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
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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