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City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number: .6)/8'.003c7---2 <br /> QOA1O Crystal Bay, MN 55323-0066 Date received: 3-J6--/F <br /> Escrow#and 1. <br /> Street Address: amount: 1 P <br /> PO Box 66 <br /> 2750 Kelley Parkway Permit Fee: <br /> y� Orono, MN 55356 <br /> c>. <br /> I <br /> �/\ <br /> Approved by: <br /> ,1 <br /> kEs H OV-Fcc <br /> 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: 515 mp-J cC�(J Ci <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: Dale Gustafson <br /> Phone: 763-544-4215 Fax: NA <br /> Address: 1845 Wisconsin Ave N City:Golden Valley ZIP: 55427 <br /> Contact Person: Dale Gustafson Contact's phone . •••- 763-544-4215 cell 763-286-5142 <br /> Email dalegus@earthlink.net Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INFORMATION: <br /> Name: Kevin Kretsch <br /> Phone(day): 763-428-9777 x 107 <br /> Mailing Address: 18215 34th Ave N Plymouth, MN ZIP: 55374 <br /> Email and/or Fax kevinkretsch@comcast.net <br /> Overall Project Description: Replacement of steps, build supporting wall at lakeshore backx <br /> CheckBoXFEE <br /> TYPE OF PERMIT 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 beyond $50 <br /> the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also <br /> 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 /> X /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 /> X 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 are <br /> 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 /> X 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: Cit Code Section 78-1285 Pre-inspection required. <br /> Temporary Construction Office/Trailer(associated with building permit) $30 <br /> Updated: January 2017 <br />