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HomeMy WebLinkAbout2005-P08965 - demo PERMIT CITY OF ORONO 2756 Kelley Parkway- PO Box 66 Permit Number: P08965 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 7/25/2005 SITE ADDRESS: 1075 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 08-117-23-13-0002 DESCRIPTION: Proposed Use: Residential Census Code 645 Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: 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: $ 50.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 50.50 APPLICANT: Wes Bendickson OWNER: Robert Dvorsky 6705 Highway 12 5108 Tuxedo Blvd Maple Plain,MN 55359 Mound,MN 55364 THE NED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AN A EES O O ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF M N OTA UIL ING CODE REQUIREMENTS. PLICA RMI E SIGNATU ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions 1. You may be required to obtain other permits, i.e. well abandonment, etc. 2. Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections. Call (952) 249-4600. JOB SITE ADDRESS: O O A::zA A A,/O Occupancy Type: Residential Commercial OWNER'S NAME: �256 RZ-F L , v p S �. Phone:A/2- Mailing Address /a g `-V XV71>,o City:/11OLIA/Z> S Cit/ (G IC S av ,� �..2_ CONTRACTOR'S NAME: �'f���� ,�J2c;��, Bus.No ZO Mailing Address: City:zfj,� ,A we-< Demolition if planned by means o£ manual disassembly heavy equipment Permits Issued: # 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. Sewer and water must be disconnected at the services at the street by qualified contractors. 7. Inspection required when all debris has been removed, before backfilling. 8. 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). 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. 10. 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. S'0- PERMIT TYPE AND FEE CALCULATION $50.00 -Principal Structure $30.00-Accessory Structure 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 3. TOTAL PERMIT FEE(add lines 1-2 above) $ The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit,agrees to do all work in strict accordance with the. ces of the City and the regulations of the State of Minnesota,and certifies that all state this application are complete,true and correct. APPLICANT'S SIGNATURE: �' Date: / 2aQS OWNER'S SIGNATURE: Date: 7 l o o APPROVED BY: Date: 7-2�0 'n S Buil ing 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: Date: 7 7i0 Os _ (Zoning Official) r °moo = -0 � .,� Principal Dwelling Demolition Permit �� 2 1 G ZONING DISCLOSURE & DECLARATION 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. >-Rebuilding on a substandard lot of record(i.e.a lot that does not meet the zoning district required lot area or width standards) will, with few exceptions, require variance approval by the City Council, and such approval is not automatic nor guaranteed but requires that a hardship be demonstrated. >-Additionally, 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 of the implications of removal of the principal dwellli"}n'g) on the property: I 2 2 1. Property Address i V 1� vm(L" t�o PINS# 2. Zoning DistrictV' Required Lot Area Required Lot Width '1'�/a lO1�Q,�lhl CV 51 Actual Lot Area Actual Lot Width Lot area variance is is not equired of width variance is/�s not quired. 3. Required Setbacks: Front_1V/A Rear Q Side IDI Side Street N/A Lakeshore Lot: Lake(Front) 15 Street(Rear) �D Average Lakeshore Setback.=mustbeis not aimlicable. 4. Lot Coverage by Structures: limited to 15% of lot area does not apply(lot area Ll acres 5. Hardcover limitations: are aDDlicable/are not applicable. 0-75'zone= 0%allowe C75-25;0'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed =25%allowed 6. X 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. The under igned propertyowner hereby acknowledges receipt of the above information. Staff Initials ji - P�PP'�ximr � . tea- (�YY vV i�nu O�uGuw wheh �0% of Qu(t�Vr�d VV6"h mvMS G�'2 Prop ' er' !!� r Date Form ZDD—Revised 5-23-05 (Original: Street File; Copy: Property Owner) Minnesota Pollution Control Agency Notification of Intent to Perform a Demolition Type of Notification [ ] Original [ j Amended [ J Project Cancellation Demolition Contractor: BuildingInformation: Name: S Building Name: ll Address_r_ d/�✓G �'A�/c Nv Address/Location:l d � o�,kg o,,�,* ;J 57 k/A City,State,Zi :01�.0/1/�, Af City,State,Zip: 27�,IfVi 10414 County: r'ri✓/f���//l� Contact Person: 4& 2 r -s VD r_!c'c 0"/ Phone Number(s):_4;�/.2 " 8 Phone Number(s):_//oZ-— 20/ — 988 z_ Age of Bldg.(years):_ Size of Bldg.(sq.ft.):� Number of Floors Including Basement Level(s): Building Owner: Present Use ofBld .2- 12/y�.Szct Name: Prior Use of Bldg.: jE]:2/'D Address: Dates wde R�j?int i�ti g will Begin & End City,State,Zip: Notification must be postmarked or received ten(10)working days Contact person: before demolition begins. *See item#S for emergency demolitions. Phone Number(s): Both Beginning and Ending dates should be amended in writing as necessary to reflect current project dates. If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containing Material (RACM) in the building to be demolished, it must be removed by a licensed asbestos contractor prior to demolition. The State of MN- Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal. Is nonfriable ACM present in the structure to be demolished ? [ ] YESNO If YES complete items 1-9. If NO complete items 3-9. 