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Home My WebLink About2010-00376 - demo CITY OF ORONO PERMIT NO.: 2010-00376 2750 KELLEY PARKWAY : ' � ORONO, MN 55356- DA7'E IssUEn: 06/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2172 SHADYWOOD RD PIN : 17-117-23-42-0010 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET NOTE: I. 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. DEMO PRINCIPLE STRUCTURE& 1 DETACHED GARAGE ESCROW PERMIT 2010-00377 BUILDING PERMIT 2010-00336 APPLICANT DEMOLITION- PRINCIPAL STRUCTURE 75.00 TRUE NORTH HOMES INC MISC FEE 50.00 410 LAKEVIEW AVENUE TONKA BAY, MN 55331- STATE SURCHARGE DEMO 0.50 (612)281-2540 TOTAL 125.50 Minnesota State License#: 20636839 OWNER DORE, STEVEN 8351 WEST 109TH STREET BLOOMINGTON,MN 55438- 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 goveming this type pf work shall be compied with whe[her 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 I 80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in co formance with the State Building Code.This permit may be � revoked�t time or du ause. � ` �— � - / S� / �cv � (��'Yl�F�i � � l0 pplica ermitee Signature Date Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� City of Orono , R C YI7SE ONLY, ` �d �/ P.O.Box 66 ,�� 6��^ K� / 0 p � Date Received: .�� fG? -Permit# 2750 Kelley Parkway � � f`` w Crystal Bay,MN 55323 Amount: $��.s0 SAC Credit: ;F' � ��o (952)249-4600 Homeowner(s)Signed: es �� Resoluticros(if any);:Signed:�Yes'�'None'Required Zc�nin Disc}osure:Si ed: s None R uired ; CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Type: � Residential ❑ Commercial Site Address: 2/ 7 2 Sh�y G�'mc�� 6 a o1 Owner: S i�v e �r�2 e Mailing Address: �5 3 O (�G v�,6�i a�g e �7` City: �(��S Zip: SS�/Z� �olZk I�x�e Phone: 93� - 3 S S—�30� Alternate Phone: 612 -�t6 �l - I 2 S I Contractor/App.:�r'tue tiD2T►-} (.�g�eS �Nc. Contact Person: � R�Ce� WPa'f'�e�S Address: �( a 1,1�1c�V►e� 1�� State License#: 2 0 6 3 6 g�3 9 City: TbN �u, Zip: S� 33 ( Expiration Date: �1�I f i 1 Phone: 6�2 -2 S I - 2S�l a Alternate Phone: _q�2- �l76-Z 6 �"7 �, , , . 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 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 Pertnit, 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 un?�ss 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 buildin� 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, dama�es, 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�(how many) C� l��-e— (what) � 1. Subtotal of above permit requested $ �Z S� 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) � �Z,s ,�6 $O 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. A licant's Si nature: �� Date: S z� j PP g � / o Owner's Signature: � � ��`�-- Date: ��`��'� Approved By: � Date: � =-�I � �� (Building Official) * Zoning Disclosure Required? [�YES ❑ NO *This must be filled out by Zoning Departme For ei r answer, a Zoning Official must sign all applications. * Approved By: � .�'"�� Date: � " - (Zoning Official) Plan Review Checklist for New Structures / Additions Address/ PIC�/ Legal: • �� f f�,� � �n fl� �(�� Description of work: �'�,�O 1�. O�G �'lC�SQ.. � C,�'LSi�'UGt {��c.J Septic review by: +'V � Date Approved:_ � � ]�— %�� Zoning review by: � Date Approved: 5 �ZD/ IO Building review by: Date Approved: �'Z S "('l� �-p p roue-d Grading review by: �/( 'li l�r��C� Date Approved: Zoning File#: � G � 3`�S(� Resolution #: � �3 2 Resolution Date: .5 � !U � !C� Zonin District Fire Department Post Office � School District L� —� � Zoning: Lot Area: � �_ ,6F7/AC Width: (o ��_ Depth: � � Survey Submitted: t7Yes ❑ No Date of Survey:T��10 Y�.-V �"28 'lO Pro osed Setbacks: Front(Lake) Rear(Street) ( � S E W ) ( N � E W ) Other Buildings Wetland Side Side 8 , 5 � �� 7. ,,� � �� . � � . o � h�- h� r < <� � � Building Defined Height: �jd Building Peak Height: �� # of Stories Ok?: �'YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START WITH the distance between the basement flooN crawl START the distance between the slab and the highest i space floor and the highest roof peak, the top of WITH roof peak,the top of the cornice of a flat roof, I the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type or other arch-t e roof roof SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof and