Laserfiche WebLink
Apr/09/2018 12:40:14 PM Ridgeview Pulmonary 9524428016 1/10 <br /> City of Orono <br /> Zoning Permit Application //� c <br /> Mailing Address: Permit n mber, 0110/I"9-9-16r <br /> .34\,0 <br /> PO Box Ived: ` <br /> �t►.3 °4\,0Crystal Bay,MN 56323-0068 Date ` j L�` <br /> Escrow and <br /> Street Address: amount <br /> 2750 Kelley Parkway Permit : <br /> 1- C. Orono,MN 55356 <br /> �' C' Approved y: <br /> kEsmoi- Fax: 952-249-4816 <br /> Main: 952-249-4800 Notes: <br /> www.ci.orond.mn.us <br /> This application form must <br /> /� <br /> be co np/ietedin full and all requires information must be submitted. (Please print.) <br /> Job Site Address; 3J° • vr41k Al',.^ LUC,,, r Orvho r eiA./ 3"S36,q <br /> CONTRACTOR i APPLICANT INFORMATION: <br /> Name: <br /> Phone: <br /> Fax: <br /> Address: City_: ZIP: <br /> Contact Person: Contact's phone number <br /> Email Applicant is: Contractor Homeowner (Circle One) <br /> PROPERTY OWNER INF RMAT�IQN:I <br /> Name: daree,TT' s-otr IA + , <br /> Phone(day): In 7'•o i <br /> Mailing Address: 35 M+r A am. ._ Cord i Mdif ZIP: S'.� <br /> Email and/or Fax ve.e e. JorJv1 1D-y cc/. La,t4 <br /> Overall Project Description: a reVot, ad tot"' tete** <br /> CheckYYPE OF PERMIT FEE <br /> Sox collected when permit is issued <br /> Dock,Commercial $50+engineering review costs <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Dock, Residential — Permanent'dock on any lake or initial seasonal dock not.on Lake $50+engineering review costs <br /> Minnetonkajpermanent dock requires CUP) <br /> Hardcover Permit:Driveway,Patio,Sidewalk,etc.(New or Replacement) No charge <br /> Also requires is a Minor or Malor Land Alteration Permit <br /> Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 <br /> the Lakeshore setback OR more than 50 cubic yards within the'lakeshore setback (also <br /> requires Conditional Use Permit) <br /> (R.f*r nc.:. City Cods B.at/onu Mar.P5.1247 and za- , <br /> Escrow for erosion control and engineering review costs As determined by CUP <br /> Land Alteration,III inor(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 lakesho setback <br /> Ptifecediav City Code Sections 78x.987.78.1247 and 78.12861 <br /> Escrow for erosion control and engineering review costs $2,000 <br /> Retaining Walls which exceed two feet In height above exist) grade; or result In more $50+engineering review costs <br /> than 20 cubic yards of imported fill;or are located less than five from the property line. <br /> Escrow for erosion control and engineering review costs $2,500 <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 or a wall unless the walls are <br /> separated by twice the height of the lower wall. <br /> Stairway or Lifts to Lake(New or Replacement) mefsregc8: s fry Code Sections 78-128aj $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 requ ring a building permit but $50+engineering review costs <br /> regulated by the zoning code flte ce: city Cpc(L$eceon 1J4l <br /> Escrow for erosion control and engineering review costs $2,500 <br /> ✓ Tree Removal or other vegetation removal within 76 feet of la -s No charge. <br /> is ,c�..1 �,• I. ,- .=_ti - c Pre.ina•action re•uired. <br /> Tem•ore Construction Offic railer associated with buildi • •-mit $30 _ <br /> Updated: January 2017 <br />