HomeMy WebLinkAbout2017-00274 - demolition , , CITY OF ORONO * 2 0 1 7 - 0 0 z 7 4 *
2750 KELLEY PARKWAY DATE ISSUED: 03/28/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2465 NORTH SHORE DR
PIIY : 09-117-23-44-0012
LEGAL DESC : UNPLATTED 09 117 23
: LOT MB BLOCK MB
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 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 QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK
"I'O MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE[SSUING THIS PERM[T.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
CROWN CONSTRUCTION TOTAL 76.00
5249 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55427- Payment(s)
(612)845-4886 CHECK 14553 76.00
Minnesota State License#: BUIL-BC450383
OWNER
LINDAHL, B JOHN
2485 NORTH SHORE DRIVE
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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in con.formance with the State Building Code.This permit may be
revoke -at"any time for due cause:., �
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Applicant Permitee Signature D e Issued By ignature Date
City of Orona ��� _ _Foxci�ritusEot,�.Y '�
���/� P.d.Bdx 66 � r�,��1 Date 12eceiv `e�"�23-� Permii# 0��,���
V 2750 Keliey Parkway ��j
Crystal Bay,MN 55323 Amounr. $�SAC Credir.
{952}24911600
� � tiwua�nmcr(R)Sig�d: r[3 Yea
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t�7,r�y.��4�F 7anin�I�ivcta;iire Si�ned' ❑Yes ❑Nuoe Re nir�i
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ClTY OF ORONO - DEMOLITION PERMIT
{All permi[s must be approved by the Buiiding�fficiaf and/or Zoning Department)
Jol� S�ke l�Owner Informat�on`-`
Type� �Residentiai ❑ Comrnercial
Site Aadress: �.0 �P� iVo'�C'� 5t�ca� I�. . (�R+�JC�,� ��� �
Owner; �. �c�•a L��p�rt..��, Mailing Address: p o . �x ?�p
c�ty: f;tz�s� ��f z�p: 5�32�
�hone- {�12,$'�� �S�C,� Emai�: ;�t_��-v��—�� C.��•�+►��k.-.vS.
� Cantractflr/Applicant 1n�for�natian: > ��
_ i� ' � �� �
Contractor/Ap�.:��'t,�� `�-k,.�,rti+i�I , ��o�tact Person: V�.1���� I�i v���5 `� '"
Atldress; �.���I ���'��! ��t`�-�-��Stat�i�ense#: ��,: � �.�.�' � �,� -'�
� � ,
City; ��L Zip: ��.. Expiration �ate: �I
Phone: ���' ��ti.'C�`� � ���� EmaiL � � �--�<<= ��� �, �'�-U W n.1 ivt.� ��7 �� 1 :
—�.
° �`-SPEG�AL=GOM�ITIDNS�& HOLD HARNILESS AGRE�MENT
Generai InstnactioMs:
T. You may be reauired to ohtain other�ermits, ;.e.:weli abanc!onment,sewer, etc.
2, Woric rnust not beg+n ur�less ti�e permit card is ava�fabie on the job sita.
3. P,24-48 hou,notice is required far all inspections. Call(952)249-�a600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is issued.
Demolition by means of: (� Manual Disassembly � Heavy Equipmeni ❑C?ther
t '
Pcrm+t(sl lssued: ❑Sewet fliscon��cfion ❑V�leN Abar,danr,?ent�
fn return#or issuance of said Demotition Permit, the undersfgned owner hereby agrees to:
!. Submit a surve.y, aerial photo or sketch showina all structures on the proqerty. taote wh�ch struetures are
id be dernofished.
2. Submit a survey; aerial photo or sketch showing proposed erosion control measu��es in accordance with
Chap#er 79, Constructian S1te Runoff ControL
3. Submit a copy of permit approval from the Minnehaha Cresk Watershed District {MCWD). The Gity will
not issue a demolitian permit without a ca�y of th� psrmit{s)frcm the 1�hCWD or documentatinn stating
permit(s�are not requiree.
�om���$t�Ada��: ��Jy��� � �-� _ `� RECEIVED
�St77kd
MAR 2 3 2017
CITY OF ORONO
4. Submit a $2,500 escrow and an escrow agreement signed by the property awner{copy attached}.
5. Keep a�!strucEure(s}enckase�anc�/or secured until such.ti�te as de�aN�i4n is c�t�.
6. Keep all demolitio^ debrs off adjoining praperty andfor the public rigMts-of w�y uniess specific pr�ar
apprnvai is obtained in writing for temporary use thereaf.
