HomeMy WebLinkAbout2002-P05668 - demo ` � PERMIT
C ITY O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P05668
Crystal Bay, Minnesota 55323 Permit Type: Demoi�rion
(952) 249-4600 Date Issued: 9i26i2oo2
SITE ADDRESS: 3625 North Shore Dr
Wayzata,MN 55391
PID: 08-117-23-34-0009
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residenrial
Permit Class: Building Census Code 645
Permit Type: Demolition Pernut Sub-type(s): Demo-Principal Structure
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
�'l�lUl(lilllUllJ%illl UCIIlU 11COi1� lU DC ICIIIUVCU liVlil�IVU[1(1 OL 111JPUSCU Ul Ull J1lC PCI I'1.t1 i'C�UlilllUiLS. W Cll�
m ist be abondoned. Insnection before backfilline.
FEE SUMMARY: Permit Fee: $ 50.00 Valuation• $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 50.50
APPLICANT• Mark Welch OWNER: Mark Welch
� 3625 North Shore Dr. 3625 North Shore Dr.
Wayzata,MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESfS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMEN'TS.
.,; . ����. ��.� �,����-.�
APPLICANT PERMITEE SIG - ISSLIED BY SIGNATURE
Copies: 1-File(SiQnitures Required). 1-At�plicant 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1
�
� - ;�U5(�C� �'
CITY OF ORONO APPLICATION FOR DEMOLITION PERNIIT
P.O. Box 66 (2750 Kelley Pazkway)
Crystal Bay,MN 55323
' SPECIAL CONDITIONS&HOLD HARIVII,ESS AGREEMENT
General Instructions
1. You may be required to obtain other pernuts,i.e.well abandonmment, etc.
2. Work must not begin unless the permit cazd is available on the job site.
3. A 24 hour notice is requued for all inspections. Call(612)249-4600.
,
JOB SITE ADDRESS: .-
Occupancy Type: Residential Commercial
OWNER'S NAME:�� (�J�(�i�.� Phone: lpf — �� �oZ
MailingAddress: 3(naS/l�D.,��.�_ �� City: (�'314Y�l�-T�4-
CONTRACTOR'S NAME: Bus.No.:
Mailing Address: City:
Demolition if planned by means of: manual disassembly
�vy equipment
Permits Issued:
# 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/or secured until such time as demolition is
complete. �
2. Demolition debris will be kept offadjoining 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 cleaz 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
bu�"ding and such new building is actually under construction).
8. The undersigned owner shall and hereby does indemnify and hold hanriless 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.
9. 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 aze crushed and filled.
PERMIT TYPE AND FEE CALCULATION
$50.00-Principal Structure
$30.00-Accessory Structure
�+'� �
1. Subtotal of above permit requested $ ��J�
2. State Surchazge $ .50
3. TOTAL PERMIT FEE (add lines 1-2 above) $ �[� �
The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit,agrees to
dp all work in strict accordance with the ordinances of the City and the regulations of the State of
l�f innesota,and certifies that all statements made on this application are complete,true and correct.
� f�APPLICANT S SIGNAT � r.��2�' Dat • O� Qo2-�
OWNER'S SIGNATURE: ���� Date: (,r,Z�
APPROVED BY: Date: 4 •�h -u L
� • .
����0 Principal Dwelling Demolition Permit
,`�.
�, ` �; �� ZONING DISCLOSURE & DECLARATION
��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
or width standards) will, with few exceptions, require variance approval by the City Council, and such �
approval is not 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.
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 3(O�J � Y''� c5�L0 Y� �t t�� PINS#
�
2. Zoning District - C Required Lot Area �_ Required Lot Width �
Actual Lot Area . (� Actual Lot Width !�Q �
Lot area varianc is/is not required. Lot width varianc is is not required.
3. Required Setbacks: Front(Street) Rear(Lake) � �-1 Side `7. �j �
Side Street Average Lakeshore Setback• ust be me is not a licable.
4. Lot Coverage by Structures: imited to 15% of lot area% oes not a I lot area>2 acres
5. Hardcover limitations: are applicable/are not apQlicable. 0-75'zone= 0%allowed
����_
���k�o 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.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
/� �—
� 7-0'��.._ r����
Property Owner's Signature Date
(Original: Street File; Copy:Property Owner)
DATE TI E
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED - � t-4y-S�"--
PERMIT N0. � COMPLETED
ADDRESS :�C1��J�' /�o. S��r4. �i�,
OWNER CONTR.
TELEPHONE NO. C�%�v� � �� S� -�CP g oZ
�
� DESCRIPTION i�.0 . ` � C�h��� �.c.�f�'I1.lt�t/�`
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FI 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
�
W
a
j
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
�
� �WORKSATISFACTORI�:PROCEED ❑PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WO(iK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra r site:
Inspector. •
White CopyMs o�'s Ffle Canary CopylSite Notice