HomeMy WebLinkAbout2008-00440 - demo 1 �
CITY OF ORONO PERMIT NO.: 2008-00440
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 12/10/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2660 CASCO POINT RD
PIN : 20-117-23-24-0002
LEGAL DESC : UNPLATTED 20 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO- PR[NCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE:
l. FOUNDATIONS/nLL DEMO DEBRIS TO BE REMOVED FROM GROUND& DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPFC"CIONS DONE BEPORE BACKFILLING.
APPLICANT DEMOL[TION -PRINCIPAL STRUCTURE 50.00
STONEWOOD DESIGN BUILD STATE SURCHARGE DEMO 0.50
7404 WAYZATA BLVD
MINNEAPOLIS, MN 55426- TOTAL 50.50
(952)697-5075
Minnesota State License#: 20534541
OWNER
BLOMBERG,ANGELA
2660 CASCO PT RD ,,
WAYZATA, MN 55391- ����� �� ����
��v�,S � �sp�C���r�
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be performed according to ��/}��(j� �/���,Nt ������ ���
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 ��-��i�„�� ��- ��(lL >���
permits. All provisions of laws and ordinances governing this rype of work V�'t
shall be compied with whether or not specified herein.This permit will ��� �`
expire and become null and void if construction authorized is not ��(J����C,� �� w� ��
commenced within 180 days of the date of issuance,or if construction is � �� �
suspended for a period of l80 days at any time afrer work has commenced. u(�� ✓�j'� n
The applicant is responsible for assuring all required inspections are � � �f
requested in conformance with the State Building Code.This permit may be � ��� � �
revoked t any tim�for due cause. ��
/�--t /o l �8' �
� �' D�
Appli ant Permitee Signature Date Iss 3y Signaturc Datc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
- • PRICEWRTERHOUSECOOPERS Fax-612-373-7163 Dec 5 2008 12�11 P.02
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Q 0 P.o.Box 6b
275U Koqol'PpikweY Amowu; S`J��� SAC CrediC
3 C�yst�l say,h�N s�373
'q� � (95�2�8-46ao Homenwx+ta)Si�e�d: �Ya��/
xesolutbhs fiiu0'}Si�ncd: Ya L�+P�e Requirob
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CITY OB ORONO-DEMOLTTION PEYtiVIIT
(Ni pdmits must be nDDroved 6Y the Huilding dtticinl and/o�7�ning Tkpanmem)
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�,pe; Q�,Residential ❑Commercial
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Sitc Address: ?(_•�o �hsc• �Tw�' � � �raaS o
Owner:
Mailin�Address: ��� �"� � �3� '� � gN
C3ty: . �a 1 ^;!.e1� _ Zip:
Ioot1
Home Phona: - p'�`� Alternate Phone: G 1=--aC�- �.C�o
ContractorlApp.: �`•� Contact Person: �+� � �
Address: '7��7 `"�` � ��� Stabe License#: � '7�_��.�
C�h,; M t�! �lp; 5S�l7-G Expiration Date; 3�°.L�—
Phone;
q �- ��y.. 45qo Alternate Phane: �.1�� �.Cj.'7.G'7s
, -�.
` , � � , .� ;, r a';r',l t'K�t���
Gcner�l Instructions:
1. Ypu may be required to nbtafn other permits,i.c.;well abandonment,sewcr,eta.
a. Wark mu�t not hegin unleas the permit card{s�vailable on the job�ite.
3. A 24-48 bour notioe is roquir�d for all inspections. Caf1(952)2�9-4600,
q. Bewer must be dfscontinued at the City service by qualified contractor befor�demo parmit is
issued. .
Demolition by means of:�Manual D�sassembly �Hcavy Equipment ❑dthcr
Permit(s}Issued:❑��r��nnection []W�ll Abandonment#
In retum for issuance of said Demolition Perrnit,the undersigned owncr hereb�agrees as follows:
1, Tl�e structure(s)shall he kept enelosed and/or sevurad uoti!such time ae demvlition ls
cornpletc,
� PRICEWRTERHOUSECOOPERS Fax�612-373-7163 Dec 5 2008 12�12 P.03
2. Demolition debris will bc kapt of'f adjaining praperty and/or the public righta-of way ueless
speci�a prior approv�l is obtained in writin�fbr temporary use thereof.
