HomeMy WebLinkAbout2005-P08529 - demo t � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Poss29
Crystal Bay, Minnesota 55323 Permit Type: Demolition
(952) 249-4600 Date Issued: 3n6�2oos
SITE ADDRESS: 164o Bohns Pt Rd
Wayzata,MN 55391
P I D: 16-117-23-22-0002
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residential Consh-uction Type VN
Census Code 645
Permit Class: Building
Permit Sub-type(s): Demo-Principal Structure
Permit Type: Demolition
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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mist be abondoned. insnection before backfillin�.
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT: Wesley Berdickson OWNER: Scott Ross
6705 Highway 12 2411 Lorien Street
Maple Plain,MN Minnetonka, MN 55305
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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AP T PE TURE / � � ISSUED BY SIGNA"I'URE
Cooies: 1-File(SiQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT
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 pennits, i.e. well abandoiuninent, 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.
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JOB SITE ADDRESS: � �� �= �% 4 -'�S�H
Occupancy Type: '.%"�Residential Corriinercial
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OWNER'SNAME• � ��,c�1�� /`� �S _� Phone: �'/� — L�:� . •5�"��
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Mailing Address: r �' � 1tY�_/��� ,r���l�-,�-� ���� �..�—S'�Q��
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CONTRACTOR'S NAME: >� .. s.No.: �, 5� �•- ����`
Mailiiig Address: �,'` City: f�
Deinolitioi7 if planned by means of: m nual disassembly
r�laeavy equipment
Permits Issued: ��;�-�
# Well Abandoninent
In return for issuance of said Demolition Permit,the undersigned owner hereby agrees as follows;
1. The structure(s) shall be lcept enclosed and/or secured until such tiine as deinolition is
complete.
2. Demolition debris will be lcept off adjoining property and/or the public rights-of-way Luiless
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. Inspectioii required when a11 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. The undersigned owner shall and hereby does indemnify and hold harmless the City of
Orono, its agents, employees and assigns fiom and against all claims, damages, losses or
expenses, including attorney fees,against the City,its agents,employees and assigns arisiilg
out of or resulting from the demolition described herein as performed by the property owner,
his ei�lployees, agents, subcontractors or assigns.
9. Septic systems must be abandoned per Minnesota Rules Chapter 7080. All septic tanlcs must
be pumped,crushed and filled with native soils. Ail inspection is required after the tai�ics are
pLunped and before the tai�lcs are crushed and filled.
PERMIT TYPE AND FEE CALCULATTON
� $50.00 - Priilcipal Structure
$30.00 - Accessory Structure
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 worlc in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements ade on this application are complete,true and correct.
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APPLICANT'S SIGNATU C Date:
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OWNER'S SIGNATURE: �� � '�� �!� ,1�_ �� � '��� Date: 7� � ��� ��� �
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Arr�oVED EY: �
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� Principal Dwelling Demolition Permit
�� �� �' 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.
The following information is presented for the purposes ofadvising the property owner ofthe implications ofremoval
of the rinci al dwellin on the ro e
1. Property Address /��/D Lg�U'! s �O(�'t� Rj� Prlvs# /�-I17-23-ZZ`�Z
2. Zoning District(..�_IB Required Lot Area •�Q /� Required Lot Width ��/
Actual Lot Area Q• S �,� Actual Lot Width ZQD�-�-
Lot area variance is is no equired. Lot width variance is is not quired.
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3. Required Setbacks: Front N�� Rear � Side� Side Street�
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Lakeshore Lot: Lake(Front) 7�'r' _ Street(Rear) �_
Average Lakeshore Setback: must be met is not a licable.
4. Lot Coverage by Structures: limited to 15% of lot area does not a lv lot area>2 acres
5. Hardcover limitations• are auplicable are not apnlicable. 0-75'zone= 0%allowed
75-250'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed
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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.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
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Property Own�r's Signature Date
(Original: Street File; Copy: Property Owner)