HomeMy WebLinkAbout2001-P04241 - demo PERMIT
CITY� OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po42ai
Crystal Bay, Minnesota 55323 Permit Type: Demo�ition
(952) 249-4600 Date Issued: si3oi2ooi
SITE ADDRESS: 1520 Bohns Point Rd
Wayzata,MN 55391
PID: 09-117-23-33-0006
DESCRIPTION: UBC Occupancy R3
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:
Fi�uuuaiiuiisiaii ueiiiu ueoris iu oc rci�wvcu iruiii�iuuuu or,ui�pvseu vi uii siic per i-i.r�re�uiaiiu�i�. 'vvcii�
m ist be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 80.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 80.50
APPLICANT: Paragon Design& Builders OWNER: Douglas Kirchner Etal
3550 Fairway Lane 1520 Bohns Point Rd
Minnetonka, MN 55305 Wayzata MN 55391
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 PERM[TEE SIGNATURE 1SSUED Y SIGNATURE
Cooies: 1-File(SiQnitures Required). 1-Apolicant. 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT
P.O. Box 66 (2750 Kelley Parkway)
Crystal Bay, NIN 55323
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions
1. You may be required to obtain other pernuts, i.e. well abandonmment, 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 (612) 249-4600.
JflB SITE ADDRESS: ��-. T> �,�``����t� � �
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Occupancy Type: Residential Commercial , ( �- -,� , l�� (�
OWNER'SNA.ME:�, �����' £�ZCx����� �?'t���..v/ Phone:r��'�-�����'-���0
Mailing Address: .3;� �C� f�C�l't..��t;�C f�� �i��'L� CitY� �'��'/��
CONTRACTOR'S NAME: C 2�s%' - Bus.No.: �r t� -- `i 3<< - v�%k��?
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MailingAddress: -�� ��' !'—�i4t� � �.�-�f City: ,�y„✓.✓<'r�..��
Demolition if planned by means of: ,/r manual disassembly
�heavy equipment
Permits Issued:
# `Vell Abandonment
In return for issuance of said Demolition Permit,the undersigned o�vner 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-�vay 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.
,'S+:; Water wells must be abandoned in accordance with State Health Department regulations.
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6. Inspection required when all debris has been removed, before backfilling.
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7. Within 5 workin?days of superstructure removal,a final inspection shall be requested. The
site shall be left clean and cleaz 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
buildina and such new building is actually under construction).
8. 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.
���9; 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.
PERIVIIT TYPE AND FEE CALCULATION
� $50.00 - Principal Structure
�$30.00 - Accessory Structure
1. Subtotal of above permit requested $ ��,�
2. State Surcharge $ .50
3. TOTAL PERMIT FEE add lines 1-2 above $ 7 �' ` � �
( ) c�L; � �>C-��
The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit, a�rees to
do all work in strict accordance �vith 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: � "��.Ztc.'. Date: `��� ��4���
O`VNER'S SIGNATURE: `'' ,C.�2..-�'-=� Date: ?,� �2
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APPROVED BY: Date: � — 2� `�'I
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w5.��������� � �.� M i n nesota Pol I ution Controi Agency
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October 4, 1996
Dear Sir/Nladam:
The Minnesota Pollution Control Agency (MPCA) is writing to request assistance in informing
the general public of federal regulations and state rules regarding demolition projects. Recently
MPCA staff have encountered numerous instances in which a demolition contractor had obtained
a permit from a city or county office and commenced the demolition unaware of the state and
federal rules and regulations governing demolitions. Often contractors believe that by obtaining
a city or county demolition permit they have satisfied all requirements.
In an effort to address this problem, the MPCA would appreciate it if you could hand out the
enclosed documents along with your demolition permits. If the demolition permit applicants
have additional questions, please ask them to contact the MPCA Asbestos Team at the telephone
numbers listed below. The MPCA is aware that many cities may already supply contractors with
this information and we appreciate your efforts.
Phone Numbers
(612)296-7300 or 1-(800)857-3864
Enclosures
520 Lafayette Rd. N.; St. Paul, MN 55155-4194; (612)296-6300(voice); (612)282-5332 (TfY)
Regional Offices: Duluth•Brainerd•Detroit Lakes•Marshall•Rochester
Equal OppoRunity Employer•Printed on recycled paper containing at least 10%fibers from paper recycled by consumers.
� A site�valkover may provide clues as to the presence of an abandoned UST. Heating oil tanks
, usually exhibit spiIlage during filling, especially if the tank is old and has been filled repeatedly over
a number of years. Staining of the soil with or tivithout the characteristic odor of fuel oil may be an
indicator of the presence of an abandoned fuel oil tank. If the soil appears to be undisturbed, check
for the presence of a fill pipe or a fill pipe that may have been cut off below ground level and
covered over.