1. If ACM will be left in place for the demolition indicate the amount of Category I and/or Category II nonfriable ACM left in place. Categ.I Linear Feet Categ.II Linear Feet Square Feet Square Feet Cubic Feet Cubic Feet CateEosY_I nonfriable ACM means asbestos-containing packings, Category_II nonfriable ACM means any material,excluding gaskets,resilient floor covering,and asphalt roofing products Category I nonfriable ACM,containing more than one percent containing more than one percent asbestos. asbestos that,when dry,cannot be crumbled,pulverized,or *Category I nonfriable ACM is not allowed to remain in place reduced to a powder by hand pressure. for demolition if it is in poor condition. *Category II nonfriable ACM is not allowed to remain in place for demolition if it has a high probability of becoming crumbled, pulverized,or reduced to a powder during demolition,transport, or disposal. (ex transite,cement,slate roofing) 2. Description & Location of ACM remaining in place (including floor hi and room #): 3. Company and/or individual that conducted the building inspection and the procedure used to determine the presence or absence of ACM(including analytic method): *Prior to demolition all buildings must be inspected by an EPA accredited inspector. 4. Description of planned demolition and the specific method(s) that will be used:—,��,�J1 r0,-1A 6-A,7- -_ l �- 5. If the demolition was ordered by a government agency, please identify the agency and attach a copy of the order: &/, Name: Title: Authority: Date of Order(M/D ): Date Ordered to Begin(M/D/Y): * Notification for an emergency demolition must be submitted as early as possible before demolition begins,but not later than the following working day. A demolition is considered an emergency ONLY when the facility has been deemed structurally unsound and in danger of imminent collapse. If the structurally unsound building is known to contain any regulated ACM or is suspected to contain any regulated ACM,special procedures MUST be followed. If you are unaware of the special procedures, instructions/regulations can be obtained by contacting the NIPCA at the address or phone number listed below. 6. Description of procedure to be followed in the event that unexpected RACM is found or Cat.H nonfriable ACM boxame§cru led,pulverized or redu d to powder: tgld/� -�_ 416 7. Waste Transporter Information- S. Waste Disposal Information: m . Transported Naf Zog-s— Landfill Name:DE74�A _(�f(7/ ,,,Transporter Contact- — S D, � � Owner/Operator: '00, p�Tr�AsporttA�d)s3���/� � � c /14A ) Address/Location: City,State,Zip: QA4 City,State,Zip: e�,_ -S-5- � Phone Number:LP// �� — PO) — Phone Number: 9. I certify that the above informati c re t and I am a bonafide representative of the demolition contractor or building owner a aut ority to enter into agreements for my employer. Signature of Contractor/Owner Date Send or Fax to: For questions call: Asbestos Coordinator-Air Quality Division 612-296-7300 MN Pollution Control Agency 1-800-657-3864 520 Lafayette Road North Far: 612-215-1593 St. Paul, MN 55155-4194 �4„ A h t f i Y r ■ ,a C NortkstarMLS.com w _ r ` � Sr e .IIrJI�A�' Ir �. ��. _'{+r'�JI„'. I• 1 �1 r�E q y -1 `A O NorthstarMLS.com 1075 Tonkawa Road, Orono, JINN $2,590,000 • Stunning combination of European charm, exquisite details and modern amenities! Expanded and remodeled in 1996! • Nestled in a private.84 acre estate-like setting with stone pillars and wing drive! • 132 feet of south/west facing, sandy lakeshore with spectacular views across tranquil North Arm Bay! • 'The main floor plan is perfect for entertaining and includes a large living room with handsome cherryfireplace, inviting family room and spacious kitchen, all with 6eauttfurlake views and warm BraziClan cherry floors. Wain floor lakeside Owner's Suite. Generous den with private 3/4 bath. • The lower walk-out level includes a large amusement room with space for a pool ta6le and video games, a kitchenette/6ar, an inviting guest room with a full bath, sauna and elCercise room. A spacious ceramic tiled sunroom overlooks the lake and provides convenient access to the rear yard, lake and docksystem. Wain LevelerLevel Living Room 23 X 21 Bedroom 3 16.T 13 (Dining Room 14 X 14 Bedroom 4 15.T 12 Family Room 21 X 16 Bedroom 5 15.Z 12 Kitchen 20.Z 14 '/4 Bath Owner's Suite 20,-,15 Full Bath Nanny's Quarters 20.X 15 (powder Bath Lower Level Laundry 1Rgom Amusement Room 36 X 15 3-car attachedgarage Bedroom 6 15.r,11 Total FSE 6,188 Sun Room 38,X11 Foundation 2,295 Full Bath 20051 Tak $16,725 AdditionarIn formation • Two large cedar decks and 6rickpatio. • Seventeen sections of dockincluding 30'boat house. • underground lake fed irrigation system. • Efficient 4 zone hot water heating system and two central air units. • JTfyh quality Bella windows and lifetime Certainteed roofing. • Built in 1958 and redesigned, eVanded and remodered in 1996. Barry Stensrud (612) 508-4902