2017 - 00296 - land alteration - Laserfiche WebLink

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dok ' City of Orono Zoning Permit Application ,q� O Mailing Address: Permit number: �D 17-- 4/v? PO Box 66 Crystal Bay, MN 55323-0066 Date received: 3-36-1 Escrow#and ) 2 �l �ygrr� Street Address: �, amount: AO/7-0-03[ Cj -' lil°3 c.t O AT 2750 Kelley Parkwa L A Orono, MN 55356 Permit Fee: F G el 1 �y� Approved by: kESHO� Fax: 952-249-461 �,,,, Main: 952-249-46001" Notes: www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: j 9 ob U" /L-pSU f s 7- TI1 A'l/s- CONTRACTOR/APPLICANT INFORMATION: Name: -... CV (1(a/EW , �1c�1.S Phone: ;o 7 2O- , .. o4(__,0 Fax: 6,1,S7 i-7t 65- /73 4 Address: 23 ir3 x'11,0 ( KM 0, 1rj -City: 3f rfi�dJL ZIP: JS/20 Contact Person: K,,L�}Z,�j - 1 IA,0 a(J Contact's phone (29/.7, 23.. 11 '• Email 10-1,fi(00 (14;7 404e,x4'J,i . Via^ Applicant is: ontractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: ) Name: AJ- Pv til M 1-714- 1111 6_P'K-l—E f2 Phone(day): CeiS2) I-1-17- - 31- 39 Mailing Address: ICC(o I,t.2 1 LD - LIQ 1- i (L 1 Pi D V 1.3 17 ZIP: 5 S :2)64 Email and/or Fax OtinLuy\GtOriccAN.,cVti , Ct yvl Overall Project Description: j/ ('ALL1A > J>.N. 1 Iv( CheckBoXFEE TYPE OF PERMIT collected when permit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka(permanent dock requires CUP) -- VHardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) /( No charge/ Also requires is a Minor or Major Land Alteration Permit Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: City Code Sections 78-967,78-1247 and 78-12861 Escrow for erosion control and engineering review costs ,,.,:...As determined by CUP and Alteration, Minor(grading,filling or excavating)of 51 to 500 cubic yards beyond`fhe $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback (Reference: City Code Sections 78-967.78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill;or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 (Reference: City Code Section 78-1405(5.1)1 Retaining Walls which measure more than four feet(from bottom of footings to top of wall) require a building permit.Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall. Stairway or Lifts to Lake(New or Replacement) (Reference: City Code Sections 78-12821 $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code(Reference: City Code Section 86-661 Escrow for erosion control and engineering review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. (Reference: City Code Section 78-12851 RECEIVEgispection required. Temporary Construction Office/Trailer(associated with building permit) $30 MAR 3 0 2017 Updated: January 2017 CITY OF ORONO