HomeMy WebLinkAbout2017-01577-PERMIT VOIDED ,. CITY OF ORONO * z 0 1 7 - 0 1 5 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 12/OU2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1444 BALDUR PARK RD
PIN : 08-117-23-43-0004
LEGAL DESC : BALDUR PARK
: LOT 004 BLOCK 001
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: CUT DOWN TREE FROM BEAVER DAMAGE WITHIN 75'OF LAKESHORE
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APPLICANT TREE REMOVAL 0.00
KAVENEY, PATRICK&LORING TOTAL 0.00
1444 BALDUR PARK RD
WAYZATA, MN 55391-
OWNER
KAVENEY,PATRICK&LORING
1444 BALDUR PARK 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 Ciry 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[he 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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� _ City of Orono
' Zoning Permit A lication �D/ �
Mailing Address: Permit number. "� —
�� PO Box 66
�Q Crystal Bay, MN 55323-0066 Date received:
Escrow#and
Street Address: amount
2750 Kelley Parkway
y ` Orono,MN 55356 Permit Fee:
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l,q �y Approved by:
kE S H o4 Fax: 952-249-4616
Main: 952-249-4600 Notes:
www.ci.orono.mn.us
This appfication form must be completed in"fuli and all required information must be submitted:+(P/ease print.)
Job Site Address: ) ��� �h Otf�l.l��. �Y.
CONTRACTOR/APPLICANT INFORMATION:
Name: I * �rD a xa
Phone: (� F :
Address: , Ci : � ZIP:
Contact Person: r w•�, ContacYs phone number (��1- ��j�- �Cjyq
Email �.,�,� 4]��y�„���.�Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNEI�INFORMATION: ,
Name: G O F �' q
Phone(day): Z.
MailingAddress: (n S. S-r+� _ ��}� ���15 �� ZIP: � ��
Emai1 and/or Fax ��,,_�� ���o���• �D�
Overall Project Description: ` .� 4
CBoXk 7YPE OF PERMIT collecfed whenE ermit is issued
Dock,Commercial $50+engineering review costs
Escrow for erosion control and en ineerin review costs $2,000
Dock, Residential – Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs
Minnetonka ermanent dock r uires CUP
Hardcover Permit:Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge
Also re uires is a Minor ar Ma'or Land Alteration Permif
Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50
the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also
requires Conditional Use Permit)
lReference: Citv Code Sections 7&967.78-1247 and 7&12861
Escrow for erosion control and engineering review costs As determined b CUP
Land Alteration,Minor(grading,filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs
lakeshore setback OR 50 cubic yards or less within the lakeshore setbadc
lReference: Cltv Code Sections 78-967.7&1247 and 7&12861
Escrow for erosion control and engineering review costs $2,000
Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs
than 20 cubic yards of imported fill;or are located less than five feet from the property line.
Escrow for erosion control and engineering review costs $2,500
LReference: Ckv Code Section 78-1405(5_1)1
Retaining Walls which measure 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
se arated b twice the hei ht of the lower wall.
Stairway or Lifts to Lake(New or Replacement) LReference: Ciri Code Sections 7s-12s2i $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs
regulated by the zoning code IReference: Citv Code Section 86-66T
Escrow for erosion control and en ineerin review costs $2,500
Tree Removal or other vegetation removal within 75 feet of lakes No charge.
eference: C' code secffon 7&9285 Pre-ins ection re uired.
Tem ora Construction Officefl'railer associated with buildin ertnit $30
Updated: January 2017
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APPLICANT/OWNER ACKNOWLEDGEMENT: �
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. ApplicanUOwner agr�es to provtde all information required or requested by the Planning Department; .�
. Owner agrees to pay the Cily of Orono for engineering consuMsnt review costa where applicable;
• ApplicanUOwner certifies ttrat�e i�ormation supplied is true and correct to the best af hfsTher Imowledge. The applicant reoognizes
that they are solely r�pons�te for submitting a oomplete applicatlon being aware that upon faiture to do so,the s�ff has no altemative
but to rejed it until it is complete;
• Applicant aclv�owledges the attached Escrow Agreemerrt is completed and signed by Owner,
• Applicant/Owner understands their project may require an initial and/or as-built sunrey per City Code 3ection 86-68.
