HomeMy WebLinkAbout2009-00378 - demo CIT OF ORONO PERMIT NO.: 2009-00378
2750 KE LEY PARKWAY
ORO O,MN 55356- DATE ISSUED: 07/15/2009
952 249-460 FAX: 952 249-4616
ADDRESS : 405 OLD CRYSTAL BAY N
PIN : 33-118-23-24-0007
LEGAL DESC : DUMAS ORCHARDS
: LOT 002 BLOCK 001
PERMIT TYPE : DEMOLITION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DEMO-ACCESSORY ST UCTURE
ACTIVITY T
NOTE:
1. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED ROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS.
2. INSPECTIONS DONE BEFORE BACKFILLING.
APPLICANT DEMOLITION-ACCESSORY STRUCTURE 50.00
CARL BOLANDER&SONS STATE SURCHARGE DEMO 0.50
251 STARKEY STREET
ST.PAUL,MN 55107 MISC FEE 0.00
(651)224-6299 TOTAL 50.50
OWNER
MN DOT/STATE OF MN
MN,MN DOT/STATE OF
DIRECT OLD CRYSTAL BAY RD N
ST.,MN 55155
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 atter 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
revok at any time for due c use.
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Applicant ermitee Si ature Date Is d By Signature Date
SEPARATE PERMITS REQUIRED FOR ORK OTHER THAN DESCRIBED ABOVE.
Qpeg-4037
�¢OO City of Orono FOR CrrY USE ONLY
P.O.Box 66 ^1 ` Date Received: Permit#
2750 Kelley Parkway '`\
Crystal Bay,MN 55323 Amount: $ SAC Credit:
(952)249-4600
Homeowners)Signed: ❑Yes
Resolutions(if any)Signed: Yes ❑None Required
Zoning Disclosure Si ed: ❑Yes Q None Required
CITY OF ORON -DEMOLITION PERMIT
(All permits must be approved b the Building Official and/or Zoning Department)
fob ate'/ wner I�� ition:
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Type: Residential ❑ Co ercial / f�
Site Address: �� Ax 0/0 10,-/fJ ®4L K
412
Owner: y D� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Cntractnr 1 Applicant Iformaxion
Contractor/A : Com! �0% �''s Contact Person: -A 4
Pp
Address: 2—c State License#:
City: / Zip: Expiration Date:
Phone: ^�Z Alternate Phone: tIPZ '2-Z
SPECIAL CON v R ; ,D:JIMIUMLESS A RENT'
General Instructions:
1. You may be required to obtain other pe ts, i.e.: well abandonment, sewer, etc.
2. Work must not begin unless the permit and is available on the job site.
3. A 24-48 hour notice is required for all ' pections. Call (952)249-4600.
4. Sewer must be discontinued at the City ervice by qualified contractor before demo permit is
issued.
Demolition by means of: ❑ Manual Disassem ly jW Heavy Equipment ❑ Other
Permit(s)Issued: ❑ 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 d/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
❑ $75.00—Principal Structure
❑ $50.00—Accessory Structure (how many) �`' (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 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. G�
Applicant's Signatu . Date: 7-6,
Owner's Signature: Date: 6
Approved By: � Date: 7 — 3-® 9
(Building Official)
* Zoning Disclosure Required? YES ❑ NO
*This must be filled out by Zo g D ent—For either answer,a Zoning Officialmust sign all Applications.
* Approved By: Date:
(Zoning Official) 2wo
Principal Dwelling Demolition Permit
ZONING DISCLOSURE & DECLARATION
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 neither 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 purpos s of advising the property owner of the implications of removal
of the principal dwelling on the prope :
1. Property Address: 405 Old Crystal Bay Rd N PIN# 33-118-26-24-0007
Required Lot Area 2.0 acres Required Lot Width 200'
2. Zoning District: RR-1B Actual Lot Area 2.01 Actual Lot Width 230'
Lot area variance i is no require Lot width variance is/ not r quired.
3. Required Setbacks: Front 50' Rear 50' Side 30' Side Street 50'
Lakeshore Lot: Lake(Front) NA Street(Rear) NA
Average Lakeshore Setback: must be met is not applicable.
4. Lot Coverage by Structures: limited to 15% of lot area does not apply(lot area>2 a res
----------------------
5. Hardcover limitations: are applicable/6e not applicabl 0-75'zone= 0%allowed
75-250'zone=25%allowed 250-500'zone=30%allowed 500-1000'zone=35%allowed
6. Or Municipal sewer is not available;on-site system testing and design must be provided confirming that two conforming
drainfield sites are available.
7. ✓ Wetland(s)present or near the property. Wetland is classified as"Manage 1". A 35' buffer from the edge of
wetland and a 20' structure setback from the buffer is required. **Talk to Planning Department Staff for additional
requirements.
The undersigned property owner hereby acknowledges receipt of the above information. Staff Initials
I //I
Property Owners Signature Date
Form ZDD-Revised 5-23-05 (Original: Street File; Copy: Property Owner)
pfi/2 DATE TIME
CITY OF ORO S' CALLED IN z
INSPECTION NOTICE SCHEDULED 0q 1XI
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ADDRESS `T DS 6 /� OozSfn /�L' Al.
OWNER / CONTR.
TELEPHONE N0.
DESCRIPTIONVC�'� ✓/`� `
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q El DEMO-FINAL El SEPTIC INSTALL. ❑ FOLLOW-UP
? EJPLUMBINGRI ❑ SEPTIC FINAL El HARD COVER REMOVAL
El PLUMBING FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TOMEETYOU:_YES NO
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LU El WORK SATISFACTORY:PROCEED A1ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE 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
Owner/Contractor on site:
Inspector. Qb
White Copy/Inspector's File Canary Copy/Site Notice