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2016-00658 - demo
H11111III 1111. 11 II,II.1I.II CITY OF ORONO * 2016 - 00658 * 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 MN 55356- ONO (952)249-4600 FAX: (952) 249-4616 A DRESS ORONO,: 40 ORONO ORCHARD RD N PI : 35-118-23-34-0005 L GAL DESC : ORONO OAKS : LOT 009 BLOCK 001 PE IT TYPE : DEMOLITION P PERTY TYPE : RESIDENTIAL C NSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE PE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NO E: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 12. INSPECTIONS DONE BEFORE BACKFILLING. DE1O/FILL-IN POOL APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 STATE SURCHARGE DEMO 1.00 KLE &JULIA SHAVER,DAVID TOTAL 51.00 40 0' ONO ORCHARD RD N Payment(s) WA ATA,MN 55391- CREDIT CARD 5662 51.00 OWNER KLE A&JULIA SHAVER,DAVID 40 ORINO ORCHARD RD N WAY.ATA,MN 55391- i GREEMENT AND SWORN STATEMENT The wo for which this permit is issued shall be performed according to the appr ved plans and specifications,applicable City approvals,and the State B 'Iding Code. This permit is for only the work described and does not gran permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be mpied with whether or not specified herein.This permit will expire become null and void if construction authorized is not commen ed within 180 days of the date of issuance,or if construction is suspend for a period of 180 days at any time after work has commenced. The appl ant is responsible for assuring all required inspections are requeste in conformance with the State Building Code.This permit may be revoked an ime for due cause. '111 I [ & 11 _...., ,(),..,, -/,, 7 /a /PE, Ap, . t 'ermi e Signature Date Issued By gnature Date r 8ZLO City of Orono FOR IIY USE ONLY P.O.Box 66 Date Received: F._0272 Permit# 2t Ok"_O D 4,, 2750 Kelley Parkway Crystal Bay,MN 55323 Amount: $ SAC Credit: /l!C� ��_c� (952)249-4600 ,�o� jfp .a y Homeowner(s)Signed: ❑Yes �/, 0'4. Resolutions(if any)Signed:❑Yes 0 None Required l E H O�� Zoning Disclosure Signed: 0 Yes 0 None Required CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site/ Owner Information: Type: fn,Residenntial ❑ Commercial Site Address: Lk Ovorn o 6.-c ttet4-c/ RI N ' Owner: IItvrd 4 7K-Ga 1( fil-1,k. Mailing Address: City: d 1iD Pt ° / M N Zip: 55-3, Phone: (I7. 14(#.1 . 239 S Email: d'A vi'At• kk8..'"i°• e1•.114:" I• ca Contractor/Applicant Information: Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Email: SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT 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 inspeiions. Call (952) 249-4600. 4. Sewer must be discontinued at the City seFRce by qualified contractor before demo permit is issued. Eh Demolition by means of: IN Manual Disassembly ® Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑Well Abandonment# 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 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 ❑ $75.00 — Principal Structure $ $50.00 —Accessory Structure x I (how many) Poo C 5o-O0 1. Subtotal of above permit requested $ 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 5 1- 00 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. uv G / Applicant's Signature.: �J Date: / f 1 IC" Owner's Signature: G�reA� Date: f•/1//6 `� Approved By: I.� Date: 7//57i (Building Official) * Zoning Disclosure Required? ❑ YES XNO *This must be filled out by Zoning Department-For eit er swer, a Zoning Official must sign all applications. * Approved By: Date: (Zoning Official) Form Last Updated: July 2015 150784 • ,b r� _ - �..+� ',� � 'r'ra",y'�1 awe F.' _ • w s't �t • ,! •,,,rpt � 1� ,,'t L '�fSH04 .. $r G....-..� � tea ,r .,c 744, • p�`�''`r+ L t Orono " -. �' Legend Oaks w ` "'k+`' '+•►+� T Railroad + .°It, 0►+4► r • °t lit Ti City Limits • • +gyp+�,+ �,'" ` ,'b`,,. Parcels 21 2016 3,=Y: *orre_ a z i to, . O Wetlands ) , ' d \a y' ;'' . Preserve-50' >�' 3 i4F �« + 1335 iry • Managel-35' e • ,. ; fir , _. .,1 - 0 Manage 2-25' v Manage 3-16.5' K •wr • y. 0 Unclassified X5'3 ' .rr ;, „'-'''.-.4., ' *44 �,=4 .4 .,y . Lakes&Ponds -,4,44:. ,...,"4!' „,,. ' f ^ t °�' ia fF ' .� • +pt • S A i Y 4114 tit � iv you ' )...?:'$%; i. + • i ' y S i t 't.4. 4 y . , .„, . ci,,, ,. 3 � . , _yr` w, 6' it fZ. . ..4%**7 *- I ° 0N i .�� ,ter �� �: �� 4,,, ,, . . . . \ y t " .. a • 4 .c0N 6 Zi C7r/\ TZ >< . Disclaimer: This drawing is neither a legally recorded map nor a rvey and is not intended to be used as one.This e drawing is a compilation of records,information,and data 0 145 Feet located in various city,county,and state offices,and other s affecting the area shown,and is tno be used for refer a v f,ry only.The Cityer Orono is not ©Bolton&Menk,Inc-Web GIS 6/9/2016 3:25 PM re<nnndhle for ant(inarcnrarie<herein rnntained. Christine Mattson From: Christine Mattson Sent: Friday,June 10, 2016 10:54 AM To: 'david.klema@gmail.com' Subject: 40 Orono Orchard Road N/#2016-00658 Attachments: letter.pdf; Escrow Agreement - Demolition Permit 2016-00658.pdf David, Attached is a copy of the letter and enclosure being mailed today. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN 155356(physical address) PO Box 66 I Crystal Bay I MN 155323-0066(mailing address) 't 952.249.4620 I A 952.249.4616 cmattson@ci.orono.mn.us I www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September 2,2016) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,July 4,2016 • 1 *Ok CITY OF ORONO Street Address: Mailing Address: Telephone(952)249-4600 2750 Kelley Parkway P.O.Box 66 Fax (952)249-4616 4 Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us kESHO� June 10,2016 David &Julia Klema 40 Orono Orchard Road N Wayzata, MN 55391 Re: Demolition Permit Application#2016-00658 On June 7, 2016 the City received a demolition permit application for removal of an in-ground pool. Staff conducted a preliminary review based on the information provided and requests the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Please submit a survey,aerial photo or sketch plan showing: a. the location off all structures on the property; b. which structure(s) is/are to be removed;and c. location of the erosion control measures to be installed 2. Escrow&Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is$2,500. The escrow agreement is enclosed. The property owner must sign the escrow agreement and submit a check for$2,500. 3. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed District's (MCWDs) permitting requirements; please contact the MCWD directly at 952-471-0590 regarding your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit or documentation stating the proposed project does not trigger any of their permitting requirements. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO Co if Christine Mattson Planning Assistant c via email David Klema Roger Peitso, Building Official enclosures T., :: .if,.*.t. , . 1- •7 I •• • fr+r t w `+ n .^~ 1 fM 11 ri • • ' f'-.Y i,+ 1 Id ,•• .J, 1,1 ,a• •••• •11,,t• Ott t N.� + 1. '''' . / •rr. it • pki • + , .{ r b • r, *rC . 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" �.xsa x k .'.i� tn � _ � •rpry_ Male �� 1--' ,. a'la. • d d• c ._,. , 1. , _• ,ii ...___ i g ob ,,,__:„., ...... , c3a.s a ___ ......,, .i._ , ,,., 3 . ‘,...„ Z Lig Orpro Ordvij pot A) A ` I c - • -pwI (Fool ?cf-k A B T !fil- 3;?'0 c6'Of / i I T ��N Yot a9 '9 T-30 S3� �'l� ORONO con 0P- 40 aanb orumdw H wee - m(osr Pcrn Qernp 1 Christine Mattson From: Christine Mattson Sent: Monday,July 18, 2016 9:14 AM To: 'David Klema' Cc: Roger Peitso; Monica Fadness; Rachel Dodge Subject: I 40 Orono Orchard Road N/#2016-00658 Attachments: : Escrow Agreement - Demolition Permit 2016-00658.pdf David, The pool demolition;permit is ready to be issued. Please make sure to maintain protection of septic tanks during demolition. 1 The permit fee is$ 0 plus a $1 state surcharge for a total for$51. The escrow is$2,500; attached is a copy of the escrow agreement. I will have a copy here for you to sign if that's more convenient for you. Once all the disturbed areas have been established with vegetation, please contact us for an inspection. We will perform a site visit and once approved, I can start the escrow refund process. Please don't hesitate to contact me with any questions you have. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN 155356(physical address) PO Box 66 I Crystal Bay I MN 155323-0066(mailing address) 10 952.249.4620 18 952.249.4616 ® cmattson@c'y'.orono.mn.us I www.ci.orono.mn.us Summer Office Hours: (Monday, May 23 through Friday,September 2,2016) Monda -Thursday: 7:30 am to 5 pm Friday:17:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday,September 5, 2016 I i 1 1 1 I I 61DATE TIME CITY OF ORONO FED IN /r) - "5 - INSPECTION NOTICE bO HEDULED /O - to -/4i PERMIT NO.. • � � COMPLETED �/v ADDRESS/., 9 OWNE - t I�-LA TELEPHONE NO. /7 -al 5 CONTRACTOR _ n DESCRIPTION `yf�LG(.! 