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Home My WebLink About2016-00705 - demo CITY OF ORONO * 2 0 1 6 — 0 0 7 0 5 * �� 2750 KELLEY PARKWAY DATE ISSUED: 06/24/2016 t ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3188 NORTH SHORE DR PIN : 09-117-23-32-0011 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 004 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. DEMO PRINCIPAL& 1 ACCESSORY STURCTURE 04/07/16-PER ROGER PEITSO,BUILDING OFFICIAL. SAC GRANDFATHERED IN H/U PROJECT#1785 04/10/68 AND HONIE BUILT IN 1952. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 STATE SURCHARGE DEMO 1.00 TMS COMPANIES DEMOLITION-ACCESSORY STRUCTURE 50.00 5990 MEADOWLARK LN PRIOR LAKE,MN 55372- TOTAL 126.00 (612)414-5700 Payment(s) CHECK 4483 126.00 OWNER RUCINSKI,MICHEAL&HOLLY 3188 NORTH SHORE DR 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 dces not grant permission for additional or related work which requires separate permits. 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 suthorized is not commenced within 180 days of the da of issuance,or if construction is suspended for a period of 180 da s at time after work has commenced. The applicant is responsi e for surin required inspections aze requested in conf anc ith te uilding Code.This permit may be revoked at any f e for c u ` �/� 'n ��r� �`1 �o� �.�.�-�� i z U� ! � Applican ermitee Si ature ate Issued By Signature Date Uv . /�� - � ' _� , ,� � ��, City of Orono --- (� �a c i rti t S�o�1�� —� /��` P.4.Box fr6 Date Rcceived��1�.� Pem��t�GC)��j_�:I G� `�-� 2750 Keiley Parkway � � f `� Cry5t8i 88y,MN 55323 qinptstt �� ,AC t'reJss , � �_ �. � . � � �, (952}24&4600 ��C: �� ;y�; "- �1j �\ ��o�«��>sr�� ❑��`� � / d/n8 , ��`�� i� u ' �� /� , � Resolutiarts(it am�}5tgned�❑1"� [�ti��E,,�r� � /� -....-1,�f 4�,�,�,�:� � � rr � lonan�f)�ticl�nur��i�ai+ci��_.._[�]1_r� Q\„ � ki��uare;!��1ii//�� y CITY OF ORONO - DEMOLITION PERMIT tAu peRrais must be approved by u�9uiktir�cNf#ciar anarw zoning O�artrr�er�t3 .�Cf�' ..; 1t1��i811; Type: �Residential ❑ Cammercial site Aadress: �15;g Nd c��. S�n,d�e., ��.�e. �ca�e S'S 3at1 Owner: (��a►c.l ': �a`��uc�n�.�c.� Maiiing Address: �'�3�5� C,e�►h1v� Z-� City: �t�w�.�.�� Zip: SS�uI`� Phone� �.,�,Z•�C�O. ��'`� Email: MRi��.c►e-� �..Otav�a��¢..c.�vt,.��►o��S • �� Cor�tra�!��a�it�n�orrr�#i�n; _ Contractor/APR-;,,_._,� ��'l/y/��..L..�,�ontact Person: `" J ��Y��!/�/ �:.,.G -_�Z�. Address: ��Y�'��,r2�_� State License#: City: /�P Zip: � �37Z Expiration Date: Phone: o�lz-7�7 �� Emaii.�SG�vi1.l d�I 1✓��cZ � Y►� � � , r� ��o � ,�r� � ��, ¢�.� � � General Instructions: 1. You may be required to obtai�other permits, i.e.:weli abandonment,sewer,etc, 2. Vlforlc must not begin unless the permit card is avaiiabie on tt�e job site. 3. A 24�t8 hour notice is required for ail inspections. Cafl{952)249-4600. 4. S�nrer must be disoontinued at the City service by q�alified contractc3r before demo pe�rnit is issued. Demotttion by rr+eans of. ❑Manual Disassembly �Heavy+Equipment ❑Other Permit{s)Issued: Sewer Discannection ❑Wel!Abandonment# �%`�° �t'�Y� ��'�'.d �.' #ZD Ilo-p0 � � `� In return for�ssuance of said QemolFtion Permit,the undersigned vwner hereby agrees to: t. Submit a survey, aerial photo or sketch showing all structunes on the property. Note which structures are to be demoiished. 2. Submit a survey, aerial photo or sketch shaM+ing praposed erqsion control measures in xc�ordance with Chapfer 79, Consfructian Site Runoff ConhoJ. 