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Home My WebLink About2016-01001 - hardcover permit • �, CITY OF ORONO * 2 0 1 6 — 0 1 0 0 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/OZ/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1940 SHORELINE DR PIN : 10-117-23-42-0007 LEGAL DESC : ELBRIDGE S BARNES 1 ST SUBD 10- : LOT 005 BLOCK 000 PERMTT TYPE : ZOI�IING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HARDCOVER PERMIT(SEE ZONING APPL) NOTE: REPLACING ASPHALT DRIVEWAY NOTE:PRIOR TO RELEASE OF ESCRO—W—C�ONEY ALL DISTURBED AREAS MUST BE ESTABLISHED WITH VEGITATION AND A FINAL INSPECTION COMPLETED.INITIAL: APPLICANT TOTAL NETTLES,ALAN&ANNE Payment(s) 1940 SHORELINE DR WAYZATA,MN 55391- OWNER NETTLES,ALAN&ANNE 1940 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 1'he 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. _ �l%U� .c �D --��M �- �- -l So �lj �li o�-i/ � Applicant Permitee Signature Date Issued B ignature Date ' • City of Orono Zoning Permit Application Mailing Address: Permit number: �a� (p ' � � �� Q/�TO PO Box 66 Date received: c.� � I � �D � � Crystal Bay, MN 55323-0066 Escrow#and �,��.�� Street Address: amount: � � �� 2750 Kelley Parkway Permit Fee: y ` Orono, MN 55356 �' G 6 f,9 �, Approved by: � z kFs H O� Fax: 952-249-4616 Main: 952-249-4600 Notes: �TM www.ci.orono.mn.us � �� ,� � , � , :' This application form must be completed in full and all required informa n must be submitted. (Please print.) Job Site Address: �� `t 0 �IA,-t:rk.a.�x-r-- �U"L � C.CTl� ?� I l�'t� r7�3� J CONTRACTOR/APPLICANT INFORMATI Name: M ��t �sv-fo� vttc�usa�s e0 Phone: � s - Fax: Address: $ Cit : ZIP: `�3 Contact Person: Contact's phone number ( 0 l � '� Email Q v11� Applicant is: Contractor Home` owne � (Circle One) �C(7W� ��_.� PROPERTY OWNER INF MATION: Name: bt� �� Q Phone (day): 33 � C� Mailing Address: -�j .�- /�I ZIP: 3 Email and/or Fax Sc ( �-f-Q � c._ �-��, i�, r Overall Project Description: � �G: Q S �a,Q•'� G�''��' CBoXk TYPE OF PERMIT collected 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 re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk, etc. (New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: Citv Code Sections 78-967, 78-1247 and 78-1286] Escrow for erosion control and engineering review costs As determined by 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 setback (Reference: Ciiv Code Sections 78-967. 78-1247 and 78-12861 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 (Reference: Citv Code Section 78-1405(5.1)) 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: Citv Code Sections 78-12821 $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[Reference: City Code Section 86-66] Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Ci Code secrion 78-1285 Pre-inspection required. Tem ora Construction Office/Trailer associated with buildin permit $30 Updated: May 2015 �[(v�� APPLICA�IOWNER 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; • ApplicanUOwner 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/or 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 governmental agencies required by law. If ou refuse to su I the information, the a lication ma not be issued. The undersigned certify that the information supplied is true and correct to the best of their knowledge. ApplicanYs Signature: Date: Property Owner's Signature: �,,� Date: � .�p! SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed TYPE OF PERMIT: application form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of each,where applicable, plans, landscape plans, grading plans, surveys or site plans. Dock, CommerCial 1. 5tructural plans for the dock 2. Survey/site plan showing the proposed location of the dock 3. Copy of LMCD permit DoCk, Residential Seasonal Dock—survey showing proposed dock Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable) Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours 2. Amount of fill to be imported and/or exported and haul route 3. Amount of earth to be moved around on site 4. Erosion control plan. 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. 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 plan 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway or lift, including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Mi�nehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. StYUCture Pe�mlt 1. Construction plans. 2. Survey/site plan 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 plan. 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion control/ mana ement plan ma be required for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: May 2015 ��l�� PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: � "L`7CJ �ilr`s�„I�TI�i� . Description of work: _�/� �Q�a� J�,��(�1'l�/� ' T Type of permit: Zoning review by: `.,nl�l/�L/Y�—� Date Approved: g'Z,�•��p Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zonin Information: Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes � No Date of Survey: Revision date: 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 Met? Bluff � Yes 0 No 0 N/A � Yes No J�Yes � No � Yes � No N/A / Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overla District Tier Hardcover Hardcover � Yes No � Yes No Type(s): Type(s): ` File# File# Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx r Earth Movement-Cubic Yards In Out Total Haul Route? ? � Yes � No Explain haul route in detail: Fees to be Char ed Amount Orono Inspections Required Permit Fee Amount ""'— � Site Escrow Amount � Hardcover Removal � �� .a � Footing Escrow Agreement received? � Poured Wall 0 As-Built Survey � Yes � No 0 Planting Plan 0 Wetland Buffer Escrow Money received? inal � Yes 0 No � Other(specify) Engineering review needed? � Yes �No � � REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PE IT AND INITIALLED BY PERSON PULLING PERMIT) �� l� P� ` l� � Y � i V 'f/V`- �,kol. Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx � _ NES4TA �RONO COP aawAvs co. ROrOSAL 437U Vailey Industrial Blvd.So. Proposal#: 93426 Shakopee,MN 55379 Phone:952-496-2651 Proposai Date: 07/18/2016 Fax:952-496-2522 Page : 1 of 1 Submitted To: Netties,Anne 1940 Shoreline Dr Project: Nettles, Anne Wayzata MN 55391 1940 Shoreiine Dr Wayzata MN 55391 Cust# : 7418 Attention; Anne Nettles Project#: 8001 Phone: 952-334-5105 Project Estimator: Reed Blomquist Fax: Cell: Description Unit Quantity Price OPTION#1/Revised 7/18/2016 � LS Remove 8�replace existing asphait/concrete surface � '�� SY 388.00 � - �� a. Remove asphalt/concrete surfaces down to the existing base material,'1�y. � b. Grade and compact existing base material adding new class 5 � base rock as necessary for fine grading. �� c. Pave all areas,388 sy,with 3 of compacted depth MN DOT specification U(1� MV-3 hot asphalt wear course mix. Wear coarse driveway instailed at 12'wide flared open at 14' at new installed pavers. OPTION#2 LS Asphalt Repla ment with Two Li of Asphait Paving SY 388.00 � a. Remov existing asphait s aces. b. Grade ar s to maximize dr ' age and compact all base material. c. Pave all are s with 2"of comp ted depth MN DOT specification MV-3 hot asp It base course m . d. Tackcoat surfa with hot liquid as alt. e. Pave all areas wit an additional 1.5' f compacted depth MN DOT specification MV-4 hot asphalt wear co se mix. Proposed Work Does not Include Payment Terms Full Payment: Net 10 days upon completion. ''Landscape Restoration *Erosion Control A service charge of 1.5% per month will be charged on *Irrigation Repair/Restoration '`Towing Charges all amounts overdue on regular statement dates. `Private Utility Locates/Repairs "Permits and Fees *Sub-soil Corrections '`Multiple Mobilizations e accept VISA, MasterCard and Discover.Add 3% redit card fee. ACCEPTANCE OF PROPOSAL This proposal may be withdrawn by us if not accepted THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE within 15 days.All material is guaranteed to be as SATISFACTORY AND ARE HEREBY ACCEPTED.YOU ARE specified.All wark is to be completed in a workmanlike AUTHORIZED TO COMPLETE THIS CONTRACT AS SPECIFIED. manner according to standard practices. PAYM T WILL 8E MA E AS OUTLINED. A . 7�/y��o / � uthonze signature ate MN Roadways Authorized Signature ... �'/��'� �n 7 . --'E�:.-. . , ,. .. Y;z„�.:-... . . .,-�w_.r;�-. -.x. ,. .�.--. . .. . --, ��t,r�,y' ��R� rr1yL✓� . � � <� � � ~ Ifl!"� . ' t /:' � Yrr" a'1..3i' � � 4 � 7 � . : S ; � ry� . �c! .± : ' . j,�, .y�.' ':, ,�.. C,`.' � � �"�._, ) }� ��jy..r d � � { , " .. . m '.:. J � ' / . .�� '$t,'� . � • ,� .._ - N d 1r . � . .. �.�._�. �. ..... Y ? o W ; p�x ` . o � � f � J N �=.��„�' ' �� w £ � V' L"' �.y. . � � � � ` � { � . � � 9 J� _ . . . / • . ` •j � I� s 4y.. . 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'-_ _ � E n � ° o I o �' °' t '� J 3 W - : � Y � � � E ' , ' : � ► � s o < � � y j'O � '�. w r S O 4 Y S � .�1 � �, 0 1 ° ~ „ a " w �i < mN III e� � n o m « � m �'+ ' - �" n M m b o %, t � _ N e � ., c R . � < � o w � a• W a -` ° a � i ; " ' — : 11 ,��, �� ` � � o � V E ; c _ � ,:.�.: c � r � � a` n u = ,� `�I a a Y � � - ' g - E � a QC, N � p e � V .t J� X � � X .�`�C� �� DATE TIME✓ �OF ORONO CALLED IN INSPECTION N TICE .�r��1/ SCHEDULED > �� CX� PERMIT NO. : cOMPL,ETED ADDRESS L J �f�� —rvtr-n -D'� OWNER �� I�LEPHONE NO. `� � ��,j CONTRACTOR C � � DESCRIPTION � t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS �NSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ FOUNDATION/REMOVAL �MO"SITE ❑ PTIC INSTALL 2 OWN RACTOR TO MEET YOU YES_NO c.� MENTS: � � � a ��'�L'taJ�t � rP.�✓tB ,d7d v �0�r� J O ). � O � W � Q � W � ,�e✓rn,�� -�;� (� W � � W ❑VYORKSATISFACTORY:PROCEED �`COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECddERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHiN HOURS. � pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Hotke w . • , • . � • � • , emo To: Finance L�epartment From: Christine Mattson, Planning Assistant r J�► � ' \ CC: Street File Date: November 1, 2016 G/L: 101-22205 Re: Escrow Refund Zoning Permit numbers 2016-00988 & 2016-01001 pertaining to 1940 Shoreline Drive are complete. Please refund$2,000 to the applicant,Anne Nettles. The following is attached: • Original signed escrow agreement � Copy of cash register receipt showing escrow amount received Mail to: Anne Nettles 1940 Shoreline Drive Wayzata, MN 55391 w:\street files�shoreline drive\1940\escrow refund form 2016-00988&2016-01001.docx ti ZONING PERMIT ESCROW AGREEMENT Permit#2016-00988 •r Zp�V � O�Op 1 � AGREEMENT made this � day of �U , 20�( by and between the CITY OF ORONO, a Minnesota municipal corporation ("Cit�')and Alan �Anne Nettles ("Owners"). Recitals 1. A zoning permit apptication has been filed for a property located at 1940 Shoreline Drive the ("Subject Property"), legally described as 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 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 permlt#2016-00988 if compliance with the approved zoning permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bi{Is 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to retum the funds. Owner may also request the release of the funds,and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 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 pursuanf to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNE�^ � y �--- B a . Its: �67v'�tvH�lti.l ��. ��I�Pc�o✓ �tarl.`l#s�Or+1y; `�!C�ina�fi�� , � L7�G�p�:i�ar•�f�e /1.. _/ ,� � ; . � � ' ANNE T.� _ ��►,s�ci s+�o��En�vE 9�83$ wav�nr,a.MN 5�1 , ' - »-3is:nsoo ' �/ 9967171�7 ! PAY TU THE DATE �:� d 6k 0 , _ � �Q'-C,��. � _ ��,. Do�Rs j� .�� _ � ,, *.m�e�m .Y.. ,, .._. �+9aicom � - .� . � � .. �. ^_. .. - . . - : � . - . � � . �t �� f i �� , �r � � ' ! � City of Orono , 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.016244 Aug 19, 2016 Alan & Anne Nettles � Planning and Zoning 2016-010004 1940 2,000.00 Shoreilne Dr 101-22205 Deferred Rev-Developer Deposit --------------- Total: 2,000.00 Check Check No: 15838 2,000.00 Payor: Alan & Anne Nettles Total Applied: 2.000.00 --------------- Change Tendered: .00 08/19/2016 10:58AM � � . . - "' • ` CITY OF ORONO 2750 KELLEY PARKWAY '�` 2 0 1 6 — 0 1 0 0 4 * DATE ISSUED: 08/19/2016 ORONO,MN 55356- ' (952)249-4600 FAX: 952 249-4616 ADDRESS : 1940 SHORELINE DR PIN : 10-117-23-42-0007 LEGAL DESC : ELBRIDGE S BARNES 1 ST SUBD 10- : LOT 005 BLOCK 000 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: ESCROW FOR ZONII�IG PERMIT#2016-00988-PD BY:ALAN&ANNE NETTLES-CK#15838- $2,000.00 APPLICANT ESCROW FEE-APPLICANT 2,000.00 TOTAL 2,000.0(1 NETTLES,ALAN&ANNE Payment(s) 1940 SHORELINE DR CHECK 15839 2,000.00 WAYZATA,NIN 55391- OWNER NETTLES,ALAN&ANNE 1940 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pern►it is issued shall be performed according to the approved plans and speciScadons,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for addirional or related work which requires separate permiu. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.l'his 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 confortnance with the State Building Code.1'his permit may be ,/��„ revoked at any time for due cause. J u�� ' � � I'�-�ti �/ / Applicant Permitee Signature Date Issued By Signature Date