HomeMy WebLinkAbout2014-00837 - land alteration CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 8 3 7
DATE ISSUED: 08/07/2014
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(501+CU YDS)
NOTE: $AMOUNT TO BE DETERMINED BY CUP-SB COLLECTED IN ESCROW FEE PERMIT#2013-00428
ACTUAL ESCROW FEE AMOUNT COLLECTED $2,000 PAID BY CHECK BY MARK ANDERSON]I
ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS
1. A PERMIT FROM THE MCWD MUST BE OBTAINED.
2. A DOUBLE ROW OF SILT FENCING SHALL BE PLACED AND MAINTAINED BETWEEN THE EXTENT OF THE GRADING ACTIVITY
AND THE WETLAND ON THE PROPERTY.
3.THE OWNER SHALL SUBMIT HAUL ROUTES TO THE CITY FOR APPROVAL WITH THE ADMINISTRATIVE ZONING PERMIT FOR
MAJOR LAND ALTERATION.
4.THE OWNER SHALL CONFORM TO THE RECOMMENDATIONS OF THE CITY ENGINEER AS OUTLINED IN THE MAY 15,2014
MEMO.
5.THE AMOUNT OF FILL BROUGHT ONTO THE PROPERTY SHALL BE MONITORED SO AS TO ENSURE COMPLIANCE WITH THE
APPROVED GRADING PLAN.
6.THE OWNER SHALL SUBMIT AN ESCROW IN THE AMOUNT OF$3,000 FOR EROSION CONTROL PURPOSES WITH THE
APPLICATION FOR ZONING PERMIT FOR MAJOR LAND ALTERATION PRIOR TO COMMENCEMENT OF GRADING ACTIVITIES.
APPLICANT MAJOR LAND ALTERATION 50.00
MISC FEE 50.00
ANDERSON,MARK&KRISTEN TOTAL 100.00
3850 WATERTOWN RD Payment(s)
MAPLE PLAIN,MN 55359- CHECK 5025 100.00
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.
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App scant Permitee Signature Date Issued Yy Si ture Date
City of Orono
Zoning Permit Application
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Mailing Address:
Permit number: p
PO Box 66 Date received:
Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
y �l 2750 Kelley Parkway Permit Fee: DO 25
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Orono, MN 55356 G Approved by:
gKFSHO�� Fax: 952-249-4616 Notes:
Main: 952-249-4600 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: 0
CONTRACTOR/APPLICANT INFORMATION:
Name: At4 r(
Phone: ,1 Cl s Fax:
Address: Cit : %t ZIP:
Contact Person: Contact's phone number
Email LS tao,(�,�,�6� .( a� Applicant is: -Contractor 1465eR ne (Circle one)
PROPERTY OWNER INFORMATION:
Name: Ac,t_ A, -6 rs r
Phone (day):
Mailing Address: ,3U11 �� _�( ZIP:
Email and/or Fax
Overall Project Description:
Check TYPE OF PERMIT
Box COST*
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
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 I 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,the application may not be issued.
The undersigned certify that the inf rmation sup liedd's true and
a__nd correct to the best of their knowledge.
Applicant's Signature: ��''� - '"— ._._. 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 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
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ReceiptNo: 3.006967 May 30, 2013
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Previous Balance: •00 1
Permits
2013-OM 3650 21000.00
Watertown Rd ►1
101-22205
Deferred Rev-Developer Deposit
Permits
2013-00332 3850 Watertown 50.00
Rd
101-32520
Zoning Permit
Total: 2,050.00
Dieck
Check No: 0000 2,050.00
=M M Farre
Total Applied: 29050.00
OwV Tendered: .00
06/30/2013 MINN
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED - --
ADDRESS �34�SSC� GUA-.M-W oJ,..>
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNE=ONTRACTOR TO MEET YOU:_YES_NO
COMMENTS-
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W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
(1: ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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CA ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i ion 24 hours in advance. (952) 249-4600
OwnOWAXItnil for
Inspector. id"I
White CopyAnspector's File Canary CopyMe Notice