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t' <br /> City of Orono <br /> Zoning Permit Application <br /> Mailing Address: <br /> Permit number: 6,2O/62 -oa 9496 <br /> Q, JI PO Box 66 Date received: '9-1/-/2. <br /> Oyu V\ Crystal Bay, MN 55323-0066 <br /> Escrow#andric <br /> amount: 492®/e2— 009'07 0?U00 <br /> <, ,,, . ,r Street Address: / <br /> (J ,'- ti 2750 Kelley Parkway Permit Fee: ,5-'b <br /> ', I ' 6'•• <br /> Orono, MN 55356 ' <br /> 19 4Approved by: <br /> kESH04 <br /> Fax: 952-249-4616 Notes: <br /> Main: 952-249-4600 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: 875 Wayzata Blvd West, Orono, MN <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Kraus-Anderson Construction Company <br /> Phone: 612-332-7281 Fax: 612-332-0217 <br /> Address: 525 South 8th Street City:Mpls ZIP: MN <br /> Contact Person: Jim Beckwith Contact's phone number 612-332-7281 <br /> Email j im.beckwith@krausanderson.corn Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: ELP Senior Living LLC Attn: Bruce W. Engelsma, President <br /> Phone (day): 612-332-7281 <br /> Mailing Address: 523 South 8th Street, Minneapolis, MN 55404 ZIP: <br /> Email and/or Fax bruce.engelsma@krausanderson.com 612-332-0217 <br /> Overall Project Description: Senior Living facility <br /> Check <br /> TYPE OF PERMIT COST* <br /> Box <br /> Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs <br /> Lake Minnetonka (permanent dock requires CUP) <br /> Dock, Commercial $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Driveway Permit(New or Replacement) No charge <br /> Also required is a Minor or Major Land Alteration Permit <br /> Land Alteration, Major(grading,filling, or excavating) more 500 cubic yards or $50 <br /> more than 10 cubic yards in lakeshore setback (also requires CUP) <br /> Escrow for erosion control and engineering review costs As determined by CUP <br /> XLand Alteration, Minor(grading, filling or excavating)-500 or less cubic yards $50+engineering review costs <br /> outside of lakeshore setback or less than 10 yards in lakeshore setback <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Retaining Wall measuring under four feet require a zoning permit. $50+engineering review costs <br /> Retaining walls measuring more than four feet(from bottom of footings to top of <br /> wall) require a building permit. (Tiered retaining walls are considered one wall <br /> unless the walls are separated by twice the height of the lower wall.) <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Stairway to Lake(New or Replacement) $50+ engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Structure Permit for other structures not requiring a building permit but $50+ engineering review costs <br /> regulated by the zoning code(including, but not limited to accessory building of <br /> less than 120 square feet, detached deck or platform and sport court) <br /> Escrow for erosion control and engineering review costs $2,500 <br /> Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. <br /> (over) <br /> *Permit fee will be collected at <br /> the time the permit is issued. <br /> Updated: April 23,2012 <br />