• Some or all of the ir�fortnation that you are asked to provide on this appliqtion is dassfied by State law as either private or confideMial.
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 infortnation which generapy cannot be given to either the pudic or the subject of the data. Our purpc�se and intended use of this
infom�ation is to annually update our records and records af other govemmental agencies required by law, If you refuse to supply the
information ihe a cation ma not be issued.
The undersigned certity that ' ormation supplied is true and oorrect to the best of their knowledge.
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ApplicaM's Signature: Date: �1
Property Owne�s Signabure: Date: �( Z� �
SU SSION RE� REMENTS: Except for tree remaval peamits, all permits require a complebed
TYPE OF PERMIT: application form,escrow agreement(signed by the property owner)and escrow check from o�nrn�r,iwo
copies of each,where applicable,plans,landscape plans,gradtng plans,surveys or ske plans.
Dock,Commercial 1. Structural plans for the dock
2. Surveylsite plan showing the proposed locatl�of the dadc
3. Copy of LMCD permit
Dock,Residential Seaso�l Dodc-survey sho�Mng proposed dodc
Permanent Dock— lans 8s a roved CUP and cop of LMCD pertnit d icable
Hardcover Pemik 1. All Minor or MaJ�Land Altergtion Pertnit requiremer�ts appy as appropriate
2. Hardcover calculatlons,e�dsting and proposed
3. Survey
Land Alteratton,Major 1. Survey/�ading plan induding e�dadng and proposed corrtours as approved by Condidonal Use Pertnft
2. Erosion coMrol plan.
3. A copy aF Mfnnehaha Creek Watershed District(AACWD)pertnks or documer�tatian fr�n the MCWD stating the
ProPosed ProJect does rrot trigQer any of their pertnNNng requiremeMs. Pi�note,the City will not issue s
bulldin miit wilhout t�ortnatlon from the MCWD.
Land Alteration,Minor 1. Sirvey/greding plan induding existing and proposed coMours
2. Amourd of fill to be imported and/or e�orted and hau�ta�te
3. Amount of eaRh to be moved around on site
4. Erosion control plan.
5_ A copy of Minnehaha Creek Watershed District(MCWD)permits or documentadon from the MCWD stating the
proposed prolect does not trigg��y of their pertnitUng req�remeMs. Please note,the City wfll not issue a
buil�n rmit wtthout irHortnation from the MCVYD.
Retaining Wall 1_ Plans for wall(s)
2. Unless►epair or exact replacement oF ebstlng urall,submit an updated survey with grading plan induding existing and
propased cor�tours
3. Hardcover calculation worksheets if in shoreland district
4. Erosion control plan
5. A copy of Minnehaha Creek Watershed District(MCWD)pertnits or docurnerNation from the MCWD statlng the .
proposed ProJect does not trigg�any of their pertnitUny requirerner�. Pl�ss aote,the Cky wlll not issue a
buil�n rmit without informafion from tl�e lACVYD.
Stairway or Lifts to 1. Constructlon plans for stairway or lift,induding footings
Lake 2. Topographicel survey of Property wtth proposed steirs or iift shown
3. Erosion contrnl plan
4. A oopy of Minnehaha Creek Watershed District(MCWD)permits or docume�tatlon trom the MCWD staUng the
ProPo�Prolect do�not trigger any of their pertniWng requiremerMs. Plaase note,tha Cily vWll not tssue a
buildin mtit without Information from the MCWD.
Structure Permit 1. Construc3ion plans.
2. S�uvey/site plan of Property with Proposed structure shown and wfth semadcs to property lines,other structures on
properly and the saptic system in�icated.The g�eral location of any sewer and water services should be shown if
appflCable.
3. Grading plan if grading is prop�ed.
4. Hardcover calculadon worksheets
5. Erosion cor�rol plan.
6. A copy of Minnehaha Cnsek Watershed District(MCYVD)permits or documenfsUon irom the MCWD stadng the
proposed project does not trigger any of their pertniEti�requi�ner�s. Please note,ffie City will not issue a
bulldl ermk wRhout iMormation from the MCVYD.
T1'ee Removal Cal�: 852-249-4600 to achedule an inspectlon for rertwval of an incividual tree(s). A re-plarhing plan J erosion control/
mana ement lan m be uired for dear arttin budctfiom or�iMensNe etation removal.
Updated: January 2017