HomeMy WebLinkAbout2003-P05676 - demo • A PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05976
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 1/21/2003
SITE ADDRESS: 2645 Watertown Rd
Long Lake,MN 55356
PID: 04-117-23-12-0008
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential
Permit Class: Building Census Code 645
Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Fowidaiions/all denlu debris to be femoved From ground&disposed of off slle per PCA regulations. Wells
m ist be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 80.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Farr Construction OWNER: Douglas Havir
100 Bridge Ave 2645 Watertown Rd
Delano,MN 55328 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICA SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si-anitures Required). 1-ADnlicant, 1-Monthlv Reports. 1-Assessing. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 r
- SPECIAL CONDITIONS& HOLD HARMLESS AGREEMENT
General Instructions
I. You may be required to obtain other permits, i.e. well abandonmment, 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(612) 249-4600.
JOB SITE ADDRESS: 10y
Occupancy Type: Residential Commercial
OWNER'S NAME: Phone:-20-/5-yr---a aas-
Mailing Address:_J()C) U gkL Aog- S• City: 4( J ZZ ten U-0 //P�S '4-/QC
CONTRACTOR'S NAME: Bus.No.: ?G7>/<1:2
Mailing Address: l OD F->rt',ka e As.2 e City:-De "kir-, SS3�g
Demolition if planned by means of: manual disassembly
heavy equipment eC� 6 q7 81
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. 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
buirding and such new building is actually under construction).
8. 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.
9. 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.
PERMIT TYPE AND FEE CALCULATION
$50.00 -Principal Structure
G $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 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: //--��— a 3
OWNER'S SIGNATURE: r Date: / - ::)/—o 1
APPROVED BY: Date: / - ;L1 -0 3
O�O Principal Dwelling Demolition Permit
$ 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 ofprincipal
dwelling demolition.
The following information is presented for the purposes of advising the property owner of the implications of
removal of the principal dwelling on the property:
1. Property Address PINS#_0P — {l- ' 2"5
2. Zoning District Required Lot Area gyp li Required Lot Width 2-00
Actual Lot Areaa
�—Pam Actual Lot Width _1���
Lot area variance is/is no equired. Lot width variance is/ s no equired.
r
3. Required Setbacks: Front(Street) _ Re e Side
Si et Average Lakeshore Setback: must be met is not aDDlicable.
4. Lot Coverage by Structures: limited to 15% of lot area does not aDDIVtlot area>2 acres
5. Hardcover limitations: area licab /are nota licable 0-75'zone= 0%allowed
75-250'zone=25%allowed e=30%allowed 500-1000'zone=35%allowed
6. Municipal sewer is available. A�provided
unicipal sewer is not available; on-site system testing and design must
confirming that two conforming drainfield sites are available.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
Property wner's Signature Date
(Original:Street File; Copy:Property Owner)