HomeMy WebLinkAbout2015-00345 - demo CITY OF ORONO * 2 0 1 5 — PJ 0 3 4 5 *
� � 2750 KELLEY PARKWAY DATE ISSUED: 04/06/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 4009 NORTH SHORE DR
PIN : 07-117-23-44-0004
LEGAL DESC : HIGHWOOD LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE
ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET
NOTE:
l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. WELLS MUST BE ABANDONED.
3. MSPECTIONS DONE BEFORE BACKFILLING.
NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600.
SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK
TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT.
DEMO HOUSE&GARAGE
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
STATE SURCHARGE DEMO 5.00
Craig Scherber&Associates,Inc. DEMOLITION-ACCESSORY STRUCTURE 50.00
305 LAKEVIEW DR
TONKA BAY,MN 55331- TOTAL 130.00
(612)810-3484 Payment(s)
CHECK 10001 130.00
OWNER
Craig Scherber&Associates,Inc.
305 LAKEVIEW DR
TONKA BAY,MN 55331-
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 dces
not grant permission for additionat or related work which requires 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 nul!and void if construction authorized is not
commenced within I80 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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App ic t Permitee Signature Date Issue y Signature Date
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O City of Orono � FOR CITY USE ONLY
�- � P.O.Box 66 �� Date Received: 3/Z�SI�Permit# —��J !�
� 2750 Kelley Parkway � � `T 'rJ�
� Crystal Bay,MN 55323 �' ,� Amount: $ �a,�SAC Credit:
(952)249-4600 ,/�/� • fj
�' � /� ' Homeowner(s)Signed: ❑Yes
., �- �e�' �,� t' Resolutions(if any)Signed:0 Yes ❑None Required
t'�kFS �O4� Zonin Disclosure Si ed: ❑Yes ❑None Re uired
, � �SG�V��
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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:anformation:
Type: � Residential ❑ Commercial
Site Address: �{t� A�o.�n s�or� �r.
Owner: (�,�,,,;,, �,h�r�r ��� Mailing Address: O �(� �,,
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City: T�w�r�. B�, Zip: Sb 33�
Phone: 6lZ - �lo-@�F' �'S��� Email:
Con#ractor/Applicant Informa#ion:
Contractor/App.: Contact Person:
Address: State License#:
City: Zip: Expiration Date:
Phone: Email:
�S�;E�1�►L�01�JD�iT�:�l���`8��M,OLD�MA��1L��� �AA��E�C�111��IT _
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 avaitable 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:
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 Control.
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. IGJ - I I 3 ��jS10Yl �YI�YO� —�� �'�"
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4. Submit a $2,500 escrow and an escrow agreement signed by the property owner. E�
5. Keep all structure(s) enclosed and/or secured until such time as demolition is corr�lete.
6. 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. ��
7. Completely remove foundation(s)from the ground. 1� ' `"` ,." ,
, .
8. Completely dispose of all demolition debris off site in accordance with all ap��ticabl�e PCA �`
requirements. 1 '
9. Abandon water wells 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 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).
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 $ �5 •�b
[� $50.00 —Accessory Structure x J (how many) ���
1. Subtotal of above permit requested $ l� •O�
2. State Surcharge 5.00
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �.30 •�
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: Date: � ZS�Zo��
Owner's Signature: � Date: Ma�-c,� �.o , ze►,�.
Approved By: ��.. Date: �l' 3 ' � I 5�
uilding Official)
*Zoning Disclosure Required? YES ❑ NO
"This must be filled out by Zoning D rtment—For either answer, a Zoning Official must sign all applications.
*Approved By: Date: J �
(Zoning Official)
. ���0 PRINCIPAL STRUCTURE DEMOLITION PERMIT
ZONING DISCLOSURE $ DECLARATION
s� G� To the property owner: Demolition of the principal dwelling structure on a properly may
� automatically terminate certain rights which may have accrued to the properly by virtue of the
��xfSHO� continued existence of that building. This means you may give up some or all of the zoning rights
currently associated with the principal structure(setbacks, hardcover, size of building, etc)with its removal.
