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Home My WebLink About2003-P07016 - demo CITY OF ORONO PERMIT 2750 ;:elley Parkway - PO Box 66 Permit Number: Po�oi6 �rystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: ivi9izoo3 SITE ADDRESS: 1265 Bracketts Point Rd Wayzata,MN 55391 PID: 11-117-23-32-0010 DESCRIPTION: Proposed Use: Residential Buildin Census Code 645 Permit Class: � Permit Type: Demolition Pernut Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: T_"___ T"'""__:.__i O_ A ______"—_C��"___�_____ vv�a�v a aa�♦ aYa��w a�vvvuu a� v�auv�wav� �'UUIl(lAl1VI1J/Qll 11CIIlU UCU11J LU DC ICIIlUVCU lIVIIl�IVUIlU PC U1S�USCU Ul Ull J1tC PCI YI.H 1�C�U1dl1VI1S. VV C11S m ist be abondoned. Insnection before backfilline. FEE SUMMARY: PermitFee: $ 110.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 110.50 APPLICANT: Wes Bendickson OWNER: Roger O'Shaughnessy 6705 Highway 12 10562 Estate Drive Maple Plain,MN 55359 Eden Prairie,MN 55347 THE UNDERSIGNED HEREBY REQUESI'S 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 UIREMENTS. / APPLICAN ERMITEE SI ATURG SSUGD BY S[GNATURE Conies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reoorts. 1-Assessine, 1-Finance Page 1 �o�� 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 l. 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. JOB 5ITE ADDRESS: �z G'� ��-"�L T�S t"Giti�T �or�D Occupancy Type: _��Residential Commercial OWNER'SNAME: �U(��Cp � `>I-ll'?(JGHN�SS� Phone: ys�` ZZ��—Z�" DI MailingAddress: r0�(oz. �S�RTc= !�lz�VL City: �aC�J f iQ�9i �e�C ��3y� CONTRACTOR'S NAME: �'�� QI GKS ON Bus.No.: 7l03- y�9- I l07 MailingAddress: (p70.� �IC-,NW/9 y �L City:ll'1�9(�LE /9� N i'h1U 5�3�q Demolition if planned by means of: manual disassembly �heavy equipment Permits Issued: # Well Abandonment �-�%f��U�� -�-L mFLE�(=� �� JU3 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. 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. PERMIT TYPE AND FEE CALCULATION f $50.00 -Principal Structure � $30.00-Accessory Structure 1. Subtotal of above permit requested $ � �Q}�v 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ � T � � �� The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit,agrees to do all work in strict accordance with the ordinances of the C' and the regulations of the State of Minnesota,and certifies that all statements made on ' a li;cation are complete,true and correct. APPLICANT'SSIGNATURE: � ate: I I - I 7J—�� OWNER'S SIGNATURE: ate: � ' - �7J�C�� APPROVED BY: � Date: I �' 1�'b'o� o�`'��o Principal Dwelling Demolition Permit ' � �� _ - �' ZONING DISCLOSURE & DECLARATION G 4 ESHp$' 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 of advising the property owner of the implications of removal of the rinci al dwellin on the ro e 1. Property Address 1 2(o'� Q 12 i��-K GT`r5 �T, R�0.PINS # I l- �1—t -z 3 3 Z o o�O 2. Zoning District L2-J!� Required Lot Area Z Acr:,cs Required Lot Width 200 ' Actual Lot Area 3.31 �i:R Actual Lot Width 65d + 1��*.NN• 47, Lot area variance /is not required. Lot width variance#!/is not required. 3. Required Setbacks: Front S 0' Rear �o' Side 30' Side Street 5� ` Lakeshore Lot: Lake(Front) —15� Street(Rear) So' Average Lakeshore Setback: /�s not a hcab e. 4. Lot Coverage by Structures: 1' ' a/does not appl�lot area>2 acres� 5. Hardcover limitations: are applicable/ e. 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 confirnung that two conforming drainfield sites are available. The undersigned rop er h reby acknowledges receipt of the above information. Staff Initials 1 C� Il 1 a 3 �o. Property Owner's Signa e Date (O ginal: Street File; Copy: Property Owner) �'S z� ��.� �.