HomeMy WebLinkAbout2011-00992 - land alteration . CITY OF ORONO PERMIT 1v0.: 2011-00992
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/06/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1350 REST POINT LA
PIN : 07-117-23-32-0039
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 021 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS)
N01'E:
* ALL PLASTIC UN R ROCK TO BE REMOVED VEFORE F[NAL INSPECTIN IS SCHEDULED. AREAS NOTE ON ATTACHED
COPY OF SURVEY. (INITIAL)
* DISTURBED AREA WILL BE SODDED.�_(INITIAL)
APPLICANT MINOR LAND ALTERATION 50.00
HOXIE, MIKE TOTAL 50.00
1350 REST POINT LA
MOUND, MN 55364-
OWNER
HOX[E, MIKE
1350 REST POINT LA
MOUND, MN 55364-
AGREEMENT AND SWORN STATEME1vT
The work for whidi this permit is issued shall be performed according[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revok at any time for due cause.
� � � r � g, � ,�
p licant ermitee Si nature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
City of Orono
- Zoning Permit Application
� MailingAddress: Permitnumber: �D�`J�� L
��J�,, PO Box 66 Date received: Q` /
�r Crystal Bay, MN 55323-0066
�. � � �� � p
Escrow#and
����'����� �� � Street Address: amount: �� ��J't'C��
`� �, a�^� � � 2750 Kelley Parkway Permit Fee: � � �
�� � p� Orono, MN 55356
ly '� Approved by: �
kESH��'
-- Fax: 952-249-4616 Notes:
Main: 952-249-4600 �•ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
GENERAL INFORMATION:
Job Site Address: �' . j' � -
_ !1 f') � u��.�/o
CONTRACTOR/APPLICANT INFORMATION:
Name: -- ��,--a 4� ,' �_ '���c ► S��c�����,)�
Phone: ` �� Fa�C.
Address: City: ZI P:
Contact Person: Contact's phone number
Email Applicant is: ontractor� Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
i;
Name: � � � ;��- ; rt� �; �-
Phone (day): ' _ �'
Mailing Address: (. `?� ���� ,� � - %�-: �, � � ' ZIP: '�� 3.' '
Email and/or Fax � �,� o x ' � `°, �'
Overall Project Description: ��� ' / ' ' �
� 5cur��s� /h< �l�,;�.1 1✓�c� G � .'l�i--�� �%u-�.�f✓� 5 � �e 1v�f�Giy�
,. �
Check TYPE OF PERMIT
Box COST*
Dock, Residential — Permanent dock on any lake or initial seasonal dock not on $30 + engineering review costs
Lake Minnetonka ermanent dock re uires CUP)
Dock, Commercial $50+ engineering review costs
Escrow for erosion control and en ineerin review costs $2,000
Driveway Permit(New or Replacement) No charge
Also re uired is a Minor or Ma�or Land Alteration Permit -
Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $30
more than 10 cubic yards in lakeshore setback (also requires CUP)
Escrow for erosion control and engineerin review costs As determined b CUP
Land Alteration, Minor(grading, filling or excavating) —500 or less cubic yards $50+ engineering review costs
\ 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 permit. $50+ engineering review costs
Retaining walls measuring 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 walls are separated by twice the height of the lower wall.)
Escrow for erosion control and en ineerin review costs $2,500
Stairway to Lake (New or Replacement) $50+ engineering review costs
Escrow for erosion control and engineering review costs $2,000
Structure Permit for other structures not requiring a building permit but $50+ engineering review costs
regulated by the zoning code (including, but not limited to accessory building of
less than 120 square feet, detached deck or platform and sport court)
Escrow for erosion control and en ineerin review costs $2,500
Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e.
(over)
*Permit fee will be collected at
the time the permit is issued.
APPLICANT/OWNER ACKNOWLEDGEMENT: �
• Applicant agrees to provide all information required or requested by the Planning Department; �
• Owner agrees to pay the City of Orono for engineering consultant review costs where applicable;
• Applicant certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant
recognizes that they are solely responsible for submitting a complete application being aware that upon failure to
do so, the staff has no alternative but to reject it until it is complete;
• Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• Some or all of the information that you are asked to provide on this application is classified by State law as either
private or confidential. Private data is information which generally cannot be given to the public but can be given to
the subject of the data. Confidential data is information which generally cannot be given to either the public or the
subject of the data. Our purpose and intended use of this information is to annually update our records and records
of other governmental agencies required by law. If you refuse to supply the information, the application may not be
issued.
The undersigned certify that the informat�on supplied is true and correct to the best of their knowledge.
Applicant's Signature: Date:
, , ,
Property Owner's Signature: �„�, �� - � Date: ;;� ���j�
, _ ��
SUBMISSION REQUIREMENTS: Except for tree removal permits, atl permits
TYPE OF PERMIT: require a completed application form, escrow agreement (signed by the property
owner) and escrow check from owner, two copies of all plans, and three copies
of all grading plans or surveyslsite plans
Dock, Residential Seasonal Dock—survey showing proposed dock
Permanent Dock- plans as approved by CUP and copy of LMCD permit
Dock, Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD perm;t
Driveway Permit 1. All Minor or Major Land Alteration Permit requirements
2. Hardcover calculations, existing and proposed
3. Driveway plans
Land Alteration, Major 1. Plans as approved by Conditional Use Permit
2. Erosion control plan or copy of MCWD Erosion Control Permit
Land Alteration, Minor 1. Grading plan including existing and proposed contours
(Less than 10 cu.yds. within 75' of 2. Amount of fill to be imported and/or exported and haul route
lake or less than 501 cu.yds 3. Amount of earth to be moved around on site
elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit
Retaining Wall 1. Plans for wall(s)
2. Unless repair or exact replacement of existing wall, submit an updated survey with
grading plan including existing and proposed contours
3. Hardcover calculation worksheets if in shoreland district
4. Erosion control lan or co of MCWD Erosion Control Permit
Stairway to Lake 1. Construction plans for stairway, including footings
2. Topographical survey of property with proposed stairs shown
3. Erosion control plan or copy of MCWD Erosion Control Permit
Structure Permit 1. Plans for structure.
2. Survey of property with proposed structure shown and with setbacks to property
lines, other structures on property and the septic system indicated. The general
location of any sewer and water services should be shown if applicable.
3. Grading plan if grading is required
4. Hardcover calculation worksheets if in shoreland district
5. Erosion control lan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule inspection.
Last Updated: April, 2011
�. � Plan Review Checklist for Zoning Permit Applications
�
Address: I ?j�� ������� �` �--�7//�—
Description of work: 'I/l,�k� �l C�G(�G�..(/f L
Type of permit: l/U v��� /V� l�!�� �G rl� �
Zoning review by: l,�%(/�( '.� Date Approved: lY I�
Grading review by: �,(//� Date Approved:
Other Review, Reviewed by: Date Approved:
Zonin :
Zoning File#: �^ Resolution#: Resolution Date:
Lot Area: SF/AC Width: Depth:
Survey Submitted. es � No Date of Survey: Z�j I 0
Existin Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Shoreland DistriCt MCWD Permit Received Average Lakeshore Setback Met? Bluff
� Yes � No ❑ N/A 0 Yes � No
� No 0 Yes � No 0 N/A
Permit Number: Setback:
Hardcover Zones Existin Pro osed Variance R u' ed CUP Re uired
0-75' �r.7� � ❑ Yes ❑ Yes ❑ No
"/
75-250' ��� ��j �,Q Type�s�; Type�s�:
oU/-i
250-500' Zoning File#: Zoning File#:
500-1000' Resolution #: Resolution#:
1..� �
�-� r BX� 4
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Created: March 29,2011
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Planning Review Checklist for Zoning Permit Applications �
Page 2 of2 �
Cubic Yards
In Out Total
Haul Route? ? � Yes 0 No
Explain haul route in detail:
Fees to be Charged Amount Orono Inspections Required
Permit Amount
� Site
Escrow Amount 0 Hardcover Removal
❑ Footing
Signed escrow received? � Poured Wall
0 As-Built Survey
0 Yes � No 0 Ptanting Plan
❑ etland
Escrow amount received? Final
❑ Yes ❑ No � Other(specify)
Engineering review needed?
0 Yes � No
�
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
i�: �
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
� � ��
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`s s��w�l�d - A�� ruw� o�►� �c,�v�-- i�+py � 5u���y .
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
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� • M� CH�1�"� No� /E
� Address: � 3SO �E�T i�'f�fhf�i"' �t�l� 0�0�0 �� Q'l-(�
Prepared by: GRC)N C��t?G � SSO�t.A'"T F_�
HARDCOVER CALCULATION WORKSHEET
SETBACK'ZONE: (CIRCLE ONE) 0-7 ' 75 250'250-500' 500-1000'
EXISTING HARDCOVER IN ZONE S8� S.F.-�Ipv S�:
A. House x =
Length Width �j �y��G��
X = �S-I S.F.— ri'TE�
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = 74 S.F.-STOOQtur�s
x = S.F.
E. Patio/Deck x = �S2. S.F.-D�'GiCS?��
x = S.F.
F. Landscape x = 7 7 S.F.-(��C►�'
Underlain x = �2 S.F. �ar,� ���.�
By Plastic x = S.F,
G. Retaining Walis x 3�x G. S = � 8 S.F. r��^�r-�s
H. Other x = 6 S.F.-S��PS A'
�- s No.R�
TOTAL HARDCOVER IN ZONE - !�7 S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A 1�572 + B �r��x100 = 3,�.67 %
PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained)
A. House x = S.F.
Length Width
x = S.F.
x = S,F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape R("�'�.+cF' 7"1�+-t3t"�1 x w'i7N �('G�CP.�' o,v Pt.�Iric = � /8 S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Retaining Walis ��'�'°vE rdr����'S �l��'����'�'�' �It��++Gr��l+� _ - �8 S.F.
H. Other x = S.F.
TOTAL HARDCOVER IN ZONE ivd ivEr �.�r,�.�-�G f _ f.���. S.F. A
TOTAL PROPERTY AREA IN ZONE - ,�6 6 8 S.F. B
q = B x '!00 = ..�,�. d"� %
- 21 -
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' Address: � 3 J�� K�ST !�l f`1.T (,J9�1`�1,� � Date: q' � '�l
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Prepared by: �2C�N C3�12C�r � HSSOGIA"t�.�'
HARDCOVER CALCULATION WORKSHEET
SETBACK�ZONE: (CIRCLE ONE) 0-75' C -?��,�150-500' S00-1000'
EXISTING HARDCOVER IN ZONE
A. House x = 1��Z S.F.
Length W idth
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = ZI 2 S S.F.
x = �7 S.F. Carvc./IP�
D. Sidewalk x = ^11 S.F.
x = 9 s.F. Co.t�r: P.r
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = 1 6 O S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Retaining Walls x = � 9 S.F.^C ���
H. Other x - � = 3 8._-. S.F. 7'/,N,86�►J
TOTAL HARDCOVER IN ZONE - 3S B;Q S.F. A
TOTAL PROPER A AREA IN Z�O�N8 9 _ S S.F. B
+ B �_x 100 �]!.2 %
PROPOSED HARDCOVER IN ZONE (including existing hardcover to be retained)
A. House x = S.F.
Length W idth
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x �F/irGt/� Gv,tCK = — 75 S.F.
x �vF� ����� = a- 9 � s.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Retaining Walls x = S.F.
,�Fn��vc T/Md E�l' �AC�tFA�y Q f.e�oacal
H. Other x = � 3� S.F.
TOTAL HARDCOVER IN ZONE ,.3 8 8 � — Z d � 6 S.F, A
TOTAL PROPERTY AREA IN ZONE - 4�S 9 S.F. B
a 3869 �:- e S�f59 x�oo = To. 87 °io
-21 -
�� DATE TIME �
CITY OF ORONO CALLED IN � !
INSPECTION N TICE .,S�EDULED
PERMITNO. � ���—���oMP TED
ADDRESS ��J�D ?"J` f�GLII.C�
OWNER ��l��C�f'��'���ELEPHONE NO. �1a�/��a3��
CONTRACTOR
>; DESCRIPTION �� ^ ��I C C�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�'NO
� COMMENTS:
�
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� ❑WORKSATISFACTORY:PROCEED �f-P OJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor o�site�
Inspector. /�� ,
White Copyllnspector's File Canary Copy/Site Notice
. .
, • . • •
� • ,
emo
To: Finance Department
From: Christine Mattson, Planning Assistarrt
CC: Street File '��
Date: 12/18/2012 ��� �
G/L: 101-22205 '
Re: Zoning Permit Escrow Refund
Zonin Permit#2011-00992 rtainin to 1350 Rest Point Lane is com lete. All ins ections
9 Pe 9 P p
have been finalized. Please refund the $600 escrow currently held to the property owners,
Michael & Karmen Hoxie.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Michael & Karmen Hoxie
1350 Rest Point Lat�e
Mound, MN 55364'
w:�street filesVest point lane\1350\escrow r�fund memo 2011-00992.doc
ZONING PERMIT ESCROW AGREEMENT
Permit#2011-00992
AGREEMENT made this_�day of , 20� by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City")and Micha I & Karmen Hoxie("Owners").
Recitals
1. A building permit app,lication has been filed for a zoning permit for a property located at
1350 Rest Point Lane the ("Subject Prqperty"), legally described on Exhibit A.
2. Owner requests the City to review this application.
3. The City will commenc� its review of the application and incur costs associated with said review
only if the Owner establishes an escrow to ensure reimbursement to the City of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$600.00 with the City. All accrued interest, if any, shall be paid to the City to
reimburse the City for its cost in administering the escrow account.
2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City
for all out-of-pocket costs the City has incurred (including planning, engineering or legal consultant review) or will
incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible
for under a zoning permit application. The escrow will also guarantee reimbursement to the City for all out-of-
pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater
Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be
used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to
public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant
review)associated with permit#2011-00992 if compliance with the approved zoning permit is not accomplished.
3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the
Owners when the review has been completed and written notification is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARiGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the Cit exceed the amount in'escrow, the City shall have the right to certify the unpaid balance to the
su � pro erty purs to Minn. Stat. §§'415.01 and 366.012.
CITY: C OWN
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LEGAL DESCRIPTION OF PREMISES :
That part of Lot 21 in Subdivision of Lot 14, Rest Point Park Loke Minnetonka,
lying northerly of a line running from the Southwest corner of said Lot 21 to a
point on the easterly line of Lbt 16, said subdivision, distant 1.00 foot southerly
from the Northeast corner of said Lot 16, including ad jacent half of vacated alley.
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