HomeMy WebLinkAbout2014-00454 - retaining wall . � �
CITY OF ORONO * 2 0 1 4 - 0 0 4 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: OS/22/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2060 SIXTH AVE N
PIN : 27-118-23-31-0002
LEGAL DESC : UNPLATTED 27 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RELIGIOUS
CONSTRUCTION TYPE : RETAINING WALL<4 FEET
NOTE: MINOR LAND ALTERATION AND RETAINING WALL-MEMORIAL GARDEN AND COLUMBARIUM
NOTE: AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED PRIOR TO RELEASE OF ESCROW. INITIAISJ�'���'
APPLICANT RETAINING WALL<4' S0.00
MINOR LAND ALTERATION 50.00
CHURCH,TRINTY LUTHERAN TOTAL 100.00
2060 SIXTH AVE N Payment(s)
LONG LAKE,MN 55356- CHECK 1101 100.00
OWNER
CHURCH,TRINTY LUTHERAN
2060 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 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 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 confortnance with the State Building Code.This permit may be
revoked at any time for due cause.
dt/YL L/ l����
Applicant Permitee Signature Date ued Signature Date
•.
City of Orono
Zoning Permit Application
Mailing Address: Permit number: a�I� -� Q s
�� PO Box 66 Date received: ��' �
�� Crystal Bay, MN 55323-0066
Escrow#and r%''��� r�•�.�W
Street Address: amount: �
y � 2750 Kelley Parkway Permit Fee: � — �`j.��gZ,'�
G� Orono, MN 55356
`c� � Approved by: ��
qkFSH�� Fax: 952-249-4616 Notes:
Main: 952-249-4600 `^�`M^��ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: �IJ�Qb Sl 1C1 Y 1 I '�► � 1 `�
CONTRACTOR/APPLICANT INFORM TION:
Name: �e- i e.
Phone: 1Q t L-Sq - (a Op3 Fax: q 52 -�73-SCS77 X L'a5
Address: City: ZIP:
Contact Person: ContacYs phone number
Email Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: firi�i l'l C�MAf�„�1
Phone (day): lZ- — Op3
Mailing Address: Z6(p.o SiK'f'�'► F1'V'�- ZIP: 5
Email and/or Fax '1'hC. � IOWe- (W Qb�• pW�
Overall Project Description IMt,1110r10.� �lQ,Y(��'1 '�- C.O�I(YVIbQYi UN�
CBaXk TYPE OF PERMIT COST*
Dock, Residential—Permanent dock on any lake or initial seasonal dock not on $50 +engineering review costs
Lake Minnetonka ermanent dock re uires CUP
Dock, Commercial $50+ engineering review costs
Escrow for erosion control and en ineerin review costs $2,000
XHardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 en ineerin 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 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
Xwall) 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.
Tem ora Construction Office/Trailer associated with buildin ermit $30
(over)
*Permit fee will be collected when the permit is issued.
Updated: November 30,2012
�.
AF'PLICHNT/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 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 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
overnmental a encies re uired b 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: ��� - �� J 1 � �
Property Owner's Signature: � �:- �r�_. Date: � _ — L-
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(if applicable)
Dock, Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate
2. Hardcov�r calculations, existing and proposed
3. 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. Survey/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. 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 lan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/
management plan re uired for clear cuttin , buckthorn or other intensive ve etation removal.
Updated: November 30,2012
- ,� � ' ,PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address/Permit Number: ����� �� �T� �� �� �+C.X� L�J��" W3�
Description of work: (l�,Cr 11'�0�� �'t- ��?�2�e/�1 �
Septic review by: � DateJlppcoa�,ad�: �'q '�'T �
Zoning review by: � r�U Date Approved: �J•q'�4'
Building review by: �... Date Approved: �'g ' ��`'�
Grading review by: �.rr� Date Approved: Sd �� __
Zoning District: Zoning File#:'� �iJ�v`r� Reso#: Reso Date: Z-�u
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _%
Survey Submitted: �s � No Date of Survey: '1 •�''�1 Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50°/a = #of Stories Ok? � YES
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:
The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION:
START WITH proposed floor(oi the basement or crewl
space)and the highest point of the roof. START WRH The distance between the top of slab and
If you have a... the highest point of the roof.
lf you have a...
• GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no
windows): Subtract half the windows): SubVact half the distance
distance between the hi hest point between e highest point of the roof
of the roof to the lo int of the to t w pant of the corresponding
SUBTRACTION correspondin le or hipped roof SUBTRACTION le or hipped roof
(BASED ON ROOF . GABL HIPPED ROOF(with (BASED ON GABLE OR HIPPED ROOF(vvith
TYPE) win s): SubVact half the ROOF TYPE) windows): Subtract half the distance
ance behveen the top of the between the top of the highest
highest window and the highest window and the highest point of the
point of the roof roof
• ALL OTHER ROOF TYPES(flat,
• ALL OTHER ROOF TYPES(flat, mansard,etc:No subtreetion.
mansard,etc):No subtraction. ADDffION Add the distance belween the top of slab
SUBTRA ON Subtract the distance beNveen the (BASED ON and the highest existing grade adjacent to
(BAS N EXISTING basemenUcrawl space floor and the EXISTING the foundation.
G ES) highest existing grade adjacent to the GRADES
foundation OR 10 feet(whichever is less). EQUALS Defined building height
EQUALS Defined building.helght
Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff
0 Yes � No � N/A 0 Yes No
0 Yes 0 No 0 Yes 0 No N/A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
Yes 0 No Yes 0 No
3 • Type(s� � �pe s):
Updated: January 2013
v:\forms�plan review checklist 2013.docx
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REMARKS (in-house):
Fees to be Cha ed `- 'YES N0 .
t���:,sE .s...a�-;a c +�.; '*�i A� �S. �3�,^t yt i*�-.T
., �
��rmlL:✓��^����'s`��`�a�r-�� _-:,,4�.��' _ �i�':,�.'� ?�"�t�- '�C'a �s.4'`��s��an�.P-.1.�� '�:;� �`�.°: � � ��,k'�.�
Plan Review
� f, �y
:y''�.��8�LI�'C�1A�@��� � ���:�,<,�,,.�� ��°~�������'��,t °�;��; ��
,. ._.. _ � .
Investigation Fee � -
;����lu�`ber�a�f���ln�ts�r����'��n;�;t ����� ��.. �� ,��"� �������
Other(specify)
S uare Foota e $ r S uare Foota e
Basement X = $
1°�Floor X = $
2nd FIOo� X = $
Garage X = $
Estimated Construction Value: S Z��►�+K Y��vw�� �t.�Z
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site � Plumbing � Grading/Filling 0 Well
� Hardcover Removal � Mechanical C Fire 0 Electrical
Footing 0 Septic 0 Water Connection
� Poured Wall � Fireplace � Sewer Connection
0 Foundation Survey � Masonry , � Lawn Irrigation
G Radon Rock Bed 0 Mfg.
� Framing O Other(specify)
0 Insulation
s-Built Survey
Final
� Wetland Buffer
O Other(specify)
REMARKS (in-house :
�I w �e � ao 5 �
uvv�10 `�rn — r5v�ot 1 (o�
Nc� �'lt'uGvo � `-htit wt�
Other Review: Reviewed by: Date Approved:
Access: Existing: 0 YES 0 NO New: � YES � NO
OFFICIAL RE ARK „- Q BE D ON P RMI ND INITIA _E___ _
_ �
�riQ r �b � C�C,rDw� � .
Updated: January 2013
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INS�ECTI�N N• IC cHE�ULED f�- - �I�
PERMIT NO � MPLETED
ADDRESS � [/
OWNER HONE NO. - �d��l
CONTRACTOR
� DESCRIPTION
�
� �OOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
WCOMMENTS: , SG�, �'�i ��,' ""
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W� �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WIIL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: f�t✓r y
Inspector. �
White Copyflnspector's File Canary CopylSite Notice