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Home My WebLink About2016-01282 - land alteration iiiiiiiiiiiiiiiiiiiiiillillililim CITY OF ORONO * 2 0 1 6 - 0 1 2 8 2 2750 KELLEY PARKWAY DATE ISSUED: 11/07/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 3850 WATERTOWN RD PIN 32-118-23-32-0005 LEGAL DESC HILLAWAY FARM LOT 001 BLOCK 001 PERMIT TYPE ZONING PERMIT PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) NOTE: LAND ALTERATION/GRADING PERMIT -MOVING FILL FROM WETLAND TO NORTH PART OF PROPERTY NOTE: NO IMPORT/EXPORT PERMITTED FROM SITE. ALL WORK MUST COMPLY WITH THE RESTORATION ORDER ISSUED ON 10/08/16 INITIAL: APPLICANT MINOR LAND ALTERATION 50.00 TOTAL 50.00 ANDERSON,MARK&KRISTEN Payment(s) 3850 WATERTOWN RD CASH 50.00 MAPLE PLAIN,MN 55359- OWNER ANDERSON,MARK&KRISTEN 3850 WATERTOWN RD MAPLE PLAIN,MN 55359- 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. 40po—ficaant Permitee Signature D to Issued IV Signature Date City of Orono Zoning Permit Application Mailing Address: Permit number: �d/lP '40/ PO Box 66 Crystal Bay, MN 55323-0066 Date received: /D Escrow#and /� I Street Address: amount: 2750 Kelley Parkway y� Orono, MN 55356 Permit Fee: ESHO Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print) J Job Site Address: CONTRACTOR/APPLICANT INFORMATION: Name: Phone: � Y&_2 �/�S��S�j Fax: Address: t-X -4,e_- 4_ `J City:77W It- zip: fJ� Contact Person:, /� Contact's phone number Email Applicant is: Contractor eowner (Circle One) PROPERTY OWNER INFORMATION: Name: Phone(day): Mailing Address: ZIP: Email and/or Fax Overall Project Description: Check TYPE OF PERMIT FEE Box collected when permit 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 $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 78-1405(5.1)] 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: Citt Code Section 78-1285 Pre-inspection required. Temporary Construction Office/Trailer associated with building permit) $30 Updated: May 2015 APPLICANVOWNER ACKNOWLEDGEMENT: • Applicant/Owner agrees to provide all information required or requested by the Planning Department; r • 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 knowledge. Applicant's Signature: Date: /G/ 7�r 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 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/ management plan may be required for clear cutting,buckthorn or other intensive vegetation removal. Updated: May 2015 S. , s '�v �� rf�L PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: ?596D of x Jilin wh " Description of work: 1Jvl riej Mer7fln0f fV fid),'� WR-t Q Type of permit: Q � Zoning review by: Date Approved: Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zoning Information: Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes 0 No Date of Survey: Revision date: 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 0 No 0 N/A 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover 0 Yes 0 No 0 Yes 0 No Type(s): Type(s): File# File# Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx Earth Movement-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 Fee Art�our�t 0 Site Escrow Amount 0 Hardcover Removal 0 Footing Escrow Agreement received? 0 Poured Wall 0 As-Built Survey 0 Yes 0 No 0 Planting Plan 0 Wetland Buffer Escrow Money received? 0 Final 0 Yes 0 No 0 Other(specify) Engi n— g review needed? Yes. No. REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) I_ s _ IAMVk- US I� W ivy � lsS v�d vM hoiej I110 Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx