HomeMy WebLinkAbout2016-00630 CITY OF ORONO * z 0 1 6 - 0 PJ 6 3 0 *
,
2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3960 BAYSIDE RD
PIN : OS-117-23-22-0015
LEGAL DESC : AUD[TOR'S SUBD.NO. 203
: LOT MB BLOCK MB
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
COI�TSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE: (SAC-NO NEED SEPTIC AREA)
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. INSPECT[ONS DONE BEFORE BACKFILLING.
NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK
TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
KOTHRADE SEWER& WATER
12059 WHITETAIL AVENUE TOTAL 76.00
HANOVER,MN 55341 Payment(s)
�� CREDIT CARD 4122 76.00
Minnesota State License#:plbg-RP645681
OWNER
LOVELESS, CHRISTOPHER&KATIE
3960 BAYSIDE RD
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
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 rcquires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date f issuance,or if construction is
suspended for a period of 180 days t a time atter work has commenced.
The applicant is responsible for a ri all required inspections are
requested in co ormance wi t Sta Building Code.This permit may be �� �
revoked at a me for d e u .
__ .......
�' � 1 �?.�.�-f� L � , I (r, /
� _ �; .�.
Applicant Permitee Signature Date Issued By Signatu Date
,j��� City of Orono c r��<<SF:on�►.v /
/ �ON �', P.O.Box 66 Datc Rccciocd:� � Pcrmi[ll �� l':��
� 0 ��, 2750 Kelley Parkway
Crystal Bay,MN 55323 Amount: $ /�'�SAC Credit
�� (952)249-4600
�r\1 ,� I lomco�cncr(s)Signcd: ❑Ycs
� F'�� (,� Rcsolutions(it unv)Signed:0 Ycs ❑None Required
''��FS��p�/ l.onine Uisclosurc Si ned: Ycs Nonc Rc�uircd
,_�
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official andJor Zoning Department)
Job Site/ Owner Infarmation:
Type: � Residential ❑ Commercial
Site Address: 3960 Bayside Rd
Owner: Christopher& Katie Loveless Mailing Address: 3960 Bayside Rd
City: Maple Plain Zip: 55359
Phone: Email:
Contractor/Applicant Information:
Kothrade Sewer, Water& Excavating
Contractor/App.: Contact Person: Pam Kothrade
Address: 12059 Whitetail �n State License#:
City: Hanover Zip: 55341 Expiration Date:
Phone: 763.498.8702 Email: PamK@Kothrade.com
SPECIAL CONLIITIONS & HOLD HARMLESS AGREEMENT �—�
General Instructions:
1. You may be required to obtain other permits, i.e.:weli 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 to:
1. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures are
to be demolished.
2. Submit a survey, aerial photo or sketch showing proposed erosion control measures in accordance with
Chapfer 79, Constructio,n Site Runoff Control.
3. Submit a copy of permit approval from the Minnehaha Creek Watershed District (MCWD). The City will
not issue a demolition permit without a copy of the permit(s) from the MCWD or documentation stating
permit(s)are not required. �
Form Last Updated: Jufy 2015 I� I( 1 I
uo7sa
4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached).
5. Keep all structure(s)enclosed and/or secured until such time as demolition is complete.
6. Keep all demofition debris off adjoining property and/or the public rights-of way unless specific prior
approval is obtained in writing for temporary use thereof.
7. Completely remove foundation(s)from the ground.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements.
9. Abandon water wells in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. Within 5 worlcing days of superstn.icture 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).
12. Abandon septic systems 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.
13. 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 attomey
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 $ 75.00
❑ $50.00—Accessory Structure x (how many)
1. Subtotal of above permit requested $ 75.00
2. State Surcharge 1.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ 76.00
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: �°� �u�� Date: 05-24-2016
Owner's Signature: _ Date:
Approved By: Date: � �
uildin Official)
*2oning Dlsclosure Required? ❑ YES �NO ��, t'�'1'�1j�" �`' ?��� � �bl�Z �Or
"This must be filled out b Zoning De rtment—For eitkfei�answer,a Zonin�O�cial must sign all applications. �y�
Y P�o�
*Approved By: Date: � ��t���t(/ r1.fi� �'u'''
(Zoning Official)
Folm Last Updated: July 2015
i50784
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� -----------958 ------ �\ � �\ � \ \ \ \ Wet/and � � i \ /
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� ��\ � � �\ �\ � � �� ` � ; � I Lotarea = l, 136,062sqit
�� ��\ � � � � � � � , ; ��I Detached Garage = 627 s ft
� �;_ ��� 960 �\ �\ � � �� �, �,` � � � I� Detached Garage = 489 sy ft
� % ���\\ \���,\ � � �� �� � \ � � i �..� Gravel = 4,40/ sq ft
` �\ �,\ � \ � � 1 � I Build�n9 /,425 sq ft
� \ \ \ 1 , 1 , 850 5 ft
� � � � � � Concrete
3 �p �` `\��� \\ 962_� \ � \� \� \ l `� 1 �i I I g
m � ��, �� , � -,\ � � � � 1 !�, ` � � � � Deck = 628 sq ft
N yi\ ���\ �-, ���\ �� �� � � i � � � � � � � Patio = 104sqft
� � 1 \ 1
� i �\ \ ��� \\ \ '964,, __` �_� � � ` , � �` \ � i � � Total = 8,524sqft
� �� \\\\ �� \\`9 � `�\ �\ �\ �1 �` ti1 �` �� � � i � Percenta9e 0.75%
� I ,\ 6'6 \` � � \ \ ` � �o N � I I
� � 3 �� \ ��,\ \ � \ 1 ` �` �� � � � i � I
.� ` � ,, A � 1 I � � � � 1 i I �
vl � �� p__p_ p_�_ �'96'B 1 \ � � � � ` \� � C4 � � 1 wett nd grass I I
� � I o�- o—o—o—o—o�a—o—o_o_o�o—o—o-�--o—o—}o ! I `� � � � i� � � ! 94 .5 � I Proposed flardcover
� W 3� � 9�e_i 9jo \ ��\ `� � � � I I m ' � � i � � � Lot ar�ea - l, l 36,OG2 sq Ft
O _ � ���� � � � � ° � c� � � � I � � � � Detached Gara e = 627 s ft
� , �, , 4 i 9 g
� M 1eer� �o �����3 9 �� `� �\ �� \o � � ' � � l � �.` � I Detached Garage = 489 sq ft
� 00 � � � �2 �� � �� � �� � � � l � / � I � I � Gra ve! = 4,40/ sq ft
�? 0 1 � 3 N Gara9e o 973.2 \�\ � � � � � °,' / � 1 / I � � ��, � �� Build�ng = 3,048 s ft
� � 2.10 N �� � �� � � N � � � � / � 1 1 � ��.. � Dr�vewa = g
O � � � � � � � i I � � .. I � Y 2, 12�sqft
� ° �° X� \ � �) � \9 � � \ � � 1 1 � � � . I Total
o Z �' 1 9� o � � s � � 1 I 8 � � .. I = l O,69/ sq ft
4 0 � � \ � � R � o �52• / I ` I � � I � Percentage = 0.9%
? s�4.a �Garaye 973J ���� 9 � � 1 �d �1 � i � � � r-- ���` � I
� 'f�{.� gf —w Ilmh � _
� I I 974J �09� O a,6 �_-- � ` g9�c / �ne � �`s� � � 1 �, �1 0 �\ { �� \� � i � •�`��` � i
o r—
� 102. Pronosed .p"y � � � 1 � � � 1 � I1 � { ��� � I
o I 974.8 \ � Resicf�r�e O` � � �\ \ \ � '1 `` i - � � � ���1 �
I � � �� Concrete • \ \ \ o \ � ���.`
' � � \ � \ I (�I � � � .` �I
i I I � J� � t \�� w6+; � i`97�T7- 7�J 5 \\ \\\ \\ \� \� \\ \� \1 I1 I` I' IriW I ``�"��
o ro t`� ^'-y � � zs.o � , � � � a � � � � � � ��.. 976.8 Proposed Top of Block
I � _ �i 34 tree dead � µ,�o � � y • � 1� \ \ � �,
Detail I � 975.6 ° �� 968.4 6' < / � Boulder \ � �\o D � � , \� � � � �' Pro sed Gara e
` a 9-14 tr�ee 1 � \ � 976.5
� � r 9�ss "'�'• � � � wan � I � � ' \ \ � � � �� Po g Floor
l"=30' �o � �� � u� ✓ � � ` � o � � �\ � I �
� � �� 5 �, r l-St-Fr N � � \ � � � \ �\ � \ �\ � 968.I Proposed Lowest Floor
�3 ° � ��' • � No. 39�i0 � � � � \ ° � \\ L ` \� \� �� � TYPe of Buildi
� r \ i
�\ i� � � `i, !�j0 B.O �'e `\ ' I �iS 1 � �� �� _�'\\ � � �
� 3 ,. .� , , � � � � Full Basement Walkout
�\ � /� \� 0� �✓��e �l \i.� \ 1 \ \ � 1 `�\ } � \� \� \� \r
��` _ I / , \ � �°�ao•� 976.4 � � � � \� \ \ \ � �1 � �'o �� �� � �
� ��� ` 9Z'� � 'J„ �,✓ m � 1 1 � � � � � � 0 1 ` � �� \� j � �
� �sp � -�l ine cluster � � a � �n � � � � � \ \ \ \ p� �
� V�3 � 4 9j6 � t e clu � � 0� N�/ � � � \ � � ,\ \ I \\ \\ �
I r2��� � ���__9 �\\ i a° �' �� /�� n � � �/ � � N � ��\o �
� Denotes Proposed Wetlar
� � � \ � r i Buffer Monument Post
i� � � 1
�' � � � ---- _ ���m � ' °� ���1L!_G ° �V / l Y � � �� �� o
� I pine trrple \`��4 �`u '`° // � � � (p� �� \ � W L—�qr L
���� i 3 3� � 0 975.9 D e c k d o � � � � i -- Denotes Edge of Delineab
i i \� `------- _ � � ; °j ,' ' � i Wetland located 5-4-2016
� � � � `` �74�' 73 6 � � � ) � - � Denotes 25' Wetland
� i I o —s72-------------- ��/ /o I ' �
i I� -- i � Buffer Setback Line
� ( /� \��-0-'0-0—� Q �'�o-�p� ' OLD STRUG7URE TO BE REMOVED �°/6 I ,o�� °�o�
i i �, � °�o_o� oi i �° °� Denotes Proposed
� � °�o�
i � � I o—o—o—o—o—o—o—o—�-o—o—Q�°/ i Silt Fence
i I 3 9�� __---_ � Denotes Proposed
� i � i Po%ef 96g / _ i Rock Driveway
i i i� -
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� m 66 ' I �{�
I I � ° �! I ��j' ,� � 9 � v'Ill�� Ya�s�lM 1�-r'
� q� � _ ' 21�1t0 - Op fp30
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DATE TI
CITY OF ORONO CAL ED IN
INSPECTION NOTICE O SCHEDULED _ 1;���7`'_(r� �
PERMIT NO.o��/�- �3 COMPLETED
ADDRESS � ��o /�� �J c�
OWNER TE ONE N . � � � ���
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� DESCRIPTION T � �E��� '
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO E ❑,�EPTIC INSTALL
2 OWN ONTRACTOR MEET YOU:�t_YES_NO L�
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V BEFORECWERING PERMANENT
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours' advance. 9 � Z -46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSke Notiee
.�.� � C-- ,.�, �/
l �
DATE TIME
CITY OF ORONO� CALLED IN �_� �
INSPECTION NOTICE SCHEDULED ���/�(p
PERMIT NO. r cOMPLETED
ADDRESS �� GI �G�' �J���I�� �CI
OWNER TELEPHONE N .��'3-U��`�S�b�
CONTRACTOR r ' a� � I��c'� 5��,��,
� DESCRIPTION �
k1 ❑ FOOTING MO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL • ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
i ❑ RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ' A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU�.�YES_NO
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� ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a h u ' an . (�2) 249-46��
OwnerlContractor on site:
Inspector. � �
White Copyflnspector's File ✓ Cenary CopylSite Notice