HomeMy WebLinkAbout2008 - 00379 - demo 4 , 1
CITY OF ORONO PERMIT NO.: 2008-00379
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 11112/2008
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4701 WEST BRANCH RD
PIN : 07-117-23-22-0016
LEGAL DESC : WEST BRANCH ACRES
: LOT 001 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECTIONS DONE BEFORE BACKFILLING.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 50.00
ALBERTSON, DAVID&WENDI STATE SURCHARGE DEMO 0.50
4701 WEST BRANCH RD TOTAL 50.50
MOUND,MN 55364
OWNER
ALBERTSON,DAVID&WENDI
4701 WEST BRANCH RD
MOUND,MN 55364
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 are
reques in conformance with the State Build'.: '.4e.This permit may be
revok d t any time .4 due
ilia"
II , 1000
Ap c ' mi. • Signature Date Iss,'d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4 4
0; City of Orono FO _CI Y USE ONLY �t �Q
O Q P.O.Box 66 Date Received:// Z/ K Permit#s 3?Ot�— CO3 7/
2750 Kelley Parkway
y =•. Crystal Bay,MN 55323 Amount: Q.�t'
SAC Credit:
i,.,tr, (952)249-4600
`o+ssa1 Homeowner(s)Signed: El Yes
Resolutions(if any)Signed:0 Yes 0 None Required
Zoning Disclosure Signed: 0 Yes 0 None Required
CITY OF ORONO-DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
INAI"" Tri =e 7
Type: ❑ Residential ���❑ Commercial
Site Address: H70\ V S &act-4 C--C
Owner: PCAJ i L4 N 16, Mailing Address: /OD I (A) r- ref i^ -1i PC-/
City: DSV o Zip: SS LI-1
Home Phone: /S 2-'/76-7 Ny Alternate Phone: 1/4.02/ -'2/0`39-28' L
u i( 1t571:771Px71
Contractor/App.: OW jvt./ Contact Person:
Address: State License#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
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 0 Heavy Equipment 0 Other
Permit(s) Issued: D 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.
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.
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.
PERMIT TYPE AND FEE CALCULATION
eri$50.00—Principal Structure
$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 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: WvE! oil,
Date: 1/- 1Z-08
Owner's Signature: %/� _ Date: ,(` v Q
IWO
Approved By: � �. Date: 11 Y2_—C)
(Building Official)
* Zoning Disclosure RequiredYES ❑ NO
*This must be filled out by Zoning Department-For either answer,a Zoning Official must sign all applications.
* Approved By: ` -f-fq Date: //`12Z
(Zoning Official)
,
OHO 0
Principal Dwelling Demolition Permit
y 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 neither 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 dwelling on the property:
1. Property Address: 4701 West Branch PIN# 07-117-23-22-0016
Required Lot Area 2.0 acres Required Lot Width 200'
2. Zoning District: RR-1B Actual Lot Area 5.43 acres* Actual Lot Width +300'*
*according to Henne•in County Property Records
Lot area variance i /is no required. Lot width variance is/ s not r•quired.
w
3. Required Setbacks: Front 50' Rear 50' Side 30' Side Street na
Lakeshore Lot: Lake(Front) na Street(Rear) na
Average Lakeshore Setback: must be met is not applicable.
4. Lot Coverage by Structures: limited to 15%of lot area/ s les not apply(lot area>2 act-, )
5. Hardcover limitations: are applicable/ re not applicabl 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 2". A 25' 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 ersigned property owner hereby acknowledges receipt of the above information. Staff Initials
r
ALL/ /d14.
The er _----
signed L AN: 5/
.t
joperty Owners ure Date
Form ZDD—Revised 5-23-05 (Original: Street File; Copy: Property Owner)