2015-00392 - land alteration - Laserfiche WebLink

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. �� Cit of Oron y o ��o�' v Zonin Permi � g ��—t A��I ication (, Ma�ling Address , Pe� rm�t number ad! �J- -d Zj 3 �j �V/� PO Box 66 //��` $, � Q Crystal Bay, MN 55313-0066 Date received -�� Escrow#and Street Address: amount: 2750 Kelley Parkway � � �. Orono, MN 55356 ' Permlt Fee O '•��.��t�` Fax: 952-249-4616 f+P[xoveci by ' - Main: 952-249-4600 Notes :�,�v a orono mn us Th�s application form must be completed m full and all required information must be submitted. (Please pnnt.) Job Site Address: y 3 �S YV d f-�y� �h U t� D C��v b ro nc vr� � S j(� y CONTRACTOR/APPLICANT INFORMATION: � Name: No.� v �Gtil l-�,.r��r � Yvl', v, ne Sc�-t-c� I ��C Phone � 5 �O � Fax � i- 3- i G Address: Ptiys,cu�- �► r Cc. •11 Rv2 Mu��i, - .G. J�86Cit . � r r ZIP C 7 Contact Person: � - Contad's phone number �i Z_�y , Email ,N�„�,,, Nc�it��41 L4n Applicant is ontract Homeowner (Circle On�� PROPERTY OWNER INFORMATION: �a� Name ��rr.� ��1 P a (� ��e�e � ,,,� Phone(day): ��-Ga c e I I, �(�� ,y�t � - 3 L �I 1 - MailingAddress �1315 a�yo��r.sH�,,.� nr,� r,r, „u � N ZIP L s3�� Email and/or Fax '�r� �� r,_\a� <<p�,.o lc n� 4v q�1G,� ��N� Overall Project�DescripUon: �-�.1C.e5,de 7,�c r �e � l �c � w•�. Y,-}� Check • Box TYPE OF PERMIT COST* Dock,Commercial $50+engineering review costs Escrow for erosion controi and en ineerin review costs $2,000 Dock, Residential-PeRnanent dock on any lake or initial seasonal dock not $50+engineenng review costs on Lake Minnetonka ermanent dock re ulres CUP � Hardcover Permit: Driveway, Patfo, Sidewalk, etc.(New or Replacement) No charge x Aiso requires is a Minor or Major i Land Alteration Permit I Land Alteration, Major(grading.tilling. or excavating) more 500 cubic yards $50 —� or more than 10 cubic yards in lakeshore setback(also requires CUP) I Escrow for erosion control and en ineerin revlew costs As determined b �UP i �and Alteration, Minor(grading. filting or excavating)-500 or less cubic $50+engmeenng review costs yards outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning perm�t $50+engineering review costs j Retairnng walls measunng 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 watls are separated by twice the he�ght of the lower wall.) i Escrow for erosion control and en meerin review costs $2 500 I � Stairway or Lifts to Lake(New or Replacement) $50+engineering rev ew costs Escrow for erosion control and en meerin review costs g2 ppp Structure Permit for other structures not requiring a building permit but $50+engineering review costs I regulated by the zoning code(includmg, but not limited to accessory building � of less than i 20 square feet. detached deck or platform and sport court� � Esc�ow for erosion control and en ineerin review costs $2,500 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e Pre-ins ction re uired. Tem ra Construction OfficefTrailer 'associated wnth buildin ermit) $30 (over) *Pertnit fee wilt be collected when the permit is lssued. Updated January 2015