The URL can be used to link to this page

Home My WebLink About2011-00762 - land alteration CITY OF ORONO PERMIT NO.: 2011-00762 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/04/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 875 WAYZATA BLVD W PIN : 35-118-23-44-0011 LEGAL DESC : UNPLATTED 35 118 23 : LOT MB BLOCK MB PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) NOTE: *EXTENT OF WORK CONSISTENT WITH FILE 11-3498 AND ACCORDING TO THE DEVELOPMENT CONTRACT DATED N. 06/27/2011 • (INITIAL) * SITE PREP,EARTHWORK AND EROSION CONTROL ARE THE ONLY ACTIVITIES PERMITTED UNDER THIS LAND ALTERATION PERMIT 1<R (INITIAL) p *CONTACT JARED WARD AT 651-239-9428 WITH START DATE. u R. (INITIAL) APPLICANT ZONING REVIEW 30.00 KRAUS ANDERSON CONST CO. TOTAL 30.00 8625 RENDOVA ST CIRCLE PINES,MN 55014 (952)249-9679 OWNER CPE Exchange 33968,LLC 200 SOUTH SIXTH STREET #1300 MINNEAPOLIS,MN 55402- 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 revok at any time for due cause. 6 / -4 / // � F; . /// // Applicant Permitee Si ature Date Issued y�ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 f City of Orono Zoning Permit Application Mailing Address: Permit number: 7/-or)7 4.aZ.J 0,�. PO Box 66 Date received: S/of/i O O Crystal Bay, MN 55323-0066 o� 1 a Ce 1 _ ,_ Escrow#and !ld Y�(' I A N -=<>:- Street Address: amount: $I 4' 2750 Kelley Parkway Permit Fee: Orono, MN 55356 �' i W . ",i '^4,C, APProved by: a 470 `9kESH�� Fax: 952-249-4616 Notes: 16W-C,14411-0 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) GENERAL INFORMATION: Job Site Address: 875 Wayzata Blvd..Orono.MN 55356 CONTRACTOR/APPLICANT INFORMATION: Name: Kraus-Anderson Construction Company Phone: (612)332-7281 Fax: (612)332-8739 Address: 525 South Eighth Street City: Minneapolis ZIP: 55404 Contact Person: Matt Alexander Contact's phone number (952)948-9401 Email malexander@karealty.com Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: CPE Exchange 33968,LLC Phone (day): (952)948-9401 Mailing Address: 200 South Sixth Street,Suite 1300,Minneapolis,MN ZIP: 55402 Email and/or Fax malexander@karealty.com Overall Project Description: new assisted living facility Check TYPE OF PERMIT COST* Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $30 +engineering review costs Lake Minnetonka (permanent dock requires CUP) Dock, Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Driveway Permit(New or Replacement) No charge Also required is a Minor or Major Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $30 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 yards $50+engineering review costs 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 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 intensive vegetation removal in 0 to 75 foot zone No charge. (over) *Permit fee will be collected at the time the permit is issued. r APPLICAN`I'/OWNER ACKNOWLEDGEMENT: • Applicant 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 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; • 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 info ?bon supplied isfup and correct to the best of their knowledge. Applicant's Signature: ";14.14- (( Date: /," 2' - I Property Owner's Signature: Date: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits TYPE OF PERMIT: require a completed 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, Residential Seasonal Dock—survey showing proposed dock Permanent Dock- plans as approved by CUP and copy of LMCD permit Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Driveway Permit 1. All Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway plans Land Alteration, Major 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Land Alteration, Minor 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75'of 2. Amount of fill to be imported and/or exported and haul route lake or less than 501 cu.yds 3. Amount of earth to be moved around on site elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit 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 or copy of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway, including footings 2. Topographical survey of property with proposed stairs shown 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 1. Plans for structure. 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 required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control plan or copy of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule inspection. Last Updated: April,2011 Plan Review Checklist for Zoning Permit Applications Address: i 1v1/4a4Z Yc Description of work: O l44 I CJV), ►'U { 1 7` 1YZf2 Type of permit: vi,pld aiiii-etwhiA Zoning review by: VIADate Approved: 1 Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zoning: Zoning File#: l (_ ilg(�, Resolution #: Resolution Date: Lot Area: b SF/AC Width: Depth: Survey Submitted? ❑ Yes ❑ No Date of Survey: 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 ❑ Yes 0 No 0 N/A ❑ Yes 0 No 0 Yes 0 No 0 Yes 0 No 0 N/A — Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 Yes 0 No 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 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 �� ❑ Site Escrow Amount � � 0 Hardcover Removal De-A)r21 ( / ► _ 0 Footing Signed escrow received? ❑ Poured Wall O As-Built Survey ❑ Yes 0 No 0 Planting Plan O Wetland Escrow amount received? 0 Final O Other(specify) 0 Yes 0 No Etgineenn ede `« REMARKS (in-house): ryr 1�gr��r�et4 ik 7/2 I `I Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Went of WA* Gt n4iist (Ay( ( 61 c t I-atlas actoYo(ir3 tv f- cte/w,>tit ricf,t Con c4- 4 meal 4901 I di site prep etf le)W0 4-- 404bn cartrbI ewe rxe owty h Ilm i446t uineler 41' s t6u1 k A4 dtra h 106141/ GOV1TLtCi- C111-64 v vriA G ' ( G 1- 231- ILi-L ' wt fin 6taxi- Q . Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx D CITY OF ORONO CALLED IN / TIME INSPECTION OTICE SCHEDULED — II /.130 Q�7(O Z PERMIT NODL/511—' COMPLETED ADDRESS 0 7.5 W � cEJIIx/ OWNER TELEPHONE NO.CP/Z ZVQ 745'3 CONTRACTOR ` fl'ar f5 7417 Q " CJ -Cd DESCRIPTION Fee f mS W ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING cE cE ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ 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 CISEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO Le)• COMMENTS: cc Q. CCd � s geAci 4 ---to cc W z W cc YORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 Owner/Contractor on site: _�� Inspector. 63S White Copy/Inspector's File Canary Copy/Site Notice pp DDA��yy TIME 1 CITY OF ORONO CALLED IN �i INSPECTION NOTICE/, /� SCHEDULED X-z l/ //-'w PERMIT NO.c30//—dD�"�Z'CO,M�PcLETED ADDRESS 8 7-S tee -f La-Y-4 ,/c OWNER ��// UU TELEPHONE NO.&/Z.Z V 7V.33 CONTRACTOR /(---11a-u--4 19-11d,--A-4-67 Sc077" DESCRIPTION ADD 741ll Lu ❑ FOOTING ❑ PLUMBING FINAL E EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS I, ❑ 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 <---- OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc 0 PAe cc 0 Lu W z W cc d CCWORK SATISFACTORY:PROCEED f: PROJECT COMPLETE W ❑ ECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP 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: 1 g KC Inspector: White Copy/Inspector's File Canary Copy/Site Notice 7D9 TIME CITY OF ORONO CA INSPECTION NOTICE/� SCHEDULED 11—Z5-1 ( //.'O eV PERMIT NO.02 o//— 76 z COMPLETED ADDRESS F 7 5 Waj z-cd•4 Ivo/ (-4-3 • OWNER //// TELEPHONE NO.lp/z ' ZVD-7Y. 3 CONTRACTOR /Ot D / /7 A- ry S`.J;D a DESCRIPTION FOO-17 � ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING cr ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ElSEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q.. cc o LSJ (*)��SQ Q _ W W d WCC WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CI 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. s' White Copy/Inspector's File Canary Copy/Site Notice