• Rebuilding on a substandard lot of record (i.e. a lot that does not meet the zoning district required lot area or width
standards) may, with few exceptions, require variance approval by the City Council, and such approval is neither
automatic nor guaranteed but requires that a practical difficulty be demonstrated.
• Additionally, all current zoning standards will have to be met by the new principal dwelling including setbacks, and
building footprint, hardcover (impervious surface), &height limitations, etc.
• Where municipal sewer is not available, provision of two (2) conforming on-site septic treatment sites is mandatory
for a new dwelling.
• Unless specifically approved by the City, a11-ae#�!�t�d pa�'t�rist�t+�oCks.must be rantove�d at tl�e.time,of
Rrtn,��ri a�rer�r� aemaiao�, They 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
1. Property Address: 4009 Nortlt Shore Drive PID# 07-117-23-44-0004
2. Zoning District: LR-16 Required Lot Area: 1 ac�e Required Lot Width: 140'
Shoreland? Y N Actual Lot Area: .43 acxe* Actual Lot Width: 75'*
*According to Hennepin County
Lot area varian is is not required. Lot width varianc i is not required. �
3. Required Setbacks: Front NA Rear NA Side 10' Side Street 35'
Lakeshore Lot: Lake (Front) 75' Street(Rear) 30'
Average Lakeshore Setback�st be met s not anolicable.
4. Massing &Lot Coverage by Structures imited to 15%of lot area dces not au21y(lot area > 2 acres�
5. Hardcover limitations: Are NOT applicabl�— -Arg applicabl
Stormwater Quality Overlay District Tie r� i)Z 3 Tier 1 hardcover limit = 25% of gross lot area
u
6. Municipal sewer is available.
7. No wetlands(s) are present
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
`�� -� - � � C�
Pro Owner's Signature Date
(Original: Street File; Copy: Property Owner)
Created: Apri12013
Last Updated: 1/30/2015
�� �I� in:sent s
�7mal� ' /-,� � I� � Move to Inbox � T More��
��• -• Invoice for asbestos work at 4009 N Shore Dr. in Mound, MN
Inbox(2,131)
Starred
Important Jeff Bergo <jbergo2@gmail.com> 6:19 PM (2 minutes ago) 4�
Chats to chrisscherber -
Sent Maif Bergo Environmental Services Invoice No. 6747
Drafts (215) 6126 Olson Memorial Hwy.
All Mail Golden Valley, MN 55422 March 18, 2015
Spam (38) Chris Scherber
Trash 11414 Valley Dr.
� Circles Rogers, MN 55374
[Imap]/Drafts
Deleted Messages
Notes We removed the asbestos flooring and the sink from the
Sent Messages house located at 4009 North Shore Dr. in Orono, MN
More�
Price for the asbestos removal $1,250.00
Price for the asbestos surge $550.00
� /
Total Amount due $1,800.00
Thank you for the work. Jeff Bergo
���'
w Click here to �Zeply_or Forv��arc�
5.85 GB(39%)of 15 GB used 02015 Google-Terms-Privacy_
Manaag Last account activity:46 mir
* RECEIVED
APR Q 2 2015
CITY OF ORONO
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Print Form
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WATER RESOURCE PERNIIT APPLICATION FORM
Use this form to notify/apply to the Minnehaha Creek Watershed District(MCWD)of a proposed proj ect or work which may fall within
their jurisdiction.Fill out this form completely and submit with your site plan,maps,etc.to the MCWD at:
15320 Minnetonka Blvd.Minnetonka,MN 55345.
Keep a copy for your records.
YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK.
1.Name of each property owner: C��a 5�,,�.•��r
Mailing Address: 3esS ��.k�w�w City: a State:,� Zip: 55 33!
