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2012-00695 - land alteration
• � CITY OF ORONO * 2 QJ 1 2 - 0 0 6 9 5 * ' ' 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2771 SHADYWOOD RD PIN . : 21-117-23-24-0059 LEGAL DESC : REG.LAND SURVEY NO.0358 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: $2,000 SB COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000 HOW DID THEY PAY? CHECK#3006&WHO PAID?MARLYS OGLE ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2012-00694 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS **AS-BUILT SURVEY AND HARDCOVER CALCULATIONS TO BE SUBMITTED AND APPROVED PRIOR TO ESCROW RELEASE.��(INITIAL) • APPLICANT MINOR LAND ALTERATION 100.00 OGLE,RICHARD&MARLY TOTAL 100.00 2771 SHADYWOOD RD EXCELSIOR,MN 55331- OWNER OGLE,RICHARD&MARLY 2771 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 dces not grant permission for additional or related 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 are requested in conformance with the State Building Code.This permit may be revoked any time for due cause. ? �a� / (�. / o�� / �-- Applicant ermi ee Sig ature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , • City of Orono � � Zoning Permit Application Mailing Address: Permit number: p�(/ � "���j/ � Q� �I� PO Box 66 Date received: � � ( � Y �`V Crystal Bay, MN 55323-0066 Q � Q Escrow#and �� ��� ��'�' Street Address: amount: � � ��T a ti) 2750 Kelley Parkway Permit Fee: �� ���Cf � � ��' p� Orono, MN 55356 � '�.9 � Approved by: k'Esx�4' 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.) Job Site Address: '��� J `/�'��)�1f L��7�E� V2�7 �1�tm� CONTRACTOR/APPLICANT INFORMATION: Name: Sv ��Li 1--�1,W1� C Phone: ���a-ca[„�- 7Uc�3 Fax: C��;�- ' � Address: ,�"� �,��� City: ,j�, f3�, ZIP: `�j��j��_ Contact Person: ��.,�,Z� ContacYs phone number ��_�-�fRk�- `��/y Email �y� �� jLmFy�i� �j�,h.��Applicant is: Contractor Homeowner (Circle One) ��--- PROPERTY OWNER INFO MATION: Name: ��' �� ' Phone (day): 3- � Mailing Address: , ZIP: Email and/or Fax --------- Overall Project Description: _���q.,�� ��� vi )����rT �hi�,��5��� � T— 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 requires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and engineerin review costs $2,000 � DriaFev�Ery Permit (New or Replacement) ��b �� (�/� 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 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 engineering 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 engineering 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 other 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. Updated: December 30,2011 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 information supplied is true and correct to the best of their knowledge. ApplicanYs Signature: Date: ?"—�Q ��v� Property Owner's Signature: Date: SUBMISSION 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 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 permit 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 plan or cop 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 cuttin , buckthorn or other intensive vegetation removal. Updated: December 30,2011 APRLICANT/OWNER ACKN�WLEDGEMENT: • Applicant agrees to provide all information required or requested by the Pianning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicabls; • Applicant certifies that the information supplied is true and coRect to the best of hislher knowiedge. 