HomeMy WebLinkAbout2014-01013 - land alterataion . - , CITY OF ORONO * z 0 1 4 - 0 1 0 1 3 *
2750 KELLEY PARKWAY DATE ISSUED: 09/16/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 725 SIXTH AVE N
PIN : 26-118-23-44-0006
LEGAL DESC : UNPLATTED 25 118 23
: LOT 1 BLOCK 2
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTE: CONTACT THE MINNEHAHA CREEK WATERSHED DISTRIST TO SEE IF YOUR PROJECT TRIGGERS THEIR PERMITTING
REQUIREMENTS. THEY CAN BE REACHED DIRECTLY AT 952-471-0590 INITIAL: �
NOTE: AN AS-BUILT SURVEY WILL BE REQUIRED AFTER PROJECT IS COMPLETE. IMTIAL:�
APPLICANT MINOR LAND ALTERATION 50.00
Spring Hill Golf Club ENGINEERING REVIEW COSTS
725 SIXTH AVE N TOTAL 50.00
WAYZATA,MN 55391- Payment(s)
CHECK 30144 50.00
OWNER
Spring Hill Golf Club
725 SIXTH AVE N
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shafl 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 aze
requested in confo ce with the State Building Code.This permit may be
revoked at any ti f due cause.
� � N
Applic e itee Signature Da Issue By Signature Date
; �� City of Orono
Zoning Permit A lication
Mailing Address: Permit number: / —� l�/3
'��O PO Box 66 Date received: �"�— /�
Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
� � 2750 Kelley Parkwa Permit Fee:
♦ Orono, MN 5535
���k�a�o♦�� �., Approved by: ��r
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: �'ZS C��v� I �9 (�� vV
CONTRACTOR/APPLICANT INFORMATION:
Name: �p��(r 1�-�� �;Ch,i= � � ✓
Phone: Fax: 2 - 13�- 33 I
Address: °"jZs [�.._c� �� City: (N��,/y-T-p► ZIP: �3g ,
Contact Person: —�'�,,,` Jo�.iSn,..� ContacYs phone number _ — �
Email .�.�,,.��@ s p�,.,.�,��,�ti�� a�, �,,hApplicant is: Contractor omeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: � ��-L,.a�.-�l,L�'��f� �1�1Z
Phone(day): �S'Z _¢'1 b — q�-�7�
Mailing Address: �� Cp�n�Yt '120� �� ln�f�{ZA-r� ZIP: �"��'j. (
Email and/or Fax -+-1� �� S�,r-�n�h�►1 a c• C�w-�
v J � �1°sl.t� �A S�'�-+��++r�c-rL
Overall Project Description: �2,�,�� -��, ��;���,_����,,,�
�viw � Sos��A
Check TYpE OF PERMIT
Box COST*
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 $50 +engineering review costs
on Lake 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) more 500 cubic yards $50
or more than 10 cubic yards in lakeshore setback(also requires CUP)
Escrow for erosion control and en ineerin review costs As determined b CUP
` ,� Land Alteration, Minor(grading,filling or excavating)—500 or less cubic $50+engineering review costs
X� yards 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 or Lifts 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. Pre-ins ection re uired.
Tem ora Construction Office/Trailer associated with buildin ermit $30
(over)
*Permit fee will be collected when the permit is issued.
Updated: January 2014
APPLICAF T/OWNER ACKNOWLEDGEMENT:
. . Applw.�nti�wner 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/Owner 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
altemative but to reject it until it is complete;
• Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• ApplicanUOwner understands their project may require an initial and 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 govemmental agencies required by law. If
ou refuse to su I the information,the licati ma not be issued.
The undersigned certify that the info i upplied is true and correct to the best of their knowled .
Q
Applicant's Signature: Date: � ��
Property Owner's Signature: Date:
SUB SION RE UIREMENTS: Except for tree removal permits, all permits requlre a completed
TYPE OF PERMIT: appl cation 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,Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Dock, Residential Seasonal Dock—survey showing proposed dock
Permanent Dock—plans as a proved b 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 ermit without information from the MCWD.
Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours
(Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported and haul route
within 75'of lake or less 3. Amount of earth to be moved around on site
than 501 cu.yds 4. Erosion control plan.
elsewhere. 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 pertnitting requirements. Please note,the City will not issue a
buildin rmit 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 ermit 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 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 ermit without infortnatlon from the MCWD.
Structure Permit 1. Construction plans.
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 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 Vigger any of their permitting requirements. Please note,the City wlll not issue a
buildin ermit without information from the MCWD.
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/erosion control/management plan
re uired for clear cuttin ,buckthom or other intensive v etation removal.
Updated: January 2014
` Plan Review Checkiist for Zoning Permit Applications
Address: 1 �--J S( � � �
Description of work: 1 Y`��ll �,����'�,�r/r—"
Type of permit:
Zoning review by: I Date Approved: q'1V'��'
Grading review by: —'"—"� Date Approved: ��
Other Review, Reviewed by: Date Approved:
Zonin :
Zoning File#: Resolution #: Resolution Date:
Lot Area: SF!AC Width:
Survey Submitted? Yes 0 No Date of Survey: C ��b�l�"^"„` �
�;���
�►.�u,�. ����.
Existin Setbacks:
Front(Lake) Rear(Street) ( N S E W ) Wetland
Side �'n�
1 ,
Pro osed Setbacks:
� Front(Lake) Rear(Street) ( N S E W ) Wetland
' Side
Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff
0 Yes 0 No 0 N/A � Yes No -
0 Yes 0 No 0 Yes � No /A
Permit Number:�Qld Setback:
�0 COr�b�!- M�W�
Hardcover Zones Existin Proposed Variance Requir CUP Required
0-75' � 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 Applications +
Page 2 of2
Cubic Yards
In Out Totai
Haul Route? ? 0 Yes ❑ No
Explain haul route in detail:
Fees to be Charged Amount Orono Inspections Required
Permit Amount ��
❑ Site
Escrow Amount ��� 0 Hardcover Removal
0 Footing
Signed escrow received? 0 Poured Wall
�As-Built Survey
❑ Yes � No 0 Planting Plan
� Wetland
Escrow amount received? �Final
0 Other(specify)
0 Yes No
Engineering review needed?
�es �q No
�. - y .
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
(� C�4�,� 1�-_ YV��n►vu'�a.ho� CV�� WQ�1�A� k�Is�nU- �o s-e�. i �A,,,�'
-�.
� a5L - l -
as-lo�,<< ur ��� 1�. �t� i �a �.�
Cs�'''�'��- .
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
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