Laserfiche WebLink
City of Orono <br /> Zoning Permit Application <br /> AO Mailing Address: Permit number: �/n -t�y3 I <br /> VO CryPOBal Bay, MN 55323-0066 ox 66 <br /> Date received: �l - 9-131 <br /> Escrow#and <br /> Street Address: amount: <br /> 2750 Kelley Parkway <br /> 1-• <br /> C. Orono, MN 55356 Permit Fee: <br /> F �, <br /> !,1 Approved by: <br /> kE S H O° 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: 2101 5 F4-Nect_Sa-tet 2d. U a 'M-,-) SS 331 <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: i11G(.4.Ssa Sctc S,ccck.v;s± <br /> Phone: SEE. 13 Lc, Fax: <br /> Address: City: ZIP: <br /> Contact Person: Mme+ ��� Sr,�", s r Contact's phone number Wiz <br /> Email t, u;s gwuc1 I_ Ld,14 Applicant is: Contractor C oK m`eo`wner (Circle One) <br /> PROPERTY OWNER INFORMATION: J <br /> Name: YY\e.Lt5scx. + Scott_ S;cacjotst <br /> Phone(day): (.(Z - Sy 5• loci'4 <br /> Mailing Address: 2(01S pncascei,,,t 2(4. Orvna , j SS331 ZIP: SS 33I <br /> Email and/or Fax S;col u s vvx L cruD6 l. t n+k <br /> Overall Project Description: Fk_e_T U�� 5 eol u)1+11 1ariu� Sl�eoe. <br /> FEE <br /> Check 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 /> (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 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 /> 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 ttI D C.) <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: January 2017 <br />