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City of Orono Zoning Permit Application O Mailing Address: Permit number: �G��P—��/ cJ�� ` A /�rO PO Box 66 Date received: "'� � — ��p I 1— ` v Crystal Bay, MN 55323-0066 Escrow#and l! Z� Street Address: amount: 2750 Kelley Parkway � y ; Orono, MN 55356 Permit Fee: �! �,�' Approved by: �KE S H�� Fax: 952-249-4616 Main: 952-249-4600 Notes: waniv a orono mn us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: 627 Ferndale Road North, Orono 55391 CONTRACTOR/APPLICANT INFORMATION: Name: Stephen Kennedy Phone: a�a s�a osaa Fax: ACId�@SS: 627 Ferndal Road North City: orono ZIP: 55391 COIItaCt P2fSOIl: Stephen Kennedy ContacYs phone number 414 614 0644 Email sckennedyo8@gmaii.com Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: Stephen Kennedy Phone(day): 414 614 0644 MBiling Add�ess: 627 Ferndale Road North ZIP: 55391 Email and/or Fax sckenned O8 mail.com Overall Project Description: q� Check TYPE OF PERMIT FEE Box collected when ermit is issued Dock, Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge Also re uires is a Minor or Ma'or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: Citv Code Sections 78-967, 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback lReference: Citv Code Sections 78-967, 78-1247 and 78-1286] 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: Citv 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 se arated b twice the hei ht of the lower wall. Stairway or Lifts to Lake(New or Replacement) fReference: Citv 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 buildin ermit but $50+engineering review costs X regulated by the zoning code Reference: Ci Code Section 86-66 _1 Escrow for erosion control and en ineerin review costs �C1 $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Cit Code Section 7s-1285 Pre-inspection required. Tempora Construction OfficelTrailer(associated with buildin permit) $30 Updated: May 2015