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Home My WebLink About2008-00362 - demo � CITY OF ORONO PERMIT NO.: 2008-00362 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 1U05/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 1760 SHORELINE DR PIN : ]0-117-23-14-0017 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ' �;1.-� (��, �I"��1 I"�C;��k,3 � NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISYOSED OF OFF SITE, PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 50.00 STUBBS BUILDING& HOUSE MOVER STATE SURCHARGE DEMO 0.50 185 OLD CRYSTAL BAY RD LONG LAKE, MN 55356 TOTAL 50.50 (952)473-8427 Minnesota State License#: 142159 OWNER WOODHOUSE, KIRT 885 FERNDALE RD W WAYZATA, MN 55391 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 governing 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 requested in conformance wi[h the State Building Code.This permit may be revoked at y time for due cause. � � -�' � � / / Applicant Per tee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A . � � V G� l/ � City of Orono �� /'�.�,O�� FO ITY USE ONLY�7 2 //O � P.O.Box 66 Date Received:! Permit#dl��J� % � 1 2750 Kelley Parkway �) �� z. Crystal Bay,MN 5�323 }4 r ,�') Amount: $�, 7" SAC Credit: '`��t�Yfi�y`4t� (952)249-4600 `�=--_� 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) �i �"' ,` � � i�� Job��Site-�4wt3er�Inf�"�.�p� y ,p� s�s � � Type: � Residential ❑ Commercial Site .Address: _ % ?�i�°� �y�_y�: Owner: ��, Sla,o1,1. `., �,�„ �,�,�. Mailing Address: ��ri� �.y'� ��; w,.�o�s •rrc•v c�ry: ��„� Zlp: s_3 y Z� Home Phone: Alternate Phone: )c�; - ,�-c�� c,,- Contractor/Applicant Informati�n: Contractor/App.: � � /'�('�r'� i�,z��, Contact Person: /��c, �,�u��s� Address: (Sj ,�t/. ��,2��1' ��;�' State License #: /�/� ��'9 City: ,C Zip: ` �_,. - Expiration Date: L- ,s c� - �>S` Phone: C� a - ��- ii,�; Alternate Phone: 1_ /a -�S�� i��S ,��;�'E�� ,' T',�''TC��,'�8i HOLD HAR�T��{��;1�E�TT��`��,� °,��: (:PnPr�� Tncr-{��tir�pc: 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 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. r � 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. �. i he undersignecl owner snail and nereny aoes inaemniry arid'nola 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 emf�loyees, agents, subcontractors or assigns. PERMIT TYPE AND FEE CALCULATION � $50.00—Principal St�-ucture � $30.00 --Accessory Structure (how many) (what) 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees to de 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, f*-ilP anrl rnrra.�t Applicant's Signature: Date: ;-y—�� Owner's Signature: (� � Date: ��`�� A�proved By: Date: ►�•S-v� (Building Official) � * Zoning Disclosure Required? 0 YES ❑ NO *This must be filled out by Zoning j�ypartme — either answer, a Zoning Official must sign all applications. L * Approved By: Date: � �� U �` (Zoning Official) � �' Reset:Form � �;��. F , � O�O�O �,,�,� Principal Dwelling Demolition Permit j'°"��- F ZONING DISCLOSURE & DECLARATION � ��$�� o$ 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 nrincina.l c�wellin�demolition.Thi�also applies to seasonal and�ermanent docks,�vhich 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 of removal of the principal dwellin on the property: 1. Property Address: 1760 Shoreline Dive PIN # 10 117 23 14 0017 Required Lot Area 2 aC. nOn Required Lot Width 200' wetland 2. Zoning District: LR-1A 4.23 2.83 non Actual Lot Area yyetland Actual Lot Width 120' Lot area variance is is not equired. Lot width variance is is no required. Front 3. Required Setbacks (Shoreline 50' Rear 50' Side 30' Side Street - Drive) Average Lakeshore Setba • ust be me ' not anplicable. . 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/,rare 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"Manage 1". A_35_' 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 undersigned property owner hereby acknowledges receipt of the above information. Staff Initials , � � r % , ,� ; ; ��✓ 'f (, !''r r GI'-�n�L---- G� ;, ? 7 �' r —_L____— Property Owner's Signature Date � �� Form z�D—ue��sed 5-23-os (OriginaL• Street File; Copy: Property Owner)