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HomeMy WebLinkAbout2012-00986 - demo � � CITY OF ORONO * Z 0 1 z — P1 PJ 9 8 6 * 2750 KELLEY PARKWAY �AT� �ss[1E�: 10/16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1 105 FERNDALE RD W PIN : 02-117-23-43-0033 LEGAL DESC : REG. LAND SURVEY NO. 0441 : LOT MB BLOCK MB PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES (ATT& DET NOTG: l. FOUNDATIONS/ALL DEMO DEBRIS"CO BE REMOVED FROM GROUND 8r.D[SPOSED OF OFF SITF„ PER PCA REGULA"I'IONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKPILLING. NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECT[ONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE D�MO YERMIT IS ISSUED. CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 NITT[ DEMOLITION STATE SURCHARGE DEMO 5.00 P.O. BOX 490726 BLAINE, MN 55449- M[SC FEE 0.00 (763)412-2651 TOTAL 80.00 PAID WITH CC# 2302 OWIYER TRUWIT,CHIP 1105 FERNDALE RD W WAYZATA, MN 55391- 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 thc State Building Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herain.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date9 f issuance,or if construction is suspended for a period of 180 days at ady time after work has commenced. The applicant is ponsible for ssur g all,required inspections are requested in c f rmance wi he tate �ilding Code.This permit may be rcvoked at t' e for d ' ' s� 1� �1� � 1a 2 Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , r��� . �� --- ��� /;¢p��\ City of Orono g P.O.Bos 66 FO C ONLY C �� �`;� Date Received: I Q emiit# �/v� ' � /_� f�' ,_., I� 2750 Kelley Pazkway �S� ;� ������ �� Crystal Bay,MN 55323 Amount: $ SAC Credit: �5 ,t���> ,�,.��o�° (952)249-4600 y,_ �``�°°xO�� Homeowner(sj Signed: ❑Yes ��'7�' ��� � Resolutions(iE any)Signed:Q Yes ❑None Required 'Lonin Disclos�e Si ed: ❑Yes ❑None Re uired CITY OF ORONO- DEMOLITION PERMIT signe.� �cr�w (All permits must be approved b_y the Building Official�md/or Zorung Departrnent) �Q�Cr11�y " 1�,� � �l� Job Site/Owner Informarion: �� �� Type: � Residential ❑ Commercial Site Address: 00�� ���e�P� ��, � • Owner: �h, ��uW�� Mailing Address: City: Zip: Home Phone: �,��,� ��- �1��o Alternate Phone: Contractor/Applicant Information: ,--� � r, ,,� , '� �'�^;, `� � ��i�-} � ��;����� ° . ,��"���}3 <'_ � s \\\V �--, Contractor/App.: 1v*�, ^�\ ocJ Contact Person: ��w-- Address: ���x ����0 State License #: City: �`s''b Zip: SS��q Expiration Date: Phone: 1b3-�c1a-21��\\�� Alternate Phone: ��3-`�55 - o�3 �--- --- SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions: 1. 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 a11 inspections. Ca11 (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: �ewer Disconnection ❑ Well Abandonment # In return for issuance of said Demolition Permit, the undersigned owner hereby agrees to: l. 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 Chapter 79, Construction Site Runoff Control. 3. Submit a$2,000 escrow and an escrow agreement signed by the property owner. 4. Keep all sri-ucture(s) enclosed and/or secured until such time as demolition is complete. , Oct-11-�012 Ob:54 AM HCMC 612-904-4567 3/q I � i 5, Keep eU demolition debri9 off a�joining property aad/or ti�e public rights-of way nalass specific ; prior approval is abtained in wciting foz�tompozary use thereaf. 6. Completely remvve fouudatiou(�)$om tho�round. 7, Completely disposs of all damolitlon debris off site in accordance with all applicabla PCA raqwirementa. 8. Abandon water walla ia e000rdenoe with 3tate Hoalth Depertmant regul etiona. ' 9. Call far aa inspeadaa whan all debr�e hae beez�removed�baFore backf�lling, 10.Withia 5 worldng days of auperstcuoture removal�a ffnal inepection ehall be requested. The�ite ' ahaU be lett clean �nd alear o�all debria, w�itla any e�oavatioa filled witb a�ath levol with tb►v a�jacent�round elevation(exoept when suah exeavation ie to bo used as part of a new building sad suah new building is sotually under oonstruction). 11.Abat�dott eeptio eyatoms per Minnesota Rules Chapter 7080, A�1 septio tauke must be purrr�ped, crushed aad filled with aative soile. A.n inepection ie required a;fter the taake ara pumped aad bePora the ta�cs are crushed and fiItad. l2.The undersigaed owner siiall and hereby does indamnify snd hold hatmles�the City oQ Orono,its sgents, employecs and assigns from and against all aIalms� demagea, losses or expense�, � including attorney feea, against the City, its agenta. employeea and asgigns arisin¢ out of or rosulting £zo�n the demo�ition described hereia es peafo�ed by tha property owAer, hie employeee,agents,subcormactors or assigne. PE�T TYPE AND FEE CALCULATIpN $75,00—Ysinoipal Struature s � $50.00—Accessory Structuro x (how zaa�y) I. Subtutsl of abovs pernait rec�uested $ Z, Stnte Scucharge ,_____,_�00 e 3, TO'x'AL PERMIT F'E�(add lines l-2 above) $ The underei�nned b,ecby applias to the City of Orouo fvr iesuancc of a Demolitioa Peimit,agreas to do all the work in a striot acoordanoe with the atdiaaaoes of e Ciq� and the regulations of the State of Min�nesots,aad oao�'ies that all etate�ma made on thi pli tiou are complete,txue aad carrect. App4cant'e Signature: Dste: O�vaer'6 Signstnre: '�� Dste: j• '� ' '_ � Y Apprnved BYc Dato: 1 d-1 b — Zd r Z mld�ng O�clal) '�Zoning Discloeure RequiiredT �YES ❑ NO •T'hie must be�lled out by Zoeiing De en Por eithor amwer,e Zoniog O�aid muat alga sll appiicedom. "Appruved BY� Date: '�lU ��� (zo�;ng oes�� �._ 5. Keep all demolition debris off adjoining property and/or the public rights-of way unless specific prior approval is obtained in writing for temporary use thereof. 6. Completely remove foundation(s)from the ground. 7. Completely dispose of all demolition debris off site in accordance with all applicable PCA requirements. 8. Abandon water wells in accordance with State Health Department regulations. 9. Call for an inspection when all debris has been removed, before backfilling. 10. Within 5 working days of superstructure removal, a final inspection shall be requested. The site sha11 be left clean and clear of all debris, with any excavation filled with eartli 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). 11. Abandon septic systems per Minnesota Rules Chapter 7080. All septic tanks must be pumped, crushed and filled with native soils. An inspection is reyuired after the tanks are pumped and before the tanks are crushed and filled. 12. 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 assi�ns 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 x (how many) 1. Subtotal of above permit requested $ 2. State Surcharge 5.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 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 e City and the regulations of the State of Minnesota, and certifies that all stateme made on this pli tion are complete,true and correct. ; / Applicant's Signature: � Date: Owner's Signature: �J� Q Date: Approved By: Date: (Building Official) * Zoning Disclosure Required? YES ❑ NO *This must be filled out by Zoning Depa ment For either answer,a Zoning Official must sign a11 applicarions. * Approved By: Date: (Zoning Official) , Oct•11-2012 06:54 AM HCMC 612-904-4567 4/4 ��O�� Principal Dwelling Demolition Permit � � ZONING DISCLOSURE 8 DECLAFtATION To ehs propsrty owner. Demolltlon of the principal dwelling st�ucture on a property may eutomadcally terminate certaln rights which may have accrued to the property by vlRue of the centinued existence of that buliding. • Rebuilding on a aub�tandard lot of reoord(I.e. s lot that doea not meet the zoning dlstrlot required lot area or wldth standards)will,with kw exceptiona, require variance approval by the Clty Council,and such approval is nelther automatic nar guaranteed but requlres that a nardship be demonstrated. � Addltlonally, all cu�rent zoning standards w(II have to be met by the new principal dwelling including setbacks, lot eoveroge by atructuree, hardcover(lmpervlous surface), helaht Ilmlta,etc. • Where municfpal sewer la not avallable, provlsion ot two (2)sites For a cenforming on-Site sew�ge treatment system is mandetory. • Unlese specmcally �pproved by the Clry, all accessary structures must be removed at the tlme of principal dwelling demolition. Thls also applies to seeaonal and permanent dxks,wh�h may not be re-lnatalled untll a new principal dwelling has reached the haming stage. The toilowin0 informatlon Is presented for the purposes of �dvising the property ow�er of the Impilcatlons of removal ot the princlpal tlweflinQ on the properry: 1, Property Addreas: 110e F�rndal�Road Wsst PIN i� 02-117�23�43-00�3 Requlred Lot Area� 2�cr+�n Required lot idth; 200' 2. Zoning District: LR.1A Actual Lot Area; .63 acros Actual Lot Width; 0' Lot area verian e�,�requlred. Lot wldth veri�n e n requlred. 3. Requlred Satb�cks tor Lake(Front) 7b' 3trcet(Rear) 60' Slde 30' Side 6treet 60' Lekeshore Lot AveraQe Lakeahorc Setbac must bo m4-�t b not annllcabls. 4, l.ot Coverage by Structuree: mlted to t!°b of lot arra does not aaclv(lot eree� 2 ecreol 9. Hardcover Ilmltatlon an_p�lleable �re not�ool(cabfo. 0-75'zene= 096 allOwed 76-260'zone�25°r6 sAowed 250-600'zone 4 30°�allawed b00-1000'zone�36R+6 allowed 6. MuniCipal 6ewer Is evelleble. 7. No Wedand s resent. Thp undersigned prope er hereby aoknowfedges receipt of the ebove lnforme�don. Staff lnitials �/ � �' ''1 � V ��/ '�fI � ��� � _',{ Property Owner's Signature Date �� (Ortginal: Stroet�Ile; Copy: Property Owno�) wr.�elreet fit�sV�mdah road w11 f 051aoning dieCloeure d propeAy lt]fOriI18t10Jt fOR11.dOC Cror1�d: Jsnuary 28.1008 Hennepin County GIS - Printable Map Page l of 2 �� Interactive Property � Maps Map �- '�_. ,�,�, �.. --., � �C � .� �� ��,�k � � � � �t '�" �� � ��� �,_� � � 4��- � J� ��. �� �. ��� � � � � � �. - � � .1� � r � \,[ . � �� •J ` � y � ° " .f. � J "� . j ''� ,�" t� .� �, �_� ,? � � � _ � � � a�_� � a � 'yi*n .� � _ \ . �. ... ,;, '. ,. V +� s` ` .+ "4 ° S' � .'�t �� ��� � ��. �-� � _ �J . � ,+:�� ,., '`�� a ' a . �.F;. ��,.. , �� . �. 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Welcome : . _ Results -F�arcel Links , , . ..r.;,_ �:,.., . , ;. Tax Information View oblique imaqerv (Bing maps} Survev Documents PID: 0211723430033 _c;ty . . 1105 Ferndale Rd W Orono, MN 55391 �° ,� Owner/Taxpayer � <� � C L Truwit& P J Owner: Picard �. '�; K � � CHARLES �TRUWIT �"�� ���� PAULA J PICARD �� .'*4� n � Taxpayer: 1105 FERNDALE RD ;�,° � . W � WAYZATA MN 55391 �+�` j '� � Tax District y� School Dist: 278 � \„�� «::'� Sewer Dist: � � �+� � ,�. Watershed Dist: 3 . �'.,. Parcel 1.13 acres � ` �� Parcel Area: � 49,313 sq ft '���� �_� ���� Torrens/Abstract: Torrens ���`��`�'�" ,��. : Reg. Land Survey No. x`" ,� �' � Addition: 0441 Lot: Block: Legend Measure � http://gis.co.hennepin.mn.us�Property/Map/Default.aspx 10/11/2012 . , He�nnepin County GIS - Printable Map Page 1 of 1 Interactive Property - -� Maps�,% Map ��r, �: - • C� r� .. ,�� � � � ,. � • .�t stt4�-,�+ c�..' ';,f e�', �, �� � ' -,� � .3tit �� � ,��-�+ �, _ + �f ;+ " t � s g: .Y�' . `-,si, � .. r�' , �' J• i ��<. k _ ♦ �.r.'. '�• . 11• �t �'. 5 ' �• � .i �^. �,. �.� .. � r� � �.,�s�� �;�,y � . . t ;r�' �•a `,,• � . - �/ . ,y .. � y� . ' fe� �:�� �, . ��,�� . . .. ' . ` i . :\» . R i'�!' , �p�"' . �`"� �~ .. � - .� � � +�t'�, ��' . � �, . , . -' s .� �' ��r ; �} ��. .�'�;•� . :�� .�'� v $ �A�;..� , ;�.��� t �� � ��� . , �� ��. �t YAz' '-��``y � -.� '�' °� :�,'`�, " �w�'�'�'�` �,��1,- �'` � � .. ,,�, � � �F ,� : .. F- 's , �y' . . �' ., Fr., ���� "�, ,. •���� • ` l'�F �� � A i' '� .'ll�'l'�� • � .F q�i . f: ,S'�±I , .., , ,.� r '�,�� y �% r ��� �� t�l�y � ���y !� � ��, , � . ���:� �;��,��' �t�' . 5 , !'�' .�.�..•t./ � � a�� � - ��'. �`•L. ��l ��g .� � � ,� ;� i� ,.� . .�� 1 �� � � � . :.� -�� .�h,.��_ � . � ' ,, � '� �yi y . :7� {.,Afi . . 3� T+.� •� ��y � �' �4��� � �� �.� �' �'� � t �' ` � � . ��� " � I�� �� ' ' _ _ ! I�kYi.���k ¢ �7�I 5 . �Y i . .P �T� • .* � ' . .� �'. .. � _1 I "� �� ,� � .` ���.. 5.'� �., „r �� , W � �`r �� � - �` .,�' ,�', ` . ` . _ ' � '� ' ' �'� .; � ,F}�y4a°; "�` ` � ,,�,' � r�: ti � `�+�, "�, � e � '��`` `���r�' � � .. + ��e�s ( - . N..r.�� � .�.,' ; , � . .,� �. ,�r= /. � � � ��• � � _����', � � +° +�. - . .:. i. ��* ��, i a`=. J• T• ��l"-e `�►� - Parcel 02-117-23-43-0033 A-T-B: Torrens Map Scale: 1"= 100 ft. N ID: Print Date: 10/9/2012 Owner C L Truwit&P J Picard Market $1,400,000 Name: Total: Parcel 1105 Ferndale Rd W Tax $17,453.70 Address: Orono, MN 55391 Total: (Payable:2012) Property Residential Lake Shore Sale $1,100,000 Type: P�ICe: This map is a compilation of data from various sources and is furnished"AS IS"with no Home- HomeStead Sale 02/2012 representation or warranty expressed or StCBd: DatO: implied,including fitness of any particular purpose,merchantability,or the accuracy and completeness of the information shown. Parcel 1.13 acres Sale Area: 49,313 sq ft COd@: COPYRIGHT OO HENNEPIN COUNTY 2012 � —` -• GrEen: http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=456553.3 833339726,4979343.... 10/9/2012 Christine Mattson From: Christine Mattson Sent: Tuesday, October 09, 2012 3:49 PM To: 'nittirolloff@gmail.com'; 'Chip Truwit' Cc: Melanie Curtis Subject: 1105 Ferndale Road W/ Permit#2012-00986 Attachments: Copy of Demo Permit#2012-00986.pdf; Zoning Disclosure Form.pdf Tim, I have attached a copy of the demolition permit application for 1105 Ferndale Road W. As I mentioned on the phone, we need items #1 and #2 in conjunction with the review of the demolition permit application. Items #1 and #2 can be shown on the same survey, aerial photo or sketch. Also, the homeowners signature is required on the demolition permit application and the attached zoning disclosure form. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ `�' 952.249.4620 � 952.249.4616 �� cmattson@ci.orono.mn.us �U www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, November 12, 2012 1 / DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO�C�_0�9�, SCHEDULED /D-/4-/Z PERMIT NO. �� q� � COMPLETED ADDRESS ���� ����Q� �d � OWNER TELEPHONE NO. 7�3 7'�Z z�S� CONTRACTOR ��� ��-� �; DESCRIPTION ao��t'«- — � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j GW;/�P�RKSATISFACTORY:PROCEED C; PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice �y �� DATE TIME " CITY OF ORONO �'��a-�"'�LLED IN ��"�� INSPECTION N TICE SCHEDULED �G`�7-�Z ��� PERMIT NO. COMPLETED ADDRESS l � ��-� /�J GiJ OWNER I (�v l'�� TELEPHONE NO. � a �� CONTRACTOR �/UL�� l� >; DESCRIPTION / , L �C../��� "`��"/� � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �-n. S ��-� i l � � 1 �- �'�n c .2 � •� (r�� G- C-fl t� �(�✓ (��i � t—F[�vJ� �� �r-D l�� — S��jD W � Q � Z W � W � j d W� �4laBK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED !=l ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARFANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. l T� /�� White Copyllnspector's File Canary CopylSite Notice