HomeMy WebLinkAbout2016-00268 - tree removal 111111111111111111111 Emil 11111111111111111111 IN
CITY OF ORONO * 2 0 1 6 — 0 0 2 6 8
2750 KELLEY PARKWAY DATE ISSUED: 03/21/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 1220 TONKAWA RD
PIN 08-117-23-42-0001
LEGAL DESC AUDITOR'S SUBD.NO.217
LOT 009 BLOCK 000
PERMIT TYPE ZONING PERMIT
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE TREE REMOVAL WITHIN 0-75
NOTE: APPROVED BY ROGER 03/16/16
APPLICANT TREE REMOVAL 0.00
TOTAL 0.00
HENNEPIN COUNTY
1600 PRAIRIE DR
MEDINA,MN 55340-
(612)596-0300
OWNER
EBERTZ,MICHEAL&DONNA
1220 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. U—d IW— L CO P'k�h U n ,^
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Applicant Permitee Signature Date Issued By Signatu Date
City of Orono
Zoning Permit Application
Mailing Address: Permit number:
gQ�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Escrow#and
Street Address: amount:
2750 Kelley Parkway permit Fee:
y Orono, MN 55356
lgxESHOX, Fax: 952-249-4616 Approved by:
Main: 952-249-4600 Notes:
www.ci.orono.mn.us
This application form must be completed In, 'ri `all required information must be submitted. (Please prtnt.)
Job Site Address: I Z 2O 'To a"L)C- (�
CONTRACTOR 1 APPLICANT INFORMATION:
Name:
Phone: (2.-Q4 7 C,t3 ca n Fax:
,(Z
Address: _U600 l7i-0� rite r i t,0_ City: &31 rl iy� ZIP: 5--L-340
Contact Person: k9jiv �AaoS Contact's phone number 42 L2- 596, 0_3 LE)
Email k-e . &Q"n s L�et�rte�ir_u�Applicant is: r ontracto_) Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: M';c,k0,CI a.vAd I�OV1ti�a E(ne v r__.
Phone (day):
Mailing Address: i2-20 Torn kc-wc- P-o , _Orann. mo ZIP: 55-3c;(,
Email and/or Fax &ny1(k ehQAr +t-ram !1M it,c.om
Overall Project Description: ` o
ChecBox 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 aMinor or Major Land Alteration Permit
Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50
beyond 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 78-140515.111
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 86.861
Escrow for erosion control and engineering review costs $2,500
/ Tree Removal or other vegetation removal within 75 feet of lakes No charge.
R race: City Cog2 Jection 78-12851 Pre-inspection required.
Temporary Construction Office/Trailer associated with building permit) $30
Updated: May 2015
At'k-OL.AIVI/VVVNCK At rkr4VWI-tLUtatMtNI:
•+ 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 np
alternative but to reject it until 4 is complete;
• Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• ApplicantfOwner understands their project may require an initial and/or as-built survey per City Code Section 8648.
• 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 an
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:
Property Owner's Signature: Date:
SUBMISSION EMENT : 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 dodo
2. Survey/site plan showing the proposed location of the dock
3. Copy of LMCD permit
Dock,Residential Seasonal Dock-survey showing proposed dock
Permanent Dock—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 I
mane ement plan may be required for clear cutting,buckthorn or other intensive vegetation removal.
Updated: May 2015
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DATE TIME
.fx-- CALLED IN
O pORONO
INSPECTION N TICE SCHEDULED
PERMIT NO. (' Z COMPLETED -9
ADDRESS Z Z
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ CAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI El SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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W
a
W
ac
Q
2
W
W
2
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
0: ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑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
OwnerlContrac on site: It
Inspector. 4zZZ:4 2
White Copy/Inspector's File Canary Copy/Site Notice