�I . `� � P�1��f� November 13, 2003 Attn: Lyle City of Orono 2750 Kelley Parkway Crystal Bay MH 55323 Re: Demolition Permit Application Dear Lyle, I have compiled a summary of items and actions taken toward demolition at 1265 Bracketts Point Road: 1. Center Point Gas—disconnected at the Boulevard 9/4/03 —complete 2. Excel Energy—Electricity—disconnected 11/11/03 —complete 3. Well—Stadola pulled the pump and filled the well with concrete on 11/5/03 — completed 4. Asbestos—Techtron Engineering—completed the removal on 9/19/03 —a copy of report#F03-996 is attached 5. Metro Erosion Control—installed the erosion fencing (orange) on 11/12/03 — complete 6. Sewer—Keith Clark at Westonka—will disconnect the sewer but due to an illness has been unable to do so. It should be completed by 11/14/03. A copy of the application and my check for$110.50 is attached. Thank you for your consideration. Re ards, Roger O'Shaughnessy �� TECHTRON ENGINEERING INC. �� October 7, 2003 Mr. Roger O'Shaugnessy 10562 Estate Drive Eden Prairie, MN 55347 re: Asbestos Abatement Final Report 1265 Bracketts Point Road F03-996 Dear Mr. O'Shaugnessy: Techtron Engineering was retained to remove asbestos containing materials from the house located at 1265 Bracketts Point Road, in Orono, MN. The project was completed on September 19, 2003. Loca1 Area Protection Danger signs were posted at access points to the house. Removal of the pipe insulation in the basement and the garage was done using the "wrap and cut" method. Full containments using negative air pressure machines was used far the removal of, 1) the linoleum in the kitchen, back hall, and the back stairs, and 2)the paper in the interior walls. Conclusions The work was completed in accordance with applicable state and federal regulations. If there are any further questions or we can be of service, please don't hesitate to call at 763.712.9502. Sincerely; Steve Bodnar 640 East Main Street, Anoka,MN 55303 763-712-9502 fax:763-712-9504 www techtron.biz :.��.G9 '2^"3 �2. �� "c? �2 ��'�4 _��T �� .k�iv ENGINEERING #1026 P. 002/00° � { ASBESTOS SURVEy 1265 RRACKETTS PO1NT R0�1U ORONO, MINNESOTA PREPARED BX: TECHTRON ENGINEERING, INC. 640 EAST MA,�N STREET � ANOKA, MN 55303 (763) �12-9502 GREG SCOVILL AI428 ___.,��-�-��.-�� TECHTRON JOB #: F03-996 P�ZEPAREA FOR: MR. ROGER 0'SHAUGHNESSY 10562 ESTATE DRIVE Ell�N PRAITZIF, MN 55347 DATE OF REPORT: 08-2'7-03 kuv.2° '2�JC3 J2: v5 7c3 %i2 9504 T��HTROAT ENGINEERING #1026 P. 003/009 Asbestos Survey Techtron F.ngineering � 1265 Bracketts Point Road,- Orono. MN .Ivb#F03-99G , Page#1 Au,gutt 27, 2003 f � INTRODUCTION Techtron Ezigineering, Inc. was retained by Roger O'Shaugl�t�essy to pez£orm an asbestos survey of the liome located at 1265 Bracketts Point Road in Orono, Minnesota. 7'he site inspection was done on August 27, 2003 �co�e of Studv Th� purposE of this 5-tudy was to idcntify fri,able and non-friable asbestos containing materials that znay becume friable dwt�ng renovation ar�d/or demolitior� I£asbestos abateaooeot is to be performed, the infonmation in this report is to be used by ar� Asbestos Project Designer to assist in the development of Project 5pecifications. Under no circurnstances is this repc�rt to be used as a bid document. Every material. iun the £acilzty was neither sampled nor analyzed. Rather, materials were grouped homoger�eousay based on date of application, color, size, etc. Sam�les of each homogeneous group were th�n taken and analy-r_cd for asbestos. Standazds The Occupatioaal Sa£ety and Health Administration (OSHA), the state of 1VPinnesota, and the Env%ronmental Protection Agency (�PA) a1I have promulgated zegulations govenaing asbestos in buildin.gs and/or asbestos exposur� in a working�nvironment. OSH� standards state that personnel asbestos exposure must �,ot exceed O.l fi.bers per cubic centimeter of air based on an S hour time wcight�d avErag�. Minnesota regulations state that anv damaged, friable asbestos must be repaired and tha.t asbestos must be evaluated prior to any planned zenowation. The Minnesota Department of Health also has r.ules govez�ing asbestos abateznent. These rules gov�� worker training, abaxement notifications, licensing,methodology, ete. The E�A governs the disposa] of asbestos, air emissions, and notification procedures for abatement. The EPA also govems asbestos in schools and asbestos ir�demolition pr.ojects. ."�:�.