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Home My WebLink About2017-01040 - tree removal CITY OF ORONO ` 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 0 4 0 ORONO,MN 55356- DATE ISSUED: 09/05/2017 952 2494600 FAX: (952)2494616 ADDRESS : 550 TONKAWA RD PIN : 05-117-23-32-0004 LEGAL DESC : REG.LAND SURVEY NO. 1305 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 NOTE: TREE WITHIN 75'OF L 'i 0 AKESHORE APPLICANT TREE REMOVAL 0.00 TRUSTEES,AM CARLSON ET AL TOTAL 0.00 550 TONKAWA RD LONG LAKE,MN 55356- OWNER TRUSTEES,AM CARLSON ET AL 550 TONKAWA RD 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. C 'e' ,5 Applicant Permitee Signature Date Issued Bybignature Date City of Orono Zoning Permit Application Mailing Address: Permit number: 1-7 �Oi VO PO Box 66 Date received: Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: 2750 Kelley Parkway y Orono, MN 55356 Permit Fee: ktsHOFax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full andallrequired information must be submitted. (Please print.) Job Site Address: lCW CONTRACTOR/APPLICANT INFORMATION: Name: LcStS r, Phone: &'-/1 – 7/4: – tFax: Address: City: ZIP: Contact Person: Contact's phone number Email o Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATI N: / ` Name: r �t ,eet — A-- v/� C� Phone(day): Q Mailing Address: ,,i 1 ZIP: Email and/or Fax Overall Project Description: l 7 /'r°iiaccou� Check TYPE OF PERMIT E collected whenpermit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Dock, Residential – Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka(permanent dock requires CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50 the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) (Reference: City Code Sections 78-967.78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined by CUP 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: City Code Sections 78-967. 78-1247 and 78-12861 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 cubic 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 !Reference: City Code Section 78-1405(5.1)1 Retaining Walls which measure 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. Stairway or Lifts to Lake(New or Replacement) !Reference: City Code Sections 78-12821 $50+engineering review costs Escrow 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: City Code Section 86-661 Escrow for erosion control and engineering review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. !/ Reference: Citv Code Section 78-1285 Pre-inspection required. Temporary Construction Office/Trailer associated with building permit) $30 Updated: January 2017 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 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/or 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 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 knowZ&Zz Applicant's Signature: `!G�—mac% /� Date: Property Owner's Signature: Date: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed TYPE OF PERMIT: application form,escrow agreement(signed by the property owner)and escrow check from owner,two copies of each,where applicable, plans,landscape plans,grading plans,surveys or site plans. Dock,Commercial 1. Structural plans for the dock 2. Survey/site plan showing the proposed location of the dock 3. Copy of LMCD permit Dock,Residential Seasonal Dock--survey showing proposed dodo Permanent Doric—plans as approved by CUP and copy of LMCD permit(if applicable Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration,Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. 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 not issue a building permit without information from the MCWD. Land Alteration,Minor 1. Survey/grading plan including 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 site 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 not issue a building permit without information from the MCWD. 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 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 not issue a building permit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway 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)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a building permit without information from the MCWD. Structure Permit 1. Construction plans. 2. Survey/site plan 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 plan. 6. 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 not issue a building permit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion control/ management plan may be required for clear cutting,buckthorn or other intensive vegetation removal. Updated: January 2017 4A9�i J� TIME CITY Ot ORONO CALLED IN INSPECTION NOTICE ��/� SCHEDULED PERMIT NO. as 7 COMPLETED ADDRESS -5- 0 OWNER TELEPHONE NO.��-71g- Sl CONTRACTOR DESCRIPTION ✓ !Nl TLC 7" / ��T L�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Q OWNER/CO R TO MEET YOU:_YES_No y COINME&t ,� ;ve C)//Pq a_�7 7l8 S1,0 7 4. 0 C _7� — a GU 7/0 0 4- Latrlc� S4.90-v W A,., D v e z W Uj -WORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS- Cl PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED O STOP ORDER POSTED-CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Callfor the next inspection 24 hours in advance. (952) 249-4600 OwrmtContmctor on site: Inspector. WMte Copylinspector's File Canary Copy/We Notice 7 —D E TIME CITY OF ORONOCALLED IN INSPECTION -7 SCHEDULED //J S—1 7 PERMIT NO., (V COMPLETED ADDRESS tS 5-D /� OWNER 4-,V C TELEPHONE NO. 7/ — 0 CONTRACTOR o �✓� DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ 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 El DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO cam., COMMENTS:P Y) W — a J O cc � Q f�IMbyRD O cc Q 2 W W J W ❑WORK SATISFACTORY.PROCEED ROJECT COMPLETE a: ❑CORRECT WORK&PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Q BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN EI ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice