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HomeMy WebLinkAbout2018-00237 - demo CITY OF ORONO 11111111111111111111111111111111111111111 * 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1725 BOHNS POINT RD PIN : 16-117-23-22-0006 LEGAL DESC : AUDITORS SUBD.NO. 349 : LOT 000 BLOCK 000 PERMIT TYPE : DEMOLITION PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DEMO-INTERIOR ONLY NOTE: INTERIOR DEMO ONLY. APPLICANT DEMOLITION-INTERIOR ONLY 75.00 REVISION LLC STATE SURCHARGE DEMO 1.00 153 E LAKE STREET TOTAL 76.00 WAYZATA,MN 55391- Payment(s) (952)540-7150 CHECK 14397 76.00 Minnesota State License#: BUIL-BC639027 OWNER HONOUR,MR.&MRS.JAMIE 1725 BOHNS PT RD WAYZATA,MN 55391- 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 any time for due cause. Applicant Permitee Signature Date Issued .ignature Date ebt,e_i_i 1,� elf&wf City of Orono Try USE ONLY%0 �(� (7----111....48\\ P.O.Box66 Date Receive /� CfPeit# " /" r� 37 2750 Kelley Parkway Crystal Bay,MN 55323 Amount: $ SAC Credit: (952)249-4600 A Homeowner(s)Signed: 0 Yes *tifL, G� Resolutions(if any)Signed:0 Yes 0 None Required ��SH O'?.‘'. Zoning Disclosure Signed: 0 Yes 0 None Required CITY OF ORONO - DEMOLITION PERMIT RECEIVED (All permits must be approved by the Building Official and/or Zoning Department) J00.1 / ` i*r information MAR 0 2 2018 CITY OF ORONO Type: r. Residential ElCommercial Site Address: 1725 Bohns Point Rd, Wayzata MN 55391 Owner: 1725 BOHNS POINT, LLC Mailing Address: 8300 Norman Center Dr#1000 City: Minneapolis, MN Zip: 55437 Phone: Email: Contractor,!Applicant Information: Contractor/App.: Revision, LLC Contact Person: Kevin Shultz Address: 153 Lake Street E State License#: BC639027 City: Wayzata Zip: 55391 Expiration Date: 3/31/18 Phone: 612-710-7236 Email: kevin@revisionmn.com 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: EA Manual Disassembly El Heavy Equipment ❑ Other Permit(s) Issued: El Sewer DisconnectionN/A ❑ Well Abandonment# N/A 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. Form Last Updated: July 2015 150784 4. Submit a$2,500 escrow and an escrow agreement signed by the property owner(copy attached). 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 $75.00 - Principal Structure = n $50.00 —Accessory Structure x (how many) 1. Subtotal of above permit requested $ 1 2. State Surcharge 1.00 3. TOTAL PERMIT FEE (add lines 1-2 above) $ —11P-92— 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: 2- 15 Owner's Signature: Date: Approved By: Date: (Building Official) *Zoning Disclosure Required? ❑ YES ❑ NO *This must be filled out by Zoning Department-For either answer, a Zoning Official must sign all applications. *Approved By: Date: (Zoning Official) Form Last Updated: July 2015 150784 • PLAN REVIEW— CHECKLIST FOR NEW STRUCTURES //,ADDITIONS? Address: 7 �� % g 9 6't 14 1I-g( ��� Permit No.: `�(/ �g_rD /�-J Description of work: ---1/1-16770// 27 1() Date Rec'd: . 1/g Septic review by: Date Approved: Zoning review by: l Date Approved: Building review by: 1C //1 --a" Date Approved: Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/A Width: Lot Coverage: SF Survey Submitted: 0 Yes No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N \S E W ) ( N S E W ) Other Buildings Wetland Side Side Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) = 50'o= L.F. below grade Basement? 0 Yes 0 No, Stories FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the lowest p •sed Slab at or above grade— START WITH floor(of the basement or crawl spa")and measure from highest existing the highest point of the roof. START WITH grade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR HIPPED ReOF(no Slab below grade—measure (BASED ON windows): Subtract half the distan•- from highest existing grade to the ROOF TYPE) between the highest point of the roo highest point of the roof. to the low point of the corresponding If you have a... gable or hipped roof SUBTRACTION • GABLE OR HIPPED ROOF • GABLE OR HIPP D ROOF(with (BASED ON (no windows): Subtract half the distance between the windows): Subtr ct half the distance ROOF TYPE) highest point of the roof to between the to of the highest the low point of the window and th highest point of the roof corresponding gable or hipped roof • ALL OTHE ROOF TYPES(flat, • GABLE OR HIPPED ROOF mansard, c):No subtraction. (with windows): Subtract SUBTRACTION Subtract the distance between the half the distance between (BASED ON basement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof • ALL OTHER ROOF TYPES (flat.mansard,etc):No EQUALS Defined uilding height subtraction. Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 ❑ Yes 0 N No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required (circle one) (% and sf) (% and sf) ❑ Yes ❑ No ❑ Yes ❑ No 1 2 3 4 5 Type(s): Type(s): Fees to be Charged YE _ NO Plan Review Investigation Fee SA04,shintheroirw,thoW,, :71 Other(specify) l� Square Footage $ per Square Footage Basement X = $ 1St Floor X = $ 2nd Floor X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits ❑ Footing 0 Site 0 Plumbing 0 Grading/Filling ❑ Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection ❑ Framing 0 Masonry 0 Lawn Irrigation ❑ Insulation 0 Mfg. 0 Landscaping ❑ As-Built Survey 0 Other(specify) y0(Final Lathe Required State Permits ❑ Other(specify) 0 Well 0 Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: ❑ See Builder Acknowledgement Form O Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. / 11 or//y/ Updated: October 2015 r\fnrmc\Nan raviaw rharlrlict 1 f_9f11 F rInry