2)e-fX-0 t~y ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL OWNERICONTRACTOR TO MEET YOU:_YES_NO • COMMENTS:cc Q. r, rt,CC //{r�, / ac 0 OC Q01101W. W z cc W 0 WORK SATISFACTORY:PROCEED IECT COMPLETE CC0 CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN El O 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. a. 4 L ' *hits Copyllnspector's File Canary CopyISNe Notice Plannin & Zoning J I p De artment Mejno To: I Finance Department From: Christine Mattson, Planning Assistant CC: i Street File Date: October 19, 2016 G/L: 101-22205 Re: Escrow Refund Buildi g Permit #2016-00658 pertaining to 40 Orono Orchard Road N is complete. Please refun $2,500 to the property owner, David&Julia Klema. The f !lowing is attached: Original signed escrow agreement Copy of cash register receipt showing escrow amount received Mail o: David&Julia Klema 40 Orono Orchard Road N Wayzata, MN 55391 I :\street filesbrono orchard rd rA40\escrow refund 2016-00658.docc ESCROW AGREEMENT DEMOLITION PERMIT#2016-00658 AGREEMENT made this_�_g day of 0 vet , 20 1(0 , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Davi&Julia Klema("Owners"). Recitals 1. An application for a demolition permit has been filed for an in-ground pool located at 40 Orono Orchard Road North K"Subject Property") legally described as Lot 9, Block 1, Orono Oaks, Hennepin County, Minnesota. 2. ' In conjunction with the demolition, erosion control measures are required as shown on attached Exhibit "A". NOW,THEIEOFRE,THE PARTIES AGREE AS FOLLOWS: 1. ' DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners all 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 dministering 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 contr I measures are installed and maintained so the property complies with the provisions of Orono City Code Chapter 79. he financial security may also be used by the City to eliminate any hazardous conditions associated with the work and o repair any damage to public property or infrastructure that is caused by the work. If compliance with the approved Lard Disturbance Permit is not accomplished within the allowable time period, the City may bring the project into complianOe by use of the security. 3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees,officers and contractors the right to en.er 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 the plans and specifications and any related remedial work will be released after the completion and inspection of a I such measures and the establishment of final stabilization for the Subject Property.City Staff shall review the terms of th s escrow agreement two times per year to determine whether the requirements of the project have been successfully c mpleted and whether it is appropriate to return the funds. Owner may also request the release of the funds, and suc funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have b en 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/: _CITY OF ORO O OW ERS: By` Its: �w►- Jae✓• at eh, � .f4a�, .c ,„ ,,..,,�� �w .rr .�' ` '� „� sE r o1..s.7,,,„„.„4„,„ a s "E.t��N� , +r; f'" 150784 17-2/910 7 8 4 JULIA M.SHAVER HAN� o Ka.g " � o ✓ MN 55341 WE fiji to TO,HE OF sa-fid -Ftv-C u cc�,dDOLLARS 8 IMbank. aiafilpsenirli MFMr, ,n1,1,1 City of Orono 2750 Kelley Parkway 952-249-4600 Orono MN 55356 Receipt No: 3.015978 Jul 18, 2016 Julia Shaver Planning and Zoning Escrow for 40 Orono 2,500.00 Orchard Rd 101-22205 Deferred Rev-Developer Deposit Total: 2,500.00 Check Check No: 784 2,500.00 Payor: Julia Shaver Total Applied: 2,500.00 Change Tendered: .00 07/18/2016 12:05PM CITY OF ORONO I III I' I [ F �',II I II I • * 2016 - 00828 * 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 40 ORONO ORCHARD RD N PIN : 35-118-23-34-0005 LEGAL DESC : ORONO OAKS : LOT 009 BLOCK 001 PERM TYPE ESCROW FEE-TIED TO BUILDING PERMIT PROP TY TYPE : RESIDENTIAL CONS RUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: 'gSCROW FOR DEMO PERMIT#2016-00658-PAID BY:OWNER:JULIA SHAVER-CK#784-$2,500.00 1 APPLICANT ESCROW FEE-BUILDING 2,500.00 TOTAL 2,500.00 KLE &JULIA SHAVER,DAVID Payment(s) 40 OR NO ORCHARD RD N CHECK 784 2,500.00 WAY ATA,MN 55391- OWNER KLEIV A&JULIA SHAVER,DAVID 40 ORONO ORCHARD RD N WAYZATA,MN 55391- GREEMENT AND SWORN STATEMENT The w.rk for which this permit is issued shall be performed according to the ap.roved plans and specifications,applicable City approvals,and the State :uilding Code. This permit is for only the work described and does not 2 t permission for additional or related work which requires separate permi .. All provisions of laws and ordinances governing this type of work shall . compied with whether or not specified herein.This permit will expire d become null and void if construction authorized is not comm nced within 180 days of the date of issuance,or if construction is suspe •ed for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reque ed in conformance with the State Building Code.This permit may be revoke. at any time for due cause. Pfi c 120c4 il Puuck 6 7 / / 6 /c, Appl ant Permitee Signature Date Issued By SignaMre Date