HomeMy WebLinkAbout2015-01225 - demo CITY OF ORONO * 2 0 1 5 - 0 1 z 2 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 10 MYRTLEWOOD RD
PIN : 36-118-23-33-0009
LEGAL DESC : MYRTLEWOOD
: LOT 001 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTNITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE: NO SAC CREDIT,THE SEWER IS NOT HOOKED UP YET
NO NEED FOR A SEWER DISONNECT PERMIT,NOT HOOKED UP YET.
NO NEED FOR A WELL ABANDONMENT PERMIT,THEY ARE GO[NG TO KEEP THE WELL
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 1.00
CHAMBERLAIN FINE CUSTOM HOMES TOTAL 76.00
11578 CHAMBERLAIN CT
EDEN PRAIRIE,MN 55344- Payment(s)
CHECK 938 76.00
(952)649-7653
Minnesota State License#: BUIL-BC661410
OWNER
Chamberlain Capital LLC
11578 CHAMBERLAIN CT
EDEN PRAIRIE, MN 55344-
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 cequires sepazate
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 l80 days of[he date of issuance,or if construction is
suspended for a period of l80 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;
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.Applicant Permitee Signature Date Issued y ignature Date
O City of Orono R CTTY USE ONLY.
� � P.O. Box 66 Date Received:� �� Permit# <<'�>� / - 7-�j
� 2750 Kelley Parkway �f
Crystal Bay, MN 55323 Amount: $ `G' ��� SAC Credit:
(952)249-4600 j"�'��C'C`kCc� �� ��Q-�'�
� ,�- Homeowner(s)Signed: ❑Yes 4
y� �,� Resolutions(if any)Signed:�Yes ❑None Required
19kESH��� Zonin Disclosure 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)
Job Site / Owner Information:
Type: �Residential ❑ Commercial
Site Address: �� / ' / 3�r��-��/b 6 G� ���
,
Owner (,�a�^f1a-C/'�Q� n l.G.(J�,� LL�' Mailing Address: �����' (�f'!ai'�1,��t��a�� C�
City: ��-f�h P�'a���-c, � �N' Z;p: �s37 d
Phor�/e: 7�d"l9 �Q- �� S-3 Email: � L (" l,nar�'��iP��a�✓� Ca . Con�
Contractor/Applicant Information:
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Contractor/A .����'''�����a�� ���� (y�`'m ���m Contact Person: ���L La�'�✓6�-
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Address: State License #: �3����y��
� a a � J�..
City: a Zip: Expiration Date: 3��3���d/l
Phone: Email:
SPECIAL CONDITIONS & H4LD HARIVILESS AGREEMENT �
General I nstructions:
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 iss�,ea.
Demolition by means of: ❑ Manual Disassembly (�(Heavy Equipment ❑ Other
Permit(s) Issued: ,❑ Sewer Disconnection ❑Well Abandonment# _
� �-'`� �� `��'lY C�C� � � ��c_`-� ��� r�= G L )�'l�� '� L� �.C�� �
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In return for issuance o�sai�Demoliti�n Permit, the undersig�d 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
Chapter 79, Construction Site Runoff Controf.
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.� July 2015 �I� _�I
150784
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 untii such time as demolition is complete.
6. Keep all demolition debris off adjoining property and/or the pub�ic 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 ail applicable PCA requirements.
9. Abandon water welis in accordance with State Health Department regulations.
10. Call for an inspection when all debris has been removed, before backfilling.
11. Within 5 working days of superstructure removal, a finai inspection shall be requested. The site shall be
left clean and clear of ail 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 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
� $75.00 — Principal Structure $ �.S av
❑ $50.00 —Accessory Structure x (how many)
1. Subtotal of above permit requested $
2. State Surcharge 1.00
^,�
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 the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and correct.
A licant's Signature: ����'`�U'GP�� Date: � aa/��
pp
Owner's Signature: Date: aa. IS
�
Approved By: ` Date:
(Building Official)
�
* Zoning Disclosure Required? ❑ YES ,�NO � �{�� ��-' � 15 "3�3J
*This must be filled out by Zoning Department-For eifher answer, a Zoning Official must sign all applications.
