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HomeMy WebLinkAbout2014-00495 - demo CITY OF ORONO H1 1 II111111111 II 111111 II 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4100 ELM ST PIN : 06-117-23-41-0060 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 007 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-ACCESSORY STRUCTURE ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. INSPECTIONS DONE BEFORE BACKFILLING. AFTER THE FACT POOL DEMOLITION APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00 STATE SURCHARGE DEMO 5.00 CARROLL, MR&MRS THOMAS 4100 ELM ST TOTAL 55.00 LONG LAKE, MN 55356 Payment(s) CHECK 4441 55.00 OWNER CARROLL, MR& MRS THOMAS 4100 ELM ST LONG LAKE,MN 55356 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 11\ /2 //)/ \ -4---)* Appl ant Permitee ignature Date u; I BySignature Date � g ' -41).1\10 O�T City of Orono �F�C �UfSE ONLY��, / ��/95 1 V P.O. Box 66 Date Received?/�f Permit# `f 7` 0 (9 50 Kelley Parkway s. Crystal Bay,MN 55323 Amount: $ 55 a' SAC Credit: (952)249-4600 �'�� i' Homeowner(s)Signed: 0 Yes F �,� Resolutions(if any)Signed:0 Yes 0 None Required `�'�ESHo' ' 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) I Job Site/ Owner information: Type: X Residentiallr] Commercial Site Address: '7/00 rL [� Q`7 J 7r Owner: /ffonAS 4r5 iP €&$t L Mailing Address: y/00 CC.A 57 City: O&M 0 Zip: 5-3.S( Phone: 9507' 1-i7� ' 826 ? Email: IC j6ad7/L (@ Ma dri Contractor/Applicant Information: Contractor/App.: Contact Person: Address: State License#: City: Zip: Expiration Date: Phone: Email: SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT 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: 1 Manual Disassembly ❑ Heavy Equipment ❑ Other Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment# In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: 1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are to be demolished. 2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with Chapter 79, Construction Site Runoff Control. 3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating permit(s) are not required. 4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. 5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete. 6. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 7. Completely remove foundation(s) from the ground. 8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 9. Abandon water wells in accordance with State Health Department regulations. 10. Call for an inspection when all debris has been removed, before backfilling. 11. 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). 12. Abandon septic systems 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. 13. 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 $75.00 — Principal Structure $ $50.00 —Accessory Structure x j (how many) 50 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1 -2 above) $ 55 ,00 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: 1 f Date. Owner's Signature: Date: p , Date: 5 ' - `I� Approved By: Z �y to (m ilding Official) * Zoning Disclosure Required? YES O *This must be filled out by Zoning Department— For N ither answer, a Zoning Official must sign all applications. * Approved By: Date: 5-'bUYIf (Zoning Official) PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address/Permit Number: A1 - �VCQ��M. I ' I Description of work: A I L— it -P©o� 4 I i ijo Septic review by: N PC — Date Approved: Zoning review by: Date Approved: 5. 2.,r 11-- Building review by: Date Approved: Grading review by: Date Approved: Zoning District: (...1_-(13 Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% Survey Submitted: 0 Yes Date of Survey: Revised date(?): Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50% = #of Stories Ok? 0 YES FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: START WITH proposed floor(of the basement or crawl space)and the highest point of the roof. START WITH The distance between the top of slab and If you have a... the highest point of the roof. If GABLE OR HIPPED ROOF(no •you have a... ' GABLE OR HIP,P..E.D ROOF(no windows): Subtract half the windows: tract half the distance distance between the highest point betty the highest point of the roof of