HomeMy WebLinkAbout2005 - P09408 - demo PERMIT
CITY OF ORONO
42750 Kelley Parkway - PO Box 66 Permit Number: P09408
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued:
11/10/2005
SITE ADDRESS: 389 Westlake St Unit#
Long Lake,MN 55356
PID: 05-117-23-23-0027
DESCRIPTION:
Proposed Use: Residential
Census Code 649
Permit Class: Building
Permit Type:
Demolition Permit Sub-type(s): Demo-Accessory Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Demo Shed&Swimming Pool
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: $ 30.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 30.50
APPLICANT: Bollig&Sons,Inc. OWNER: Janet Donaldson
11401 County Road 3 389 Westlake St
Hopkins,MN 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.
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APPLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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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: 3g lf/cS rxSET "0,110
Occupancy Type: Pc Residential Commercial
OWNER'S NAME: /�6( p, ,�/Gi .5e)i Phone: &c ) --
Mailing Address:bp Tern s ,e. _ £)/ , d6sY City: /.f/4,J'zap- /9/t/ 5:5',Tr
CONTRACTOR'S NAME: /G tr- so/Vs /4/c Bus.No.(?5 2) '73 s'— Y/33
Mailing Address: i(i/o/ (p 2,b 3 City: Horkm/s Am/ s15—sr?
Demolition if planned by means of: 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.
PERMIT TYPE AND FEE CALCULATION
$50.00 - Principal Structure
$30.00- Accessory Structure 5 N E c> 411) S a)/'l A11' fO4
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 ...plication are complete,true and correct.
APPLICANT'S SIGNATURE:‘/VA / Date: ///8/Dc-
OWNER'S
/ 8 Dc-
OWNER'S SIGNATURE: „ Date: /// /C
.4 APPROVED BY: Date:
(Building Official)
*ZONING DISCLOSURE REQUIRED? o YES ❑ NO
* This Must Be Filled Out By Zoning Department - For Either Answer, A Zoning Official Must Sign All
Applications
*APPROVED BY: (,�f -�`w` Date: ii/C05-
(Zoning Official)
Reset Form
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1 Principal Dwelling Demolition Permit
'a r F ZONING DISCLOSURE & DECLARATION
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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 dwelling on the property:
1. Property Address '5 .q w&y-tiot Sr PINS# (51/7*Z3. 43'00Z-7
2. Zoning District/R'/4 Required Lot Area .0 ACI26 Required Lot Width Gam/ Sh&z/tne/ 75i
s L#m
Actual Lot Area 4'0.`03 Actual Lot Width , -inlayv14
a 5hwr?aivi f-X'SC i c-t-=
Lot area varianc n
is is ot required. Lot width varianc0 is not required. LAO
3. Required Setbacks: Front 50 Rear Side �� Side Street
N/A
Lakeshore Lot: Lake(Front) ( 1 Street(Rear) �V I
Average Lakeshore Setback must be met is not applicable.
4. Lot Coverage by Structures: invited to 15% of lot area does not apply(lot area>2 acres)
5. Hardcover limitations: are applicable are not applicable. 0-75'zone= 0%allowed
75-250'zone=25% allowed 7250-500'zone=30%allowed 500-1000'zone=35% allowed
6. A. 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 undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
' ---1.-- --/e:%‘-' //i.0.c--- 36
roperty Owner's ignature Date
Form ZDD—Revised 5-23-05 (Original: Street File; Copy: Property Owner)
Cq ��� y'-' D,TE TIME v
CITY OF ORONO CALLED IN /I O
INSPECTION NOTICE
/� [ SCHEDULED I /0 00
PERMIT NO. p()c 7 COMPLETED
ADDRESS % L LSC- 4-f /a/ e S/
OWNER CONTR. G 0
TELEPHONE NO. S?d 4 75 33 o 2_
DESCRIPTIONv l/1C�(' _„/ DU/ rea 10 Val)
4.. 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
ct
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
...<- OWNER/CONTRACTOR TO MEET YOU: YES_NO
a COMMENTS:
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VCORRECT
ATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W WORK&PROCEED ' ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. S PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-4600
Owner/Contra or fi e:
Inspector. O.�/f
White Copy/Inspector's File Canary Copy/Site Notice