Fuel oil tanks are generally buried near the foundation of the building. Check the basement of the
structure for the placement of the furnace and any piping to an outside wall that may remain. If�
the piping has been removed, look for a hole or patched hole in the wall in the general vicinity of the
furnace or the area where the furnace once resided. The fuel oil tank, if present, should be on the
other side of the wall, near the foundation. Fuel oil tanl�s of greater than 1,100 gallons capacity
should be registered by the tank owner with the I1�IPCA. Contact the Tan�:s and Emergency
Response Section at (612) 297-8679 to see if there is any information that indicates the presence or
former presence of a tank at this site.
USTs are generally buried 36"-42" belotiv ground. Nletal detection der•ices such as those used by
NSP to locate metal gas lines and electrical titi•ires may be capable of detectina the presence of an
UST if it isn't buried too deep.
Soil borings in an area of the site suspected to contain an UST can be conducted, but this can be a
costly option. If the soil is sandy or othen3�ise relatively porous, a metal rod may be driven into the
ground to a depth of 48" or so in areas suspected to contain a buried UST. Escavation may also be
an option, however, this is labor intensive, may be costly and will be disruptive of the integrity of
the site.
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The presence of unsealed �vells is a concem in many older buildings. Any unsealed or improperly
sealed tivells need to be identified and a licensed w•ell contractor needs to be contacted to properly
seal the well(s). The following information includes some clues on how you miaht locate an
unsealed tivell and jvho to contact to learn more about them.
Locatina unsealed w�ells is a combination of research and educated guesses. There are three areas
`ti�here records of old tivells may be located:
♦ 1linnesota Geological Survey (612) 627-=�78-�,titi•ater�ti•ell records by section, township and
range, and sometimes by address,
♦ I�Sinnesota Department of Health S�'ell l�Ianagement Unit (612) 21�-0811, Pre-1990 the tir•ells are
classified b}' }'ear and the contractor that drilled the �r•ell,
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♦ City Inspections Department and local R•ell contractors. � '
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Another way in which to identify unsealed w•ells is to look for clues: some clues are: "
♦ tivindmills, usually would use wind power to draw water out of a well
♦ unaccounted for pipes or areas in the foundation where pipes used to run
♦ the building was constructed and occupied prior to municipal water being available to that area
♦ well pits or shacks
a magnetometer may be used to identify metallic objects within 3-4 feet underground
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�RIG�R:A��F'�'Sf C�Cs1J3G���';<::�.:`�;::::::. : .:.::>:.
•CFCs (chlorofluorocarbons) and HCFCs (hydrochlorofluorocarbons) are man-made refrigerants
that destroy the ozone layer.
•CFCs and HCFCs must not be released into the atmosphe:e. These refrigerants must be
recovered by technicians certified by a U.S. EPA approved program using proper refrigerant
recovery equipment.
• Esamples of appliances that contain CFCs and HCFCs include:
♦ refrigerators ♦ dehumidifiers ♦ central air conditioners
♦ room air conditioners ♦ vending machines ♦ heat pumps
♦ freezers ♦ chillers ♦ ice machines
♦ food display cases ♦ �vater coolers
•Refrigerant substitutes (including HFC-13-�a) must also be recovered and not vented to the
atmosphere.
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•Some fire estinguishers contain halons �•hich destroy the ozone layer.
•Halons must be recaptured when recharging, sen•icing, or retirin�the unit. There are a number
of companies in l��Iinnesota that have the proper halon recor•ery equipnPnt. '
•Halons can be used as total flooding agents in areas such as computer rooms, libraries, spaces
floors, and near electronic and medical equipment.
�Halons are also found in some portable fire extinguishers.
Halon fire extinguishers must be remo�•ed from the facility prior to demolition.
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DEi�I���O� �,�'�l'I1��;L �,CCEPTABLE A��D �ACCF�'T�BL� `?�'AS1.ES
In the disposal of demolition debris, certain materials may or may not be acceptable at the
Demolition Land Disposal Facility (Demo LDF). Certain Demo LDFs ha�•e Industrial Solid Waste
�Ianagement Plans (ISWIIP) that allo��• them, under special provisions, to accept some of the
following materials.
