FRC'vI ASPHALT SPEC I ALT I ES (M0N)MRY 23 2016 15 : 16/ST. 15 :07/No. 6801440317 P 2
<br /> City of Orono
<br /> Zoning Permit Application _
<br /> Mailing Address; Permit number: 2.o((o C 5-7-Z
<br /> O� Crystal sal Bay,MN 55323-0066 Date received; W2-3-1 /(o 'V I C� nom✓
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<br /> Escrow if and � t
<br /> Street Address: amount: N on e
<br /> 2750 Kelley Parkway permit Fee: N�n�
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<br /> litts4
<br /> . Orono,MN 55356 .--.!•.,--
<br /> 111tEs KO t Fax: 952-249-4616 Approved by:
<br /> Main: 952-249-4600 Notes:
<br /> www,Ei,or000,mn,us
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<br /> Thla application. „rm,rrftiiiet t>e;;thittp ober!!in fu'It end, Ilhr 0Ir #Ir, 456) do MOSt be;subM: Vi: ?/.i„:0,104
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<br /> Job Site Address: 10,;- L,(_1 i \\Uw N/1&J_) 0(
<br /> CONTRACTOR! •PPLCANT INFORMATION:
<br /> iNa NT t� � eC G4-rJPhone:: , - r ^ . ' -
<br /> Fax:
<br /> Address: 0 •Of•[ 4e.L.-) de.r c- ' - Ci :14k .1�. i at..., ZIP: 55 ,
<br /> Contact Person: :-Zi Contact's phone bar - •�LTIE _
<br /> EmailN : f 50 A a h a , j Applicant is: +ontractor Homeowner (Circle One)
<br /> PROPERTY OWNER INFORMATI Nom; i r1 ,
<br /> ;2 .
<br /> Name: �'lJ� - T e 1 uV,
<br /> Phone(day): y 11 -
<br /> Mailing Address: t _ 1Ti ZIP:
<br /> Email and/or Fax
<br /> Overall Project Description: k,- a -- ct ;e ,/, a e 5
<br /> Check TYPE OF PERMIT FEE
<br /> Boxcollected when permit is issued
<br /> Dock,Commercial v $50 +engineering review costs
<br /> Escrow for erosion control and en.ineerin• 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 •ermanent dock re.uires CUP - .
<br /> Hardcover Permit:Driveway, Patio,Sidewalk,�` etc.(New or Replacement) 'o charge
<br /> fr.- Ali i. ,,1'..e.. ..�.: +a.1. " .J�7'e Lyw.:d.,;? 7:,'i,..s I.
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<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 /> 1i.:,v r . -, Code Sections 78-9.7 8- :,. . ..
<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 $50 +engineering review costs
<br /> lakeshore setback OR 50 cubic yards or less within the lakeshore setback
<br /> fReference: City Code Sections 78-967.784247 and 78-12881
<br /> Escrow for erosion control and engineering review costs .$.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 78440 .111
<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) (References' . City code Sections 78-1282f $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 t engineering review costs
<br /> regulated by the zoning code[Reference: City Code Section 85-661
<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 7f7285L - Pre-inspection retired.
<br /> Temora Construction Office/Trailerassociated with bulldinermit $30
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