3, Foundations shall bv completely remaved f�om che ground,
4, All demotition debris ahail bo eompietely disposed oP of'Psite in accnrdance with all
applicable PCA requiremants.
S, Wafcr wells must be abandaned in aea�rdanca wiCh State He�lth Departmeht regulationa.
6. Inapection reyuirad when all debris has been removed,before backfilling.
7. Within S working days of superstructure remvval,a flnaJ inspeedon ahall be requestcd. The
site 8ha11 be left clean and clear of all debris,wfth any exaavatian filled with carth level with
the adjacent ground elevation(except when such excevation is Co ba used as part of a new
building and suah ncw building is actually under constructfon),
8. Septia systems rnust be ahandoned per Minnesota Rules Chapter?080. AU septic tanks
must be pumped,crushed and�illed with nati�ve soils, An inspection is requircd after the
tanks are pumped and bcfore the tanks are crushed and f lled,
9. Thc undersigned owncr shall and hereby does indemnify and hold harmless the City oP
Orono,it�agants,employees and assigns from�nd against all claims,damages, tossos or
expenses,including attorney fees,agafnst the City, its a$ents,cmpioyees and asaigns arising
out nfor resulting flom the demolition described herein as performcd by the property ownor,
his employees,agcnts,subcRntraCtoTs or esslgns.
PERMIT TYPE AND 1rEE CAY,CULA'I"ION
� $54.00-Prinaipal Structura
$30.00-Accessary Structure (haw many) (what)
`�Q..�
1. Subtatsl of above permit requcsted $
2, Statc Surcharge $ •Sd
3. TOTAL pB+RNIIT ' 'E(add lines 1-2 above) S �a •�
Thc undersigned hcrby applies to City af Qrono for issuancc of a Dcmolition Pe��nit�agrees
ta do all the work in a strict ac e with thc ordinenccs of the City and tho reguJations of
tha State of Minnesota,and het all statements made on this applicatian arc compinta,
truc and anrrcct.
Appllcan#'a 5i�naturs: pate: ��- '3���
Qwner's Siguatnre: . Date; /� � 4
Approvcd By: pate: � 2-�( -t�8
(Buit inS OfTiaisl)
*Z,oaing D9sclosure Requfred? Y� ❑ NO
r��$�uat be fillcd out by Zoning � —����gM'�'�a zonin�OPRcia!must 81gn all appllcationa�
*Agproved Sy: Date: Z � d.�.._
(7�oning�ff54ia1)
S�i'�}�y X��`jL �.11�;'��'�y��'.�"��li
�`�' �z �ie?i,!£i�`�f��'���:�.;a+Sfi.IsAa��'n:
• � PRICEWATERHOUSECOOPERS Fax�612-373-7163 Dec 5 2008 12�12 P.04
O�Q�O �
Princfp�I Dwelling Demolition Permit
���t' ZOI�TING DYSCLUSURE & D�CY.,ARATTON
To the property owner: Demolition of the principal dwelling structure on a
property me�y automatically terminate certain rights which may have accrued to the property by virtue ofthe
continued exi�tence of that building,
• All current zoning standards must be rnet by the new prineipai dwelling including sotbacks,lot coverage
by structures,hardcover(impervious surfaee),height limits,etc.
. Uniess specifically approv�d by the Ciry, ali accessory structures m�t be zemoved at the time of
pti�toipa.l dwelling demolition,Thte alao applte�to sea�onal and perinAnent docks,which may not be
ro-insfatlled unt�l a new princ�ip�l dweiling has reae6ed ttte fr�miag sta�e.
The following information is presented for the purposes af advising the praperty owner of the implicationa
of remaval of the Inci 1 dwellin on Ehe o
1, Property Address; 2660 Casco Potnt Road pIN# 20-117-Z3-�4-0002
Required Lot Arca 0.6 Acr'e Required Lot Width 7G0'
2. Zoning Dfstrfct� LR-fC Aotual Lot Are� 1.09 Acre Actu�l Lot Width 150'
Lot are6�VAri�nce�o uired. Lot width variance nt quirod.
