ri O��S C� O�� 275Q Keiley Park�vay � Q Crystal Bay,MN 55323 !lmount: S�0��� SAC Credir. � ' � (952)249-4600 ,;;� \� � Homeo�tiner(s)Si�,ned: ❑Yes � ; Resolutio�u(if'az�y)Signcd:�1`es ❑l�ane Required �''ti�.��L. " ZoninQ Disclos�re Si�ned: ❑Yes ❑\one Re uired C1TY OF ORONO - DEMOLIT(ON PERMiT (Ail permits must be approved by the Building O�cial andior Zoning Department} Job Site /Ownsr lnformation: Type: [�' Residentiai (�Commerciai Site Address: �C�.� ,(, ,Q � vu--, t[}„� Y�1C1Uy�.� (yE,.�T �<;,3 (,� �� Owner: �c��-c� ��,t�.�� C�3 ��.c,• � Mailing Address: df�� �1.5`��' �}uc-�. S�. � City: ��y�-,���� �n� Zip: � .��!�/� Phone: ��0�— �'�i d --��C.�C� Email: G�� ��(v1�/y SC'YJiI CJ�.... ,t'��-,.� t� � Contractor i Applican# infiormation: Contractor/r�pp.: ��/�tn, �'�y,n , v���S �CCContact Person: ��� � r��Q�r Address: �`l� GcJ t�v a ( S#ate License#: -�-�� City: i'�'1�`I e� Zip: �,3(p Expiration Date: /(,J /�- Phone: �� ��'9S�- �-��`� Email: �ec�E v► C� VI 7 Pvi ,,,rL��_�__s vlff� .C�`� i SPEC�AL CONDIT#aNS $� HOL� HARMLESS AGREEMEII[T i General lnstructions; 1. You may be required to obtain ofher permits, i.e.:well abandonment, sewer, etc. 2. Work rttust nof begin unless the permit card is available on the job site. 3. A 24-48 hour notice is required for all inspections. Cail (952)249-4600. 4. Sewer mus#be discontinued at the City service by qualified eontractor before dema permit is issued. Demolition by means of: ❑ Manua! Disassembly �Heavy Equipment ❑ Other Permit(s) Issued: 1�Sewer Disconnection �(Weli Abandonment# �� !n return for issuance of said Demo{ition Permit, the undersigned owner hereby agrees to: 1. Submit a survey, aeriaf photo or sketch showing all structures on the property. Note which struciures are to be demolished. 2. Submii a survey, aerial photo or sketch showing proposed erosion controi measures in accordance with Chapter 79, Gonstructibn Sife Runcff Control. 3. Submit a copy of permit approvai from ihe Minnehaha Creek Watershed District (MCWD). The City wil( nof issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s) are not required. (.-, Form Last UpUa!ed: January 2075 ,� �v ' I�� !�t)73-i 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached}, 5. Keep ali sfructure(s)enciosed and/or secured until such time as demolition is complete. 6. Keep all demoliiion debris off adjoining property andlor the public rights-of way uniess specific prior approval is obtained in writing for temporary use thereo€. 7. Compietely remove foundation(s)from the ground. 8. Compietely dispose of a11 demalition debris off site in accordence with all appiicable PCA requirements. 9. Abandon water welis in accordance with State Health Department regufations. 10. Call for an inspection when all debris has been removed, 6efore backfiiiing. 11. Within 5 working days of superstructure removal, a final inspection shaii be requested. The site shali 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 actual(y 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. 7he undersigned owner shai{and hereby does indemnify and hold harmless the City of Orono, its agents, employees and assigns from and against alt claims, damages, losses or expenses, including attorney fees, against the City, its agents, employees and assigns arising out of or resulting from the demo4ition described herein as performed by the property owner, his employess, agents,subcontraators or assigns. PERMiT TYPE AtND FEE CALGULATION � $75.00–Principal Structure $ S, � �$50.00–Accessory Structure x_�(how many) ((�j�. ag 1. Subtotal of above permit reques#ed $ � ?