hi hest roof eak of a itched roof SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest i space floor and the highest existing grade within existin rade within the foundation the foundation or 10 feet, whichever is less. I EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: gF 1��_0�0 Shoreland District MCWD Permit Received Avera e Lakeshore Setback � Bluff ❑ Yes ❑ No ❑ N/A � / ❑ Yes ❑ No Yes ❑ No ❑'Yes ❑ No ❑ N/A i Permit Number: I Setback: i Hardcover Zones Existin Pro osed Var' nce Required � CUP Required I 0-75' � Yes ❑ No � ❑ Yes ❑ No 75-250' � �Q� '(� TYPe(S): I Type(s); 250-500' � � ! o�- w�c�1M z/ar/'esk 500-1000' �� c�� i /� �'I � REMARKS (in-house): O U�"! �,,S / yf�� C��, �/! v/I'Q Q�'ryl r Updated: 09/11/2009 z:\formslplan review checklist.docx Fees to be Charged YES NO Permit _ Plan Review State"Surchar,ge , ,: • Investigation Fee � SAC-"Number of'SAC`Units �}�a�� , p.2 � ,; Sewer Connection Water Connection Park Fee Site Inspection Other (specify) :Miscellaneous Fees „-_ ' , , � Calculated By: Square Foota e $ per S uare Foota e Basement X I = $ 15' Floor � X = � 2"d FIOOr I X = � $ Garage X = $ � a Estimated Construction Value: $ "155,UU� � Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ,�Plumbing ❑ Grading / Filling ❑ ell ❑ Hardcover Removal ,�Mechanical ❑ Fire Electrical �Footing ❑ Septic �Water Connection ; �' Poured Wall �Fireplace �Sewer Connection � �Foundation Survey ❑ Masonry ❑ Lawn Irrigation �Radon Rock Bed �'Mfg. �,I� raming CYOther(specify) N�n�F,m Co, Dr�w�� nsulation ��,�.�� fd� s-Built Survey �inal ❑ Other(specify) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) mO �� (( w� �I � d�s � �g� ll h� c a- ` o l� �c,r �.. I�k�s hc�., �jJ�� v s�- b�. v w�� ec1 {'j �. 2�u.j C� c s r s s��G �, (' Updated: 09/11/2009 s�pr�v�,c�,,a.�,j po.�rw�� (reQC�1Y�� '�YCX\ �'�Q,ylVtl.{�InC.G• (Ya4�S• ��. z:\forms\plan review checklist.docx � �.�y p�m��, Y�QuI rF� '�tt�►� w�'K I Yl 'f'�G1�'1�- O�W� � r L�O� \\ /`O 4�� Principal Dwelling Demolition Permit '\'�� ;`;�'x� �F'' ZONING DISCLOSURE & DECLARATION `\i �� .$� � ,�x�Ko$�-� --" TO the prOperty Owl1e�: Demolition of the principal dwelling structure on a property may automatically terminate certain rights which may have accrued to the property by virtue ofthe continued existence of that building. All current zoning standards must be met by the new principal dwelling including setbacks,lot coverage by structures, hardcover(impervious surface), height limits, etc. 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 properiy owner of the implications of removal of the princi al dwellin on the ro erty: l. Property Address: 2172 Shadywood Road PIN# 17-117-23-42-0010 Required Lot Area 0.5 ACre Requircd Lot Width 100` 2. Zoning District: LR-1C Actual C,ot Area 0.43 ACre Actual Lot Width 60' Lot area varianc IS/IS Ot required. Lot width varian e IS/I flOt required.* (Lot width and area vanances granted 5/20/2010,valid throu gh 5/20/201 1.) 3. Required Setbacks: Lake 75' Street 30' Sides 10' Average L,akeshore Setback: mUst be mBt/i not a licable. 4. Lot Coverage by Structure.� IImItBd t0 15% of lot area/tloe not a I lot area >2 acres 5. Hardcover limitation • 8fe d IICdbIB/ re not a IIC1bIB. 0-75'zone= 0%allowed 75-250'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed (75 to 250 ` zone hardcover variance granted 5/20/2010,valid through 5/20/2011.) 6.✓ Municipal sewer and water is available. Municipal sewer is not available;on-site system testing and design must be provided conflrming that two conforming drainfield sites are available. 7. Wetland(s)present. The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials �� .r"l�2-_ �y"�2-��0 _ / � ri � Property Owner's Signature Date Fo�zn�—Re��seas-23-os (Original: Street File; Copy: Property Owner) ` DATE TIME C��-- � CITY OF ORONO CALLED IN � �J ----�i—�— INSPECTION NOTICE SCHEDULED -� PERMIT N0. �'�I�"'L��L'� COMPLETED ADDRESS ��1 —7� ;S �l��l� (,�,;��,� � OWNER T LEPHONE NO. �r�a-�� a�� CONTRACTOR ��- N� �G7 a DESCRIPTION ��I �'ha / � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d ` W 0 WORK SATISFACTORY:PROCEED ❑�RROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED �7 ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. �/ � ' S:-� White Copyllnspector's File Canary CopylSite Notice