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City of Orono <br /> Zoning Permit ApplicationN <br /> Mailing Address: Permit number: 2x15• 01421 <br /> %W A r PO Box 66 Date received: it-4-15 <br /> 1_ `` ""O Crystal Bay, MN 55323-0066 <br /> Escrow#and 2I 5-��-ZY <br /> Street Address: amount: 7 <br /> Chtt <br /> 2750 Kelley Parkway <br /> y Orono, MN 55356 Permit Fee: <br /> F �, <br /> ,q1(C Approved by: <br /> kEs H Oi Fax: 952-249-4616 <br /> Main: 952-249-4600 Notes: <br /> 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: 22450 NN{( Ci rcte <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: PM Dec-K3 <br /> Phone: c152. - 215 - (p 2(I(p Fax: <br /> Address: 3500 glucsbur9 Ln 43ot.. City: ZIP: <br /> Contact Person: phi I Murtha Contact's phone number <br /> Email Phil Q{lhi(Minna°f&(C yv Applicant is: CContractor) Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: � <br /> Name: ManneI% 'E- NIc,�- EQS1-e <br /> Phone(day): -J <br /> Mailing Address: 2T.$Q VJ ( arck, • LL ZIP:55,6(p <br /> Email and/or Fax rnv eu9skr 0 9 vizi I. cowl <br /> Overall Project Description: II P., ! ..1iY' L ) if I n ‘114. 1 14 = 5 <br /> Check 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 /> [Reference: 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 separated 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[Reference: 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: City Code Section 78-12851 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: May 2015 <br />