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HomeMy WebLinkAbout2013-01044 - demo .+ CITY OF ORONO * z 0 1 3 - 0 1 PJ 4 4 * 2750 KELLEY PARKWAY pATE ISSUED: 10/15/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2248 SHADYWOOD RD PIN : 17-117-23-43-0126 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 007 BLOCK 001 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES NO'CE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 PAUL SORENSON CONSTRUCTION STATE SURCHARGE DEMO 5.00 525 COUNTY ROAD 92 TOTAL 55.00 MAPLE PLA1N, MN 55359- (612) 868-5138 OWNER LAGERSTROM, ED 2248 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work tbr which this permit is issued shall be performed according to the approved plans and speciYications,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 ordinanees governing this type of work shall be compied with whether or not specitied 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 1 AO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due c se. � , C/ Lc� / l� , ,L�GL /L�l l /.3 Applicant Permitee Sign ture Date �"Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. • t , i ���� City of Orono FOR I"I'P USE ONLY /, [� ���-�� � P.O.Box66 Date Received'�Q�Permit# e�0/3—C/ � / 0 ', 2750 Kelley Parlcway Crystal Bay,MN 55323 Amount �SAC Credit: I' � 1 � (952)249-4600 '� � h/ Homeowner(s)Signed: ❑Yes � ` % Resolutions(if any)Signed: �Yes ❑None Required \��k� � � Zonin Disclosure Si ned: ❑Yes ❑None R uired SH�� ' ��—`' � ��0� S CITY OF ORONO - DEMOLITION PERMIT r ��(��� �U'�Nf �,�:' V t'� (All pertnits must be approved by the Building Official and/or Zoning Department) �1�`'" _ r �Y1���1-}- veC�,lv � Job Site / Owner Information: ���'!� ��'��� Type: � Residential ❑ Commercial Site Address: � � W b �c�c'�" ��� Owner: � '� N � i�/b'� Mailing Address ��,o Gc,�xt�l�c��� City: �1�3�UU Zip: Phone: ��,� ' �H`1 ' ��� 3 Email: e�_ ��c�efs�a M � J n,L��/e� Contractor/Applicant Information: Contractor/App.: �' l�cl3��jGontact Person: ✓✓�� .�/ Address: S�.S �ov�✓I'y �o�c� �,� State License#: 6 C .���� City: ��F�e ��a�N Zip: S��s� Expiration Date: ���� Phone: �j��� - ���'S /3� Email: �o�ia.N— 5clf'C7iV.�'►/�C,or►tc�5�� �/t..'� SPECIAL CONDITIONS 8� 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 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 �ot�•( �,�jC�� 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. � � � - � �: '�' ��, �-� - 'yv_ �����u.�. - . . • . 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 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 buitding 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 alf claims, damages, losses or expenses, including attomey 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�(how many) � .S��p(7 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ SS. � 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: �� ' y—�3 Owner's Signature: N �" /`(���� Date: Approved By: `^^"""'�— Date: �d '�{ ' ��� ( ilding Official) �*Zoning Disclosure Required? ❑ YES NO *This must be filled out by Zoning epartment— r e�ther ans r, a Zoning Official must sign all applications. * ���I'W`" ..