HomeMy WebLinkAbout2018-00237 - demo CITY OF ORONO 11111111111111111111111111111111111111111
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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
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