HomeMy WebLinkAbout2012-00986 - demo � � CITY OF ORONO
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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
�/ �
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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
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� Interactive 1105 ferndale rd. w, orono
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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 �
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. , He�nnepin County GIS - Printable Map Page 1 of 1
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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
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DATE TIME ✓
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OwnerlContractor on site:
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� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
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Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. l T� /��
White Copyllnspector's File Canary CopylSite Notice