* Approved By: �` ������7Z�� V��d��'' Date: ������
(Zoning Official)
Form Last Updated: July 2015
150784
MINNEHAHA CREEK � WATERSHED DISTRICT
QUALITY OF WATER "`•'`- QUALITY OF LIFE RECEIVED
SEP 2 2 2015
CITY OF ORONO
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements
The Minnehaha Creek and information contained in the permit application, correspondence, plans,
watershed Districtis maps, and all other supporting data submitted by the applicant, and made a part
hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant
committed to a leadership named below for use and development of land in the Minnehaha Creek
Watershed District.
role in protecting, �i5 � �I 1„�
improving and managing
Issued to: Chamberlain Capital LLC Permit No: 15-301
the surface waters and
Location: 10 Myrtlewood Rd, Orono
affitiated groundwater
resources within the Purpose: Erosion Control & Wetland Protection, Single Familv Home
District,including their Date of Issuance: 9/9/2015 Date of Ex iration: 9/9/2016
relationships to the By Order of the Board of Managers �
ecosystems of which "
.� `
they are an integraL part. Tom Dietrich �
We achieve our mission District Technician
through regulation, This permit is not transferable without District approval, and is valid to the date of
expiration. No activity is authorized beyond the expiration date. If the permittee
capitaL projects, requires more time to complete the project, an application for renewal of the
education,cooperative permit must be received by the District at least 30 days before expiration.
endeavors,and other The applicant is responsible for compliance with all District Rules and for the
action of their representatives, contractors, and employees.
programs based on
sound science, Conditions: Project to be completed as described in plans submitted to the
MCWD office on July 15�', 2015 according to the provisions of this
innovative thinking,an permit.
informed and engaged • Properly install and maintain all required erosion control
measures until the disturbed areas are re-stabilized
constituency,and the • Notify MCWD in writing upon completing installation of
perimeter and sedimentation controls
cost effective use of . When the site is re-stabilized and the MCWD staff has
publ;c fi,nds. performed a final inspection, all silt fences must be removed
(Statement concerning fees for inspections, violations, etc... on following page)
15320 Minnetonka Boulevard, Minnetonka, MN 55345 •Office: (952)471-0590• Fax: (952)471-0682•www minnehahacreek.org
O�0
�O Principal Dwelling Demolition Permit
���
1'"'��- ,� ZONING DISCLOSURE & DECLARATION
���o�o
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 orwidth
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, all 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 ert :
1. Property Address: 10 Myrtlewood Road PIN # 36-118-23-33-0009
Required Lot Area: 2 acres Required Lot Width 200'
2. Zoning District: RR-1 B Actual Lot Area .89 acres'` Actual Lot Width 176'*
"according to Hennepin County
Lot area varia ce is is not required. Lot width varianc is/ not required.
3. Required Setbacks: Front 50' Rear: 50' North Side: 30' South Side: 30'
Lakeshore Lot: Lake (Front) Street(Rear)
Average Lakeshore Setback: must be met is not a licable.
4. Lot Coverage by Structure limited to 15% of lot area oes not a I lot area > 2 acres
5. Hardcover limitations: are applicable are not applicable. 0-75'zone = 0% allowed
75-250'Zone = 25% allowed 250-500'zone = 30% allowed 500-1000' zone = 35% allowed
6. X MUI11CIpal SeWer IS BVallBbl@. Project has been assessed.Contact City for connection charges and necessary permits.
Municipal sewer is not available; on-site system testing and design must be provided confirming that two
conforming drainfield sites are available.
7. X Wetland present. Wetland is classified as a "Manage 3". A 16.5' 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 I itials
� �
%
Property Owner's Signature Date
Form ZDD— Revised 5-23-05 (Original: Street File; Copy: Property Owner)
w:�street files�myrtlewood rd\10�zoning disclosure and declaration form.doc
Hennepin County Property Map Print Page 1 of 1
Hennepin County Property Map - Tax Year: 2010
The data contained on this page is derived from a compilation of records and maDs and may contain dlscrepancies that can only be disdosed by an accurate survey Derformed by a licensed
land surveyor.The perimeter and area(square footage and acres)are approximates and may contain discreDancies.The information on this page should be used for reference purposes only.
Hennepin Counry does not guarantee the accurecy of material herein contained and is not responsible for any misuse or misreDresentation of this information or its derivatives.
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Selected Parcel Data Date Printed: 12/14/2010 9:44:05 AM
�� Parcel ID: 36-118-23-33-0009 Curre�t Parcel Date: 12/6/2010
`! Owner Name: BRYAN K FREELAND
Parcel Address: 10 MYRTLEWOOD RD,ORONO, MN 55391
Property Type: RESIDENTIAL Sale Price: $513,500.00
Homestead: HOMESTEAD Sale Date: 12/2006
Area (sqft): 38745 Sale Code:
Area (acres):0.89
A-T-B:TORRENS
Market Total: $577,000.00
i Tax Total: $9,238.82
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http://gis.co.hennepin.mn.us/HCPropertyMap/Locator.aspx 12/14/2010
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CITY OF ORONO CALLED IN �l �ti
INSPECTION NOTICE scHeou�E� lf --/ !S /�.'�
PERMIT NO. —1(%1`��C%L �-�S COMPLETED
ADDRESS �� �� �-�G` �
OWNER T EPHONE NO.
CONTRACTOR � �L!%�
� DESCRIPTION ����- �C�'�j'�-i G���_ � ��ll�'I/(
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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
_�❑ BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J DEMO-SITE ❑ SE IC INSTALL
2 ERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:
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V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-
OwnerfContractor on site:
Inspector.
White Copyllnspector's File anary CopyfSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. � ��COMPLETED �C�
ADDRESS CR ���^� � ✓V����f�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ 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 O SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET U:_YES_NO
v�i COMMENTS: `�� �' � ��
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED_CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContra on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DA TIM E
CITY OF ORONO CALLED IN �
INSPECTION N T C��,�`��HEDULED — JD '3 C7
PERMIT NO. OMPL ED
ADDRESS D CCti��
OWNER TELEPHONE NO. Jz'��� �
CONTRACTOR �S
� DESCRIPTION lZ � `�1�"
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l� ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ UMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hou in advance. 95 249-46��
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice
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CERTIFICATE OF SURVEY ?'"'��EIVED
LEGAL DESCRIPTION: (�
LO? 1, 9LOCK 7, MYRTLEWOOU, HENYEPIN (.` � � L 2015
COUN;I', MINNESO�A .,....�
PREPARED FOR' �,.y,�„� ����y "�F ORONO
PAUL CAMERON O 20
CHAMBERLAIN CAPITA� LLC � I
17578 CHAMBERLAW CT I ' /� IFGFNn
EDEN PRAIRIE, MN 55344 I So
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NOTES: �� ___.---- ' d �__-_ ':- —�; '-�
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1) THIS SURVEY WAS PERi"ORMED WITHOUT THE BENEFIT OF A TITLE INSURANCE COMMITAETIT. � �' ~"-- �� �'
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2) ADDRE55 OF TME SU9JECT PROPERtt' 10 MYRTLEW00�ROAD,ORONO, MN 55391 '�� ---- ���-.�N '-
P.I.D.:36-118-23-33-0009 �' -'--- "'--�__ CERTIFICATION :
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3) TOTA�PARCEL AREA:45,904 S0. FT. (1.054 ACRES) �-��� -"'-----_ �T yj I �ereby certify t�ot this survey,plon,or report
AREA WITHIN CIIY OF WAYUiA: 6,854 SQ. Fi. (0.157 ACRES) STRUCTURAL HARDCOVER CALCULATIONS � �� -'---_ wos preporea by me or unaer my direct
AREA WITHIN CIIY OF DRONO:39,050 SQ.Ff.(0.896 ACRES) (USED FOR HARDCOVER CALCULATION) � -" --____ supervis�on ond that I a a auly�censed Land
PROPOSED HOUSE: 3,200 SQ. F?. � -___ Suneyo:unaer tne lows of ene state of
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4) BEARINC&4SI5 15 ASSUMED. CWERED ENTRY'. 257 50. Fi. �'��,_ �--"---.___ Mlnnesota.
SCREEN PDRCH: 299 SQ. Ff. _ __
5) ELtVAl10N MiUM: NAVD 88 PER PREVIOUS 54THRE-BERGOUIST SURVEY TOTAL: 3,700 SQ.R. OR 9.5 9.(BASE�ON PORiION 0�PARCEL AREA WITHIN ORONO CITY LIMiTS ONLY) �� ��
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6) ORONO ZONING DISTRICT:RR-18 � � T1°'��'�^' ��p�5� � �
ADDITIONAL HARDCOVER CALCULATIONS � �
AB�XI150�5 6S.rt0:5-i�-ID�5
7) SEf8ACK5: PROPOSED PAilO/TERR4CE: 416 50. Ff.
FRONT: 50 FEET PROPOSE�PUNIER: 6J S0. FT. ur vw er�.w+M e-zs-zo;s
REAR: 50 FEET PROPOSED WALI(: 150 S�. FT
NORTH/SOUTH SIDES:30 FEET PROPOSED DRiVEWAY: 2,018 Sq. FT.
wERPND�35 FEEf
e) DATE OF F;Et�WORK:4-20-2015 TDiAL MAR�COVER: 6.347 S0. FT. OR 16.3 S (BASED ON PORTION OF P?RGEL ARFA WRHiN ORONO Cltt uAlI7S ON�v) VAN NESTE SURVEYING
PROFESSIONPL SURVEYING SERVICES V S
85 WI�OnuRST ROnp E%CELSiOR,MN 553}i
PHONE(952)886-3055 TDLL-FREE FAX(8B6)4J3-0�30
NNESTESURVEYiNG.COM
�b w�yr+lewood Rd
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