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 un61 it is compfete; • 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 corrfidential. Private data is information which generally cannot be given to the public but can be given to the su6ject 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 information supplied i true and correct to the best of their knowledge. _ < Applicant's Signature: Date: �� `/c�C� Property Owner's Signature: Date: �" ��'- � � TYPE OF PERMIT: SUBMISSI�N R�QUIREMENTS: Except for tree removal permits, all permits require a compteted applicatian form, escrow agreement(signed by the property ' owner) and escrow check from owner, two copies of all plans, and three copies of alt grading plans or surveyslsite plans Docl�,t�esldentlal Seasonal Dock—survey showing proposed dock Permanent Dock-plans as approved by CUP and copy of L.MCD permit Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD perrnit 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 Conditionaf Use Permft 2. Erosion control plan or copy of MCWD Erosion Control Permft � l.and Alteratlon, Minor 1. Grading plan 1nGuding existing and proposed cantours � (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 Retafning Wall 1. Plans for wall(s} 2. Unfess repair or exact replacement of existing walf, submit an updated survey wfth � grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control lan or o0 of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway, including footings 2. Topographical survey af 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 ta 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. Erasion contro) lan or co of MCWD Erasion Cantrol Permit Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plaN ' mana ement lan uired for clear cutti ,buckthom or other intensive ve tation removal. Updated: December 30,2Q11 Plan Re�riew Checklist for Zoning Permit Applications Address: ��� � Q(.e Description of work: �—l�l - '�� Type of permit: Zoning review by: Date Approved: � ' 2,�' � Z-.. 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? � Yes No Date of Survey: Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Proposed 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 Me ? Bluff � Yes � No � N/A � Yes � o Yes � No 0 Yes 0 No N/A - Permit Number: Setback: Hardcover Zones Existin Proposed Variance Requ' d CUP Re uire 0-75' 0 Yes No � Yes No 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution#: Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx Planning Review Checklist for Zoning Permit Appiications � ' 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 /n V'S."�.� ��� � Site Escrow Amount /� 0 Hardcover Removal ��V � Footing Signed escrow received? � Poured Wall P �As-Built Survey �Yes 0 No � Planting Plan � � Wetland Escrow amount received? �' Final �es 0 No � Other(specify) Engineering review needed? � Yes �o REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) — �� a-- r Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx ` � ��� -� �'�'"� � � � � ��� " : ;:. . . , s. � i �e`��e� . 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L �y �' -�`��� [ - �: F : � � � �1y# 3 `wR�. . .e � t �� . . �k'Mc '�„r _> ,r } . ` r^g ,._. � ��,�' t � -• ���$'` _ � _ _ t -,_ . �. ' , , . � . - , ,. _ :: ��C, g , _ 7 ,� I -3? � { , ,� ���. '��.. ,� � . - . ��. ` � . �-�4�. I S �i� �,Ne�'�' r'� e d ..:,,..,. M :?'' >�� ' . ._ 4'4�1, ,� ""s . � . � � �� .`. .1 � ' �ie� _ a.. . � " � � �. Lk ' „ . �,. R�f ��� 4`-�" " . . �,� f �� ,�� �7�i'� z �.ti � .. ..' . , . < : � � �� * � r �, � � �� '� � , , , [�i � � ��1.� � �* � � �e'f�i... � � . .. 3 � � J :_ l � � ��� �`�s•.� • -. w #�.�,,�' �. ., a Y 6 s, : � �� � a- � . ,yt . � 7 _ - + �� . '�,Y/ �1�:.. � ��[ "' :� ,wa�^ .»;:, _� .. _ '�' J. ...�. ... ,- . , t- � a F . �. �;. �. �+"`fi.xj7�R :=r . i k , < , �`�,,,_�_ � ��� t r'� �,"�4 ,. � O �J _�.. �i..$, �pC. `� . .�f' ��",. '�_y�:.�.t� .�... �� .. •k � 4 -; �` ++. 9 , `r'��" [, �e �g� � a s� �+�iM�*',':#` ,'t.{ t�..F,_� � �`s ,�x7�`� �e-,y . , " . . . . . E-u.a� 'i�,"` �..,� f�� 's s ,�, . Y '��'�t'. � _,p•�_ � 'j' �[�.� �,. � ���. �� /� . +�1�- ., �.�� ; � . � 7��� ; � 4'�t �� ' r � �'},� �� �� - ..,.�;,�'�r �. . i , _� . �. � _ s , ., �, » �- . ,� .. : � . , ,� � ;_ . '�' �'`'�: > `-� „ . . . . ; � � ,,.� .. �. . � � s�r- � Q «. _ � ,. , . . • , • . • • � • , emo To: Finance Department Fr+orn: Christine Mattson, Planning Assistant CC: Street File I , l/ Date: 10/16/2012 G/L: 101-22205 Re: Zoning Permit Escrow Refund The land alteration permit #2012-00695 pertaining to 2771 Shadywood Road is complete. The Applicant, Marlys Ogle, has requested a refund of her$2,000 escrow. Jesse Struve reviewed the as-built survey. A o J1Aw�k, The following is attached: • Escrow Refund Request • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Marlys Ogle 2771 Shaydwood Road Excelsior, MN 55331 w:�street files\shadywood road�2771�escrow refund memo 2012-00695.doc . • ZONING PERMIT ESCROW AGREEMENT Permit# 0�0!o'�- Gb(o QS� �AGREEMENT made this�day of �J i1 , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Marlys O e("Owners"). Recitals 1. A zoning permit application has been filed for a property located at 2771 Shadywood Road the ("Subject Property"), legally described as Tracts H, I and J, Registered Land Survey No. 358, according to the recorded plat thereof. Tracts A, B, C, D, F and G, Registered Land Survey No. 411, according to the recorded plat thereof. That part of Tract E, Registered Land Survey No. 411, Files of Registrar of Titles, County of Hennepin lying southwesterly of the southwesterly line of Tract C in said survey and its northwesterly extension 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 ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,000 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 # o�'J/o�•DObQ3if 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 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: CITY OF RON QW ( 4 ji B�/. 4: ItS: ` 1� r \ _ - . j ; ,� � i 1 � i: � �:.+�' i3fi �r�'k}ltj , _� � t ' c •;t1dY . II'� � i?`i'�: K+��.tey ��t� � �•rr;ne 4� ,55,i5� :�� .:=;9=��r��� c ` n,e��iYw l�,.'s? 3>t}�}i~'-at.} ,�rJt �if, 'U�: �R �� . � `�'?:j(. �4l.E' '� � � � �°:d�YiYY3� 3Yt�. �tt�lltlt? � � ���'� ' r G 1�'—�C�9�+ �:�';1 c,'�.1t.C3t� ; S r�r� �� fi��ar� ' 1t�1-•��?'�'�$ ` � `.i�f�r�en fser�—I�e.eir,ae; �`�e�:�:,it , ' `s�t�3.: �� �?OC �� i� , : � �_ w�-- _. — i , ��"�ALk'r•. t �+F}.i� ��:�� i��i, �'� t � ` � i�avor: � �� �� , I�a'r'� �5 1�it? c (�10.i�C ; � `�[��� �(s�"aiiE'd. ° ... i � -�--•��! ��`�,�y���' ;�?tb�r'l(1: _ µ i J7tf.C:c.`Q#�G E`,ie3,iAiy! j � s � � � ; s � � � , _ � , CITY OF ORONO * 2 0 1 2 - 0 PJ 6 9 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2012 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2771 SHADYWOOD RD PIN : 21-117-23-24-0059 LEGAL DESC : REG.LAND SURVEY NO.0358 : LOT 000 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT#2012-00695 APPLICANT ESCROW FEE-APPLICANT 2,000.00 OGLE,RICHARD&MARLY TOTAL 2,000.00 2771 SHADYWOOD RD EXCELSIOR,MN 55331- OWNER OGLE,RICHARD&MARLY 2771 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 Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , � Checklist for Refunding Building Permit Escrows �.'.6Y1� .�dTrt ermit # ��-Q Street Address: Z�� � ��1WiU�� IW Applicant Name: r� � Escrow request received Date: �� ��2-- Permit Type: Are all inspections completed? Yes No If not, fist what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Date: Was there a Final Certificate of Occupancy issued? Yes No Date: As-built survey required? Yes, approved on �� ' ��' �2-- NO NA ❑ to see jf there is any unbilled WIP. Date email sent: J �Y U VQ--I��l/l PIA!lCd� ❑ Prepare memo for Finance Department z:\fortns�zoning standard forms\checklist for refunding building permit escrows.doc Last Updated: 10-31-2011 � � ► Christine Mattson From: Christine Mattson Sent: Friday, September 28, 2012 10:01 AM To: 'Marlys Ogle' Subject: RE: Permit deposit with City of Orono Marlys, I received the as-built survey for 2771 Shadywood Rd. I will have the site inspected for conformance and will start the escrow refunding process. Christine^' -----Original Message----- From: Marlys Ogle [mailto:miocamn@aol.coml Sent:Thursday, September 27, 2012 2:27 PM To: Christine Mattson , Subject: Permit deposit with City of Orono Yesterday I dropped at the city office my new as-built survey for your files. I would appreciate any help you could give me in getting my$2000 permit check returned to me. Thank you, Marlys Ogle 27715hadywood Rd. Orono, MN 55331 952-471-8635 1 ORONO Corr a a� / aqoe))