Laserfiche WebLink
City of Orono <br /> Zoning Permit Application <br /> O Mailing Address: Permit number: �L � . - (�.C'�� 2 <br /> � �O PO Box 66 Date received: `� I � —��' �_�/Y'i-'ci� �/�i , <br /> Crystal Bay, MN 55323-0066 <br /> Escrow#and � <br /> Sfreet Address: amount: <br /> � 2750 Keliey Parkway <br /> y � Orono,MN 55356 Permit Fee: <br /> G <br /> �l�kFSHO�� Fax: 952-249-4616 Approved by: <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: ���Q C/'�L��,p�g o� (ra�'I <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: /�lr'►nntkpiaG Cv�eK l,t)a�-orsh��' l�isfn�� <br /> Phone: 2- b`l l- i Fax: gs2- 'f'71 ^o <br /> Address: l5320 lN�Hntlrz.�Ka 8(v City: /yt;,,��n�. ZIP: �-3yS' ; <br /> Contact Person: j•F.�`sn4 S�kQu P/oi ContacYs phone number 9s2-v��- yr�3 <br /> Email �-sc(�au�(�r e���n�G�sko.cr�erc.Applicant is: Contractor Homeowner (Circle One) <br /> v�� <br /> PROPERTY OWNER INFORMATION: ` <br /> Name: d- "" r' <br /> Phone(day): q'?Z � - f� <br /> Mailing Address: v Gr�e '�..�� D�a�a ZIP: 55 S <br /> Email and/or Fax i frs , a <br /> Overall Project Description: ,. jk , ,! r cP�%✓�vo . <br /> Check TYPE OF PERMIT FEE <br /> Box collected when ermit is issued t <br /> Dock,Commercial $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) No charge <br /> Also re uires is a Minor or Ma'or l.and Klteration Permit <br /> Land Alteration, Major (grading, fllling, 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 /> lReference: Citv Code Seclions 78-967.78-1247 and 78-12861 <br /> Escrow for erosion control and engineering review costs As determined b CUP <br /> Land Alteration,Minor(grading,filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review eosts <br /> / lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> V (Reference: Citv Code Sections 78-967.78-1247 and 78-92861 <br /> Escrow for erosion control and engineering review costs $2,Q00 <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 /> (Reierence: Citv Code Sectlon 78-9405(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 se arated b twice the hei ht of the lower wall. <br /> Stafrway or Llfts to Lake(New or Replacement) fReference: Citv 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 IReference: Citv Code Section 86-661 i'' <br /> Escrow for erosion control and en ineerin review costs $2,500 <br /> Tree Removal or other vegetation removal within 75 feet of lakes No charge. <br /> Reference: Ci Code SecUon 78-1285 Pre-inspection re uired. <br /> Tempora Construction OfficelTrailer(associated with buildin permit) $30 <br /> i: <br /> � <br /> Updated: May 2015 <br /> i <br /> ,� <br /> f <br /> � <br />