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HomeMy WebLinkAbout2012-00470 - land alteration CITY OF ORONO * 2 0 1 2 - 0 0 4 7 P1 * 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 745 SPRING H[LL RD P1N : 36-118-23-21-0003 LEGAL DESC : SPRING HILL ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) NOTF.: $2,000 S/B COLLGCTED IN ESCROW FEE ACTUAL ESCROW FEE AMOLJNT COLLECTED $2,000.00 CK# 12737-ESCROW YERMIT#2012-00471 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIF.,W COSTS * EXIST[NG TOPSOIL AND TURF TO BE REUSED ONSITE AS INDICATED BY SURVEYOR. (IN['i'IAL) * NEED TO APPLY FOR MINNEHAHA WA1'ERSHED PERMIT AND SUPPLY CITY WITH A COPY. (INITIAL) APPLICANT MINOR LAND ALTERATION 50.00 PATRICK HANILY&ASSOC INC TOTAL 50.00 2660 ORCHARD LANE/PO BOX 784 B O POST 784 EXCELSIOR,MN 55331 (612)443-0191 Minnesota State License#: 1059 OWNER ERICKSON&JAMIE WILSON, DAVE 745 SPRING HILL 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 City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission Y'or 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 construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are re uested in conformance with the State Building Code.This permit may be revoke t time for e cause. ��`j t /� � / / � ;%'�—� �.�. , 7 - /� Applicant Permite igna re Date � � `��� ��� e'"I � � f � �� [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono Zoning Permit Ap lication � Mailing Address: Permit number: o�D l a _ O (� 7 U �Q� PO Box 66 Date received: '�J -�O- � oZ_ O y O Crystal Bay, MN 55323-0066 Escrow#and ^� Street Address: amount: �( DO D Q� '� ia73 � �� �. o�d��- O O ! 2750 Kelley Parkway Permit Fee: �7 tiF Orono, MN 55356 �� , �. 'Z.y 4,�G Approved by: x�H� Fax: 952-249-4616 Notes: Main: 952-249-4600 W`N`^i.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: 7`�S SP2itiG /�i�� ,P D� .� CONTRACTOR/APPLICANT INFORMATION: Name: �i9 r����< /��9�v�LY � AJ'J'a c iA TE.J', i�vc. Phone: 9SZ - yy�-O/91 ��2 -.382-SSa6 Fax: Address: P. o, B oX 78y C�tY�EXcEcJiO•C ZIP: 5533� Contact Person: P,q.— �y,�„i,� y ContacYs phone number Email oh G�',oaf ea�;/,,a r1 oc, cd.vr Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: �� 0.9�/i0 Ek: cso�/ /�'4�VW� I�tl.sQ� '��-�17E- 7"� � � P�TRIC � U,�� ,���d Z�P: Ss.� g , P�ANNIn�� ;�S(+0 � ���I`■ ' �• COM MN DES��N � CoTE / iNG TO FL.�TTFit/ i1�✓ .1�FA FOR A J'dc C ER F/F<D . LICENSE ��NSTI��j��lj RESIDE�yr� ��5g N PERMIT COST* PH@PATHA�RE�'1opE � any fake or initial seasonal dock not on $50 + engineering review costs E0 HANILY.C� ASS�C.CpM LING Ulf@S CUP B�X 7g4 NTRACTp $50+ engineering review costs E I S�� � R eerin review costs $2,000 R MN 5533� PH�NE No char 2 FAk: 952�443- i@tlt� g Also re Uno.. . 952�4'43-p��92 d Alteration Permit Land Alteration, Major�y,.._ _ ng, 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 X 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 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. (over) *Permit fee will be collected at the time the permit is issued. Updated: December 30,2011 APPLICANT/OWNER ACKNOWLEDGEMENT: ' • Applicant 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 certifies that the information supplied is true and correct to the best of his/her knowledge. The applica�t 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; • 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 you refuse to supply the information, the application may not be issued. The undersigned certify that the information supplied is true and correct to the best of their knowledge. Applicant's Signature: �. ' Date: 1 Property OwnePs Signature: Date: `'�I�q J1 � o--�--r---� TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed application form, escrow agreement(sign�d by the property owne�) 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 Dock,Commercial 1. Structural plans for the dock � 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Driveway Permit 1. All Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway plans �and 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. 