the roof to the low point of the a low point of the corresponding SUBTRACTION corresponding gable or hi roof SUBTRACTION �,.F gable or hipped roof (BASED ON ROOF • GABLE OR HIP ROOF(with (BASED ON ,-- • GABLE OR HIPPED ROOF(with TYPE) windows;„ tract half the ROOF TYPE windows): Subtract half the distance dist between the top of thebetween the top of the highest to est window and the highest window and the highest point of the �/'point of the roof roof • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, // mansard,etc):No subtraction. mansard,etc):No subtraction. ADDITION Add the distance between the top of slab SUBT TION Subtract the distance between the (BASED ON and the highest existing grade adjacent to (BP, D ON EXISTING basement/crawl space floor and the EXISTING the foundation. RADES) highest existing grade adjacent to the GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height EQUALS Defined building height Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff // 0 Yes 0 No 0 N/A 0 YesNo fi'l'es 0 No ❑ Yes ❑ No /glA Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover 0 Yes "1:24 ❑ Yes "No Type(s): Type(s): Updated: January 2013 • v:\forms\plan review checklist 2013.docx REMARKS (in-house): Fees to be Charged YES NO Permit Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) Square Footage $ per Square Footage Basement X = $ 1st Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading/ Filling ❑ Well ❑ Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical ❑ Footing ❑ Septic ❑ Water Connection ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection ❑ Foundation Survey 0 Masonry 0 Lawn Irrigation O Radon Rock Bed 0 Mfg. ❑ Framing 0 Other(specify) O Insulation O As-Built Survey inal O Wetland Buffer O Other(specify) REMARKS (in-hou e): • &NW) a-- -1)C1,a-4 Other Review: Reviewed by: Date Approved: Access: Existing: 0 YES 0 NO New: 0 YES 0 NO FFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED Updated: January 2013 v:\forms\plan review checklist 2013.docx * ``P ! .: "� {} .. tom% I. • or , 4 . ile Ilk ' 0,0 t, ''.011' 40'.' 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' _ y . : + ra `w ...';i7,;'..1.:a , . • 4 `,.** '" ' '''''''' '''''' ' ''''l °' w a ...-,'- '',..,; ,,,,,e_ •.. 1 1 ..., . , .it i +v .0r: _ it.,-‘, • d+ .�'•+. k'+,e tii 1 3 '- r A•. 7w •}' '., NI;'•-Its 1 Parcel 06-117-23-41-0060 A-T-B: Torrens Map Scale: 1"=50 ft. N ID: •Print Date: 5/22/2014 Owner T P Carroll&S K Carroll Market $287,000 Name: Total: Parcel 4100 Elm St Tax $3,373.60 Address: Orono, MN 55356 Total: (Payable: 2014) Property Residential Sale $121,400 Type: Price: This map is a compilation of data from various sources and is furnished"AS IS"with no Home- Sale 01/1995 representation or warranty expressed or Homestead Stead: Date: implied,including fitness of any particular purpose,merchantability,or the accuracy and completeness of the information shown. Parcel 0.54 acres Sale Warranty Deed COPYRIGHT©HENNEPIN COUNTY 2014 1 Area: 23,569 sq ft Code: A Think Green! http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=450536.2507714513 3,4979644... 5/22/2014 DTE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED /if36 PERMIT NO. J i 5COMPLETED ADDRESS 1-1J OO fJh, ST- OWNERAU. C e? TELEPHONE NO. 95-2 }457 x-621 CONTRACTOR //11 DESCRIPTION 4)4_,-di -O A'c. 1• Po2'1 1.4 CIFOOTING ❑ PLUMBING FINALVA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL CI CI TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION C ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP IT ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL <--- OWN ERICONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc 4. 4, Pool Seo — CC J CCO r1 / L • / L rl�(debris /l4% bee' rc Ind vIi=9-fro 4...., exe4„4 O W ' 0015r5e-0 d4- (10nCr>✓ft r�.6/e -•f 41e..r/rR4•.�. Q gaol -r/ v►t�� r4S v,Dfrr/r /� 1X+�- 1 Ktr ' 4/E4_, 0 oat if)vl5toa - /�e �esna✓ - 6 ier c)vivLe f 4r-e err 47/vs." b044;1 ,..i..< pi.. -b .6,..6,-,--ll- , a L ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE CC W "-C48RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 caner ntractor on site: 4619 r r/'411/ Inspector. r S.% %11Sa- hite Copylinspector's File unary Copy/Site Notice