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Home My WebLink About2009-00111 -demo CITY OF ORONO PERMIT NO.: 2009-00111 , 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE IssuED: 03/25/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3186 NORTH SHORE DR PIN : 09-117-23-32-0010 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET NOTE: 1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. 2. WELLS MUST BE ABANDONED. 3. INSPECTIONS DONE BEFORE BACKFILLING. APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 NEDDERMEYER,GLEN STATE SURCHARGE DEMO 0.50 709 MINNETONKA HIGHLAND LA LONG LAKE,MN 55356- MISC FEE 0.00 TOTAL 75.50 OWNER NEDDERMEYER,GLEN 709 MINNETONKA HIGHLAND LA LONG LAKE,MN 55356- 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 requires separate permits. All provisions of laws and ordinances goveming this type of work shali 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � / / �7�`�'� / / A plicant Permitee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. � `ia�rn A S C�evro G�a�1 ►� � ._ 7 �- � . � ] � , �' C <- ��C. tz� t1 �--j� � j J� �� . . �5� -?/ ��.`� ,¢p� City of Orono Fo�sE oNLv 1 O p O P.O.Box 66 Date Received:3 /8 O Permit# OdQ Q� /l � �;, ,,�.,, 2750 Kelley Parkway ` ��'�� =� � Grystal Bay,MN 55323 Amount: $ °� - '�SAC Credir (. �'..� �� '�o�.�o'� (952)249-4600 � � Homeowner(s)Signed: �Yes �/ Resolutions(if any)Signed:❑Yes [�None Required Zonin Disclosure Si ned: ❑Yes ❑None Re uired CITY OF ORONO - DEMOLITION PERMIT (All permits must be approved by the E3uilding Official and/or Zoning Department) � Job S�ite/ Owner Information: i Type: [J Residential ❑ Commercial Site Address: � ( �6 /�/�rT"G, S�o.—� �rr v�-- Owner: �-��n l�!e ald ��-�� rr-Mailing Address: �'o`J t�l;h„ e 7 A�j,��; � �� c�ty: �� Q . LE�, �_�� z�p: ss 3s6� Home Phone: �15 a � �5� i�� Alternate Phone: �� - j(6 � �Sec� Contraetor/ Applicant Information: Contractor/App.: c7 w�r�iC Contact Person: Address: State License#: City: Zip: 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 as follows: L The structure(s) shall be kept enclosed and/or 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 thereof. 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 Department 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 [✓]$75.00—Principal Structure ❑ $50.00—Accessory Structure (how many) (what) 1. Subtotal of above permit requested $ �S�. �--o 2. State Surcharge $ .50 3. TOTAL PERMIT FEE (add lines 1-2 above) $ 7s� S p 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: 3 0 Owner's Signature: ��,,, �� Date: 3�l q�d� Approved By: �3 Date: 3 � � - O�7 (Building Official) * Zoning Disclosure Required? []YES ❑ NO *This must be filled out by Zoning Depa ent—For either answer,a Zoning Official must sign all applicarions. * Approved By: Date: ��(8�O�j ' g Officia ". . ;��°�'o � �� ,,,r, Principal Dwelling Demolition Permit � � � ,��'��- ��' ZONING DISCLOSURE & DECLARATION ��08� 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. 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 principal dwelling on the property: 1. Property Address: 3186 North Shore Drive PIN # 09-117-23-32-0010 Required Lot Area 1.0 ACre Required Lot Width 140` 2. Zoning District: LR-1 B Actual Lot Area 0.8 ACre Actual Lot Width 28' Lot area variance is is no required. Lot width varian e is/i not required*. * Lot width variance ranted in a licati n 09-3390 ex ires 1126/2010 3. Required Setbacks: Lake(front) 75' SE(rear) 30' NE(side) 10' SW(side) 10' Average Lakeshore Setback: must be met/i not a licable. 4. Lot Coverage by Structure : limited to 15% of lot area/doe not a 1 lot area>2 acres 5. Hardcover limitation • are a licable/ re not a licable. 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 desi�n must be provided confirming that two conforming drainfield sites are available. 7. Wetland(s)present. The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials i�, ��,.�.�� 3 - a s�- o q �� Property Ow ' 'gnature Date Form Z�D-lte�lsed 5-23-05 (Original: Street File; Copy: Property Owner)