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HomeMy WebLinkAbout2012-00766 - demo � � CITY OF ORONO * 2 0 1 2 — 0 0 7 6 6 * 2750 KELLEY PARKWAY DATE �SSUED: 09/19/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1095 FERNDALE RD W PIN : 02-117-23-43-0023 � LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE : LOT 009 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINC[PAL STRUCTURE ACTIVITY : 645-S[NGLE FAMILY HOUSES(ATT& DET NOTE: l. FOUNDATIONS/ALL DEMO DEBR[S TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. NOTE: A 24-48 IiOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. SEWER MUST BE DISCONTINUED AT THE CITY SERVICE C3Y QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHGCK TO MAKE SURE THIS PERMIT HAS BEEN PULLED 13EFORG ISSU[NG THIS PERMIT. APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 BOHN WELL DRILLING CO. STATE SURCHARGE DEMO 5.00 18190 DAIRY LANE JORDAN, MN 55352- DEMOLITION -ACCESSORY STRUCTURE 100.00 (952)445-4809 TOTAL 180.00 Minnesota State License#: 1043 OWNER FOX, B& K 1095 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performcd according to the approvcd plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AII provisions oY laws and ordinances governing this type of work shall be compied with whcther 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 of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��!tf.�.c.Q.i� �}l v74 / !a— �<�yy�t,r.�� �'l oZ� l i� Applicant Permitee Signature Date Iss d 13y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. — � - O¢��`O City of Orono ITY USE ONLY �'7 `r P.O.Box 66 Date Received:� Permit#C���" / �O� 2750 Kelley Parkway ,a �i`'x> �' Crystal Bay,MN 55323 Amount: $ SAC Credit: s� '.►k',,ryo'� (952)249-4600 �ssaos Homeowner(s)Signed: ❑Yes Resolutions(ifany)Signed Q Yes ❑None Required Zonin Disclosure Si ed: ❑Yes ❑None Re uired CITY OF ORONO-DEMOLITION PERMIT (All permits must be approved by the Building Official and/or Zoning Department) Job Site/Owner Information: Type: �Residential ❑ Commercial Site Address:�u�� ���✓�f-��L� ��� �L/�� � /��9�h'�?�%,�.�� ���t / ,��15 T C� r• �1�L FU� '���75 j'�-� Mailing Address: �/��/�V f��✓���L� ����� /��Ili��S�/�/7�'D $Y IJif'�!�"i',�7 U�t City: Cy/1 y�.��'",�'� /��?/�/ Zip: ��,�� � Home Phone: ��r�- '��t�"1��7 Alternate Phone: �fo2 '��� � � l��� Contractor/Applicant Information: Contractor/App.:�f�/R�' ��L L �����`��Clontact Person: ��,��/� �/y�'`� Address:/(r/�C� ��/��� �-09�� State License#: City:V���"��'`i �i�`� Zip:�3��- Expiration Date: Phone: ��� ����� ���� � Alternate Phone: 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 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: l. Submit a survey, aerial photo or sketch showing all structures on the property. Note which structures aze 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 al( structure(s)enclosed and/or secured until such time as demolition is complete. f , � 5. Keep all demolition debris off adjoining property andlor the public rights-of way unless specific prior approval is obtained in writing for temparary 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 reyuested. 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). l 1. 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. 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 assigns arising out of or resulting from the demolition described herein as performed by the property owner, his employees, agents, subcontractors or assigns. PERNIIT TYPE AND FEE CALCULATION �, 7 � � � $75.00-Principal Structure $ � $50.00-Accessory Structure x O�- (how many) %v � `� J l. Subtotal of above permit requested $ / 7.51 �' `� 2. State Surcharge 5.00 �� ��i 3. TOTAL PERNIIT FEE (add lines 1-2 above) $ ��`J 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: /1�.� Date: � �-- Owner's Signature: ✓ .��.�1 G Date: �� l �- Approved By: Date: > � �- l� (Building Official) * Zoning Disclosure Required? � YES ❑ NO *This must be filled out by Z.oning Department-For ither answer,a Zoning Official must sign all applications. * APProved By: � W�r 'J V Date: � (V �� (Zonin Official) � , . ��O�r� �. Principal Dwelling Demolition Permit �� � ZONING DISCLOSURE & DECLARATION � ��K� �;�♦�' f � 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 neither 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, a11 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 of the implications of removal of the rinci al dwellin on the ro e : 1. Property Address: 1095 Femdale Rd W PIN# 02-117-23�3-0023 Required Lot Area 2.0 aC Required Lot Width 200' 2. Zoning District: LR-1A Actual Lot Area 1.27 ac Actual Lot Width 174'-176' Lot area vari e is/' not required. Lot width vari ce is/'s not required. 3. Required Setbacks: Front NA Rear NA Side 30' Side Street 50' Lakeshore Lot: Lake(Front) 75' Street(Rear) 50' Average Lakeshore Set ck: must be met not a licable. 4. Lot Coverage by Structur : limited to IS%of lot area does not a 1 lot area>2 acres 5. Hardcover limitation • are applicable/ re not applicable. 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 confirming that two conforming drainfield sites are available. 7. NA Wetland(s)present. Wetland is classified as" ". A_' buffer from the edge of wetland and a 20' structure setback from the buffer is required. "*Talk to Planning Department Staff for additional requirements. The undersigned property owner hereby acknowledges receipt of the above information. Staff [nitials � / � V � � Property Owner's Signature Date Form ZDD—Revised 5-23-OS (Original: Street File; Copy: Property Owner) • • • • � � emo To: Finance Department From: Christine Mattson, Planning Assistant CC: Street / . Date: April 28, 2014 � G/L: 101-22205 Re: Escrow Refund Demolition Permit Application #2012-00766 pertaining to 1095 Ferndale Road West is complete. Please refund $2,000 to the application David Fox. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: David Fox PO Box 1325 380 Gulf Blvd#3 Boca Grand, FL 33921 w:�street files\ferndale road w\1095\escrow refund form 2012-00766.docx DEMOLITION PERMIT#2012-00766 ESCROW AGREEMENT AGREEMENT made this��day of l.(.S�` , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and K�a herine Fox Trust, Bill Fox Trustee ("Owners"). Recitals 1. An application for a demolition permit has been filed for one principal structure and two accessory structures located at 1095 Ferndale Road West ("Subject Property") legally described as All that part of Lot 9, North Shore Cottage Acres, Lake Minnetonka, lying Southeasterly of the Southeasterly lines of Registered Land Survey No.441 and Registered Land Survey No. 902, and lying Northwesterly of the Northwesterfy line of Registered Land Survey No, 1372, Hennepin County, Minnesota 2. In conjunction with the demolition, erosion control measures are required as shown on attached Exhibit uA„ NOW,THEREOFRE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,000 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs (including planning, engineering, or legal consultant review) the City has incurred to assure that the erosion control measures are installed and maintained so the property complies with the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work. If compliance with the approved Land Disturbance Permit is not accomplished within the allowable time period, the City may bring the project into compliance by use of the security. 3. RIGHT OF ENTRY. The Owners hereby grant the City, its agents, employees, officers and contractors the right to enter the property to perform all work and inspections deemed appropriate by the City in conjunction with the required erosion control measures, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owners' contractor not complete those improvements by the date specified herein. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. Any remaining amount of the financial security deposited with the City for faithful performance of the plans and specifications and any related remedial work will be released after the completion and inspection of all such measures and the establishment of final stabilization for the Subject Property. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subjec rop pursuant to Minn. Stat. §§415.01 and 366.012. CITY OF�b$ONO�' OWNERS: �i,1�� ,. �{;' -Y' �/�/� , l `�`'. ,�l. ' ` — _ '�/, By: _ �� , its: � `L;--- .�._ Internal Use Only: 0 Original to Finance Department G Copy to Street File , CITY OF ORONO * z 0 1 2 - 0 0 8� 2750 KELLEY PARKWAY DATE ISSUED: 08/16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1095 FERNDALE RD W , PIN : 02-117-23-43-0023 LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE : LOT 009 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2000.00 ESCROW IS'I'IED TO DEMOLITION PI�RMIT#2012-00766-PnID WITH CHGC�# 107�4 APPLICANT ESCROW FEE-APPLICANT 2,000.00 FOX, B 8 K TOTAL �,000.00 ]095 FERNDALE RD W WAYZATA, MN 55391- OWNER FOX, B& K 1095 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed accordin_�to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related tiork which requires separate permits. All provisions of laws and ordinances governin�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 of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.7his permit may be revoked at am�time for due cause. / / ! / Applicant Permitee Siona�ure Date Issued B��Sienature Daic SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 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N 12-117-23-21-0002 A-T-B: Torrens /� ID: Print Date:4/23/2014 ��� Owner Market �� Name: D K Fox& M B Fox Total: �3,674,000 ` Parcel 440 Ferndale Rd W Tax $59,110.36 Address: Wayzata, MN 55391 Total: (Payable:2014) Property Residential Lake Shore Sale $1,580,000 Type: Price: This map is a compilation of data from various sources and is furnished"AS IS"with no Home- Homestead Sale 01/1995 representation or warranty expressed or SteBd: DBte: implied,including fitness of any particular purpose,merchantability,or the accuracy and completeness of the information shown. , Parcel 2.64 acres Sale Warranty Deed COPYRIGHT O HENNEPIN COUNTY 2014 Area: 115,144 sq ft Code: � �; Think Gre�n! I � �' I�Z� __ 3� �.0�f ��d � � � ��, c�rou� � �q� , http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=457816.13263 854355,4978991... 4/23/2014 �/� �,.,����' �/ (�� '1 � /f� TIME ✓ CITY OF ORONO CALLED Ir��/ -���" � INSPECTION NO ICE/ /`���f CHEDULEl�l�� ��� PERMIT NO. \` —v`�' ��OMPLETED +/ 17 ADDRESS j� l�� � �/�`7�"i ('� �`1%_ OWNER TELEPHONE NO.I C I o� ���������� CONTRACTOR /�v' � � DESCRIPTION � ' " �� rC� � 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE C FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU _YES_NO � COMMENTS: � W C � J O >. . � O � W � Q � Z W � W � � d W Lti�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE �C�❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETUFN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR c INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor Inspector White Copyllnspector's File Canary Copy/Site Notice