„5,G C7 2. State Surcharge 5.00 3. TOTAL PERMlT FEE (add Iines 1-2 above) $ �,� � � The undersigned herby applies to the City of Orona for issuance of a Demolition Permit, ag�ees to do all the work in a strict accordance with the ordinances of ihe City and the regulations of the State of Minnesota, and certifies that all statem nts made o his application are complete, true and correct. A ficant's Si nature: /� "'"� PP 9 Date: U i`� �i' Owner's Signature: ,��`�Z •— Date: �G� S Approved By: Date: `}�'/� 'i5 Building Official) *Zoning Disciosure Required? ❑ YES NO 'This must be filled aut by Zoning Oepartment—For ei er nswer, a Zoning Official must sign al!applications. *Approved By: _1�Isll�dK.�� Da#e: (Zoning Official) Form Last Updafed: January 2015 t�07$�t �p�t- an i�ucd �tr�r►i�- �' u,p�ll�anf �0�ni fiQ�� � petnoti-hon C.�nfi�ue�Or s�tall n�p�c,.-Icd. s�o�d s�hc- s;� w� Own¢�` �or lo cqutpmtrrf• nno�cr� on �o si k. � �ur� ru� du.��u�►u�oF s� art�ou. , . � £ MINNEHAHA CREEK WATEI�SHED DISTRICT QUALITY OF WATER 4UALITY OF LIFE $ Pursuant to Minnesata Statutes Chapter 103D, and on the basis of sta#ements and information contained in the permit application, carrespondence, plans, " ���c "���.��������������� maps, and aii other supporting data submitt�d by the applicant, and mad�� paft � hereof by reference, PERMISSION IS HEREBY GRANTEQ to the applicant '�t��ter5�;�t�tiisir�ct is named below for use and development of land in the Minnehaha Creek c�r r3 ���'�,�M���a���a��r:��i�� Water��ed Distr'iC#. � ;C=�t:�ii ��tCt��'Ct;i�c�j, ;��� ��-,i������,�����:��:� Issued to. Source L�nd Capital, LLC. P��rmit No: 15-1�8 � � � � ��,f}��,�t� }_ �����Y��rci Locatian: 405 N. Arm Drive Orono n N ���'�����`��'�°�''��������� Purpose: Erasion Control,Demolitian �nly r��€;t:�rre,;�✓i`f�n t,��t� ` �ate af Issuance: 6/11/2015 Date of Ex iration: 6/11/2016 � �7.t�.ETL;��r r Ciilt�3??'i{W �;;14`?i �,4K�;{£� ;z,�, �,j�=3� By Order of the Board of Managers = ,� ..,..�,�.��-.- . �����s`cet73.i3'`=�tFrit:�; � .,,..�.. 4�,� .� ` Tom Dietrich � t.t;�y ar��r�i�tc�ra��a<��t. District Technician � � '�'�`���"���"�g'""��`"�" This permit is not transferabie without District approval, and is valid to the date of �����,�, ���„���,,,, expiration. No activity is authorized beyond t�e expiration date. if the perrnittee requires more time to camplete the project, an application for renewal of the ��F=�;�:���;�:,�::1, permit must be received by the District at least 30 days�be#ore expiration. � �'`���������_�`�'`'���"``"�� The appficant is responsible for compliance with all Distriet Rules a�nd for t�he � � �,,;���Y�,,.,.�,��;i,��;�,� action of their representatives, contractors, and employees. ' � � ������=,1 s i���=eci�:,r� Conditions: Project to be completed as described in plans submitted to the MCWD affice on June 10, 2015 according to the provisions of this z. , ; f!sr•;�c�: permit � ,,,,�,,:;�;�� �,,���;,�;�,,��; • Properly install and maintain all required erosion control � measures until the disturbed areas are re-stabilized "����_��� ��,����;�'��=� • Notify MCWD in writing upon com�pleting insta(lation o# � �s������ ,����:����� perimeter and sedimentation controls � • When the site is re-stabilized and the MCWD staff has ��;_�:���_.