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, F�cep±able Materials:
♦ ' dry�vall (demolition only) ♦ untreated wood ♦ ceramic �'i.rtures
♦ plast�c ♦ conduit ♦ glass
♦ insulation (fiberglass/cellulose) ♦ wiring ♦ roofing, shingles
♦ tile (ceramic, floor,vinyl) ♦ metal ♦ built-in cabinetry
♦ asphalt ♦ butiminous concrete ♦ masonry
♦ concrete (including rebar) ♦ masonry/bricks ♦ tree stumps
Barned out buildings: must be sure that no hazardous materials or asbestos-containing materials
remain and that the threat of smoldering or reigniting is controlled. Some Demo LDFs may not be
able to accept burnouts because of the potential for hazardous materials to be present. In addition
burnouts pose a serious threat of smoldering or reigniting at the landfill. Check with the Demo
LDF before brincing the material to the landfill
Unacceptable Materials:
♦ infectious `vaste (needles, body parts, dressings, etc. from hospitals, mortuaries, nursing homes)
♦ untreated sewage (sewaae sludge, sludge compost, and septic tank pumpings)
♦ street s�ti•eepings (should be tested to determine if they are hazardous (TCLP))
♦ tires (compaction difficulties, floating effect, and waste landfill space)
♦ major appliances (all hazardous materials must be removed including mercury, PCBs, and
chlorofluorocarbon (CFC) refrigerant gas, commonly �:nown by the trade name FreonO
♦ yard waste (creates leechate, gas, settlement problems, and �}•astes landfill space)
♦ household ���aste ♦ paint cans ♦ construction ���aste
♦ cardboard ♦ caulk tubes ♦ aoricultural chemicals
♦ machinery or en�ine ♦ mattresses or ♦ treated lumber
parts furniture
♦ railroad ties
Some types of Industrial `Vaste may be accepted at a demo LDF depending on the individual
landfill's permit. Industrial Waste typically accepted at Demo LDFs includes,
♦ asbestos-containing materials
♦ construction waste that is the same as demolition ��•aste, such as wood or insulation
If you ha��e any questions about acceptance of any ti��aste at a Demo LDF please contact}�our nearest
�IPCA Solid Waste Specialist.
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... ..:: OT�ER ISS�S ` :
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Other issues that may arise include local demolition ermits ` �
The Gopher one-call can be used to identify gas linesP Also � gas lines, and electrical cQnnectio�s. .
demolitions, whether asbestos is present or not, the notificat on formrmuinded that for aIl
asbestos team.
st be sent to the MpCA
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For more information about any of the above listed programs please feel free to contact the
individual program or call the NIPCA at 1-800-6�7-3864.
Asbestos Team: (612) 297-86$5
Underground Storage Tan�:s: (612) 297-8679
Hazardous �Vaste: (612) 297-8�11
Refrigerants/CFCs/HCFCs: (612) 297-71�3
Demolition Debris Disposal: 1-800-6�7-3864 (identify the location in question for the�proper region)
l�Iinnesota Department of Health tiVell llanagement Unit: (612) 21�-0813.
This guidance document is not intended as a substitute for reading the rules or regulations and
ma�:ing your own independent determination of its applicability to your demolition. EYamples in
the guidance document do not represent an e�hausti�•e listina of types of materials or projects to
which the rules or regulations might apply.
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• Minnesota Pollution Control Agency
Notificat�on of Intent to Perform a Demolition
�� Type of I�1oti�cation [ J Original [ ] Amended [ J Project Cancellation
Uemolition Contractor: Building Information•
Name: CZ'�-�'�-v9,t"!�� Building Name:
Address: c7c..�c.����-L ��i �"' � • � i
- Address/Location:�,=��r' ���Z,,Yt�y`-"�-.. �"�,
Ciry,State,Zip:_ �-�/'��YZ.�1 /,�/'(�' :,`j,j.j'��/
City,Statc,Zip: /i�fn��✓/7.cvt�� �..�i �j�>;— � County: ,��'-'i�'1/3'L,r2„�'iY�
Contact Pcrson: ��/ `���1� ���'"` " i
Phone Numbcr(s): �.�:.� - t',dd- �� 7 '7.�;,Z,
Phone Number(s): C��Z — � � � � ��=�� A e of Bld cars : 7�, r" ` ,•
S 8•�Y )�sL� Size of Bldg.(sq.ft.): ���C..
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Number of Floors Including Basement Level(s): __�
Building Owner:
• Present Use of Bldg.:
Namc: ,%r�1�/ s ��.G,�r.� �1� V��-'�J �
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Prior Use of Bldg.: ��''`i:�`�'-�-��_�"> 'r_'�j�
Address •,>j��',.�i' �`3i:`'�+.; -S v"�C•
Dates when demolition or intentional burninQ
��, �vill Begin ``? i` & End ��' b
Ciry,State,Zip:_1i�1/��?'Y1c"; /niY�J`�.� /�
�' Notification must be postrnarked or received ten(10)working days
Contact person: ./l�t'�/ �7 CV-L'�J before demolition begins. 'See item�5 for emergency demolitions.
