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Home My WebLink About2014-00967 - land alteration CITY OF ORONO * 2 0 1 4 - 0 0 9 6 7 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2014 ORONO, MN 55356- (952)249-4600 FAX: 952)249-4616 ADDRESS 200 TRUFFULA TR PIN 33-118-23-44-0039 LEGAL DESC MEADOW WOOD POND : LOT 005 BLOCK 001 PERMIT TYPE ZONING PERMIT PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) NOTE: $2,000 SB COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2500.00 ESCROW PERMIT#:2014-00861 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS NOTE: PRI TO L ASE OF ESCROW FUNDS,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED INCLUDING ITEMS SHOWN O PROP S D SURVEY INCLUDING GOLF GREEN AND FIRE PIT. ALL DISTURBED AREAS MUST BE REVEGETATED. INITIAL: NOTE: BUI PLA A D ILDING PERMIT APPLICATION REQUIRED FOR CONSTRUCTION OF DETACHED ACCESSORY STRUCURE,DECK AND STAIRS. INITIA APPLICANT MINOR LAND ALTERATION 50.00 TOTAL 50.00 ADAMS,MR.&MRS. Payment(s) 200 TRUFFULA TR CREDIT CARD 4730 50.00 LONG LAKE,MN 55356- OWNER ADAMS,MR.&MRS. 200 TRUFFULA TR 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 requeste ormance with the State Building Code.This permit may be (4Ap at any ti a fo a au p .% li lyt� P C1YI/i Cel �i �i �/ a igna Issued By Signature Date City of Orono Zoning Permit Application O�> Mailing Address: Permit number: o� D I �{ OD R 41 YO PO Box 66 Date received: 27 Crystal Bay, MN 55323-0066 Escrow#and r 2 c) - �� `�•Mn Street Address: amount: a '7 2750 Kelley Parkway Permit Fee: Orono, MN 55356 ' ,e <' Approved by: �kESHo*. Fax: 952-249-461Notes: Main: 952-249-4600 This application form must be completed in full and all required information mu be submitted. (Please print.) Job Site Address: d CONTRACTOR/ PLICANT ORMATION: Name: Phone: - Fax: Address: — i ZIP: Contact Person: Contact's phone number Email P (�s� � �� ,Applicant is: Contractor Homeowne (Circle One) PROPERTY OWNER INFORMA I Name: ftiL.S Phone (day): Mailing Address: _ ZIP: Email and/or Fax w -C , Overall Project Description: `� /�P f Check TYPE OF PERMIT CO / * Box 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 $50 + engineering review costs on Lake Minnetonka (permanent dock requires CUP It 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) more 500 cubic yards $50 or more than 10 cubic yards in lakeshore setback(also requires CUP) Escrow for erosion control and engineering review costs As determined by CUP Land Alteration, Minor(grading, filling or excavating)-500 or less cubic $50+engineering review costs yards outside of lakeshore setback or less than 10 yards in lakeshore setback Escrow for erosion control and engineering 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 engineering review costs $2,500 Stairway or Lifts 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 engineering review costs $2,500 - Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. Pre-inspection required. Temporary Construction Office/Trailer associated with building permit) $30 (over) *Permit fee will be collected when the permit is issued. Updated: January 2014 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 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,thea licati may not be issued. The undersigned certify that th info matin p lied is true and correct to the best of their knowled e Applicant's Signature: Date: Property Owner's Signature: L Date: ��n�a V 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 all plans,and three copies of all grading plans or surveys/site plans Dock, Commercial 1. Structural plans for the dock 2. Survey 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 (Less than 10 cu.yds. 2. Amount of fill to be imported and/or exported and haul route within 75'of lake or less 3. Amount of earth to be moved around on site than 501 cu.yds 4. Erosion control plan. elsewhere.) 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 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 a single tree removal inspection. A re-planting plan/erosion control/management plan required for clear cutting,buckthorn or other intensive vegetation removal. Updated: January 2014 Plan Review Checklist for Zoning Permit Applications Address: -21 U Description of work: 00{� +" iVC ' Type of permit: Zoning review by: 1'� Date Approved: a•c.�' Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zoning: Zoning File#: Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted?,4 Yes 0 No Date of Survey: � •2 •� Existing Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Proposed 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 Yes 0 No 0 N/A 0 Yes o ;140 -� � 0 Yes 0 No A /� Permit Number: '� Setback: Hardcover Zones Existing Proposed Variance Require CUP Required 0-75' Cl Yes o 0 Yes o 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 Planning Review Checklist for Zoning Permit Applications s 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 13 Site Escrow Amount w ❑ Hardcover Removal L ❑ Footing Signed escrow received? ❑ Poured Wall A As-Built Survey Xyes ❑ No ❑ Planting Plan ❑ Wetland Escrow amount received?Xyes Final C3 No ❑ Other(specify) Engineering review needed? Yes ❑ No REMARKS (in-house): Other Review: Reviewed by: Date Approved: EMARKS (TO BE NOTED ON ERMIT AND INITIALLED BY PERSON PULLING PERMIT) 1119 r 1U UITU n r .-U rqu rrcd of d.Q. uc�e�� -r►�ur�� al�,K- �5�� Created: March 29. 2011 z:\forms\plan review checklist for zoning permit applications.docx p6"�-r DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMIT NO. Ql - 04.6 COMPLETED ADDRESS 904? OWNER R-S V TELEPHONE NO. td 243`5 3-?f3 CONTRACTOR J N DESCRIPTION 7A_; ` FOOTING ❑ PLUMBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL Tt v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: a by cc cc �/K Sli 5�4,�r crS D �ees✓ ° N� -�srs�,S 13 r ,oeY s��tu,f�4r'eY5 W QC S pec s — Q / W W cc J W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W04QORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. alI for the next inspection 24 hours in advance. (952) 249-4600 Owner! tractor on Site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY NO CALLEDIN INSPECTION NOTICE SCHEDULED AVA,Abs— PERMIT NO.W/ 'A9 Ila 7 nC�OMPLETED_ ADDRESS �d TrvUAa rcci OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION �/� Cgycle T 466,E l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL ZEl RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION i ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS I SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a Id�Or�G a/l/9.0 �rS C'fJ14�1 ale, J o �0 E. 14e 8-lf C4 ° loc-a A/o 4 s Al W Q � z W W cc J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE aC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 OwnedContrac on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice