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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: <br /> ®�® PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> ��, � Orono, MN 55356 Permit Fee: C <br /> G <br /> t�k SHO Fax: 952-249-4616 Approved by: <br /> Main: 952-249-4600 Notes: <br /> www.ci.orono.mn.us <br /> This application form mustbecompleted in full and all required information must be submitted, (Please print.) <br /> Job Site Address: 8 ( � To/ i "L" 0� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: S-10I!P _,&Y,/ r .[- G <br /> Phone: E l l , tc 1 n®o Fax: <br /> Address: Ci : Ic zA ZIP: SSS 9 <br /> Contact Person: Contaao� ct's phone n er _ q S—„L <br /> Email (4-0,/O- S,S,nc�Oo t, Con Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: GL.t,G�— <br /> Phone (day): q of{- S/C. .L 6 Q <br /> Mailing Address: j{G�,f L®r/l P e Sc�M^ .� iYA ZIP- tj 7 go I <br /> Email and/or Fax 4 3 cfl ,r,. :L s�►y. <br /> Overall Project Description: <br /> Check <br /> TYPE OF PERMIT FEE <br /> Box collected when permit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs <br /> Minnetonka(permanent dock requires CUP <br /> Hardcover Permit:Driveway, Patio,Sidewalk,etc.(New or Replacement] No charge <br /> Also requires Is a Minor or Major Land Alteration Permit <br /> Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 <br /> beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback <br /> (also requires Conditional Use Permit) <br /> L ference: City Code Sections 78-967.78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined by CUP <br /> Land Alteration,Minor(grading,filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs <br /> lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> !Reference: City Code Sections 78-967 78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs <br /> than 20 cubic yards of imported fill;or are located less than five feet from the property line. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> [Reference: City Code Section 78-1405!5.1)1 <br /> Retaining Walls which measure more than four feet(from bottom of footings to top of wall) <br /> require a building permit. Tiered retaining walls are considered one wall unless the walls <br /> are se arated by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) !Reference: City Code Sections 78-12821 $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs <br /> regulated by the zoning code PReference: City Code Section 86-661 <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> [Reference: C' Code S 1 n 8-1285 Pre-Inspection required. <br /> Tem ra Construction Office/Trailer associated with building permit) $30 <br /> Updated: May 2015 <br />