HomeMy WebLinkAbout2008-00374 - demo CITY OF ORONO PERM[T NO.: 2008-00374
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 1U17/2008
� (952) 249-4600 FAX: (952) 249-4616
�.
ADDRE�S : 2640 FOX ST
PIN : 04-117-23-42-0008
LEGAL DESC : REG. LAND SURVEY NO. 1249
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO- PR[NCIPAL STRUCTURE
ACTNITY : 645-S[NGLE FAMILY HOUSES(ATT& DET
NOTE:
1. FOUNDATIONS/ALL DEMO DI,BRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE, PER PCA REGULATIONS.
2. WELLS MUST BG ABANDONED.
3. INSPECTIONS DONE BEFORE BACKFILLING.
APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 50.00
WESTLING,TOM
2640 FOX ST STATE SURCHARGE DEMO 0.50
WAYZATA, MN 55391- TOTAL 50.50
(952)331-3924
OWNER
WESTLING, TOM
2640 FOX ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The���ork tbr�vhich this permit is issued shall be performcd according to
the approved plans and specitications,applicable City approvals,and the
Statc Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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
requeste�in conformance wit�i_�e State Building Code.This permit may be
rcvokc'd,�t a y t me fo� cau . n
� '� � � �7 d � , ,+ Ce v� / �- i I _ C��
App ica�t Permitee S' ture �Date � � �� � � � � �
Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
g�`�\` City of Orono FO CITY U9E ONLY
`r� P.O.Box 66 Date Received:/�� Pemiit# � -� 7�
�� � �� 2750 Kelley Parkway
• �� ��`� �,!:: 1��1 Cryscal Ba}�.MN 553'_3 Amount $�,,}� SAC Credit:
��'r�'I�as�G�� (9i2)2d9--1600
� Homeowner(s)Signed: [�]Yes �
��,��1
��� Resolutions(if any)Signed:�Yes None Required
Zonin>Disclosurc Si ned: ❑Yes ❑None Re uired
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CITY OF ORONO- DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
1ob Site/Owner Information:
Type: '�Residential ❑ Commercial
Site Address: �-��� �'"L�X �l
___.�.---�� / 1
Owner: �C�'/'�'� f�-� ���/ �� !.
� Mailing Address: �� `� �x �
City: �Y--���� Zip: � S � ��
Home Phone: � ��� - / �� /d�z- Alternate Phone: �/ /' j�J � 13���/
Contractor/Applicant Infornlation:
Contractor/App.: �� �� `�-�TL�.✓�1l' 7 Contact Person:
Address: State License #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
SPECit�I.CONDYTTONS& HQ��HARMLESS AGREEMENT ��° , ��k����� `;t
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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 befare 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/ar 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 thereo£ r
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 Depariment regulations.
6. Inspection required when all debris has been removed, before backfilling.
7. Within 5 working days of superstructure 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).
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
[�Cl] $50.00—Principal Structure
�] $30.00—Accessory Structure (how many) (what)
1. Subtotal of above permit requested $
2. State Surcharge $ .50
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 the City and the regulations of
the State of Minnesota, and certifies that all statements made on this application are complete,
true and correct.
---- _� / Q
Applicant's Signat�e:---- �� � � Date: �( 0 C�
v—"".- / <f'
Owner's Signature: �.- --� r Date: �� J O v
Approved By: Date: !�' 7 —v �
(Buil 'ng Official)
* Zoning Disclosure Required? . YES ❑ NO
*This must be filled out by Zoning Departm��tt– r e�ther answer, a Zoning Official must sign all applications.
* � ,�-?
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Approved By: � Z--__.__ Date: �%�-
(Zoning Official)
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Reset Form �
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O���O
�,* ,,,�_ Principal Dwelling Demolition Permit
�,� i?!i�`��;� �� ZONING DISCLOSURE & DECLARATION
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''A�go
. 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.
• All current zoning standards must 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.
• Where municipal sewer is not available, provision of two (2) sites for a conforming on-site sewage
treatment system is mandatory.
The following information is presented for the purposes of advising the property owner of the implications
of removal of the principal dwelling on the property:
1. Property Address: 2640 Fox Street PIN # 04-117-23-42-0008
Required Lot Area 2 Acres Required Lot Width 200'
2. Zoning District: RR-1 B (exCluding wetland)
Actual Lot Area 3.35 Acres Actual Lot Width 488'
(including wetland)
Lot area variance is/'s not r quired(unless there is less than 2 acres of non-wetland). Lot width variance is is not equired.
3. Required Setbacks: Front(adjacent to Tract E)- 50' Rear(west)- 50' Side(all others)- 30'
4. Lot Coverage by Structures: limited to 15% of lot are does not a I lot area>2 acres
5. Hardcover limitations: are applicable/ re not applicable 0-75'zone= 0%allowed
75-250'zone=25%allowed 250-500'zone=30%allowed 500-]000'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.✓ Wetland(s)present. Wetland is classified as"Manage 2". A 25 buffer from the edge of wetland and a 20' structure
setback from the buffer is required. **Talk to Planning Department Staff for additional requirements.
8. Adequacy of access subject to review by Fire Marshall. Widening of driveway may be required.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
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Property Owner's S,.i'gn ture Date
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Form zDD—Revised s-23-os (Original: Street File; Copy: Property Owner)