� � j�� Approved By: Date: �� � ` � (Zoning Official) Christine Mattson From: Theresa Zerby [TZerby@minnehahacreek.org] Sent: Thursday, October 10, 2013 4:24 PM To: Christine Mattson; Jesse Struve Cc: brian sorensen@comcast.net Subject: permit application for garage at 2248 Shadywood Hi Christine and Jesse, Brian Sorensen stopped by our office with garage plans for 2248 Shadywood Rd. This project does not trigger any of the rules that would require a permit from the MCWD, since there are no wetlands on the property, the project is not located in the floodplain and the area of soil disturbance will only be 600 sf. Thank you, Theresa Zerby Regulatory Clerk Minnehaha Creek Watershed District 15320 Minnetonka Blvd Minnetonka, MN 55345 Phone 952-641-4519 Tzerby@minnehahacreek.org �. / MINNEHAHA CR�EK WATERSNER DISTB��T 1 C� � ATE T �/ CITY OF ORO CALLED IN b`G "L-� ���_ INSPECTION C �HEDULED �" `� ����_ PERMiT NO. � D�0 '' 'coMPLETED ADDRESS � � v��' OWNER ` m TELEPHONE N .Co �Z'� '�� CONTRACTOR �'`S� �� ���Q` (Y'`�` �v� � DESCRIPTION � � `G � �'�-� � � lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANOS H O � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ �AOQN SLAB ❑ WATER HOOK-UP ❑ PROGRESS � 'u FIN� O SEWER HOOK-UP ❑ COMPLAINT `� DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: ��2G• ��✓I�,I - 6 ""�— �l� W . � P�L ✓ � o � rK r� eZ�� � � K e. �. � o � � /�,.�.� F�-�4l� s- 4.c� W ' ' - c � �SC!� U c4 V��r �rc �Cr.�te r. �/6� Zo/yL'��. Q � zt � S_ �� �te�o e /'o v� � W � j � ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PEFMANENT ❑CORRECTUNSAFECONDiTiONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca�l fo " spection 24 hours in advance. (952) 249-4600 Own Contractor on site: '��d'"� Inspector. �- White Copyllnspector's File Canary CopylSite Notice �R�NO C�PY LAKE MINNETONKA lAl(E ELtYA7ION: 929.80 I/11/201J � 4 O O \� �\ � �� \ �\ 929.[Conlour \ �_ \ \ .S `SO 6 OO'' � \\\\ _ \ .6� F � \ \ \ � \ � �� � `o, . i � / /l T � � � � L.V l \ 1 evi � � � \ / \`1—TJ.O SNOacR \ �\ � �/ \\ � / �O! ��I � .�.? wM \� � WI i4p � � � / a \ yo Zo� /�� � �ni � + '� �� a� h� � EXISTING �� �4p 0 �,a��ryry �� / HOUSE n �, o Iir b.-►�ro �e 0 01 .� ""'` '' "a' � � .� b� h � �n q L M �� PD, `�� �ti�') � ryh�.�, ,�. � � I ` � � I /�' j .o� � . � �� ."�h � � � ,� w.. "•� ��+ma+s. � i � p •. +r i .�, �.ra ! p, � ¢ +�..+qt— � � 1 �.� �n+ / ,.�.,ob,,, � ` + � — ���4 i o �. �io �� � � ; �_�.�e— � \ �,, '�i �o;.,,,i+�,� 4: ��,� � �`�` LEGAL DESCRIPTION: � : \ \ � � _.�— ��.,; '� ��� � �— Lot 7, Block 1, '1-19LE)''S PARK" LAKE M/NNETONKA � . � .,qt�.4 �O.o� .Q, �, & `i''iB , �..e ��� .�� 3 +a� �� ��aJ .Mo �UJ � q �Ni s' i � Mu,r _� � �v MIS � �w (WI� � � �''� � .. G� �,� S` (Pr�JFN �4�+ �'ri{.�'�J� n WJ � � �r� �+ �` �B c� ..�i� �� — «. � Eqo.w en„w.a. ,�� �'� �!y`� •��p�� SITE ADDRESS: 2248 SHADYW000 RD. � ORONO, MN S��L T,�,. Eo�N 9T�nMpir Y/�'OO� (9u) Ttre penotes fop �bottom of wall o Denotes iron monument • Denotes found monument Ox 000.0 Denotes existing elev. Revlxd: Oct. J, 201J ,�� (000.0) Denotes proposed elev. Revi�M: Spt. 12, 2013 n..reea:��yust 2�.2ota ' Denotes surfoce droinoge Reviaed:July 16, 201J 1 hersby csrtily tFrot th4 survey,plon or roport wos F71e No. DEAfARS—GABRIEL pr�par�d Dy m� PREPARED FOR: LAND SURVEYORS, INC. O1°"a.r my dinct wp�rvision a„a tnoe i am o duly Registerad Land u�2z c Swvsyor undsr the Lows oI th�Stats o!Minnewto. sate 09hington Ave, so. ���' Book—Page CERTIFICATE OF SURVEY PAUL SORENSEN CONSTRUCTIDN Edina, MN 55439 David E. Crook Phone:(763) 559-0908 scoie Fax: (952) 767—�49� pat�: July I0, 2013 Minn. R�g. No. �414 �'ZD PDF created with pdfFactory trial version www.odffactorv.com � � � � �