HomeMy WebLinkAbout2014-00584 - tree removal ! � CITY OF ORONO * Z 0 1 4 - 0 0 5 B 4 *
• 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2014
ORONO, MN 55356-
952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2730 SHADYWOOD RD
PIN : 21-117-23-24-0064
LEGAL DESC : REG.LAND SURVEY NO.0420
: LOT 000 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
APPLICANT
BASIL, PAUL& SUSAN TOTAL
2730 SHADYWOOD RD Payment(s)
EXCELSIOR, MN 55331-
OWNER
BASIL,PAUL& SUSAN
2730 SHADYWOOD RD
EXCELSIOR, MN 55331-
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 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
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
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Ze�ning Per�it Application
Mailing Address. Permit number: ��� "OO g
��� PQ Box 66 Date received: �'��' �Y-
� Crystai Bay,MN 55323-0066
Escrow#and
Street Address: amount:
� ' ,a, 2750 Kelley Parkway Permit Fee:
� Orono,MN 55356
�< <' Approved by:
�kFSH��� Fax: 952-249-4616 Notes:
Main: 952-249-4600 �vNrw.ci.orono.mn.us ----
This application form must be compieted in full and ali required information must be submitted. (Please print.)
Job Site Address: ��� ,��j�(>�,1.(����j�� �����J�A- ,"�j� 3� �
CONTRACTOR!APPLICAN7 INFORMATION� �
Name: _ SU �L�,4�1 ����-� -- — —
Phone: ___� •° - - � Fax:
Address: �1�.lZ`,��� �¢.;�jo � CitY� [id'D Yl c� ZIP: �'�'? �/_
Contact Person: ���dh ('���� ContacYs phone number (a t 2. - 2l p - l (p 4(„
Email s�a_�_,�5� � 2�����],Applicant is: Contractor Homeowner (Circle On r--�r��t- �
PROPERTY OWNER INFO�MATION:
�T���`�`� CStS-I�rc� �orrrE-'ri�°I`�r�
Name: f.: `,'r'- � ;. I>�,ir��,y —
Phone(day): , �' .. :. R_. r� - -
MailingAddress: ���:,J�o t �'�k�.3�vt �2d.. �`�,��1 �`�s�_s;,;�;,��vt ZIP ;�.�;;,r q .,,
Emailand/orFax ,�.,:;.b��,,��}<� �a�:, 4�' �,,-��,�a �ir�;,�;�-,� ..
Overall Project Descr�ption �- � lc� �1.� � v�C� C�1^ - Y'CC'� l.( � ' E_�_
Cc�l'n ���{-�-� Y' � t � :clC' e1 - L, "LU�,��
Check TYPE OF PERMIT COST* �� ����
Box +.�.��
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 engineering review costs As determined by 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 controi and engineering review costs $2,000
Structure Permit for other structures not requiring a building permit but $50+enyineering 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 other ve etation removal in 0 to 75 foot zone No char e.
Temporary Construction Officel7railer(associated with building permit) _ $30
(over)
*Permit fee will be collected when the permit is issued.
Updated: November 30,2012
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APPLICANT/OWNER ACKNOWLED�+M'i1/fkP1T:
• Applicant/Owner agrees to provide ail information required or requested by the Planning Depaitment `
• Owner agrees to pay the City of Orano 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
appiicant recognizes that they are solely responsib►e 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;
o Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; � . �
o Applicant/Owner understands their project may require an initial and as-built survey per City Code Section 86-68.�
• Some or a�i 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 generaily 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 h law. If you refuse to supply the information,the application may not be issued.
The undersigned certify that the information supplied is true and correct to the best of their Icnowledge.
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ApplicanYs Signature: ��,(,�_�.t,4,,— '2�_ _ Date: (,t� �L` l�
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Property Owner's Signature: .�1��: ' �,�� ' , � Date: ;�e,��r�'�' ���� ; ,�:��=t'�
TYPE UF PERMIl': SUBMISSION REQUIREMENTS: Except for tree rernoval permits, all permits
require a cornpleted application form, escrow agreement(signed by 4he 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(if applicable)
Dock,Commercial 1. Structura►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 Aiteration,Major 1. Plans as approved by Conditional Use Permit
2. Erosion controi plan or copy of MCWD Erosion Control Permit
Land�Iteration, 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
Ifnes,otlier structures on property and the septic system indicated.The general
locatiori 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 plan or copy of MCWD Erosion Control Permit
Tree Removaf 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 30,2d12
DP— f '� DQy� TIME �
CITY f`F ORONO CALLED IN ��J
If�SPE�:i"ION NOTI E SCHEDULED —I 1 �
PERMIT NO. �l - d COMPLETED
ADDRESS a 73� � �'�
OWNER Sus'�- � ELEPHONE NO.l0�Z ��D Ilo��
CONTRACTOR
� DESCRIPTION ��°� �ern'd U� � � �'�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. `�❑�F LOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL _�I�HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL �❑ r�-OUNDATION/R MOVAL
2 OWNERICONTRACTOR TO �ET YOU:_Y��NO �
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c� COMMENTS: �� �
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
��O�FOP ORDER POSTED.CALL INSPECTOR
��NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Cail forthe next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopylSite Notice
INSPECTION NOTICE �/
��� ��/ DATE TIME
CITY OF �r(r/� CALLED-IN
SCHEDULED�[��1�� f I
PERMIT NO. COMPLETED �
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WNE ONTR.
❑SITE SPECTION ❑MECHANICAL RI E�NSPECTION
C SLABS ❑MECHANICAL FINAL FOLLOW-UP
❑FOOTING ❑INSULATION ❑COMPLAINT
❑POURED WALL ❑RATED ASSEMBLY ❑FIREPLACE
❑FOUND.DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM
❑FRAMING ❑SEPTIC INSTALL ❑
� ❑SHEATHING � _ ❑SEPTIC FINAL
Q ❑PLUMBING RI ❑S&W HOOKUP
❑PLUMBING FINAL ❑ INE MANOMET R ❑ , ,
o COMMENTS:_��/�(���_�--' ,�
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o� FURTHE CORRECTIONS MAY B GIUIRED ❑ PERMIT FINALED
ORK SATISFACTORY: PROCEED ❑ PHCJTO TAKEN
p O CORRECT WORK&PROCEED
V ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspectio ervic _'�
Owner/Contr.on site: k
Inspector: '