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Home My WebLink About2008-P11530 - demo � PERMIT .Ci I Y OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11530 Crystal Bay, Minnesota 55323 Permit Type: Demolition (952) 249-4600 Date Issued: 1/15/2008 SITE ADDRESS: 4205 North Shore Dr Unit# Mound,MN 55364 PID: 07-117-23-43-0004 DESCRIPTION: Proposed Use: Residenrial Census Code 645 Permit Class: Building Permit Type: Demolition Pemut Sub-type(s): Demo-Principal Structute DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: Demo Principal&2 Accessory Structures(Garage&Shed) Foundations/all demo debris to be removed from ground&disposed of off site per PCA regulations. Wells must be abondoned. Inspection before backf'illing. FEE SUMMARY: Permit Fee: $ 110.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 110.50 APPLICANT: Highmark Builders Inc. OWNER: Mary Jo Peterson 12245 Nicollect Ave S 4205 North Shore Dr Burnsville,MN 55337 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. '�'�'12�1 1�1�. l�a�� APPLICANT PERMITEE SIGNAI'URE SSUED BY SIGNATURE Copies: 1-File(Sigriatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 .r ' � � � �� /,¢��-� Ci of Orono ��/ O � tY FOR CITY USE ONLY ,O 0.,,, P.O.Box 66 Date Received: � Permit# � I/S� ,�(� �;., �� 2750 Kelley Parkway � �, ��y �'�• . C stal Ba Amount: $ SAC Credit: �, � �� ',," Il �'J �Y Y>MN 55323 �) �� .� �� a>>,,��o` (952)249-4600 —�;�,f i�-�� asxo _—_, Homeowner )Signed: ❑Yes � �7a 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 Building Official and/or Zoning Department) Job Site/Owner Information: Type: �,Residential ❑ Commercial Site Address: ��5 I�i,�. t�� jV�U�z >!�� v� Owner: L�ti�=1 ��,�-�n,tiu� (rl.l.. MailingAddress: _��S l��cl�� -�vt �. city: F��;�Sv►tl.t zip: 5�3�j � Home Phone: �ISZ-S 3� -�`�t�� Alternate Phone: Contractor/Applicant Information: Contractor/App.: t-[��j�uv��v k Y�a��c��5 Contact Person: ��v� �ti�cQl'rS Address: IZZ�-FS l�� vl�i-� �v� S State License #: Zp3� 5f�`�'�(- City: �� t � �� Zip: �� Expiration Date: 3/L75'� Phone: `��L-��.'�S;° -%.5`rC`J t� Alternate Phone: �`��_ Z��Z _ �,�7 3 SPECIAL CONDITIONS & HOLD HARMLESS AGREEMENT General Instructions: 1. You may be required to obtain other permits, i.e.: well abandonment, sewer, etc. 2. Wark 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: � Ma��.�l Disassembly � Heavy Equipment ❑ Other i� Permit(s) Issue(d: � � Sewer Disconnection� 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 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 � $50.00–Principal Structure � $30.00–Accessory Structure �. (how many) �o�J�-��, Sl�.�c�I (what) —� 1. Subtotal of above permit requested $ 2. State Surcharge $ .50 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 ardinances 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: ��Zr�j Owner's Signature: � �� Date: �i L£5 Approved By: Date: (Building Official) * Zoning Disclosure Required? [.]Y — *This must be filled out by Zoning tiSent. ' er answer,a Zoning Official must sign al ap ' rf * Approved By: �---- Date: Z, ' (Zoning Official) Reset Form �(U�,2 c.v. ��v vti t� ��2w1o.a2_ roCrk, wc��S �'�iW� '� 1�a�lin Shc,�e. .1�Vtue.. r�� a�w� OCT/16/2007/TUE-01 :31 PM Highmar� Builders FAX No, 9527367545 P. 002 Oct-18-200� 12�08pm Prom-CITY OF ORONO +A52Z484616 T-87Z P.00Z1002 F-642 d��0 principa]Dwellin�;D@molition Permi�C � �' ZO1�G DYSC�.4S�E � DECL.A,�tA.TION To the property owner: Demolirion of the priacip�l dwelliqg s�ructure on a properl3+may at�orna.rically terminate certain ri�s which may have accrued to tha propany by vimae of the continued existence of that building. • Rebuilding on a subst�adard lot of record (i.e. a lot that does not meet the zoning district required Iut azea or width s�ndards)w11,with�ew accepuons,require variaace approv�l by ftLe Citq Council�and such approval is aot automatic or guarauteod but requires t�t a hardship be damonstrQt�d. • Additionally,all cuzrens�oai.ng standards will h�.ve to be met by the new principal dwelling inc]uding setbacks,lot covet�ge by structuras,l�ardcov�r(impervious surface),heigl�C Lln�i1�,e�rc. • �Vhere municipal sewer is not available, provision of two (�) sirtes for a canformin,g on sit� sewage ueaiment syst�m is mandaiory. . Unless spccifically approved by tb@ Ciry, all acccssory struccures mus�c bc rcmovcd ati thr �imc o£ princ�pal dwelliag+demolition.Tlus also applies to seasonal and permaneut docics,which may uot be re- installed until a new priaapal d�vvellis�has zeached the framing saage, Tha following infarmatioa is presented Pot the purposes of advisi�g t1�c prop�rty owne�U�the implica�o�,s ofromove,t of tUe ' i al dwell' on�lte ro e : 1. Properry Addre�s: 4206 NoRh Shore O�ive Prf�t# 07-117-23�3-0OQd 2. 2on1n�G Disuiot; LR-1 B Required�.ot Area 2 ac. Itequfred Lflc Wid� 1�t0' Aocu�1 Loz Ar� 0,62 Acmal Loi�IYidrh � Lot area varian is/'. �nt reqaimd Loc widrh i9 is nn�requaed. 3. Reqnired Setbaeks: FroA� --- Re�r � Side 10' S{d�Stre� --- Lakeshore Lc� Lake(FronrJ ��i S�ves(Ro�) 30 Avctage Lal�eshore Setbac mos be et/is t�. tic$61 . 4. LarC Cuv�by Svnrau limited 15%of lot arQa 1 do no a� 1 loc aren�2 aens S. Aa�'dcovei�limitatio e b a e a � 1lcable, p-75''r.nne= 0%alJow�sd 7S ti0'r�ne=7a�Jo allowed 250-50�'zonz=30%flllowed 500-1000'zonG=35�o allowed 6.✓ Munlcipal sew�r is�vailable. Mu�icipal seweY 1s not available;on�sim systom testing and de�sign m�at bo provWed cotlfirrnin�that two conformiag draini�zld a9c�ar�avoil�ble. 7. _ Wetlend(s)prese�. Wetland is classifi�d as" ". A 'buffe�from th�sd8e of w�tiand and a 20'structure se�l�cl:from�►e buf�er is re uir�d. ��Talk to Plannl oe ment StafFfor additional re uir�ment�. 8. T.oc width,loc�res,aad herdcaver varlances g�ted'm application 06�3246 will exp�Ce oa Ap�il 9,2008,untess a buildiag aimit�c d�a aew s�ttctuYe is ab�inad bofora�at date. The undee�i�ned property ownar har�by aclrnowledges rrecceipt of the above informatiou. S�ff'In�fials ^~�,.. �� /� ' J.r j� �ope Ow�'s Stgnature Dato �� ` Form D—Revis�d 3-z3-OS (Original: Streert File; COpy:l'roperty Owner)