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Home My WebLink About2005-P08807 (demo) ` � PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p08807 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 6/8/2005 SITE ADDRESS: 3799 Casco Ave Unit# Wayzata,MN 55391 P�� 20-117-23-32-0021 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: $ 80.00 valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 80.50 APPLICANT: Tuma Excavating&Demolition OWNER: James Pederson 5045 County Road 19 24275 Mary Lake Trail Minnetristsa,MN 55359 Shorewood,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF(ED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORD[NANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � _ D_��.�.1.��, PLICANT PERMITEE SIGNATURE ]SSUED BY SIGNA"CURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . . �L'�'�a� ��S ,� � � �U ' 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. 3-��i JOB SITE ADDRESS: ��9 Casco Avenue Occupancy Type: ✓ Residential Commercial OWNER'S NAME' �an�es I Pederson Phone:�763�4ss-ot3o � Ma111rigf�CIC12'eSS: �`��Mary Lake Trail Cj�: Shorewood,MN 55331 C�NT�CT�R�s NAME: Tuma Excavating&Demolition $US.NO.: ��63)479-2982 M31�1ri�Tf�CIC�TOSS: S�`�5 County Road 19 CiTy: Minnetrista,!�IN 55359 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. Demolitioii debris wi11 be kept offadjoining property and/ar 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 b ound. 4. All demolition debris shall be completely disposed of off site in accordance with all applicable PCA reauirements. 5. Water we11s must be abandoned in aecardance 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 ncw building is actually under construction). 9. The undersigned owner shall and hereby does indemnify and hold harniless 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, subconn�actors 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 reauired 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 1. Subtotal of above pennit requested � so.00 2. State Surcharge $ .50 3. TOTAL PERMIT FEE(add lines 1-2 above) � so.so The undersigned hereby applies to the City of Orono for issuance of a Demolition Perniit,agrees to do all wark in strict accordance with the ordinances of the Ciry and the regulations of the State of Mimlesota, and certifies that all stateu � ts made this application are complete,�true nd correct. �� APPLICANT'S SIGNATURE: v' � � OWNER'S SIGNATURE: � APPROVED BY: Date: (Bui i Official) *ZONING DISCLOSURE REQUIRED? •I.�YES • •NO * This Must Be Filled Out By Zoning Department - For Gither Answer, A Zoning Official Must Sign All Applications *APPROVED BY: ��iGt- ��,ti�,�'�"''��.�fi^ � Date: �� V' �� (Zoning Official) _ _ _ ______ Reset�'arm . . . �°� O ,� O Principal Dwelling Demolition Permit � �`' � ZONING DISCLOSURE & DECLARATION � ,�- � • lri �I� �G 0� 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 dwellin� demolition. The following information is presented for the purposes of advising the property owner of the implications of removal of the princi al dwellin on the ro erty: 1. PropertyAddress J ��"f (,��,� l�l�� PINS# �Q"��3� �Z' �Q�� 2. Zoning Dish-ict LR-I� Required Lot Area � ��,�.�. Required Lot Width �(.' / � ��. / �f- � C�! �I.�O 0�9 N�NN�pl�l �--Actual Lot Area 7 `7�5 J.( Actual Lot Width � Gf,��Q ' a ��q, tXY P�Co�.�7s- N oi �t � ��v f SuRv�y Lot area variance is/is no required. Lot width variance is/is no equired. `a � 3. Required Setbacks: Front �0 Rear ��I Side ��i Side Street N,�•� Lakeshore Lot: Lake (Front) N A Street(Rear) /V` � Average Lakeshore Setback: must be met is not a licable. 4. Lot Coverage by Structures: limited to 15% of lot area does not a iv ot area>2 acres � ,� �� LU;L[, 5. Hardcover limitations: are a licable are not a licable. 0-75'zone= 0%allowed �N��i�f i—=---- �11��- 75-250'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed Y�-�%p� TY $ �� . 6. �Murucipal sewer is available. Municipal sewer is not available; on-site system testing and design must be provided confirming that two confomung drainfield sites are available. The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials "F,� �, :� � �,�z-�-- �� s r erty Owner's Signature Date (Original: Street File; Copy: Property Owner)