Email Address: Phone: ��z- o- Fax:
2. Property Owner Representative Information(not required) (licensed contractor, architect, engineer,etc...)
Business Name: Representative Name:
Business Address: City: State: Zip:
Email Address: Phone: Fax:
3. Project Address: o City:� n�rl�
State:�_ Zip: 553T Qtr Section(s): Section(s): Township(s): ange(s):
Lot: Block: Subdivision: PID:
4. Size of project parcel(square feet or acres): d• K3 ��r�s
Area of disturbance (square feet): +�- ��o0o s, F.� Volume of excavation/fill (cubic yards): ---
Area of existing impervious surface: — Area of proposed impervious surface: '
Length of shoreline affected (feet): -- Waterbody(&bay if applicable):
5. Type of permit being applied for(Check all that apply):
� EROSION CONTROL ❑ WATERBODY CROSSINGS/STRUCTURES
❑ FLOODPLAIN ALTERATION ❑ STORMWATER MANAGEMENT
❑ WETLAND PROTECTION ❑ APPROPRIATIONS
O DREDGING ❑ ILLICIT DISCHARGE
❑ SHORELINE/STREAMBANK STABILIZATION
� 6.Project purpose (Check all that a 1 •
�SINGLE FAMILY HOME �v»o �+7eh oK ❑ MiJLTI FAMILY RESIDENTIAL(apartments)
ROAD CONSTRUCTION ❑ CONIIVIERCIAL or.INSTITUTIONAL
❑ UTILITIES ❑ SUBDIVISIONS(include number of lots)
❑ DREDGING ❑ LANDSCAPING(pools,berms,etc.)
O SHORELINE/STREAMBANK STABILIZATION ❑ OTHER(DESCRIBE):
7.NPDES/SDS General Stormwater Permit Number(if applicable):
8. Waterbody receiving runoff from site: Ldk� ,,,
9.Project Timeline: Start Date: �' �{�,,��, Z y Completion Date: �
Permits have been applied for: City �County �NIN Pollution Control Agency �DNR �COE �
Permits have been received: City—�County—�MN Pollution Control Agency�DNR—�COE—�
By signing below,I hereby request a permit to authorize the activities described herein.I certify that I am familiar with MCWD
Rules and that the proposed activity will be conducted in compliance with these Rules.I am familiar with the information
contained in this application and,to the best of my knowledge and belief,all information is true,complete and accurate. I
understand that proceeding with work before a11 required authorizations are obtained may be subject to federal,state and/or local
administrative,civil and/or criminal penalties.
P� 9�.L ��� ��� �� ��
Signature of Each Property Owner �a j�- ;� !: Date
p C� � � �� �_.� �r , , �
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MAR 1 � �a;� ' :
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Revised 7/15/13 �'�age 1 of l,`�n�__4 �
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Parcel 07-117-23-44-0004 A-T-B: Torrens Map Scale: 1"= 100 ft. N
��' ; Print Date: 3/4/2015 � '
�.;.
Owner U S Bank N A Trustee Market �469,000 �
'; Name: Total: ; /
� _. � — � r��t,r F�a..�e
Parcel 4009 North Shore Dr Tax $6,176.24 e
', Address: Orono, MN 55364 Total: (Payable:2014) ��j " f`G'�
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', Property Residential Lake Shore Sale $235,000 �
Type: Price: I This map is a compilation of data from various
sources and is furnished"AS IS"with no
Home- Homestead Sale 09��998 i representation or warranty expressed or
' St@ad: Datg: ' implied,including fitness of any particular
I purpose,merchantability,or the accuracy and
', 'completeness of the information shown.
