HomeMy WebLinkAbout2008-P11788 - demo PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11788
Crystal Ba�, Minnesota 55323 Permit Type: Demolition
(952._) 249-4600 Date Issued: 4/28/2008
SITE ADDRESS: 2118 Shadywood Rd Unit#
Wayzata,MN 55391
PID: 17-117-23-42-0016
DESCRIPTION:
Proposed Use: Religious Census Code 645
Permit Class: Building
Permit Type:
Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved perresolution#: �
Separate permits required: Other-(Other permit required: Sewer Disconnect) `�� � I I � U�
NOTICES/REMARKS:
Demolition by means of heavy equipment.
Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells
must be abondoned. Inspection before backfilling.
FEE SUMMARY: Permit Fee: $ 80.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Stephen Longman Builders Inc. OWNER: Paul&Leann Hanssen
9401 Preston Place 2118 Shadywood Rd
Eden Prairie,MN 55347 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
_. �
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AP NT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), l-Applicant, 1-Monthly Reparts, 1-Assessing,(If Septic, 1-Septic) Page 1
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,�Q,�` City of Orono a FOR CITY IJSE ONLY
Q `�'� P.O.Box 66 Date Received: �—�-08 Permit# �- //7�8
vy�..,, 2750 Kelley Parkway
� � ��'��x�,' �' Crystal Bay,MN 55323 p
��;�.���6�� (952)249-4600 Amount: $ p0r�SAC Credit
�`� Homeowner(s)Signed: ❑Yes
Resolutions(if any)Signed:�Yes ❑None Required
Zonin Disclosure Si ned: ❑Yes ❑None Re uired
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
Type: � Residential ❑ Commercial
Site Address: 02( 1 g 5�a-�-� W o o � �,oa.�..
Owner: 5�� w oo� LI..L Mailing Address: ��-{,�l Q('�es�o y� p�QCe-
City: [�� �C`a�ru¢� Zip: SS3 Y ?
Home Phone: �S�- � �3- g oL�.�e Alternate Phone:
Contractor/Applicant Information:
Contractor/App.:�4-i�,kc.v, Lo�4�nnay� �1�3�Contact Person: 5-E--e...�� 1...o n.t m0.,h
Address: ��to t ��e-s'�v� P�Qte.- State License #: �� (a (�
City: �o�� P�.�n.�z�p: �3�f� ExpirationDate: 3 -31 - 08
Phone: `1 S'eL �t �t 3 - g a�� Alternate Phone: (¢1,�, $o� - OS�(p
� �� �� �� SPE�IAL CONDITIONS & HOLD HARMLESS AGREEMENT �
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 of: ❑ 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. I
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, befare 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
�C] $30.00—Accessory Structure�_ (how many) q�aa e- (what)
1. Subtotal of above pernlit requested $ QD� ot�
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ $D„ SD
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a strict accordance with the ordinances of the City and the regulations of
the State of Minnesota, and certifies that all statements made on this application are complete,
true and correct.
Applicant's Signature: Date: /—'-{ - O 8
�—
Owner's Signature: � �,s,�;�„ -�on,�,,� � Date: �
Approved By: � ,,,,_ Date: i - ►� • ��
Building Official)
* Zoning Disclosure Required?,� YES ❑ NO
*This must be filled out by Zoning Department—For either answer,a Zoning Official must sign all applications.
* Approved By: ��T � � �- Date: g-� �' -u �
(Zoning Ofticial)
F�b-10-2006 04:31pm Fr�CITY OF O�ONO +g322484818 ��� T-Z50 P.OQP/00� F-7Y8
4� �� Principal Drov'elling p�unolition Permit
� � � 710117ING DISCLOSURE +�'t D�CLARA'TION
'y'o t�e property own�r: Daawli'tion of the principal dwelling structure on a
PrB�erh'rnay automatiaauy terminate cercain rights which may ba�ve accrued to tbe propertY bY viztu�e of tl.0
con2inue�l existerue of tftat buildang.
• Rebuilfling on a substandard lo'�a�xecard(i.e.a 10��hat does not meet�rAning distriCt required lot
are�or width st�nda�'ds)v�rill,with few exceptio�,r�quise variance approval by the Cit�c'Couiacil,and
sueh approvaI is tXeitbec autom�e nar�u�ra�3eed but reqvires ihat a barc7ship be denzRn�u'eted.
� Additionally,al l cinmea�zo�ing sta��ar�ls will havc ra bc met by the new p�incipal dwelling includin�
setbacks,lot Gov�ra��by structures,hard.crsver(iaiperviaus surf�ca)�hei�t limits,�tc.
. Where municipal sewrr i� �t$vailable, pravision af two (2) sit� for a c�riformiug on�site s�wage
rreatrnenc syss�m is mandat�ry.
• Unless speci�ically e,nspmved by the Ciry, �11 aceesoary strtuKur�s must lx t�eawved at the timt af
� ptincipsl dwelliag demQ�tion.'this aL90 applies to sessonal�.nd perm az�t dack�,which may not bs re-
� iuscalled until a acw priaci�al dwelling has reeched t�e fxami.ng sta�e:
ofadvlsi tbs ro ovmer ofthe im 1iCa�ions afmmQw�l
?he followi�tg information is prcsent�d for.the Pwposas t� P perc�' P�
of�e ' ' 1 dwellin on the
1_ Pr,ap�y1►dd�+ea9: 2118 Shadywooq R�ad PiN# 1711T��416
Roquieed Lot Area 21,78p s,f. lieqt�ined �oc Width 100'
�. Zoning District: LR 1G Actuat Lrn Area 33�823 s.f. Aetval Lot'Width 110'
Lot area v,�riaa�e I� n c uired. Los wideh varianca ia is n required.
3, Requiretl getbacks; FroAt 11� ROar na si4t 'l0' Si4t s�reet na
L,akeshore Loi: �,�e�Frcaqt) T6' St�{R�r) 90'
ave�r�e Lekeshare Se • m c ot • bk. ,
4. Loi Coverage by %nF r a a�no a �Z reR
5. Harrd�ovez tirT►i�atiqn • s� re sonlle�ble lhre n��nnli��le. 0-75'wne= 0%allawzd
�_--
75-150'zone=254%allowed 250-3oD'2�e�30�la allawed �OQ-IOQO'xone�35Yo allawod
6.�/' 'M�unicip�l 5ewer is avsilabk. Mun�cipai s�ker is noi av�l�b)e;an-site syst�m t�scing a�nd desi�n must be
yroviCed confira�ing that lwa c�afo�ng dreinSeld sites are avuilabJe.
�. _W�tian�(¢) tasenr. '"Tsik bo Plannin D� �rtment$taff fo�a+dcl�tlonal uftements.
Tha undersigned pmperty orwAes hec�6y ecknbwledges rec�ipt of the atrowe information. Staff Iai '
I ��`' -�� ,?.��G�
Prop�rty Ownet's SigrtaturC D�e -- �
�arm�n—��:0 5-2�-03 (Original: Stceet File; Copy:Froperty CkwQer)