3, Requised S�tbacks: I.ake i5' Rnad 30' S�des 10'
Averagc Lnkesb4oi'e Betbeck. ugt nat e tieab
4. Lot Coveragc,by Structur rea/do re >2
S, Hardvvvor limitstion • �rC.� r eo 0-75'zona= 09'o allowcd
75-250'aone=25%sllowed 25D•S00'zona=30°/b a]Ipwod 500-1000'zane=3 S%allowcd
6,� Municipal sewcr is avsilabla. ,�Muni�ip�I sewor is not aveilable;on-sitc systcm testing and design mUst bc
provided ooa�inning that two canfn��nin�drainfield sites are availahle.
7. Wetland naf t be sent at lakeshore hased on old surve and Cit m . Wotland deliaeation ' bc ro uired,
The undersigned property owner h�eby saknowledges receipt of the abavo information. StaffInitials
�, � � � �
Property Own�r s Signatu Date
Fa+�i 7.DD—Revisad 5-23-05 (Orlgtnal:Street Fjle; Copy:Property Owner}
�'�—���� City of Orono FOR CITY USE ONLY
�¢���t, P.O.Box 66 Date Received: Permit#
(���=1, �1� 2750 Kelley Parkway
I , ^�'*..� �- � C stal Ba MN 55323 Amount: $ SAC Credit:
�3 1 ' ' �'� rY' Y,
��?� �����% ',o ! 952 249-4600
, i �.v�,,; ( )
���+'�x°�=' Homeowner(s)Signed: ❑Yes ��
Resolutions(if any)Signed:❑Yes �"None Required
Zonin Disclosure Si ned: ❑Yes ❑None Re uired
CITY OF ORONO -DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner lnformation:
Type: Q�Residential ❑ Commercial
r �
Site Address: 266o CkSca �oT„f i�.�, Z ���„to
Owner: A � � �s _ Mailing Address: 213 w • 'Z3 �? st � SN
City: �!`eu.) �/,c1t Z�p; 1001�
Home Phone: ��Z- �11 I—��K Alternate Phone: G 1 Z- Z��- z G�o
Contractor/Applicant Information: �
Contractor/App.: 5'r��w°'1- . L�.` Contact Person: S�ta C��t'..�50�•
Address: ���7 w� �L�f'r. g�✓� State License #: 2.E`�a►43t'S
City; �4 Zip: S5`1� Expiration Date: 3,'��l2oflq
Phone: qs2 ' '�q7' 'S51Q AlternatePhone: b�Z" �7"2��4
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: � Manual Disassembly �Heavy Equipment ❑ Other
Permit(s) Issued: ❑ Sewer Disconnection ❑ Well Abandonment#
+t,,.,^l�,✓
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 ar.d 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
� $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 t City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a strict ac e with the ordinances of the City and the regulations of
the State of Minnesota, and rtifi s hat all statements made on this application are complete,
true and correct.
Applicant's Signature: Date: ��- ` 3' ° �
Owner's Signature: Date:
Approved By: Date:
(Building Official)
i"��
* Zoning Disclosure Required? 0� XE ❑ NO
*This must be filled out by Zoning Departme�Fo ither answer,a Zoning Official must sign all applications.
4 J
* Approved By: `�� Date: I Z `1 G�
�'�j��(Zoning Official)
i�
,
Reset Form I
o�'��o
�;�__� Principal Dwelling Demolition Permit
����''��- ZONING DISCLOSURE & DECLARATION
� ���������
��H04
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.
• All current zoning standards must be met by the new principal dwelling including setbacks,lot coverage
by structures, hardcover (impervious surface), height limits, etc.
• 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 rinci al dwellin on the property:
1. Property Address: 2660 Casco Point Road P�N # 20-117-23-24-0002
Required Lot Area 0.5 ACre Required Lot Width 100'
2. Zoning District: LR-1C Actual Lot Area 1.09 Acre Actual Lot Width 150'
Lot area variance is is not equired. Lot width variance is/'s not r quired.
3. Required Setbacks: Lake 75' Road 30' Sides 10'
Average Lakeshore Setback: must be met/i not a licable.
4. Lot Coverage by Structure : limited to 15% of lot area/doe not a 1 lot area>2 acres
5. Hardcover limitation • are a licable/ re not a licable. 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 might be present at lakeshore based on old survey and City map. Wetland delineation might be required.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
�
Property Owner's Signature Date �
Form zDD-xe��sed 5-23-05 (Original: Street File; Copy: Property Owner)