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Home My WebLink About2013-00638 - land alteration M - � CITY OF ORONO * 2P113 - 00638 * 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2013 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 300 STUBBS BAY RD N PIN : 32-118-23-42-0005 LEGAL DESC : TAMARAK HILL : LOT 001 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) NOTE: $AMOUNT TO BE DETERMINED BY CUP-SB COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00 HOW DID THEY PAY? CHECK &WHO PAID?SUSAN FLEMING ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2013-00798 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS **APPLICANT MUST INITIAL THEY HAVE READ CITY ENGINEERS COMMENTS DATED 7/3 U2013.S� (INITIAL) APPLICANT MAJOR LAND ALTERATION 50.00 LIFESTYLE CREATIONS INC ENGINEERING REVIEW COSTS 5123 WESTMILL ROAD MINNETONKA,MN 55345- TOTAL 50.00 (612)508-9034 Minnesota State License#: BC634310 OWNER FLEMING,THOMAS&SUSAN 300 STUBBS BAY RD 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuli and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. `�� v��'L1/�bl U � �J�l 2Q(� �l l l Applicant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �ti Plan Review Checklist for Zoning Permit Applications Address: � � Description of work: � _��03 Type of permit: Zoning review by: Date Approved: �(D� Grading review by: �.Sl � v�,�� Date Approved: O ,'r'>'��_ Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? Yes � No Date of Survey: � , �2 � �7 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 Side Side Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes 0 No ❑ N/A � Yes � o 0 Yes No � Yes 0 No /A Permit Number: Setback: Hardcover Zones Existin Proposed Variance Requir CUP Re uire 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 I � Planning Review Checklist for Zoning Permit Applications Page 2 of2 Cubic Yards In Out Total Haul Route? ? ❑ Yes � No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Amount � Site Escrow Amount � Hardcover Removal � Footing Signed escrow received? � Poured Wall � As-Built Survey ❑ Yes 0 No � Planting Plan � Wetland Escrow amount received? � Final � � Other(specify) ` 0 Yes ❑ No Engineering review needed? � Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) �,��c can,t- rh,t�— ►r i�al y-I�,��ve�. rt�d,., ca N �o►r n.�,� c�rn�m.cn� d�kd�, �� 31 • �3 Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx � City of Orono ;! 1 : Zoning Permit A lication O Mailing Address: Permit number: �3-ob 3S g- � PO Box 66 Date received: " �� " 3 � Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: � ,a. 2750 Kelley Parkway Permit Fee: ti Orono, MN 55356 �l �' Approved by: �kESH�4� 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. (Please print.) Job Site Address: �� ,g�� g�� CONTRACTOR I APPLICANT INFORMATION: Name: (�►��sc� C.e.�m"C►c�iJi', I 1.�� Phone: �iSZ-9F��Dl9 I Fax: �fiL 9'3S' �12,� . Address: S i2'3 �'�,s-Crn«t (2�t,b City: ;��,r� ZI P: SS'?LlS Contact Person: �3��t,, [�S�MUy,��so1�1 ContacYs phone number 612 SOB �iff�Ll Email �g��,�,d�L��S ty,�,�c�� o ,ci��„�iW� Applicant is: ontrac Homeowner (Clrcle One) PROPERTY OWNER INFORMATION: Name: ��,�5� � Tnnn r`'�-�rv►�� Phone (day): q�—c�—o��/ Mailing Address: �pp �� S Bd� 4Z,oLi+D c'�v2niab Z�P: S'SLf� Email and/or Fax �F��rv��,v�23 e C-�r�d 1L.�e� Overall Project Description: -pd-��,o��,p�� (q��Y MA�L'�'��,�`� � AP�f3e� Check TYpE OF PERMIT COST* Box 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 Hardcover 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 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. 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 APPLICANT/OWNER ACKNOWLEDGEMENT: � • Applicant/Owner 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 alternative buf 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. � Applicant's Signature: �_ � Date: �� 2,Q 2,013 , Property Owner's Signature: � �P.�'y(,(�y19� Date: , �5 �0�3 TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits 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. Hardcover 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 o€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 wi#h 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/ mana ement lan re uired for clear cuttin , buckthorn or other intensive ve etation removal. Updated: November 30,2012