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
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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 �
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' DAVID ERICSON
Cut/Fill Quantities
Amount of cut on site=90 C.Y.
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
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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.
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Perr�it A�d�r�ss: 745 Spritig H 11 Rd C* t�'�a i i7 R�I�i.�c�r�re ss
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Checki�st for Refunding Bu�lding Permit Escrows
Z�`� ermit # �2��+�
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Street Address: � Y� � �
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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:
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❑ Prepare memo for Finance Department
z:\formslzoning standard formslchecklist for refunding building permit escrows.doc
LastUpdated: 10-31-2011