HomeMy WebLinkAbout2013-00493 - land alteration . �
CITY OF ORONO * Z 0 1 3 - 0 0 4 9 3 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2100 SHADYWOOD RD
PIN : 17-117-23-31-0041
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 030 BLOCK 001
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS)
NOTE: �2,000 S/B COLLECTED IN ESCROW FEE
ACTUAL ESCROW FEE AMOUNT COLLECTED $2000.00
HOW DID THEY PAY? CHECK#5132& WHO PAID? STEVEN HICKS
ESCROW PERMIT#:(DON'T FORGET"I'O ENTER) 2013-00494
ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS
APPL[CANT MINOR LAND ALTERATION 50.00
CONCRETE SCIENCE SERVICES ENGINEERING REVIEW COSTS
7545 COMMERCE ST. WEST
CORCORAN, MN 55340- TOTAL 50.00
(612)616-7323
OWNER
MARHULA, DAREN
2100 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 herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the da[e 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
re k�at�ny time for due cause.
%� (e / l3 / �� �/ /v� ll�
iApplicant Per rtee Signature Date ]ss d By Signature Date
�--- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. --�
City of Orono
Zoning Permit Ap lication
�O� Mailing Address:
Permit number: �d�3 ��
PO Box 66 Date received: /��3
� Crystal Bay, MN 55323-0066 Escrow#and �
Street Address: amount:
d �flo
y � 2750 Kelley Parkway Permit Fee: ��3 _� � �
�c. � Orono, MN 55356
! �,�' Approved by:
�KESH�� Fax: 952-249-4616 Notes:
Main: 952-249-4600 "'"�`'"N�i °;or°rr'� u�
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: ��� L^ C `>��-,��� ;..r��r��� (2�� �� � �� 1�• r��t, t�l �.!
CONTRACTOR/APPLICANT INFORMATION:
Name: ���1��L-�--N k-�-i,�� �� - ��� c�c�v�f�c='-t r �c �L:��t�
Phone: �, z � �L- �i 3 z ?, Fax: �-�� �-r-zc �� � �
Address: `} .-r�� C.eM-��1,'�.{ylc.� S�'(iz� - Cit : �_c-. izc.v iZ�� ZIP: �Lg �
Contact Person: `'�i -_� -�, ContacYs phone number rE: i Z cE a lt "��i z�2,
Email ��z��,L � �;;,,,c��j--t.�- S�,�-,v��;� ;�cr�t Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: ��}-rZ�� i�i �ir-� v�
Phone (day): ��Z �,Z w �1��-i
Mailing Address: •Zl n o , a�•�wae-� fz.� nr+� �. �z.,,n�-C ZIP: ���� •„
Email and/or Fax �;z�v�-_ � C��v�r2�..�-1,�: - ����-�;t�- �+••�
Overall Project Description: �•,z,v;;v�,,a`f 1��V iNL:
Check TYPE OF PERMIT
Box COST*
Dock, Residential -Permanent dock on any lake or initial seasonal dock not on $50+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
� Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 $50
more than 10 cubic yards in lakeshore setback (also requires CUP)
Escrow for erosion control and en ineerin 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+enginePr��^ �- �
Escrow for erosion control and engineering review costs $�
Structure Permit for other structures not requiring a building permit but $5 �� �7i •' `�C/
regulated by the zoning code (including, but not limited to accessory building of Z- -�',] lv
less than 120 square feet, detached deck or platform and sport court)
Escrow for erosion control and en ineerin review costs $2,. �� ,^ r � C,��v y,��r
Tree Removal or other ve etation removal in 0 to 75 foot zone No� �k' �
Tem ora Construction Office/Trailer associated with buildin ermit $30
(over) '
*Permit fee will be collected v
Updated: November 30,2012
�... ,
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Applicant/Owner 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/Owner 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;
• Applicant/Owner understands their project may require an initial and as-built survey per City Code Section 86-68.
• 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
overnmental a encies re uired b law. If ou refuse to su I the information, the a lication ma not be issued.
The undersigned certify that the_.infs�r,mation supplied is true and correct to the best of their knowledge.
ApplicanYs Signature: Date: 1� r ( �7 � ��"� ~3
Property Owner's Signatu e: Date:
BMISSION REQUIREMENTS: Except for tree removal permits, all 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 surveys/site plans
Dock, Residential Seasonal Dock—survey showing proposed dock
Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable)
Dock, Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate
2. Hardcover calculations, existing and proposed
3. 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. Survey/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. Construction plans.
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 proposed.
4. Hardcover calculation worksheets
5. Erosion control lan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/
management plan required for clear cutting, buckthorn or other intensive vegetation removal.
Updated: November 30,2012
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To: Finance Department
From: Christine Mattson, Planning Assistant
CC: Street File
Date: June 9, 2014
G/L: 101-22205
Re: Escrow Refund
Zoning Permit Application #2013-00493 pertaining to 2100 Shadywood Road is complete.
Please refund $2,000 to the applicant, Daren Marhula.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Daren Marhula
2100 Shadywood Road
Wayzata, MN 55391
w:�.street files\shadywood roacn2100�escrow refund request for 2013-00493.doac
ZONING PERMIT ESCROW AGREEMENT
Permit# o`�OI 3 _ D0�-°r3
AGREEMENT made this l 3 day of cJ(,(,y , 20�, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City")and hil i�Y�!'1/ '►GIYh G( !,/t ("Owners").
Recitals
1. A b�ilding permit application has been filed for a zoning permjt for a property loc ted at
Z I(� S�'��fC�u{ti2Y��iKc�the ("Subject Property"), legally described as ��'t/,�"C�l'�.��j� ��J' l--'�C��-L�L� �
Hennepin County Minnesota.
2. Owner requests the City to review this application.
3. The City will commence 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 ESCRO�,'`�F,�U�,NDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit $ G�XJ.�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 securitv may also be
used by the City to eliminate any hazardous conditions associated with the work and to rP� � damage to
public property or infrastructure that is caused by the work (including planning, eno�� consultant
review) associated with permit #2�0l3—DO�13 if compliance with thn /L•��•1� mit is not
accompiished. � �k
3. MONTHLY BILLING. As the City receives consuitant 'I in turn
send a bill to the Owners. Owners shall be responsible for payment � `wners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the eve� nent
to the City within the timeframe outlined in #3 above, shall issue a Stop Work ses
invoiced pursuant to #3. The City may draw from the escrow account with to
reimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escro �riall be returned to the
Owners when the review has been completed and written notification is receivE_ ��om the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the
subject property pursuant to Minn. Stat. §§415.01 and 366.012.
CITY: I Y OF ORONO p ,
By: 'V
Its: �.r�CtF_..3-= �i��21-'�.,u�
Internal Use Oniy: G Original to Pianning Department G Copy to Street File
Updated: November 30,2012
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DECK
EXISTING
HOUSE
#2106
Lot 30, Block 1, WILEY'S PARK, LAKE MINNETONKA, except that part thereof
lying northweste�ly of a line drawn northeasterly from the most westerly corner of
said lot to the shore of Lake Minnetonka, which line forms an angle of 80 degrees
36 minutes 30 seconds with the southwesterly line of said lot, at the most westeriy
comer of said lot.
o : deno rker nd
(s4s.5) : denotes existing spot ele
� , mean sea I datum
—���—: denotes existing topography, mean sea level datum
Bearings shown are based upon an assumed datum.
This survey shows the boundaries of the above described p�operty, the
�ocation of an existing house and garage, topography, trees, lakeside
of adjacent houses,and the location of all visible"hardcove�"thereon.
It does not purport to show any other improvements or encroachments.
3 E R G & AS S O C IAT �HEREBY CERTIFY THAT THIS PLAN,SPECIFICATION,OR R
E S� 'N C� WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND '�LE , �i
THAT I AM A DULY LICENSED PROFESSIONAL ENGINEE ��� \\
NG ENGINEERS, LAND SURVEYpRS, SITE PLANNERS '''� �
SURVEYOR UNDER THE LAWg OF THE STATE OF MINN SOTA.�ND DATE
�ORTH WILLOW DRIVE, LONG LAKE, MN. 55356
952-473-4141 / 5-20-10
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DATE %//7�d JOB N0.
MN LICENSE NUMBER lZ7J' 10-091
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Cf;�rEj� T�n��:r�d; ---______---___
Obdt.'s;:'i;�s; G�.�ifi�y�...,._�_ ���
STEVEN HICKS 5132
6685 CHERRYWOOD CT 17-7465/2910
MINNETRISTA,MN 55364 �•
�n � � `! � Z-L't :�i
^ DATE
PAYTOTHE G.i�--- � ls" W �1�!�� '
ORDER OF
"'�wb '"`-�"iZt7 �+�c1�r+� � v� DOLLARS 8s.amri.,�.�
eraa.a.
oewro a�mck
W 3675 SIOUX DRIVE
+ MEDIN0.NN 85340 � ('�
PH:783-2358000
FI�A�i�BI TOLL FHEE:800-561-0225
ro►Enno�r^ ,'��,�1"�i.,r�- p��rMZ ��.��� "R'
�: 29 L074654�: 040666 '
' TRADRIONALBLUE
� � • CITY OF ORONO * Z 0 1 3 - 0 0 4 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2100 SHADYWOOD RD
PIN : 17-117-23-31-0041
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 030 BLOCK 001
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-APPLICANT
NOTE: THIS$2000.00 ESCROW IS TIED TO ZONING PERMIT 2013-00493-PD CK#5132 BY STEVEN HICKS
APPLICANT ESCROW FEE-APPLICANT 2,000.00
CONCRETE SCIENCE SERVICES ESCROW FEE-DEVELOPER 0.00
7545 COMMERCE ST. WEST
CORCORAN,MN 55340- TOTAL 2,000.00
(612)616-7323
OWNER
MARHULA, DAREN
2100 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 pertnission for additional or telated work which requires separate
permits. All provisions of laws and ordinances goveming 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 aze
requested in conformance with the State Building Code.This permit may be
revoked a6 any time for due cause.
te � 1'� i ZE9l � � l0 �/� � /3
App.lfcant Permi e Signature Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�"�- Permit . ��__��� �
� i� � ► ►� ❑ �_� :'� PI� � "' ■ �
P�rmit#: 2013-00493 Update Address
�' Main PIN �4ddres=
PcrmitAddress: 2100 Shady�rood Rd C' Additional F9�1 Addres�
f` Permit Issue � Paroei Issue
General� Fe�s ��sp�1�R} I Notes� Aaallcant Detail� CO Detail�
Seq Insped�on Type Inspe�or DaEe Status H Fee Rec
• 1 i Er�gi�reer�ng Revierw�_ I 1 I I � ;
__ __
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