|
� �
<br /> . City of Orono , r ,,�; �! `'
<br /> Zoning Permit Application �'� �
<br /> � Mailing Address: Permit number: / —Q�
<br /> PO Box 66 Date received: � "-�—�
<br /> ,'��11 r����� -
<br /> Crystal Bay, MN 55323-0066 Escrow#and „ (�'
<br /> �� �� �:� . �J�
<br /> � Street Address: amount: ��� [.�� (�vl,�,� �
<br /> � �:�,
<br /> 1� � `��� F 2750 Kelley Parkway ���--'� Permit Fee: ��� �o �- �ra O '
<br /> _. >
<br /> �,nL� ,��",��,, Gti Orono, MN 55356 �� . _____ �
<br /> kESH� �� Approved by: ��
<br /> 4
<br /> ---- ' Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 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: 33dt4 G.�CL44�lAn� lrl�l.a_ ��
<br /> CONTRACTOR/APPLICANT INFORMATION:
<br /> Name: (L �A T' �UG,
<br /> Phone: (a Z, ���_ �-7�g Fax: 95Z. �S8?. Z`1"��
<br /> Address: ��fl9 �-�1A�� r1��T �4�.,t. S Clty: t�ooMlAt4jb� ZIP: raS1}�
<br /> Contact Person: L,_,�U ��,�� ContacYs phone r �� Z. ��3 S7'�9
<br /> Email L,,,,�o�,..,,a q �AR�SUDES�NC..Gon� Applicant is: ontracto Homeowner (CircleOne)
<br /> PROPERTY OWNER INFORMATION:
<br /> Name:
<br /> Phone (day): �c� 7_Z� , -zZ.
<br /> Mailing Address: �jqr', M i$� t or., },�tu.5 1 N �`' � + G.�u ZIP: � � 3��
<br /> Email and/or Fax L. d�l��r� � M G�41 ��Nt
<br /> Overall Project Description: ��„qL �,.,,� �.,nSc.J,�t'.
<br /> �BoXk TYPE OF PERMIT COST*
<br /> Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs
<br /> Lake Minnetonka permanent dock requires CUP
<br /> Dock, Commercial $50+ engineering review costs
<br /> Escrow for erosion control and en ineerin review costs $2,000
<br /> ` / ' �A"�'I oS No charge
<br /> X Also re uired is a Minor or Ma�or Land Altera ion Permit
<br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50
<br /> more than 10 cubic yards in lakeshore setback (also requires CUP)
<br /> Escrow for erosion control and en ineerin review costs As determined b CUP
<br /> Land Alteration, Minor(grading, filling or excavating)-500 or less cubic yards $50+ engineering review costs
<br /> � outside of lakeshore setback or less than 10 yards in lakeshore setback
<br /> Escrow for erosion control and engineerin review costs $2,000
<br /> Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs
<br /> �/ Retaining walls measuring more than four feet (from bottom of footings to top of
<br /> �� wall) require a building permit. (Tiered retaining walls are considered one wall
<br /> unless the walls are separated by twice the height of the lower wall.)
<br /> Escrow for erosion control and engineerin review costs $2,500
<br /> Stairway to Lake (New or Replacement) $50+engineering review costs
<br /> Escrow for erosion control and engineering review costs $2,000
<br /> Structure Permit for other structures not requiring a building permit but $50+ engineering review costs
<br /> regulated by the zoning code (including, but not limited to accessory building of
<br /> less than 120 square feet, detached deck or platform and sport court)
<br /> Escrow for erosion control and en ineerin review costs $2,500
<br /> Tree Removal or other ve etation removal in 0 to 75 foot zone No char e.
<br /> (over)
<br /> *Permit fee will be collected at
<br /> the time the permit is issued.
<br /> Updated: April 23, 2012
<br />
|