HomeMy WebLinkAbout2015-00773 - tree removal CITY OF ORONO * z 0 1 5 - 0 0 7 � 3 �
2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015
�" ORONO, MN 55356-
` (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1790 SHADYWOOD RD
PIN : 17-117-23-21-0025
LEGAL DESC : SHADY-WOOD
: LOT 020 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITH[N 0-75
NOTE: TREE WAS HIT BY LIGHTNING 2 YEARS AGO,NO LEAVES FOR 1 YEAR,NO ARBORIST
APPLICANT
EHLERS,TROY TOTAL
1790 SHADYWOOD RD Payment(s)
WAYZATA, MN 55391-
OWNER
EHLERS, TROY
1790 SHADYWOOD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
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 hecein.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 aze
requested in conformance with the State Building Code.This permit may be �l '}
revoked at any time for due cause. rL�%
_} �__--�
�' � �`,..(_.�� /�1 C�/� ' ,� 7!���� �� / � `F,/ � ���
Applicant Permitee Signatur Date Issued By Sig ature Date
City of Orono
,
-- Zoning Permit A lication
Mailing Address: P P�m��„�m b P�: �— � �
�Q�O PO B o x 66 •'"�
C�y,�a� Ba,,, M N 5 5 3 2 3-0 0 6 6 Date feC01'e°
Es«ow# e.,d � n
Street Address A m o,,,,�: ' f't
� 2750 Ke��a„ Pa�kweY Pe�m��FPe:
y� � O�o�o, MN 55356 �
G A
`�KFSHO�� Fex: 952-249-4616 ~PProvetl b,.: � , -� ((l �,��
Ma�,,: 952-249-4600 N�`B5
This applicaxion form must be completed In full anO all required informetion must be ��bm;tted. (Please print.)
Job Site Address: `�O S I��tl�/ WQ� � _ ��
CONTRACTOR/APPLICANT INFORMATION:
Name.
Pno„e: Fa
Add�e��: G�y: ZIP:
Co�ta�t Pe�=o,,: ContacYs phone number
Em��� Applica�n2�s: Co.,t�a��o� HomPo,,,,,,e� (CircleOne)
PROPERTY OWNER INFORMAT ON:
Name ti �4,�5
Pno.,P �a:,y�; a -' -
Ma����g Add�ez=: O s O o u u`'l ZIP:
Ema�� a„d/o� Fax � 0 0.�
Overall Project Description:
CBoXk TYPE OF PERMIT collected whenE ermit is issued
Dock,CommP��,e� $50 + e ee�, e,,,e�„�o
ngin ng r scs
Escrowfor e ntrol antl engineering r vlew c sts $2,000
Dock, Res�den��e�n— Pe�ma„e.,� do�k(� �Y �akP o� �,,,�,a� SeA=o„a� do�k „ot o„ LakP $50+ e�9�„ee��„9 �P„�ew�ds�=
Min etonka pe nt Oock requ s I.UPa
HardcoverPermit:Driveway,Patio,Sidewalk,etc.(NeworReplacement) No �na�9P
Also re uires is a Minor or Ma'or Land Alteration Permit
Land Alteration, Major (g�,d�.,9, f������, o� Px��„a��„9) of mo,., �h�„ 500 ��b�� ya�ds $50
t>eyontl t1�e IakeshOre vetback �R morA 2h�n 5� cub�ic ya�tls wiThi'n the I��kpshorp 5etback
(e�so �eq„�� s Co„d���o�a� Use PP m�t)
lReference:eCitv Code Sections 78-967.78-i247 and 78-12861
Eserowfo� e oi ntl .ngin , ng r vlew c sts As determinetl by CUP
Land Alteration,Minpor(9�ad��9, .,��.�g � Px�",�t,�g) of 51 to 500 �„b�� Ya�d= beYo„d�nP $50+ P„9�„ee�,,,9 �p„�pw�o��s
I�kPshore setback �t\5Q cublc ya�ds �lesti witM1in tl�e lakeshore sptback
(Reference: Ciri Code Sections 78-967.78-1247 and 78-12861
Eserow fo� e �� a.,d .�9�„ e��„g � s�s $2,000
Retaining Walls which excee 1 two ree2 in heighc above existing gratle, or result in more �5�+ englneering revlew coscs
Than 2� cubic yartlti of Impor[ed fill, or nre locatetl less [han five feet From the property line.
Eserow fo� c ncrol and nglneering revlew costs �2,5�0
lReference: Citv Code Section 78-1405(5.1)1
Retaining Walls wr,��n eTA=��e more�na., fo��feet(f�om bottom offooUng=�o�oP ofwa��)
require a builtling permlt. lieretl retaining wa�ls are consideretl onp w&II unless the wfllls
epa atetl by twice the heiyht of thp lower wall.
StairwayorLiftstoLake(NeworReplacement) lReference: CitvCodesecrions78-12821 $50 � engineering �e„�ew�o=t�
Eserowfo� e�os�o� �o.,��o� fl„d englneenng �P„�ew �os�s $2,000
Strueture Permit .o� otne� s�������Ps 200 sf o� �PSS „oz �e�����.,9 a b���d��9 Pe�m�� b„� $50 T e„9�„P�.���9 �e„�e�„ �o=�s
�e 9��,�e d b Y=�e �o���e ��d P LReference: Citv Code Section 86-661
Escrow ro� e .,«o� e.,d „9,� „9 � s�s $2,500
Tree Removal orothervegetation removalPw��n�., 75 fPet of�eke= No �ha�9e.
Reference: Ci Code Section 78-1285 Pre-inspeCtion required.
Tem ora Construction OfficelTrailer(,�_ ��a�Pd w;tn b,.��d��9 PP�m��) $30
1�;01�• �-�i-I `Y�� � ��� ►n-�v.c� 2 �� cc f�'S Q SU
UPaa�Ad: MaY 2015 �� l S L �'�� �� r � ��
(v0 C� �'�I�bV I �'�-
APPLICANT/OWNER ACKNOWLEDGEMENT:
• /lppilcan��wner agrees to provlde all Informetion requlretl or requested by the Planning �epartment,
• Owner agrees to pay the City of Orono for engineering consultant revlew costs where applicable;
t • Appllcan��wner cBrtlfies thetthe informaTlon supplietl Is[rue antl co�rectto the best of hls�heY knowledga. The appliCent recognizes
Chat they ere Solely responsible for suDmitting a complete appllcetlon being awere ihat upon fallure to tlo so� the staf'f hes no
alternative butto reJect It until lt Is completB,
� Applicenc aCknoWletlyes Ch6 Htt9Ch2d ESc�Ow/19�BBmBnt13 COrtfpleted 2nd siyned byOwn �
• ApplicanUOwner understands their project may require an initial and/or as-built survey per City Code Section 86-68.
� Some or ell of the InPormeLion thet you are asked co provltle on [his appllcetlon Is clessifletl by Stete law as either prlvate or
nfitlentiel. Private tlate is In(ormation which genera�ly cennot be given io [he public but can be glven to the subJec[ of the tlaia.
Confitlential date Is Information whlch generally cennot be glVen to eltlleY ihe pub�lc or the subjec[ of the tleta. Our purpose antl
intentled use of This information is to annually uptle[e our �ecortl5 entl records Of o[he� governmental agencies requlratl by Iaw. �f
ou refuse to supply tha Informa[lon,the appllcatlon mey not De i ed.
The undersignetl cer[ify thatthe inform ti s pplie true antl correctto the best oftheir knowletlge.
Applicant's Signature: � Dete:
Property Owner's Signature: Dete: b ,s
SUBMISSION REQUIREMENTS: E.�aP� fo� t�ae �emo„e� Pa�m�t=, all permita require a completed
TYPE OF PERMIT: application form, escrow agreement(signed by the property owner)and escrow check from owner,
two copies of each,where applicable,plana,landscape plans,grading plans,surveys or site plans.
Dock,Commercial �. 5����z��a� P�e�=fo��he ae�k
Z. Survey�si e plan showing che proposetl location of the tlock
3. CaPy e�LMCD Pa�m��
Dock,Residential Seesanel�ock�s�rvey showing proposetl tlock
Pe nt Dock�plans e epprovetl by CUP antl copy or LMCD permit�if applicable�
� HardcoverPermit �. mAll Minor o�Major Lantl Alceratian Parmii raqulraments apply a� epprop�ie2e
Z. Herecover celc�iecions, e%Isiing antl proposetl
3. S� a,.
l.and Alteration,Major 1. $urveylgratling Pia�i��i�a��y ax�su�9 a�a proposeG�a.,<o��s es approvetl ey Co�aiiio�ai�lsa P.�.�ii
2. E�o„o„ o�P�a.,.
3. A�oar or Mc„�.nena C�eak Waca�znaa D�sc.i�c(MCWD) aa��,�ns o�ao��ma.,�ac�o.,r�o,,, �na MCWD s �y cna
propo aapro�accaoesooccrigqa oyorcna�rPa�.o�cc��qreqwraroa��s. Pleasenote,theCitywlllnotissuea
buiidin rmit without infortnatlon from the MCWD.
L.and Alteration,Minor �. SurveylgraAing Pia� ���i�ai�9 axiscin9 e.,a proposaA�o�co.,�s
2. Qmount oPfill co be ImporCetl entl�or Bxporietl entl haul routa
3. Ama„��a.ae��h�e be mo„ed e�o„�d o„ s��a
4. E�es�o„� o�P�a,,.
b. A�oPy orMi�.,anana C�eek Waza�snaa D�svio�(MCWD) va��,�cs o�eo��,�a�ie�io�r�a,.,�na MCWD�au.,y cna
P�oposaaP�a�a�caoas �ecc�iqqa�a�yof[heirpermiiting�a,���ama.,�s. Pleasenote,theCitywillnotissuea
buildin rmit without Informadon from the MCWD.
Retaining Wall �. P�a„=.o�we��(s)
2. Unless repair or exect replacamant oP axisting wall, submlt an updaietl survey wit1� gratling plan inclutling ex�stinq entl
proposea contours
3. Haracova�caicuieuon worksneecs ir�n snoreiana e�sxna
4. E�a��o„ .,��o�,�a„
5. A�oPY o.M;,,�a�a�a C.aak Wa�e�s�ae D�s«,��(MCWD) Pa�m��� o�do��ma„�e�;o.,.�om<na MCWD s e��„9�ha
proposatl project tloas n triggar any ofcheir permlRing�aq,.��ama.,�=. Pleasenote��eC�w���AQt�ssu08
/b�uiidin rtnit without infortnaffion from the MCWD.
Stairwayor Lifts to �, l.onstrucxlon plans for scairway or IiR, inclutling footings
�ke Z. Topographical survey of property wifh proposetl stalrs or IIR shown
3. E�os,o� o�,�a.,
4. A�oPy orMinnaM1ehe C�.ak Waxe�snaa �isc.��c(MCWD) Pa�..,ics o�ao��ma�cecio�r�e�.cna MCWD s au�y cne
propo aaP�o�a�caeesn riggere.,yor�na�.Pe�,��z��„s�aq,.��ama��s. Pleasenote,th6CilyWIllOOtiBSU@e
buildin rmR without Infonnation from the MCWD.
Structur+e Permit i. Co.,s���«,o., P�a.,=.
Z. Survey�site plan of property wiih proposetl s ructura s�own antl wi[h setbecks to property lines, other structures on
propercy antl tha septic system Intlicatea.Tne general IoceSion of eny sewer antl watar serv�ces should be shown if
applicable.
3. Gratling plan i/gratling Is proposetl.
4. He�d�o„a��e��,.�a��o�wo�ksnae�s
5. E�os�o.,� o�P�e,,.
6. A�oar ar�Vlc.,.,anana C.aak�/Va�a�snaa ��si�i�i(MCUV�� aa�mizs o�eo��ma��aao�r�o�,nna MCWD scac�„9 ina
proposeO P�o�eccaoes ., cc�iqqar e�y ormei�Pa�m�ai�q�a,,,«ema��s. Pleasenote,theCitywillnotisauea
buildin rtnit without infortnatlon from the MCWD.
TreeRemoval Ce��: 952-249-4600 co schetlule an inspectlon Tor rsmovel of en Intliviauel trea�s�. A re-planting plen�erosion control�
age t plan mey ba equlratl/or cleer cutting,buckihorn o othar fntansive vege ation r al.
Uode�ad: Me„2015
C�� � DATE TIME
CITY OF ORONO��� CALLED IN �j��,�- _�
INSPECTION N TIC SCHEDULED -�Q��:,zf�- .��1—
PERMIT NO. d��� COMPLETED
ADDRESS � �
OWNER TEL PHONE NO.�'f��y��-����o
CONTRACTOR
� DESCRIPTION
'�` l��e " }ec� � - �5�
� ❑ FOOTING ❑ D MO-FINAL��,e� ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC I TALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
�
W .—
a
�
J
� _�,0 O�i� `(�7��,�
0
�
Qa�y �« . �,�����- � ,�u�� - ��
z �e�es �
� �K Z5 Yc Hcov�
W
�
j
d
� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
a11 forthe next inspection 24 hours in advance. (g52) 249-4600
Owner ntractor on site: Grd �i r e�
ector. i ��-'
White Copyllnspector's File Canary CopylSfte Notice
C� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �
PERMIT NO. Zb�S"'G�7�OMPLETED
ADDRESS S �
OWNER TELEP OH NE NO. �5��2'��!l
CONTRACTOR ��e �Q�1�/�z
� DESCRIPTION �n� � T� D ` 7 S
tN ❑ FOOTING ❑ DEMO-FINAI�.Q�Y�V�-/ ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC�TALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEi YiOU:_YES NO
y COMMENTS: ��n� �� �
�
W
a
�
�
O
�.
o�
O
W
�
Q
�
W
�
W
�
j
d
W ❑WORK SATiSFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
W
0 ❑CARRECT WORK,CALL FOR REiNSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. /
Call for the next inspection 24 hours in adva�e. 9 9-4600
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice