HomeMy WebLinkAbout2014-01459 - demo CITY OF ORONO * 2 0 1 4 - 0 1 4 5 9
2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 4680 NORTH SHORE DR
PIN 07-117-23-32-0050
LEGAL DESC TONKAVIEW GARDENS
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.
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.
SAC GRANDFATHERED IN ON PERMIT#2745 06-23-71
SAC GRANDFATHERED IN 2745 06-23-71
APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00
MIDWEST CUSTOM CONST. STATE SURCHARGE DEMO 5.00
TOTAL 80.00
716 HWY 10 NW
BLAINE,MN 55434- Payment(s)
(763)780-5000 CHECK 5169 80.00
Minnesota State License#: BUIL-683235
OWNER
Tonka Lake Properties LLC
3535 CTY RD 44
MINNETRISTA,MN 55364-
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 governing this type of work
shall 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 are
requested in conformance with the State Building Code.This permit may be
revoked at y ' e for due cause. n
Applica-a-nTPreySignature D to Issued By Signature Date
O City of Orono FOR CITY USE ONLY
P.O.Box 66 Date Received: 2 L Permit#
2750 Kelley Parkway
Crystal Bay, MN 55323 Amount: $ SAC Credit:
(952)249-4600
Homeowner(s)Signed: ❑Yes
s
Resolutions(if any)Signed:❑Yes [I None Required
t9kESH0�� Zoning Disclosure Signed: ❑Yes ❑None Required
CITY OF ORONO - DEMOLITION PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site / Owner Information:
Type: Q Residential ❑ Commercial
Site Address: zo �IP// JL—r
Owner: ��� 1 G F� r Mailing Address: Gv�
City: CLD kk�o- Zip: iNN` J
Phone: 7'&3 Email: al�IOhNT0o3 e= V/1 143 -CO-f-f
Contractor/Applicant Information:
kw/'t'ontact uoContractor/App.: �t1w4 C IS ��,� Person:
Address: ' 7 - L State License#:
City: Zip:�S l 2" Expiration Date:
Phone: 71�>G- 6,-2:0 G Email:
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 EJLeavy 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.
4. Submit a $2,500 escrow and an escrow agreement signed by the property owner.
5. Keep all structure(s) enclosed and/or secured until such time as demolition is complete.
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.
8. Completely dispose of all demolition debris off site in accordance with all applicable PCA
requirements.
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
5.00 — Principal Structure $
❑ $50.00 —Accessory Structure x (how many)
1. Subtotal of above permit requested $
2. State Surcharge 5.00 l
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 ordinances of the City and the regulations of the State of
Minnesota, and certifies that all stat ments made on this application are complete, true and correct.
Applicant's Signature: Date:
Owner's Signature: - Date: L-1 lh)��
Approved By: Date: Z- 2Z- Z--,QI
ilding Official)
* Zoning Disclosure Required? YES F-1N0
*This must be filled out by Zoning
'Deep/a menti_ For either answer, a Zoning Official must sign all applications.
• Approved By: (�(
t, lym
, a Date:
(Zoning Official)
PRINCIPAL STRUCTURE DEMOLITION PERMIT
ZONING DISCLOSURE & DECLARATION
yF To the property owner: Demolition of the principal dwelling structure on a property may
`g
�� automatically terminate certain rights which may have accrued to the property by virtue of the kESHO� 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, all seasonal and permanent docks must be removed at the time of
principal dwelling demolition. 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 principal dwelling on the property:
1. Property Address: 4680 North Shore Drive PID# 07-117-23-32-0050
2. Zoning District: LR-1B Required Lot Area: 1 acre Required Lot Width: 140'
Shoreland? Y N Actual Lot Area: .61 acre Actual Lot Width: 140'
Lot area varian a is is not required. Lot width variance isis not equired. **
** Unless City Code Section 78-72 (copy attached) can be met
3. Required Setbacks: Front 35' Rear 30' Side 10' Side Street 35'
Lakeshore Lot: I Lake (Front) N/A Street (Rear) I N/A
Average Lakeshore Setback: must be mgfzinota licable.
4. Massing & Lot Coverage by Structures limited to 15% of lot are does not apply(lot area > 2 acres
5. Hardcover limitations: Are NOT applicable —o - Are applicable. **
Stormwater Quality Overlay District Tier: 2 3 4 5 Tier 2 hardcover limit = 30% of gross lot area
** Unless City Code ection 78-72 (copy attached) can be met
6. Municipal sewer is available.
7. No wetland(s) are present.
The u0ersigned property owner hereby acknowledges receipt of the above information. Staff Initials
Property n 's Signature Date
(Original: Street File; Copy: Property Owner)
Created: April 2013
�?l DATE TIME
CITY OF ORONO CALLEDIN
INSPECTION N TIC / �g SCHEDULED
PERMIT NO. COMPLETED
ADDRESS_ z1y—,L4, 4!!�
OWNER TELEPHONE NO.6/,'7-
CONTRACTOR
DESCRIPTION �� �
W
El FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
El DEMO FINAL El SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPV FINAL ElFOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
rte., COMMENTS:
Cr
K ' 1001
j eye D �
Qc
0
Q
i
W
W
J
W� RK SATISFACTORY:PROCEED 13 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O 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
Owner/Contractor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT I`r SCHEDULED U
PERMIT NO. ^ `i J1 COMPLETED
ADDRESS
OWNER TELEPHONE NO. l „�
CONTRACTOR
DESCRIPTION /
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS
Q ❑ FRA G El MECHANICAL FINAL ❑ TREE REMOVAL
Z El ULATION El WOOD BURNER/FIREPLACE El SITE INSPECTION
Q ElAD SLAB El WATER HOOK-UP El PROGRESS
F L ❑ SEWER HOOK-UP ❑ COMPLAINT
v MO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
W EMO-FINAL ElSEPTIC INSTALL El HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
cc
COMMENTS:
W
a
cc
J
O
cc 4
O
W
W
QcQ
2
W
z
W
cc
J
W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
Qz ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
QC) ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
[I STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 952
Owner/Contractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice