HomeMy WebLinkAbout2008-00154 - demo CITY OF ORONO PERMIT NO.: 2oos-oo�s4
2750 KELLEY PARKWAY
' ORONO,MN 55356- DATE ISSUED: 10/09/2008
� 952 249-4600 FAX: 952 249-4616
ADDRESS : 520 NORTH ARM DR
PIN : 06-117-23-31-0005
LEGAL DESC : VICTORIA ESTATES
: LOT 003 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECTIONS DONE BEFORE BACKFILLING.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 50.00
DOBOSZENSKI& SONS,INC. STATE SURCHARGE DEMO 0.50
6450 PIONEER TRAIL
LORETTO,MN 55357 TOTAL 50.50
(763)420-6945
OWNER
PELLIZZER,TIMOTHY
520 NORTH ARM DR
MOiJND,MN 55364
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 sepazate
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 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 aze
request in conformance with the S g Code.This permit may be
revoke any time for due cause.
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App ermite Signature Date Issued ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESC ED ABOVE.
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� RECEIVED
� 0 City of Orono ��n��
P.O.Box 66 �l 4
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2750 Kelley Parkway
Crystal Bay,MN 55323 �o�t � ��.��y.�����Y
�L` � (952)249-4600 C�T1( OF ORONO ��.; ,f,; �
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CITY OF ORONO-DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Type: [� Residential ❑ Commercial
. Site Address: S�O N ��iyJ �Yt d�
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Owner: + _�� Mailing Address: S�D/V��n'I D�'I'� ���r�(�
city: ��11 C� zip: S5 3�p� .
Home Phone: 7��"`7/02 '��0�� Alternate Phone: �-/^S�-,�,3 9'�`7 S .3 �
Contractor/App.: ��j���� _ /�'` Contact Person:
�5o x�s 11JG ,
Address: 5'da ouv� v,�_Lq State License#:
City: L.o rQ�'D Zip: ��5 7 Expiration Date:
Phone: 710 3`�7��v��,� Alternate Phone:
General Instructions:
l. 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 inspections. Call(952)249-4600.
4. Sewer must be discontinued at the City service by qualified contractor before demo permit is
issued.
Demolition by means o£ � 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 as follows:
1. The structure(s) shall be kept enclosed and/or secured until such time as demolition is
complete.
. �
2. Demolition debris will be kept off adjoining property and/or the public rights-of way unless �
specific prior approval is obtained in writing for temporary use thereof.
3. Foundations shall be completely removed from the ground.
4. All demolition debris shall be completely disposed of off site in accordance with all
applicable PCA requirements.
5. Water wells must be abandoned in accordance with State Health Department regulations.
6. Inspection required when all debris has been removed,before backfilling.
7. 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).
8. Septic systems must be abandoned 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.
9. 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
�50.00-Principal Structure S��1 y�(
- . P�,• �,�•,�'
1. Subtotal of above permit requested $ � SG
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2. State Surcharge $ � .50
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3. TOTAL PERMIT FEE (add lines 1-2 above) $ �',Q , �C'
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 certi that all statements made on this applicatio,n are complete,
true and conect. ,%'
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Applicant's Signatur Date: d � �
Owner's Signature: Date: ��
Approved By: � Date: `I'3v-��
N
(Building Official)
* Zoning Disclosure Required? �YES ❑ NO
*This must be filled out by Zoning De e Fo ' er answer,a Zoning Official must sign all applications.
* Approved By: Date: c�� O8
oning Official)
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O :,., O Principal Dwelling Demolition Permit
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• � ��j�,��"��� �' ZONING DISCLOSURE & DECLARATION
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To the property owner: Demolition of the principal dwelling structure on a
property may automatically terminate certain rights which may have accrued to�the property by virtue of the
continued existence of that building. �
• All current zoning standards will have to be met by the new principal dwelling including setbacks, lot
coverage by structures, hardcover (impervious surface), height limits, etc.
• Where municipal sewer is not available, provision of two (2) sites for a conforming on-site sewage
treatment system is mandatory.
• Unless specifically approved by the City, all accessory structures must be removed at the time of
principal dwelling demolition. This also applies to seasonal and permanent docks,which may not be re-
installed until a new principal dwelling has reached the framing stage.
The following information is presented for the purposes of advising the property owner ofthe implications ofremoval
of the principal dwelling on the property:
l. Property Address: 520 North Arm Drive PIN # 06-117-23-31-0005
Required Lot Area 2 ac. (exluding Required Lot Width 200'
wetland)
2. Zoning District: RR-1 B
Actual Lot Area 2•�4 ac. (including Actual Lot Width 300+'
wetland)
Lot area variance is is not equired. Lot width variance is/'s not r quired.
3. Required Setbacks: Front Rear Side 30' Side Street
Lakeshore Lot: Lake(Front) 75' Street(Rear) 50
Average Lakeshore Setba : must be met/i ot a licable.
4. Lot Coverage by Structures: limited to 15°/a of lot area/ oes not a I lot area>2 acres
5. Hardcover limitation • are applicable/ re not applicable. 0-75'zone= 0%allowed
75-250'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed
6. Municipal sewer is available. ✓ Municipal sewer is not available;on-site system testing and design must be
provided confirming that two conforming drainfield sites are available.
7. ✓ Wetland(s)present. Wetland is classified as"Preserve". A_50_' buffer from the edge of wetland and a 20'
structure setback from the buffer is required. *"Talk to Planning Department Staff for additional requirements.
The unde�signed p operty owner hereby acknowledges receipt of the above information. Staff Initials
,
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l/ P p�i-ty er's Signature te
Forn,zD�-rte�ised 5-23-os (Original: Street File; Copy: Property Owner)
� ( �J.�,., ,
'�" ATE TIME
CITY OF ORONO CALLED IN � �g
INSPECTION���—�CHEDULED � +"
PERMIT NO. �D` COMPLETED .
ADDRESS CJ/�O /I�DY'7LlL- �iL.s�Lt-
OWNER CONTR.I.�tP�� �I�OS� �S�
TELEPHONE NO.����_�✓��–a.-'�l� - 3Co�3�
� DESCRIPTION ��r�i�� "� ��V�
� ❑ FOOTING p MECHANICAL RI r� � ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL B0. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cat1 for the next inspection 2a hours in advance. (952) 249-4600
Owner/Contractor on si e:
Inspector. w �,�
White Copyllnspecto�'s File Canary Copy/Site Notice