7, Gorripletely��move found�tian(s)from the gr�und.
a. Completely disposa of all dc�molition�ebris off site in accc�rdance vsrith a�f a,�ap[ic�hle P�CA requirements.
9. Abandon watar weils in accordance with Sfate Health Qepartment regulatians.
10. Call for an inspection when all debris has been removed, before backiilling.
11. Wiftiin 5 working days oi superstructure removal, a final inspectio� shall be requested. The site shall be
left clean and ciear of all debris, with any excavation fifled with earth level with the adjacent ground
eievaticn (sxcept v�rhen such excavat�on is to be tisec� as �art c�f a new bvilding anc� stxch r�w bu�kiing is
�ct�alty under construcfionj.
12. Abandor septic systems per Minnesota Rules Ghapfer 7�80. Ali s�ptic tanks must be pur�ped, crushed
an�filled v�ith r.ative so:is. �4n inspectian is requircd after the tanks are pumped and hefore the ianics are
crusheci ant3 f'sifed.
13. The undersigned awner shall and hereby does indemnify and hold harmless the Cify of Orono, its agents,
empfoyees and assigns from and against all claims, damages, losses or expenses, including attorney
fees, against the Gity, its agents, smployees and assigns arising out of or resulting from tne demolition
described herein as petfarmed by the property owner, his employees, �gents, subcontractors or assigns.
PERMIT T`!PE AND FEE CALCULATiOh}
$75.00— Principal Structure $ � � •��
❑ $50.00 —Accessory Structure x {how many)
1. Subtotal of above permit requssted $
2. State Surcharg� 'i.00
3. T4TAL PERMIT FEE (add fines 1-2 above) $
The unc�ersigned herby appkies to t��e City of Orono for issuance of a Demolition Parmit, agrees to do
a(I the tivaalc in a strict acc�rdan:e with tpe ordinances of the City and tne regulatians af the State �f
Minnesota, and certifies that all stateme ts made 4 this applieati�n are complete, true and c�rrect_
Applicant's Signature: - - Date: J �� �
Owner's Signatur�: � � Date: "� /�
Approved By: f` Date: �7 �
( uilding fficia()
*Zaning Qisclosure Required? ❑ YES NO 1`"C�V �Nl�--�� ��j�v,v
xThis must be filied out by Zoning department—For ei er a swer, a Zoning Offcial must sign a�i applications. � I
^� z��� -c�
"Appraved By: __�����r`�' Date: 3���� /
(Zoning Of�icial)
Form Las€Updafe�: Jaiy 2t795�
I50784
DEMOLITIDN PERMtT
ESGROW AGREEMENT
AGR��N#�T mac+�this �� c[ay of_ . 20 , by anci b�tv�een t=�e CtTY' OF ORONO, a
M�nnesota munici}�al curpora�o ("City")and__ {"C}�,uners").
Recitals
1. An application fo�a demolition permii has been filed for / located at
\ {"Subject Property"} I gally des ibad as
2. 3n conjut�c#ior+ v�ith #�e de litian, era�ian conirol meas�sres-a�e reGi+ife� staown on attac?aed
Exhitrit"8"_
NOW,THERE�FRE,THE PARTIESAGREE S FOLL�WS:
1. DEPOSI7 OF ESCROW FUNCIS. t�ontemporaneously witM fhe exe tion of this Escrow Agreement,
the Ownars shall daposit$2,500 with the Ciry. A!i a�crued interest, if any�shall b paid to the City to reimburse the
City for its cost in administering the escrow account.
2. PURPOSE OF ESGR�W. The pur�ose f the �scraw is to arantee reimbursement t� the City far
afI�ut-cf-pockei cnsts(inc(uding plai�ning: enginearinc�, ar!e,al cr�nsult�nt r ie�n;)the Clry has incurred to assure t9,at
the erasicn contrcl measures are insialle�� and maintair�ed sa the�ropp complies with tf�e pmtrfsions of Orono City
Gode �hapter P'9. Th� ftriancial sec�rity may alsa be use ' by tMe ity te eliminate any ha�rdous conditions
associatQd with tl1e�vcark ar�d.Q repair any damage to public pro eR�! r infrastruciure that is caused by the+,uork. If
comptiance with the apprr3ved Land t7isturbance Permi[is not acc 'ptPsned witfi'rn ihe ailowabie time perrod, the Clty
rrtay bring thQ praject into compliance by use of the security.
