HomeMy WebLinkAbout2009-00774 - demo v CITY OF ORONO PERMIT NO.: 2009-00774
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �ssuEn: 12/07/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1785 CONCORDIA ST
PIN : 17-117-23-22-0016
LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ( ; '% „ ' --,-, ;
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ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET
NOTG: DEMOLITION OF YR[NCIPAL STRUC"1'URE AND(1)ACCL;SSORY STRUCTURE.
ZONING DISCLOSURE NO"I'REQU[RED PER LYLE.
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APPLICANT
STONEWOOD, LLC DEMOL[T[ON- PRINC[PAL STRUCTURE 75.00
7407 WAYZATA BLVD DEMOLITION -ACCESSORY STRUCTURE 50.00
MINNEAPOL[S, MN 55426- STATE SURCHARGE DEMO 0.50
(952)697-5590 TOTAL 125.50
Minnesota State License#: 20594315 PAID WITH CC# XXXX
OWNER
DULIN, KEVIN& BARBARA
1785 CONCORDIA ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[is issued shall be performed according to
the approved p]ans 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 rcquires separate
pennits. All pr 'sions of laws and ordinances governing this type ofwork
shall be co ied ith whether or not specitied herein.This permit will
expire an eco le null and void if construction authorized is not
comme c hin 180 days of the date of issuance,or if construction is
susp� d f a period of 180 days at any time after work has commenced.
Th plic t is responsible for assuring all required inspections are
re este �n conformance with the State Building Code.This permit may be
ke a me for duc cause.
l l � / � T / � 7
c ermitee Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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�;,�d� City of Orono FO CIT SE ONLY
p �;,. P.O.E3ox 66 Date Received:/D O�ermit# �Od4—Q �7�
� �! 2750 Kelley Parkway
� 9�y r Crystal Bay,MN 55323 Amount: $/��D SAC Credit:
1 , a�� (952)249-4600
��"O$�� 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 b_y the Building Official and/or 7oning Department)
Job Site/Owner Information: /'�(�O /.�
Type: �Residential � Commercial � "v �
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Site Address: ��g� CDJ�C��Z.DLA Jf'T�(3l3� ��
Owner: K811/n.� �UL�/v Mailing Address: �ZS.S Gt>Nl�D�?-t�F ��•
c�ty: �.��uo z�p: �v�3Gll
Home Phone: � ��- ��� � �3� Alternate Phone:
C�ntractor���App�iaant�I�formation: � �
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Contractor/App.:�oN6wD�D L,L.C� ContactPerson: �//411� �OLGi1�p
Address: '���T G�J�tY�r'tTA B��D. State License#: oG��9�31�7
City: �/N,�}�'yi4f�t.+�+ Zip: %��?� Expiration Date: c�j 2��
Phone: �IJrZ'G`�1'�Jr9� Alternate Phone: �Z� �2''�'��
SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT
General Instructions:
l. 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#
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 sha(I 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 and 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
$75.00—Principal Structure
$50.00—Accessory Structure__�_(how many) ��l�1� (what)
�
1. Subtotal of above permit requested $ ��rJ"�
2. State Surcharge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �0��� ��
The undersigned herby applies to the City of Orono for issuance of a Demolition Permit, agrees
to do all the work in a strict accordance with 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: �_-� Date: � ��`(
Owner's Signature: � ���ate: t'� ' �9���
Approved By: Date: � )- 2 -0�j
ui ing Official)
X Zoning Disclosure Required? YES ❑ NO
*This must be filled out by Zoning Depar t For ' er answer,a Zoning Official must sign all applications.
* Approved By: � Date: � � `3� �
` ( oning Official)
Reset Form
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� O ��; O Principal Dwelling D�rholition ermit ¢/
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a ;1�'-;'r�r�`� � Z �
�, ��� ONING 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 or 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.
• 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 ofthe implications of removal
of the principal dwelling on the property:
1. Property Address: 1785 Concordia Street PIN # 17-117-23-22-0016
Required Lot Area 0.5 ac. Required Lot Width 100'
2. Zoning District: LR-1C Actual Lot Area 1.01 Actual Lot Width 130'
Lot area variance is is not equired. Lot width variance is/'s not r quired.
3. Required Setbacks: Front Rear Side 10' Side Street 15'
Lakeshore Lot: Lake(Front) 75' Street(Rear) 30'
Average Lakesh a �: must be met not a licable.
4. Lot Covera�e by Structur � • liroited to 15% of lot area / es not a Iv lot area>2 acres
5. Hardcover limitation • are ap�licable/ re not applicable. 0-75'zone= 0%aliowed
75-250'zone=25%allowed 250-500'aone=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 confirrning that two conformin�drainfield sites are available.
7. Substantial portion of the property is floodplain(below elevation 931.5). No basement allowed. Grade in crawl space must be
at least 932.5. **Talk to Planning Department Staff for additional requirements.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
��
Property Owner's Signature Date
Form zD�—ue��sed 5-23-os (Original: Street File; Copy: Property Owner)
��'� � D i TIME �
�"�CITY OF ORONO CALLED IN � � � �
INSPECTION OTI�C$ SCHEDULED � � � �
PERMIT N0. �C�% 1"C'X��J�� COMPLETED
ADDRESS ��?�� �' c`�►�c c`��r�l�<<¢ .S t� . ,
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OWNER CONTR. f�rLL?'�1 �'1CI'i��(�'��
TELEPHONE NO. � �� �9 0 � _��I � �
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� DESCRIPTION -��U � i ,I�Y� �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: �
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� ❑WORKSATISFACTORY:PROCEED =1 JECTCOMPLETE
W ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WlLL REfURN
u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-46��
Owner/Contractor on site:
� ; � � �_ ,
Inspector.
White Copylinspector's File Canary CopylSite Notice