�S�- �y�'- "? '' Boch Be innin and Endin '
Phone Number(s): � �� -��~ 8� 3 g dates should be amended in writin�as
nzcessary to reflect current project dates.
If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containing Material (RAC1n in the buildine
to be demolished, it must be removed by a licensed asbestos contractor prior to demolition. The State of l�Pi i-
Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal.
Is nonfriable AC�I present in the structure to be demolished ? [ ] 'YES [�}'�O
If I'ES complete items 1-9. If NO complete items 3-9.
1. If ACI�I will be left in place for the demolition indicate the amount of Category I and/or Category II
nonfriable AC�II left in place.
Categ.I Linear Feet Categ. II Linear Feet
Square Feet Square Feet
Cubic Feet Cubic Feet
Cateeorv^j nonfriable ACLf ineans asbestos-containing packings, Cate�orv II nonfri�ble A M means any material,excluding
gaske�s,resilient floor covering,and asphalt roofing products Category I nonfriable AC�1,concaining more than one pzrcent
containing more than one percent asbestos. asbestos tha[,when dry,cannot be crumbled,pulverized,or
'Category I nonfriable?�C11 is not allowed to remain in place reduced to a powder by hand pressure.
for demolition if it is in poor condition. 'Category II nanfriable AC`I is not allowed to remain in place
for demolition if it has a high probability of becoming crumbled,
pulverized,or reduced to a powder during demolition,transport,
or disposal. (ez transite,cement,slate roofing)
Z. Description & Location of AC�I remaining in place (including floor# and room #):
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3. Company and/or individual that conducted the building inspection and the procedure used to determi�e the ,
presence or absence of ACM(including analytic method): •Prior to demolition all buildings must be inspected by an EPr1
accredited inspector.
4. Description of planned demolition and the specific method(s) that will be used:
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5. If the demolition was ordered by a government agency, pfease identify the agency and attach a copy of the
order:
Name: Title: Authority:
Date of Order(M/D/'Y): Date Ordered to Begin(M/D/}():
* Notification for an emergency demolition must be submitted as early as possible before demolition begins,but not later than the
following working day. A demolition is considered an emergency OYLY when the tacility has been deemed structurally unsound and
in danger of imminent collapse. If the structurally unsound building is known to contain any regulated ACi1 or is suspected to
contain any regulated AC�1,special procedures�NST be followed. Ifyou are unaware of the special procedures,
instructions/regulations can be obtained by contacting the bIPCA at the address or phone number listed below.
6. Description of procedure to be followed in the evznt that unespected R4Cl�I is found or Cat. II nonfriable
ACi�I becomes crumbled, pulverized or reduced to powder:
7. Waste Transporter Information: 8. �Vaste Disposal Information:
Transported Name: Landfill Name:
Transporter Contact: Oµ�ner/Operator:
Transporter Address:.. Address/Location:
City, Scate,Zip: Ciry, Scate,Zip:
Phone Number:
Phonc Number: '
9. I certify that the above information is correct and I am a bonafide representative of the demolition
contractor or building o�vner and ha � uthority to enter into agreements for my employer.
Sijnature of Contractor/Owner
Date c�z 7—:% I
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Send or Fa�c to: For questions call:
Asbestos Coordinator-Air Quality Division 612-296-7300
�f�1 Pollution Concrol Aoency 1-800-657-3864
520 Lafayette Road IvTorth Fax: 612-215-1593
St. Paul, h�t 5515�-4194
�O� Principal Dwelling Demolition Permit
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'�, �; � �. �� ZONING DISCLOSURE & DECLARATION
����,�
To the property owner: Demolition of the principal dwellina structure on a
property may automatically terminate certain rights���hich 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.
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 �.�u2�' ���'c1/� ,`-� 1�`16 ! � l�-�L<�� PINS # ��-/I `7-�_3 _ ,�� .��c t,�_
2. Zoning District �`�1� Required Lot Area �'l.Q,� Required Lot Width ��f��' �
Actual Lot Area E�� <«°�`� Actual Lot Width ���
Lot area variance is/is_�require . Lot width varianc is is not required.
3. Required Setbacks: Front(Street) ���_ Rear( Lake) `7J � Side___[�
Side Street ,��� Averaae Lakeshore Setback: must be met/is not a�plicable.
__.__ __._._._.__.�
4. Lot Coverage by Structures: �mited to 1�°/o of lot area.)`does not applv (lot area>2 acres)
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5. Hardcover limitations: re applicableX are not ap�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 se«er is not available; on-site system testing and design must
be provided confirming that two conforming drainfield sites are available.
The undersigned property o�vner hereby acknowledaes receipt of the above information. Staff Initials
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Prope O ner's Signatur Date
(Original: Street File; Cop��: Property Owner)