=.G9'20�J3 ^v2: Oc 763 ii2 �504 TEC"r.1R�N ENGINEERING #1026 P.004/008 Asbestos Survc�% Techtron Errgineering • 1265 Brackerts Point Road: Oro►ao, MN Job#F03-996 Page#2 �ugvst Z7, 2003 f I � N�ET�ODOLOGY � Bulk Asbestos Samp_lin_._g ( Bullc samples were collected by wetting the material in question witb am�n�ded water. A,snnalJ. portion of this material was then removed and placed directly in a sealed corrta.ine�r �ot transport to Techtron Engineering's in-house taboratory_ Bulk Asbestos Analvsis Analysis was performed by Teehtron Engizxeerizxg izi accordance to EPA methodology. T1�is ztaethod detects asbestos in volumetric concentrations of 1% or greate�. Bulk samples were checked fnr the following asbestifnrm minerals: ebrysotile, amosite, crocidolit�, anthophyllitc, and tremoute-actinolite. DISCUSSIpN Bulk sampl� results and visual observations were used to identify and homogeneously group materials within each area. Generalizations we7e then made on the types of znatez�ials that do or do not contain asbestos. Bulk Sar�mJe Results Bullc sample results aze locat�d in appendix I_ Summazv of Asbestos Test�Results � Pipe insul�tion in�the basennent contains a5bestos • k'looring in the kitchen, back hall, and stairs contain asbestos • Pipe insulatioz� in the gazage contain asbestos • Paper in the interior walls contain asbestos � :��.29'2u03 ��2: 06 7C3 �i2 9�04 TE��TkON ENGINEERING #1026 P.005/009 Asbesros Suney Techtr�vn Engirreering • 1265 Bracketts Poinr Road• Orono, � • Job#,F03-996 , Page#3 August 27, a003 � I CONCLUSIONS/RECOMMENDATIONS The asbestos containin�g materials throughout the house must be removed befnre demolztioa - There is no guarantee, iznplied or otherwise, that all asbestos containir�g materials have been identified. If suspect materials are encounter�d durir�g zenovation and/or denlolition that have not i�en addressed in this report, the material must not be disturbed until the suspect material zs positively i,dentzfied. OSHA 1926.1101 requises that all pezsonnel who may come into contact with asbestos contaiz�uzg matezia]s must receive arinual 2-hour asbestos awazeness training. I hereby certify that this report was prepared by me vr under my direct supervision and that 1 am a duly Registere,d Professiornal Engineer under the laws of the State of Minr�esota and a Certi�£ied Industrial Hygiet�ist under the bylaws of t e �can Board of Industrial Hygiene. ' �.�---r Uate: `� '? P.E. Reg. #: 23342 CIH Reg. #: CP6523 �;,I ASBESTOS SITE \`,, Cert�fedby SUPERVISOR State of Min�esota �epartm�nt of Heal� . Expires: 05/27l2004 Gregory D Scavrll 'I22U(.aSaile Ave Wayzata,MN 65391 �--- �`' =-"-•.-�..-- O�rector, Env.Health piv No.AS428 Issued'O6110/2003 AL'V.28'2��03 �72: ��c 763 -12 9�04 _E:,::k^;d ENvINEERING #1026 P.006%OC8 � I --APPENDIX I-- BU�,T� SAN�PLE RESULTS ASI3t:SiOS�I�89tIEl�RtSYI{lS , 1265 Bracket:s Pt. kc. F03-9�36 . - - . ;�, . �:; c, Bulk Sample Resuits--Sorted by Sarnple T'ype �,, �o Sarnpie Sao�ple Sampte Sampie Saropie `" Number Lrocation 'Fype Descriptioo Resolts'' w CJ 9 Living room Ceiling;exture White NAFD �� rn -,� 10 f;ed room Ceiling texhire White Nes►FD `^' _� � N 11 Hall Ceilir�texture 1�ite NAFD �o �,� �> ,�, 1 Basement Stairs Floorir� Brown 20%Ctvysotile 7 Backhall Flooring Gold IS%Chrysotite �� 8 Utility room �foorina Blue NAFD �� :�� 3 x 0 5 Kitchen Flaorin under car et z 8 n 159'o Chrysotite t=� z � 4 Interior walls insuIatio» Bruwn papee 25%Chrysotile � r� x H 2 Basement Pipe insulation Fitling 15°/a Chrysotile c�, 3 Garage Pipe insulation Brown 2U%Chrysotile 6 Basament Pipe insulation Falt 5%Chrysoti�e �- — —�-- 12 2nd floor Walt 6oa�d White NAFD ~ 0 N � 13 lsl tloor Wal1 board White NAFD :° � 0 � � •VAFD=No Asbestos Fihers Detecoad Asb�stos tyres�re chryyutile,ani�ite,crocidolite,tremolite,�thophyll'Ue,and an:tinolite. 1 "<"denotes a"�ess Ihan"vahre asb�c�s�r��x�ut� , ' , 1265 BracEcetis�'t.Rd, _ , =(33-5146 . 'n. .i, 41 Bulk Sample Resutts-,Sorted by Sarnpie Type N CD �ample Sample Sample Sampte Sarnple � Yumber Localion Type Description Resulta" " w �� i la ist floor Wall b�ard White NAFD �, _., -..� t7 8asement �Vall insufation Srown IYAFD n� _� � N 15 Basement Wall insulation Bro�vn NAFD ,f, � � � t6 Basement Wall insulalion Bro►vn NAFD �3 1+7 C1 :1: �-j �� <.� t�l 7, G1 H z M t�l `�y H z � � � 0 N rn ro 0 0 cn � 0 CJ CD '�NAFD=�do AsbesOas Fibers Det�eted �lsbestos types�chry�otite,smosio�cmcidotite,hemolite,anthophyllibe,�►id actinoiite. 2 ;"denotes a"less lhan"value