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Home My WebLink About2006-P10548 - demo PERMIT r,..‘ Y- OF ORONO 3 Kelley Parkway- PO Box 66 Permit Number: P10548 J istal Bay, Minnesota 55323 Permit Type: Demolition (952)249-4600 Date Issued: 11/13/2006 SITE ADDRESS: 4017 North Shore Dr Unit# Mound, MN 55364 PID: 07-117-23-44-0005 • DESCRIPTION: Proposed Use: Residential Census Code 645 Permit Class: Building Permit Type: Demolition Permit Sub-type(s): Demo-Principal Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells must be abondoned. Inspection before backfilling. FEE SUMMARY: Permit Fee: $ 110.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 110.50 APPLICANT: Fred Johnson OWNER: Fred Johnson 4017 North Shore Dr. 4017 North Shore Dr. Mound,MN 55364 Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS 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 REQUIREMENTS. (k Li(j_ ( a-WI ct, r (/, it --u•s,b !r. PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, I-Septic) Page 1 C#11° 0 Principal Dwelling Demolition Permit '''4',/), ZONING DISCLOSURE & DECLARATION ' ... „sit:44,1A• 0 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.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: 4017 North Shore Dr PIN# 07-117-23-44-0005 Required Lot Area 1.0 acre Required Lot Width 140' 2. Zoning District: LR-1B Actual Lot Area 0.65 acre Actual Lot Width 102'@ OHWL 110' @ 75' setback Lot area varian . not required. Lot width varians not required. 3. Required Setbacks: Front n/a Rear 30' Side 10' Side Street n/a Lakeshore Lot: Lake(Front) 75' Street(Rear) 30' Average Lakeshore Setba6lc:etmust be met -/ not applicable. 4. Lot Coverage by Structur : limited to 15%of lot area/d s not apply(lot area>2 acres) 5. Hardcover limitation(re a licable/ re not applicable. 0-75'zone= 0%allowed 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. 7. n/a Wetland(s)present. The u •ned property owner hereby acknowledges receipt of the above information. Staff Initials 411 h il li 310 co lUb Property •w iiir.ignature Date Form ZDD—Revised 5-23-05 (Original: Street File; Copy: Property Owner) 11/09/2006 12:10 9524721810 PAGE 01 Nov-09-2006 11 ;212m Prom-CITY OF ORONO , +9522494618 T-022 P.001/010 P212 .'PcY4tC0 )-'— DM CITY OF ORONO APPLICATION FOR DEMOLITION PERMIT P.O. $ox 66 (2750 Kelley Parkway) Crystal Bay,MN 55323 l- f Ci ? SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions ' 1. You may be required to obtain other permits, i.e. well abandonmrnent, etc. 2, Work must not begin unless the permit card is available on the job site. 3. A 24 hour notice is required for all inspections, Call (612)249-4600. JOB SITE ADDRESS: Pt7 :0(1. b27 [ 1X.Occupancy Type: I, Residential Commercial OWNER'S NAME: � " •` ZJ Nn Phone: ce,i3 -70' Id/ I L Y Mailing Address: -7 T PD. YY City: )i•,ti 42w CONTRACTOR'S NAME: , ,03 Bus.No,: 7 7 5606 Mailing Address: G. Ci Demolition if planned by means of: _ ,manual disassembly V- heavy equipment Permits Issued: (�`a4 >✓ # 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 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 tae 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. 11/09/2006 12:10 9524721810 PAGE 02 Nov-09.2006 11:21am From-CITY OF ORONO +9$22494616 T-022 P.002/010 F-230 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 leYel 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. The undersigned owner shall and hereby does indemnify and bold 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. 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 are crushed and filled. PERMIT TYPE AND FEE CALCULATION 7$50.00-Principal Structure lure $30.00-Accessory Structure 1. Subtotal of above peimit requested $ 2. State Surcharge $ .S 3. TOTAL PERMIT FEE(add lines 1-2 above) $ .,gyp, c0 The undersigned hereby applies to the City of Orono for issuance of a Demolition Permit,agrees to do all work in 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. Lk. APPLICANT'S SIGNATURE: Ave .,�►� - Date: • OWNER'S SIGNATURE: T4II!, Date: L'I APPROVED BY: 111• � Date: it -fib I' 11/09/2006 12:10 9524721810 PAGE 03 Nov-09-2008 11:24em From-CITY OF ORONO *9522404818 T-022 P.009/010 F-293 'ilit142614!) Notification of Int t to Perform a Demolition Type of Notification (Original j ]Amended [ ]Project Cancellation DemolitionCrtar.1 . Bitemanatonzatiou Name: 4, �r� Ita,\__ Building Na : ( :a " ,. Address• _ meArldressfLocatiop• 0 A�,, a City,State,Zip City,state,Zip. ►. t. County: Contact Person; 4 i, re, `~ Phone Number(s): Phone Nurrber(s): a • Agd of 8idg.(years):, 5.a. Size of Bidg.(sq, ); lipildipt"Olvtrer: Number of-Floors Including Summit Leval(s -�p_L Irk,s Present Use of Bldg.: Nome; �'a,�. (911,. _ Addrrss: ► ' — Prior Use pf 814: I t t[ ft Dates when de oll on or jintentio1 b ruing City,State,Zip• ' " will Begin ! &End , 6_42P__Sratt_., Contact person: _ .