Laserfiche WebLink
t � <br /> City of Orono <br /> Zoning Permit Application <br /> Mailing Address: Permit number. � " � <br /> �Q PO Box 66 � , � <br /> �O Crystal Bay, MN 55323-0066 Date received: <br /> Escrow#and ��i�5� G; l� ����� � <br /> Streef Address: amount: ��i I�'" <br /> � � 2750 Kelley Parkway � �+ =. O� <br /> y ; Orono, MN 55356 Permit Fee: -� <br /> �, � 1 <br /> l�kES H O�� Fax: 952-249-4616 Approved by: � � <br /> Main: 952-249-4600 Notes: <br /> - _- - s� _ 2� 1 � <br /> This application form must be completed in full and all required information must be submitted. (Please print.) <br /> Job Site Address: gQ $� c��<S'� /Qj.r,.•��' L� <br /> CONTRACTOR/APPLICANT INFORMATION: <br /> Name: !9� �s�r �h�reu�+.LF��S <br /> Phone: (iS/ —TZ S�(o�y(p Fax: <br /> Address: S' /��'� So� Cit : �l'U ZIP: ��S-.fets�' <br /> Contact Person: � �;,.,/ ContacYs phone numb GS/ �375��YG <br /> Email -����GJ�ol�.--=,,,,.u�l:�r.�PPlicant is: ntract Homeowner (Circle One) <br /> � <br /> PROPERTY OWNER INFORMATIO �1 <br /> Name: S.e c �/G��-a-,v�. �+.G//-( ����..-,.� <br /> Phone (day): <br /> Mailing Address: o ,,�,ri5/- N..S �w ZIP: .��"'3z <br /> Email and/or Fax �/ � . ���_ <br /> Overall Project Description: .$o(,-..r SoC,,.�-S ��,,s�- I l <br /> Check TYPE OF PERMIT FEE <br /> Box collected when ermit is issued <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 cFiarge , <br /> Also re uires is a Minor or Ma'or Land Alteration Permit �- <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 /> lReference: Citv Code Sections 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 costs <br /> lakeshore setback OR 50 cubic yards or less within the lakeshore setback <br /> k (Reference: Citv 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 tine. <br /> Escrow for erosion control and engineering review costs $2,500 <br /> lReference: Citv Code Section 78-1405l5.1)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 /> Stairway or Lifts to Lake(New or Replacement) lReference: 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 lReference: Citv Code Section 86-661 <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: Cit Code Section 78-1285 Pre-inSpeCtion required. <br /> Tem ora Construction Office/Trailer associated with buildin ermit $30 <br /> Updated: May 2015 <br />