3. RIGHT OF ENTRY. The Owners hereby rant t e City, its agents, empioyees, a�icers and
erxitract�rs the right to enter the property to �erfc�rm a!I w rk�anr_i in�aactions ctee�ed a�propriate by fhe CiEy in
conjunetion uri?h the required erosion controV measures, inc diny but no.�1i +?ed:o eor�strucii�g or compieting any and
all �f the ac�reed �ipon improvaments should the �wnt;r cantraetor nef c�mpiete those improvernents by the date
specified herein.
3, MO�ITHLY BILLth1G. As tha Cit ;ecetves consu'stant bilis � ir�curced c:;st�, tne Ciiy evilt in turn
send a bill to the Owners. Owners shal! be resp si61e far payment to ihe City�+vithin 30 days of the Owners' receipt
of hill.
4. DISBURSEMENT FROM CROW ACGOUNT, In the eveni that t Owners do not make naymen#
to th�City w:thin the t;msf�ame outiined in . 3 above, shadl issu�a S�Vdork Qrde��;n�i!th�e.Q�vr�e��s p�y all expenses
invaicec9 pursuant to #3. The Gity ma drw f-�m tn� esc-o�v account �,r�ithaut fufth�r appravai af the ��ners to
reimburse the City for eligibie ex�ens� #ho Gity dias incurred_ �
5, CLOS(NG ESCR W, An� rem;�ir,ing 3mou�t r�i?he finan�ial security deposi'ted with the City for
faithful performance of the plan and specifications and any related remediaf work wil! be released after the
completion and inspection of all such measures and the establishmant of fina( stabilization for the SubjBct Property. ;
City Staff sha!! review the terms of ihis,-escrow agreement two times �er year to determine�,vhether the requirements '
of ttie project have been successfuil�+complated and whether it is appropriate to return the funds. Ow�ier may afso
r�quest the reiease o# Itie funds," and such funds shall be releassd upen Cify StafF receiviny the a{�pro�riate
verification tha�al!requir-em�nts of ti�e Nrojec.#?-�ave been successfufiy comp{et�d.
6. CEftTiFY 1lNPAID CHARGES. if the project i� abandaned by Dsr�ners; or if the elig b'e expenses
;ncurrati by the Gity exceed the amt�urit in escrow, the �Ky shail have tre rfght to ce-�ify !he unpaid balar�e:e ta the
subject property pursuant to Minn. Stat.§§415.41 and 366.012.
ClTY: CITY OF ORt�NO QWNERS:
By: �
I t9: — �
[n{,�ri3�t1 CTse t�u1y: O(3t7g4na1 te l�naucc 1}e�urtener�t t7 Ct�p,Y t�Sie�;c:t File ^�
Fom3 Lasi tlpdafed: January'LOiS
ISU784
i
__. .. ... ... . .. ...... . .._ .... . . . . ...... .. ... . ... . . .. .
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N�Of�T.ICE SCHEDULED —�
PERMIT NO. /X��� ,r�a7y COMPLETED � ' -��
ADDRESS o��� a it �`l�rc �r �
OWNER TELEPHONE NO.
CONTRACTOR ��o i'�"` �a�St'
� DESCRIPTION beH'`o �-In�[L
�y ❑ FOOTING ,�.QEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL v❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINERICONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS: ,
� /7G�a Cdw�plt��— Ql� ��✓� S
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� ❑WORKSATiSFACTORY:PROCEED OJECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE ERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. O PHOTOTAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED
❑INSPECTION REdU1RED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCor�tractor on site'
Inspector. �'^�
YVAite CcPYnnspector's FlM Canary CoPY1SiM Notks
��� � �
�"' DATE TIME
CITY OF ORONO �LLED IN
INSPECTION NOTICE /� -7 SCHEDULED ���l?'�
PERMIT NO.��I,...I I-L.4� /� COMPLETED
ADDRESS r� � � lr � f\.l ,���'l C l�E' I.� -
OWNER TELEPHONE N4. �/ �'� ����q
CONTRACTOR '-��'� � � � ���--��»S
'' DESCRIPTION /=��' t 1 �C /�_.,�� (� L �. <t I��
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILUN ���
Q ❑ FOUNDATiON WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ TIC INSTALL
? OMINENCONTRACTOR TO MEET Y�OU: YE$_NO
y COMMENTS:
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W W04iK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� CORRECT YMORK d PROCEED ❑ISSUE CERTIFICATE OF OCWWINCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Cstl for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
inspector. ��I�r�L
Whits CopyAnapector's Fil� Can�ry CoprlSit�NoGa
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