3. Submit a copy of permi#approvaf from the Minnehaha Creek Watershed pistr�t{MCWDj. The City wiii not issue a demalit�n permi#witltout a capy of the perm�t(s) from ths MCWD ar documentat'son stating permit{s)are not required. Form Las�t flpdated: Jedy 20t5 1507$4 4. Submit a$2,50Q 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 demoli#ion is complete. 6. Keep all demolition debris off adjaining property and/or the public rights-of way unless specif� prior approval is obtained in writing for temporary use thereof. ?. Completely remove faundatian(s}from the ground. 8. Completeiy dispose of a11 demolition debr�off site in accardance wi�a!1 applicabte PCA requirements. 9. Abanri�n water welts in ar�ordance with State Heatth Department regula6ons. '!0. Call for an inspection when all debris has been removed, before backflling. 11. Vlfithin 5 working days of superstructure removal, a final inspection shall be requested. The site shall be left ciean and ciear of all debris, with any excavation filled vvith earth levei with the adjacent ground elevation (except when such excavation is ta be used as paR of a new building and such new buitding is actually under canstruction). i2. Abandon septic systems per Minnesota Rules Chapter 7080. AR septic tanks must be pumped, avshed and filled with native soiis. An inspection is r�equired after the tanks are pumpeci and befiore the tanks are c.�ushed and filied. 13. The unde�signed owner shait and hereby c�es inder��nify and hald harmless the City of Orono, its agents, employees afld assigns from and against atl claims, damages, losses or enpenses, includi�g attomey fees, against the Ci#y, its agents, empbyees anc{ assigns arising au#af ar resulting from the demolitian tfescribed herein as perfarmed by the Property owner, his emplayees,agents, subcontractars or assigns. PERMIT TYPE AND FEE CALCULA►TfON �[ $75.00- Principal Structure $ 7 'S • �"�' (�1 $�a.00-Acxessory Structure x 1, (how many) �O . �� 1. Subtotal of abave permit regues#ed $ 1 Z�, "" 2. State Surcharge 1.Q0 3. TOTAL PERMlT FEE (add lines 1-2 abave) $ � Z.�, � The undersigned herby applies to the City of Orono for issuarFce a#a Dernotition Permit, agrees to do all the wor4c in a strict accardance with the ordinances of the City and the regulations af the State af Minnesota, and c�rtrtifies that aN statem�nts made an this application are complete, true and correct. Applfcant's Signature: � Date: Id `�� Owner's Signa#ure: '`- ` � .,--• Date: (� • t�• (5 Approved By: �_ Date: y� ! � ( uilding fficial) *Zoning Disclosure Required? ❑ YES ❑ NO `This must be filled out by Zonin rtment-F either answer,a Zoning C)fficia!must sign all appiications. *Approved BY� Date: �! �Z �,6 ' o � g Officiaf} �v��Mq Aec'w,��r� ve� Zi 3 -�o( v�'�(J GtQ1M� fs�tlw°d Fnrm Lasi{/pdafed: Juty 2015 150784 _ _ ,-�,,,"'� . � MINNEHAHA CREE1�" �� '�11ATERSHED DISTRlCT __� _ QUALITY OF YVATE '.�� "'��' :�iUALITY OF LIFE Pursuant ta Minnesota Statutes Chapter 103D, and on the basis of statements �he�ti�r�ek,aha Gr�ek and information contained in the permit appiication, correspondence, pians, maps, and all ather supporting data submitted by the applicant, and made a part '��'��'�'S hereof by reference, PERMlSSiON IS HEREBY GRANTED to the appficant Lomm;t��to a t�d�t�p named belaw far use and develvpment of land in the Minnehaha Creek Watershed District. role Tn prc�t�ttir�y, '��"�""�"'��`� tssued to: Michael & Hvllv Rucinski Permit No: 9 5-643 tt�surfate wateis and Location: 3188 North Share Dr.. Qrono a�liated groundw�atec �f�� Puraose: Erosian Contra(, SinQle Family Home �istrict,�nc:ku�ing their Date of tssuance: 11/23J2015 Date of Ex iration: 11I23/2016 �`'�""'�'��°� By Order of the Boa�d of Managers ecos}�tems cif wl�icf� ` ._.