�__,�u����s� perFormed a final inspeetion, all�silt fences rt�ust be removed � � ��}=��'���`�"��° (Statement concerning fees for inspecfiiorrs, violations, efic... on following page) 15320 Minnetanka Boulevard, Minnetonka, MN 55345•Office: (952)471-0590• Fax; (952}471-0682•www.minnehahacreek.org T � . � � MINNEHAHA CREEK WATERSHED DISTRICT QUALITY O � WATER ""�'�� QUALI ? Y OF LIFE � Inspection/Analysis/Monitorina Fees 9 � �r�c��"�����(��n�c��� A site inspection and monitoring by District staff will be perforrned wh�r�the activity invoives: r�ate~51 �:�1�r��'ict;�. ���.�,,,,;�����.,������.,����,�, • a commerciaVindustriallmulti-family residential development � • a singie family residential development greater than 5 acres or of any size if 3����'����7�����F�r within #he Minnehaha Creek subwatershed � i�7�rffrin�,a<��rr���,a�ii�}r.� • any alteratian of a floodplain or wetland � dredging within the beds, banks ar shores of any protected water or wetland t�s�;�u�a��:p�=a#�rs�,r�t� . a violation • any project which in the judgment of the District staff should be inspected due �'�'�`"``'� �'�"`'��"''��� to proj�ect location, scape, or construction techniques ���� rc���,rces a��it#�ir��;:e ��������������������� In these cases, the applicant shall pay to the DiStrict a fee equal to the aotual {�����3����������� costs of field inspection of the work, including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring Qf the work, ���;���,�,���„ ,,��,; which in the case of a violation shall be at least $35. �� ��I€"'�f t2Y£*e3f" 1fi�P.[(I"r3�.�lr3i`�. �°de�c����€��€r rris�ie��� 5tandard Fee ScMedule , tt?rvuc�t;rrui;�3ti���, District professional staff $ 65.51* ��:�i����r�=?Lc�, District interns $ 40,35* ������ �,���� ,,�� District clerical staff $ 46.69* � Consulting Senior Engineer $ contracted rate �r�9�a���,;�,�r,�r:,��f Consulting Enginee�r/Technician $ contracted rate District Counsel $ contracted rate ���������������°�� Application fee $ 10,00 �������.��,�� Capy costs $ .25 �+ actual staff time Color copy costs $ 1.00 + actual staff time irY�sfav��;;��f1Ei;�k�>>��,as� i'=7fi,�rr�w��2,?c3�r.G���;=g�ri e�;as`i1€t�r�L�;',a�t�t;=�a * Hourly ca��t�;fi�c�v�=.iss�:f crr ���bi�c fta���s, 15320 Minnetonka Boulevard, Minnetonka, MN 55345 d Office: {952j 471-0590• Fax: 4952)471-0682•www.minnehahacreek.org � � i i i �,.� ' �:�"�' ' ' / A_y� � ,�.o..�, i �.._s. � .e...:."y.� L ..�. � N W���� SEC. �_ ;'-.,� L 'r::� / ..�__. ■LEGEND T�- - -- __ �--w - —�, i NORTH ARM ESTATES a �...�,,.,� —> �.,��s�,EA � �R,�,� _ �,—_� . . ,�� _ e' _ \ .,} __/A.-.� / D'e a s _ -�--—1__ __ ___ 8 ecncN unwc -»-»-srwM senEn h�Pra�c rmes*k , , _ _ �cTn�c rEOEsru I� , ,qr.'w ei ��\\ `�� , �„ _ � e o\ I q-_�,cr . :' wimo cw R� .EierrianE � - � - _-� rer�ce I �/� \ ran � \BTI1YMOlA� � ��� Q�:�.: �� O�\ I • PoUNOIP GC FIBEROPIIC ElEC1flICMEfEP � w.-EOOEOFOELNNTEDN4TLw� '�- . ��.� ° -- . 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CC O CC 14,E>,, C�,,,yo���� — /0// gyp,-6•��s 0 W fQ.—de...1, S, — Q W V -lfrs •— c-`L - C WCC• ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE 0 CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY t.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice