HomeMy WebLinkAbout2012-00794 - land alteration � R CITY OF ORONO * 2 0 1 2 - 0 0 7 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: 10/02/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1265 SHORELINE DR
PIN : 02-117-23-34-0010
LEGAL DESC : REG.LAND SURVEY NO. 1123
: 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-WAIVED PER CHRIS IN PLANNING&ZONING,WILL USE ESCROW ON PERMIT
#2012-00684 07/18/12 TIED TO PERMIT#2012-00651.
THIS IS AN ADDITIONAL SECTION OF DRIVEWAY REPLACEMENT AND LAND ALTERATION.
APPLICANT MINOR LAND ALTERATION 50.00
SOUTHVIEW DESIGN&CONST TOTAL 50.00
1875 SOTH ST E
INVER GROVE HEIGHTS,MN 55077 PAID WITH CC# 0401
(763)226-9705
OWNER
MCCABE,ROGER
1265 SHORELINE DR
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 sepazate
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 at ti e for due cause.
D / Z / 2� 2, / /
ppl t Permitee Signature Date Issued By Si ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
�
' City of Orono � �- .� � �
. � `% ;�-�:��
� Zoning Permit Application
Mailing Address.�
Permit number. 02 -- '��
.Q,Q �1� PO Box 66 Date received: � Z
�` Crystal Bay, MN 55323-0066
Y V
Q � Q Escrow#and
`�'��'" Street Address: amount: �L'' � ��� �'«'�1..-.
�
a �'�a��� �" 2750 Kelley Parkway Permit Fee:
��� " ����'�, p�� Orono, MN 55356
.9k.ESH�¢,'� Approved by:
- 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. (P/ease print.)
Job Site Address: �Z�rs � �'�r--�►�1� ����1�-
CONTRACTOR/APPLICANT INFORMATION:
Nam e: �c�-i-.��1�K-�Jf�-�t G r�j
Phone: r]�� . 22� g��- Fax:
Address: ( S' .�s'''� g'r' City: I���-�t4JE- ZIP: 3��,�'0-7�
Contact Person: �j�oC�'C�s,�pUp ContacYs phone n . -Z-z - �o
Email �zL�,c� ��u�lr�..op��„�,,�I, Applicant is: ntract Homeowner (Circle One)
�h
PROPERTY OWNER INFORMATION:
Name: `_-��.�t,�� -� h1f1�-� ��--�(3�
Phone (day):
Mailing Address: 2CoS 1 ��-u..l� R��l�. ZIP:
Email and/or Fax
Overall Proje D scription: . ��— � �. � �-6.�/ S�-
)�
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 permanent dock requires CUP
Dock, Commercial $50+ engineering review costs
Escrow for erosion control and engineering 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 $50
more than 10 cubic yards in lakeshore setback (also requires CUP)
Escrow for erosion control and engineering 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 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 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.
� __
_ __- � �,c I
Applicant's Signature� �t��-��� ��� � -- = Date: U���{ l�-,12—
�
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 surveys/site 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 cutting, buckthorn or other intensive vegetation removal.
Updated: December 30,2011
Plan Review Checklist for Zoning Permit Applications
Address: I2�K-� �r�� 1/IY •
Description of work: ��� S•'I • Qf .�V�
Type of permit:
Zoning review by: �,1'yl ,��-- Date Approved: �"L7' �Z-.
Grading review by: Iv�t Date Approved:
Other Review, Reviewed by: Date Approved:
Zonin :
Zoning File#: Resolution#: Resolution Date:
Lot Area: SF/AC Width: Depth:
Survey Submitted? 0 Yes o Date of Survey: �
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 Permi Received Average Lakeshore Setback Met? Bluff
0 Yes No � N/A 0 Yes No
0 Yes o 0 Yes ❑ No �A
Permit Number: / Setback:
Hardcover Zones Existin Proposed Variance Required CUP Required
0-75' � Yes � No � Yes �
75-250' Type(s): Type(s):
250-500' Zoning F� . Zoni ile#:
500-1000' R olution #: Resolution#:
Created: March 29,2011
z:\formslplan review checklist for zoning permit applications.docx
Planning Review Checklist for Zoning Permit Applications
Page 2 of2
Cubic Yards
In Out Total
Haul Route? ? 0 Yes � No
Explain haul route in detail:
Fees to be Charged Amount Orono Inspections Required
'Permit Amount �
� Site
Escrow Amount � Hardcover Removal
�}i V o�{ � Footing
v►l y/� 0 Poured Wall
Signed escrow received? �
❑ As-Built Survey
�es 0 No �L- ���¢ ❑ Planting Plan
� 0 Wetland
Escrow amount received? Final �
1'es 0 No 0 Other(specify)
�
Engineering review needed?
� Yes q�i�o
�
REMARKS (in-house):
I� r � .
Other Review: Reviewed by: Date Approved:
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
Henne�in County GIS - Printable Map Page 1 of 1
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Parcel 02-117-23-34-0010 A-T-B: Torrens Map Scale: 1"= 100 ft. N
ID: ; Print Date: 7/16/2012 � �
Owner Roger K&Nancy Mccabe Market $2 370,000
Name: Total: '
Parcel 1265 Shoreline Dr Tax $30,375.28 i j
Address: Orono, MN 55391 Total: (Payable: 2012) � f
P �'h� '
Pro e Residential Lake Shore Sale $4,500,000 '
Type: Price: ,This map is a compilation of data from various
�sources and is fumished"AS IS"with no
HOme- Homestead Sale 04/2008 'representation or warranty expressed or �
stead: Date: 'implied,including fitness of any particular
�purpose,merchantability,or the accuracy and
i completeness of the information shown.
Parcel 1.2 acres Sale '
Area: 52,191 sq ft Code: ;COPYRIGHT O HENNEPIN COUNTY 2012
� -• ;reer:
http://gis.co.hennepin.mn.us/Property/print/default.aspx?C=456331.233 58270264,4979390... 7/16/2012
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