■.Ifs l Notification must be pesatlarked or received ten(1 Q)working days aaMmoatta before demolidon begins. *So item#5 fbr emergency demolitions. Phone Number(s): Both Beginning and Ending daces should be amended in writing as necessary to reflect current pegject dates. If there is>260 linear feet or>160 square feet of Regulated Asbestos-Containing Material la the b to be demolished,it must be removed by a licensed asbestos contractor prior to demolition. Th Sate ofuilding Notice of Intent to Perform an Asbestos Abatement Project must be used to notify for the asbestos removal. Is nonfriable ACM present in the structure to be demolished ? [ ] YES Vio If YES complete items 1-9. If NO complete• p c items 3-9. • 1. If ACM will be left in place for the demolition indicate the amount of Category I and/or Categoryla nonfriable ACM left in place. Cam I Linear Feet Categ.II . Linear Feet Square Foot Square Feet Cubic Peet Cubic Feet Campozv T rt4nfpahte ACM means asbestos-containing paeki gaskets,resilient(]trot coveting,and asphalt roofing products �ate¢ory lilt nonFn�s.��m�yam,malarial,excluding containing more titan one percent asbestos. Category r nonfriable ACK containing more than one percent 'Category i nonfriable ACM is not allowed to remain in Isco asbestos that,when dry,cannot be crumbled,pulverized,or for demolition if it is In poor condition, p reduced to a powder by hand pressure. "Category II nanfriable ACM is not allowed to remain in place for demolition if it hRs a filth probability of becoming crumbled, pulverized,or reduced to a powder during demolition,transport, or disposal. (ex cranatte,cement,slate roofing 2. Description &Location of ACM remaining in place (including floor#and room#):, 11/09/2006 12:10 9524721810 PAGE 04 Nov-08- 1:24am Fo - TY OF ORONO +95x9494616 T-022 P.O10/O10 F-299 •2006-�.r11.1:242., 1-� »»» m�r��.mCIur+suai nun conducted the building inspection and the procedure used to determine the presence or absence of ACM(including analytic method): 'prior to demolition ail buildings must be inspected by an EPA accredited Inspector. ____4..0.41 4 W<1 06C1 1 -.._.____ _ 4. Description of planned demolition and the specific method(s)that will be used:, 5. If the demolition was ord d b a government agency,please identify the agency and attach a copy of the order; Name; Tltle:_�, �... Authority: Date of Order(111./D/11' . _ Date Ordered to Begin---- $ CM/D/ . * Notification for an emergency demolition must be submitted as early as possible before demolition begins,but not later than the following working day. A demolition is Considered an emergency ONLY when the facility has been deemed a-,ryeturally unsound end in danger of imtninemt collapse. If the structurally unsound building is known to contain any regulated ACM or is suspected to contain any regulated ACK.special procedures MUST be followed. If you are unaware of the special procedures. instructions/regulations can be obtained by eontactiing the MPCA at the address or phone number listed below. 6. Description of procedure to be followed in the event that unexpected RACMVI is.found or Cat.II nonfriable ACM becomes;rumbled,pulverized or reduced to •owder_ 7 la. .,1,-. . z r. ', i",,toi A 7. Waste Transporter Infer. ation: ,. 8. Waste Disposal Information: Transported Name; ' !; 11 ��P�Q''�' Landfill Name• TranspotterContact• tTh Transporter Adams' .4:6•54... . .. ,1 Address/Locadon• y ,- r .* City.State,Zip: , ' ►/, ;_ k --IX LL I City.Stats.Zip. ^ 0;,L p` � • Phone Number�,., Phone Number. �a w- er— . 9. I certify that the above information is correct and I am a bonafide representative of the demolition contractor or building owner and li ut, ,rity to enter into agreements for my employer. ill,mile Signature of Contractor/Ownetr ' Date .._ _._ rSend or Fax to: Asbestos Coordinator-Air Quality Division For 296-73tts call: bN Pollution Control Agency 61x-09657-38 . 64 520 Lafayette Road North a.c 6 2-21 -1 St.Paul,I.ei 55155-4194 Fax: 612-215-1593 1 D TIME CITY OF ORONO CALLED IN �/ 7 INSPECTION NgTIC SCHEDULED ,-11—c7 i -' 30 PERMIT NO. Q" d 1�A4,--nci_sAe-be.,COMPLETED ADDRESS *7 9c-c... OWNER CONTR. `. l TELEPHONE NO. 6/0, 7. / 5/ • DESCRIPTION 17ra--/4/11U01 FOOTING 11 MECHANI18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANI19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ct 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ct LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS:cc `c a c lkrI' LA7-(2) CkA�c&-F-j-� o c ck, , cc -- d et �,Ial �� `�� ,i) e tA.) giN&I, ___... t. 4, cc ....._ nor—ce.&,- ' t--1),Aks 0 rt sex-s -V-- st W z W cc 0 d WL 0 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 11 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY CI/J CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 Owner/Co r site: Inspector. White Copy/Inspector File Canary Copy/Site Notice 6'1 . / / P.TE TIME // CITY OF ORONO CALLED IN (/�/m INSPECTION NOTI y./op SCHEDULED fl WWII PERMIT NO. /cry./ '�/ ,v COMPLETED ADDRESS / 7 . cS1 / 11 2-e 2_ OWNER CONTR. 7--)1--"--€'` l S6Y7 TELEPHONE NO. 62 7 ` (D c-341v3 • DESCRIPTION il) 0 - fl. t-e LL. • 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: ez --"ReA.Atooe skec\y � — R&'sAO 9 — Or+Q1L`tD. Z7 zotp4 0 ccF U. 'I C,O tDv1. W Ca ea,)ei+r (d0cti- iaj- W fife z W cc a Lu ❑WORK SATISFACTORY:PROCEED Ll PROJECT COMPLETE CC W ElCORRECT WORK&PROCEED H, ISSUE CERTIFICATE OF OCCUPANCY OO `CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ EFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrsite: Inspector. al White Copy/Inspector's File Canary Copy/Site Notice