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. Plans for structure. 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 required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Contcol Permit Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ mana ement lan re uired for clear cuttin , buckthom or other intensive ve etation removal. Updated: December 30,2011 � Plan Review Checklist for Zoning Permit Applications Address: T-rS �✓�� '�l'I' �� Description of work: /!/GZ��� Type of permit: t��i1N�-O� CL l 1 � Rw r � Zoning review by: Date Approved: Z' Grading review by: ��� Date Approved: ,��a Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted. Yes 0 No Date of Survey:� d / , �� ���� Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Si Side Sh reland District MCWD Permit Received Average Lakeshore Setback Met? Blu 0 Yes � No 0 N/A � Yes No Yes 0 No � Yes � No N/A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Re ' ed CUP Req "re 0-75' ❑ Yes No � Yes No 75-250' Type(s): Type(s): � 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution#: � l� �D� Cy� Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx Planning Review Checkiist for Zoning Permit Applications Page 2 of2 , Cubic Yards In Out Total Haul Route? ? 0 Yes 0 No Explain haul route in detail: Fees to be Charged Amount Orono inspections Required Permit Amount L�L/`.J � Site Escrow Amount 0 Hardcover Removal /��,�`� � Footing � oured Wall Signed escrow received? -Built Survey �es � No ❑ Planting Plan � Wetland Escrow amount received? � Final Yes � No � Other(specify) Engineering review need ? Yes � No REMARKS (in-house): � � �� �� � Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND I ITIALLE BY PERSON P LLING PERMIT) 7S'eX, I 1 �O � C} /WIC( �8 �C ✓44S er Si (, QS . .l.n � 1 C4��� �✓ �' vlcG� � q !\ �i /��n�F,a L^✓:e � t`1 ervh:;I d � � GI7 �O , Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx �.___:�� � � �.. C� ,J,, , � ��� � :_�- �; ---�� ;-,, � �� � ��� r' � n � ��� � � . _.��\ -.. ,fi x t: �`e .� � � . � � s � � � ' '� 6 �� � � � I n � O � . �F� � 1 � \J � A O � ��y- �. � �- ...� O � - C"� o� s 0�, � � � �.. � �c_ }. � � S�. � ` � ` ' o � ,��; 0 "Il '��- ���, � � -15] rt� Q C �r, O �V i:-_. � GRONBERG &ASSOCIATES, INC. � SVRVEYING,ENGIN[ERING AND LAND PLANNING 445 N.WILLOW DRIVE � LONG LAKl,MINNESOTA 55356 ��0� 952-473-4747 � � ' � � FAx: 952-473-4435 � � ��,� I ����'�Z ,� � � i � � : � �jCc�T_ S ; Ef't'N i¢�'2"El�CS.F.� !�O L C G F;) !! d � c�O O' ' i ? `7'O O ; /.5S C. �'', I / � 4 tt � ' I. I ,,_ . _ _ II _ _ _ ; ; ; i _ _ __ __ _ .._ _._ _ _ � I ;;C�'T ,Z _ - - _ _ _ ___ __ �._._..� _ , : ;DE�TN. J��'�'�' CT.F,) II G�L �C./=.� �r----- -..�,....�..-.... _..�..._ � � _ _ ;, 0 2 Z So �, z o15 = 7 5 � �,w ', ; /. 8 O j; _ � _ _ . _ __,.,,;:_; : __ __ _ 2 0_ __C. Y. _�_,.�S`� �'.�r��c-���.^ 'ci�'��,��' ; ; i i/,�L 1 ;;�..�--- ��; �l�,�....,,��r%' A� �S. F 1 _i/QG C'c. �. � ;; t� /�`'�.oQ� y .rr,�, ?pQ ♦ S�io 0 ; i �" .� �'�''o ;� $ 6 ..__.�______ . /L, �'6 a �7 6' c.Y. i 'i ,; ;,'�'x�„T�`e,�,iG T�,�'S�/t/�"'�%'���' >� f.�F: �R���r�.-� ����`�° s� e����r�'� ;t'�' J"i��,«- a����"'.,�".�.;J+E' ��e-"" /�.� �.��,-°�' .�'��°,��',ar c�' , }; W J J � �- WQ � Z � fl U } � O . a= o - w ¢ m � U �.i. 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Amount of soil brought in=390 C.Y. (118'x 119'x 0.75'(9") Amount of fill on site=480 C.Y. (390+90) �RONBERG 6t ASSOCIATES.ING, 445 N.WII.LOW DR LONG LAKE,MN 55356 . r. � • • • • � • � • � emo To: Finance Department From: Christine Mattson, Planning Assistant �_`l , / �l IQ / CC: Street File � Y Date: 10/16/2012 G/L: 101-22205 Re: Building Permit Escrow Refund The land alteration permit #2012-00470 pertaining to 745 Spring Hill Road is complete. Since the as-built survey was approved I automatically started the escrow refund process on behalf of the Applicant, Jamie Wilson. Please refund the $2,000 escrow submitted in conjunction with the land alteration. Jesse Struve reviewed the as-built survey. An email was not sent to Bonestroo or Bolton & Menk. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Jamie Wilson 745 Spring Hill Road Wayzata, MN 55391 w:�,street files�spring hill road�745�escxow refund memo 2012-00470.doc ZONING PERMIT ESCROW AGREEM�NT Permit# a�� o`�- OD`�7 AGREEMENT made this�day of , 20 C�by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and �ltm;� il�0r ("Owners"). Recitals A building permit application has been filed for a zonir�g„p�rm�t fq�,�'p�rop�rty located at 7 l�lt f�l�l the ("Subject Property"), legally described as l��� _ �h!,,� , Henne in Gn nty Minnesota. `,,, 't �^ � �I �� � IJ 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 I 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 $o�OOU with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in a mi�ng 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 wo�k 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 permit #�d/�-b�0�7U if compliance with the approved zoning permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills 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 fSCROW 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 the review has been completed and written notification is received from the Owners requesting the funds. 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 pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNER: , --- �� By: ' i" �ts:��, � � S o �,..�.� Intsrnai Use;Oniy ,y.;� Z �'G Or%ginal.�o=Planriing bepartmentis� 3"��Lt'Copy to�`Sfree�File Updated: December 30,2071 ' . _ ,,,r. 4l: r, � �.a-cnn��>-, ,a : � t�ar,tr, : _ �� �..c� �.�+„YLry YL '3� �' � � �y ai+.-.f. . � .. 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CITY OF ORONO * 2 0 1 z - B 0 4 7 1 * ' 2750 KELLEY PARKWAY DATE ISSUED: 05/30/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 745 SPRING HILL RD PIN : 36-118-23-21-0003 LEGAL DESC : SPRING HILL ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT APPLICATION#12-00470-PD BY PATRICK HANILY&ASSOCIATES, CHECK#12737 APPLICANT ESCROW FEE-APPLICANT 2,000.00 PATRICK HANILY&ASSOC INC TOTAL 2,000.00 2660 ORCHARD LANE/PO BOX 784 EXCELSIOR,MN 55331 (612)443-0191 Minnesota State License#: 1059 OWNER ERICKSON,DAVE 745 SPRING HILL RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali be perfortned 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 percnit 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1� RerrrritllM'vrles .;�. .�a: `� �. ��: .� :� ,.,�,;�:, s.� �.. a�,� ��. �ele Tr�r�ctiae� f�aintain E�epvr� . .. . _� . .. �. . , . < . �1 �3 *� E��c�ti�s�Pccr�piei�R�cct�d , �. � � �*� .�� � f t ��� � ���� , �,: � � . � � �4 � I� � ► ►I � � �� � � °�" � �� Pert�a�t�?: �Q12-aQ4?U L�E�ci a�e,4 r.i t!ras s � �J Perr�it A�d�r�ss: 745 Spritig H 11 Rd C* t�'�a i i7 R�I�i.�c�r�re ss �` �acJcliCi�r7�l P�I���r_idr�ss C���1� F�s ���P����(71� I I�ates I Applica�rt Detmil� CQ De�el I Seq InspectionType lnspector [?ate 5t�tus H Fee R�c _ ___ ... _ __ � : 0 ►� � Ad�d N� Del�te � • P Checki�st for Refunding Bu�lding Permit Escrows Z�`� ermit # �2��+� 8�,� Street Address: � Y� � � . Appiicant Name: I�C.� ❑ Escrow request received Date: N � Permit Type: Are all inspections completed? Yes N� If not, iist what is outstanding: Was there a Temporary Certificate of Occupancy issued? Yes No Qate: Was there a Final Certificate of Occupancy issued? Yes No Date: As-built survey required? Yes, approved on �� '� �V C�-- NO NA ❑ if there is any unbilfed WIP. Date email sent: ..� •S�Y uve� Y�Ill��llller�-- ❑ Prepare memo for Finance Department z:\formslzoning standard formslchecklist for refunding building permit escrows.doc LastUpdated: 10-31-2011