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, . City of Orono
<br /> ZQnin� Perrr,it Application
<br /> fviailing Address:
<br /> Permit number: �� , �� �
<br /> ��� PO Box 66 Date received: r��-'/
<br /> 0 Crystal Bay, MN 55323-0066
<br /> Escrow#and o0
<br /> Street Address: amount:
<br /> y �„ 2750 Kelley Parkway Permit Fee:
<br /> � Orono, MN 55356
<br /> �!� �,G Approved by: �Q, `},r,,� ��N�
<br /> kFSHO� Fax: 952-249-4616 Notes:
<br /> Main: 952-249-4600 �� � •
<br /> This application form must be completed in fui� and all required information must be submitted. (Please print.)
<br /> Job Site Address: � �g6 ����- ��.-�,,,
<br /> CONTRACTOR I APPLIC,,QNT INFORMATION:
<br /> Name: �//� � :�- 5d�.s
<br /> Phone: `� . �-/I 3 Fax:
<br /> Address: //�/p/ C�„�- ��;�7 '� CitY L.�II.:�� ZIP: �;S'.3Lf3
<br /> Contact Person: ��„�,/ �""„ Contact's phone number �/;�.3�� - �'1��d�
<br /> Email �� ,� ,. . ,,,; �� .,,,. ,,: .� n Applicant is: ontracto�'" Homeowner (Circle One)
<br /> ,
<br /> PROPERTY OWNER INFORMAT N:
<br /> Name: �,-< ce ,/� �
<br /> Phone (day):
<br /> Mailing Address: ZIP:
<br /> Email and/or Fax
<br /> Overall Project Description: i ec�r�. ��",�C��,u -� ; ,,�.�. �.,,�- .�;ti, ,t,a��.., ��,;,,;,,,��, �'Jc,,,.,�;t,__
<br /> Check TYpE OF PERMIT
<br /> Box COST*
<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 $50 +engineering review costs
<br /> on Lake Minnetonka ermanent dock re uires CUP
<br /> Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge
<br /> Also requires is a Minor or Major
<br /> Land Alteration Permit
<br /> Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50
<br /> or 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 $50+ engineering review costs
<br /> � yards outside of lakeshore setback or less than 10 yards in lakeshore setback
<br /> Escrow for erosion control and en ineerin 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
<br /> of wall) require a building permit. (Tiered retaining walls are considered one
<br /> wall unless the walls are separated by twi�e the heigh# of the Ipwer wall.)
<br /> Escrow for erosion control and en ineerin review costs $2,500
<br /> Stairway or Lifts 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
<br /> of 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. Pre-inspection required.
<br /> Tem orar Construction Office/Trailer associated with buildin permit $30
<br /> (over)
<br /> *Permit fee will be collected when the permit is issued.
<br /> Updated: January 2014
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