', Parcel 0.43 acres Sale Warranty Deed !COPYRIGHT O HENNEPIN COUNTY 2015
, Area: 18,815 sq ft Code:
,c�', T,�.��,�re�n',
http://gis.hennepin.us/Property/print/default.aspx?C=450694.68037207325,4... 3/4/2015
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Parcel 07-117-23-44-0004 A-T-B: Torrens Map Scale: 1"=50 ft. N
ID: Print Date: 3/26/2015 �
Owner Craig Scherber Market $631,000
Name: Total:
Parcel 4009 North Shore Dr Tax $8,120.16
Address: Orono, MN 55364 Total: (Payable: 2015)
Property Residential Lake Shore Sale $235,000
Type: PI'ICe: This map is a compilation of data from various
sources and is furnished"AS IS"with no
Home- Sale representation or warranty expressed or
Non-Homestead 09/1998 implied,includin fitness of an
stead: Date: 9 y particular
purpose,merchantability,or the accuracy and
completeness of the information shown.
Parcei 0.43 acres Sale Warranty Deed COPYRIGHT OO HENNEPIN COUNTY 2015
Area: 18,815 sq ft Code:
� Think Green!
_ _. _ __i
http://gis.hennepin.us/Property/print/default.aspx?C=45065 8.6440500007,49775 53.255100... 3/26/2015
Asbestos survey
4006 North Shore Dr.
Orono, MN
March 9, 2015
Chris Scherber
11414 Valley Dr.
Rogers,MN 55374
Re: Asbestos survey of the residence at 4006 North Shore Dr. in Orono, MN.
We were called by Curtis Scherber to do an asbestos survey of the residence prior to
demolition. We removed bulk samples of suspect asbestos from the house.
The flooring was wood; the insulation in walls and attic were all fiberglass
The basement was concrete with block walls,wood construction. The appliances:
washer,dryer water heater,thermostats,fire alarms must be removed prior to
demolition.
Suspect samples were taken of the formica,window glazings,wall plaster, stucco,
Spray texture, linoleum and Floor tile mastic.
Asbestos results:
1. The 400 sq.ft of floor tile and mastic from the living room floor.
2. The kitchen sink bottom.
The asbestos must be removed prior to demolition.
Thank you for the work. Minnesota Asbestos inspector Jeff Bergo AI 2826
�
. _ _ Angsf�rom AnaElytieal �
4 -��°=�•� 5001 Cedar Lake Road
0; 3`:t�'� `�':. s\°4`�`°�fl 4 A:,�����a� � is Park, Mn �416 ASSESTOS (PI.M) 8Ul.K SAMPLES: �
"'f� �' � REPORT OF MATERIALS ANALYSIS - �
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Angstrom Analyticai, lnc• • 5001 Cedar Lake Road • St Louis Park, �Q� � f�`*A- `��,,,t,�.-�
r.�t�.a.�....��" ��-�-` �tsC� t�o�- � ,�w��9 .�
� ' ' ": • �SBESTOS
._,-.. , .., IEU�SPECT�'3R .
CeRiBed°by:
State�of Minnesota
' Department of Health -
'� Ezpires: 01/03/2015
' ,� „
" ' Jeff L Bergo
r 6126 Olson Memorial Hwy.
`" Gol'den Vailey,MN 56422
!•�`��
irector, nv.Heafth Div. No.AI2826 Issued:01/08/2014
_ �
�� <(��--" DATE TI�
CITY OF ORONO cnLLED IN _����� �
INSPECTION NO CE. SCHEDULED
PERMR NO. r � CCOMPLETED
ADDRESS �� -/ 4-S��Il7�P f�,
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION k,� ' ^' ' � ,
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL�� f
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMM�lfTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS:
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��WORK SATI.SFACTO� �iiOJECT COMPLETE
W CORRECT WORK 6 PROCEED � ,�ISSUE CERTIFICATE OF O(xUP/1NCY
0 O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE(�NERINO PERMANENT
❑COFtRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILLRETURN
O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-48��
OwnerlContractor on site:
�nspector. /�'�•�.,�� G.�
WhiM CoPYMapeetor's FIN C�n�ry CopyfSib NoNe