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HomeMy WebLinkAbout2016-00079 - tree removal CITY OF ORONO * Z 0 1 6 — 0 0 0 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: OU25/2016 '� ORONO, MN 55356- ' (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1145 SIXTH AVE N PIN : 26-118-23-34-0006 LEGAL DESC : AUDITOR'S SUBD.NO. 291 : LOT 001 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 APPLICANT TOTAL ORDWAY,PHILIP&CASSANDRA Payment(s) 1550 SIXTH AVE N LONG LAKE,MN 55356- OWNER ORDWAY, PHILIP&CASSANDRA 1550 SIXTH AVE N LONG LAKE,MN 55356- 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � �� .-� /j �'��',� 1 . , ; , # �� �� � �� �,� �,'�� k:'_ �i �/ � �;��``� I � ��� �� ;��(�.�`� ���, � Applicant Permitee Signature Date Issued By Signature Date City of Orono ' Zoning Permit A plication � Marling Addiess: Permit number: �`���1�� � ��-��'�� "� I �� �'1 �J�r '� PO Box 66 Date received � "`� '- � - ; �� � ��� � Crysta� Bay, MN 55323-0066 ;i � Escrow#and ��. 1�'� � Skreet Address amount: � �` � i 275Q Kelley Parkway � �� � �� t Permit Fee� E7 \ ;, �. j Orono, MN 55356 , �. ` r � �,v.�., l �";` APProved by: '� �,�L � �,,'�K��y't-j���� ;� Fax: 952-249-4616 - -- Main: 952-249-4600 Notes: www.ci.orano.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) 1�'�- _�� � 1 Job Site Address: � � � ,� ��'��A J�� j'1 �-��� ��- GONTRACTOR!APPLICANT INFORMATION: 7 l ,: ) �" f\J4 4t,.,'�.i Name: -2'� L"����,� - - ' i1 ��(k�.��� C` U C�n c� �,1���.t'- �� �i�-� Phone: Fax: �— Address: City: ZIP: Contact Person: Contact's phone number Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER IN M(�lT��l-Orl�:., �� � _ h�T Name: f7'` t"� �rt.�.��-t Phone (day}: • � Mailing Address: Cpl�NT 7_IP: Email andlor Fax a� � � � _�--- Overall Project Descriptian: !S� �9 Q��� Check T PE O PERMIT EE Box collected when ermit is issued dock,Commercial $50+engineering review costs Escrow for erosion control and en ineerin review casts $2,000 ; Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs ' Minnetonka(permanent dock requires C U1P) ______._ —-_--�-- __ Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also re uires is a Minor or hta'or Land Alteration Permit Land Alteration, Major (grading, fdling; ar excavating) of more than 500 cubic yards $50 beyond tne lakeshore setback OR more than 50 cubic yards within the lakeshore setback � (also requires Conditional Use Permit} � (Reference� Citv Code Sections T8-967.78-1247 and 78-1286] j � Escrow for erosian control and engineering review costs _ As determined b CUP i r 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� Citv Code Sections 78-967.78-1247 and 78-i2&6) ' 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 c�bic 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 i j [Reference: Citv Gode Section 78-1405(5.1)1 I � Retaining Watls which measure rnore than four feet(from bottom of foatings to top of wall) i 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�ifts to�ake{New or Replacement) (Reference: Citv Code Secrfons 78-12821 $50+engineering review costs � Escraw 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: Citv Code Section 86-651 Escrow for erosion control and engineerin review costs __ $2,500 �_.__� _..._.--- _. - � Tree Removal or other vagetation removal within 75 feet of lakes No charge. � ; (Reference: City C.'ode Section 78-12851 Pre-inspection required. --...______._..._._ — __._.---- � ,Temporar Construction Office/Trailer(associated with buildin ermit $30 Updated: May 2015 APPLICANT/OWNER ACKNOWLEDGEMENT: . ApplicanUOwner 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 applicabie; . ApplicanUOwner certifies that the information suppiied is true and correct to the best af his/her knowledge. The applicant recognizes that they are solely respansible for submitting a complete appiication being aware that �pon failure to do so, the staff has no aiternative but ta reject it until it is compiete; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • ApplicanUChvner understands their project may require an initial andiar as�uHt sunrey per City Code 3ection 86-68. • Some or all of the information that you are asked to pravide on this applicatian is Gassified 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. Gonfidential data is information which generaliy 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 'on i i�' ue and correct to the best of their knowledge. Applicant's Signature: Date: � ` �i� • �� Property Owner's Signature: Date: � ;�•��,��► SUBMISSION REQUIREMENTS: E cept for tree removal permits, all ps�rmlts requirra a campleted TYPE OF PERMIT: application form, escrow agreement(signed by the property owner)and esarow check from owner, two copies of each,where applicable,plans,landscape plans,grading plans,surveys or site pla�s. Dock,COmmetcial 1. Structural plans for the dock 2. Survey/site plan showing the proposed location of the dodc 3. Copy of LMCD permit Dock,Residentia) Seasonal Dock-survey showing proposed dock Pe►manent Dock-plans as approved b CUP and cop of LMGD rmit(ff applicable) Hardcover Permit 1. All Minor or Major Land Alte�ation Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration,Major 1. Survey/grading plan inGuding existing and proposed contours as approved by Conditional Use Pertnit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MGWD)permits or documentation from the MCWD stadng the proposed project does not trigger any of their permittirrg requirements. Please note,the Ctty will not issue a buildin rtnit without Information from the MCWD. Land Alterdtion,Minor 1. Surveylgrading plan i�cluding 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 slte 4. Erosion control p1an. 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 Gity will not issue a bulldin rmit without information from the MCWD. Retaining Wall 1. Plans for wall(s) 2. Unless repair or exacY replacement of existing wall,submit an updated survey with grading plan including existing and proposed contoues 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 nat issue a buildln ermlt wltho�t lnfortnation from the MCWD. Stairway or Lifts to 1. Construction plans for stairvvay 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)permiks or documentatfon from the MCWD stating the proposed project dces not trigger any of their permitting requirements. Pleaae note,the Clty wlll not issue a buildin ermit without infonnation from the MCWD. Structure Permit 1. Construction plans. 2. Survey/site plan of property with proposed structure shawn and with setbacks to property lines,other structures on property and the septic system indicated.The general lor,�tion 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 Dist�Ict(MCWD}pennits or documentadon irom the MCWD staung the proposed project does not trigger any oi their permitting requirements. Please nate,the Clty wlll not Issue a buildin �mit without information from the MCWD. Tree Removal Call: 952-249-4800 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion coMrol/ mana ement lan ma be r uired for clear cuttin ,buckthom or other Intensive eta#ion removal. Updated: May 2015 i , i �--, �i�_ �; e � � � - , � �`� DATE TIME CITIf OF ORONO ��`�', tEo� INSPECTIGN NOTICE SCHEDULED � ` �v ���'� PERMIT NO. �'C' �C -' COMPLEfED ADDRESS �` `-� � 1 4'�' OWNER � �� LEPHONE NO. C������5���� CONTRACTOR ` ����- �s=� ��5` � ��� � DESCRIPTION � r � � r'��� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �� r}'�.1.,�f ' Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTtiACTOR TO MEET YOU:_YES_NO � COMMENTS: �- ���1 �I�CiY`�� tY�� � 1._ �i:�; r�-C ��1 C,i � �,���,� I��r��. o �_��a����- j�l���� —� � �.,r��n� ��`�. ,�,�:�r� cl ��o a_�� �-_ I �i c �� �� ° --�-t'`�,`�-4-- cl�cY` �t� �/Y��-�-� � W � � Q � 0!K d� fe►�w� � W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: tnspector: �� White Copyllnspector's File Cenary CopyfSite Notice