�.`_�___ � _ -'`---=-__. t1�+am an irr►teegral part• Tom Dietrich �� District Technician �„�„�„��,� This {�rmit is not transferable wi#hout District approval, and is valid to the date o# expiration. No activi#y is authnrized beyond the expiration date. If the permittee capitat projects, requires mare time to complete the project, an appiication for renewal of the ectucation,cooper�.;ve Permit must be received by the Distric# at{east 30 days befare expiration. e+�deawrs,ar�d othe� The applicant is responsible for compliance with ali District Rules and for the action of their representatives, corttractors, and employees. psx�grarr�s basesi an ��e ConditiQns: Project to be completed as described in plans submitted to the MCW� office on Navember 16"', 2015 according to the pravisions innovative th�nking,an of this permit. • Prope�ly install and maintain all required erosion control '"�a"��"�� measures until the disturbed areas are re-stabilized ��,,,�;�,.,�a„�� + Notifiy MCWD in writing upon compfetir�g instaflation of perimeter and sedimentatian cantrols ��u�� • When#he site is re-stabilized and the MCW� staff has �� performed a fnal inspeetion, all silt fences must be remaved (5tatement conceming fees for inspectiflns, vioiations, etc... an foilowing page) 1532�Minnetonka Boutevard, hfiinne�tonka.MN 55345•Of�ite:(952)471-0590•Fax:(952}471-0682•w�minnetiaF►acreek.org �� c�1-�-/� � '�—-_ aT ` T� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED (o -a�-�� PERMIT NO�O�(�`rC�� COMPLETED ADDRESS �I � � �V�. �.ShG�f`�_ �1"1,1/�= OWNER TELEPHQNE NO. CONTRACTOR� � � DESCRIPTION �� 1 I�C- wl Q� I ► �' �'�- W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: a �� /��.�t O� �'i�� /�r'�'lG�e -�!� oe /o��io n�cs � c /i� �. �. � __�,�%`!o r 7�– �� rsc� 1' c f � �.– � r �'� ✓( S ��T��•�-� Q � tJ ` ,C t✓.-r.t�� C'.t i��'O'�'l S�� 2 W � w � j d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �PECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. �.cL/!�-�_ White Copyflnspector's Ffle Canary CopylSlte Notice �� l Y / "�"� v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �� 7,�scHEDULED �_T __� PERMIT NO..� }( lC - �'�COMPLETED ADDRESS � J �� • S (�l�;(1�� I��-. �NNER TELEPHONE NO. CONTRACTOR �� "�"' �S � DESCRIPTION� �� ` � �� "�'��-`�'`' �- � ❑ FOOTING ❑ DEMO-FINAL �i��y � ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ��{-- ❑ EXCAV/GRADING/FILLIN(3 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNEAICOf�ITRACTOR TO MEET Y�Ol1:_YES_1'10 � t�� COMMENT'� `�- �,� .l,�C�C ��VLUE--��L .� �'lQ� �T�- � � , _��,�u a�� -�--. i,��p c�C� � 0 � �p r� �rI 5�p ea�,�sK, cct /!� �Ir - � yYts � �v►�.s L �-rc !�� s►r r Q �GlJ `j,e 1+1 e o�L S.� � Q 'f�1!f' ��e � W � W � j � ❑WORKSATISFACTORY:PFiOCEED ��PROJECT COMPLETE W ❑CORRECT YMORK�PROCEED ❑ISSl1E CERTIFICATE OF OCCUPYINCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN tor the next inspection 24 hours in advance. (952) 249-4600 OwnerilContraator on site: Inspector: �r� lyd-� Whifs CopyAnspectw's Fil� Canary CopylSlb Notk