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HomeMy WebLinkAbout2017 - 00855 - land alteration I VIII III II II ILII II II III CITY OF ORONO * 20 17 - 00855 * 2750 KELLEY PARKWAY DATE ISSUED: 08/02/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 4760 WEST BRANCH RD PIN : 06-117-23-33-0002 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: MINOR LAND ALTERATION FOR PATIO AND FIRE PIT NOTE: ESCROW WILL BE REFUNDED AFTER FINAL INSPEnNS HAVE BEEN COMPLETED AND ALL DISTURBED AREAS HAVE BEEN ESTABLISHED WITH VEGETATION. INITIAL: APPLICANT MINOR LAND ALTERATION 50.00 TOTAL 50.00 RODEWALD,MICHEAL&CARMAN Payment(s) 4760 WEST BRANCH RD CHECK 5170 50.00 MOUND,MN 55364 OWNER RODEWALD,MICHEAL&CARMAN 4760 WEST BRANCH RD MOUND,MN 55364 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. (//� [ / iMY- 62) Applicant Permitee ignature Date / Issued By .gn� Date 2 . City of Orono Zoning Permit Application Mailing Address: Permit number: Q7,(9/ -7-e-(-2O ,�7� '( VQ PO Box 66 Date received: 7—A Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: �/ � 0, vd 2750 Kelley Parkway 1 Orono, MN 55356 Permit Fee: a76/7 —008S� G l4kESHO°' 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.) Job Site Address: 47 Co Wes-1 .YC1t'l-h Zoec t 0 von()n() MJJ 55 3 Cn y CONTRACTOR/APPLICANT T INFO MAON: Name: Mt 0446 Co'vw1Zr\ (ZadeWa,ld Phone: ci52-47.2-531 P. Fax: Address: I-174,0 vJ• (are e-tv 120 City: CVO v\a ZIP: 5S3 6q. Contact Person: Co.vwu" IL,cjei..lc..(cl Contact's phone number C.1-1-30‘ —'o R(3 Email efts G11_vo(Le weackE tAkte.C orv. Applicant is: Contractor(Homeowner )(Circle One) PROPERTY OWNER INFORMATION: JJ Name: M0(..t. arm Cavv 2 '\ 1�acieA laL.cl Phone(day): (0(2— '1'-6-4,/c 7 (m& . ce-ll) (c(02-30 —49 G3 (ca�,—e-. c-0-(() Mailing Address: y7Lp WCs+ ,r,.i l-. (2ac� t Olrono t MPJ ZIP: SS3G 4 Email and/or Fax wi 1<-c-1r0dct,.ald@ ('n,btoincfp.ay .Cdrh / CA.row) _ rudcuJa.ld La (44.lie- •Go►'i'1 Overall Project Description: coat d a.v\ -c tre p ik 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 re CUP) ` / Hardcover Permit: Drivewa Patio, idewalk,et (Ne�r Replacement) No charge � / Also requires is a Minor or Major Land Alteration P€rmit 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 $27000 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)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: City Code Section 78-1285J Pre-inspection required. Temporary Construction Office/Trailer(associated with building permit) $30 Updated: May 2015 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/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: J� j J Date: 07 /at i�l 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 Permit Application: Self-Checklist for Completeness Please note, the applicant must initial in the boxes below to acknowledge the minimum required information is included with the submittal. If not, the application will NOT be accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on application submittal requirements. ElCompleted Application XPlan Review Fee Paid 0- Signed Escrow Agreement & Escrow Payment irdBuilding Plans (to scale) x2 ElCertificate of Survey (to scale) showing the proposed project & meeting all requirements x2 � K, Hardcover Calculations (if applicable) I am aware that Orono will not issue a building permit without a I. copy of MCWD permits (or documentation from the MCWD stating the proposed project does not trigger their permitting requirements). I will contact the MCWD at 952-471-0590 regarding this project. Signed by: Address: Permit #: Packet Last Updated: January 2015 Page 2 Workspace Webmail ::Print https://email2I.godaddy.com/view_print_multi.php?uidArray=1797... -� Print l Close Window Subject: No MCWD Permit Required:4760 W. Branch Rd.,Orono-Patio From: Heidi Quinn<hquinn@minnehahacreek.org> Date: Thu,Jun 30,2016 12:13 pm To: Melanie Curtis<MCurtis@ci.orono.mn.us>, "Christine Mattson(Orono)" <cmattson@ci.orono.m n.us> Cc: "mike.rodewald@lambtonquay.com"<mike.rodewald@lambtonquay.com> Hello Christine and Melanie, After review of the plans for a proposed patio (2 locations of disturbance on property)at the above mentioned address, MCWD staff has determined that no MCWD permit is required. The application is proposing to disturb less than 5,000 sf and less than 50 cu yrds of fill. Please feel free to contact me with questions. Thank you, Heidi Heidi Quinn I Permitting Technician Minnehaha Creek Watershed District 15320 Minnetonka Boulevard Minnetonka, MN 55345 Office: 952-641-4504 Copyright©2003-2017.All rights reserved. 1 of 1 7/21/17, 10:22 AM Christine Mattson From: Adam Edwards Sent: Tuesday, August 01, 2017 7:35 AM To: Christine Mattson Subject: RE: 4760 West Branch Road/#2017-00855 Stamped approved From: Christine Mattson Sent: Monday,July 31, 2017 4:46 PM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject: 4760 West Branch Road/#2017-00855 We received a zoning permit application for a patio and fire pit. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono MN 55356 (physical address) PO Box 66 Crystal Bay MN 55323-0066 (mailing address) 952.249.4620 952.249.4616 < cmattson@ci.orono.mn.us , www.ci.orono.mn.us Summer Office Hours: (Monday, May 22 through Friday,September 1, 2017) Monday-Thursday: 7:30 am to 5 pm Friday: 7:30 am to 11:30 am OUR OFFICE WILL BE CLOSED: Monday, September 4, 2017 1 PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: 47( O \iiki6- 1aiic h ''`H - 2,317- W55 Description of work: TethO °r-- FI K- p - -7 -2-1 - 7 Type of permit: A(Y r L 1 Illi Zoning review by: 0/ . .11i 4 Date Approved: /-61 I -1 Grading review by: i Date Approved: / ,1v4 /?--- Other Review, Reviewed by: Date Approved: Zoning Information: I Zoning File#: Resolution #: 1 Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submittees 0 No Date of Survey: 4__, 0 2 t---7 Revision date: ks: Front.tLaker Rear et) ( N S l t) W ) ( N S E W ) Other Buildings Wetland Si a Side 1110 I7 LJ ( 3q0 l c10 ' q(.0 Of e • • .p - .Y- - • . Front( e) Rear(St ( N S CD W ) ( N S E W ) Other Buildings Wetland � 'L Side Side 'SA- 255 t 30V I,4-7' `i-L` 55. , frk 1004 Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes 0 No N/A 0 Yes No 0 Yes ,- -filo 0 Yes 0 No /A V Permit Number: Setback: Stormwater Quality Existing Proposed Variance Required CUP Required Overlay District Tier Hardcover Hardcover 0 Yes , -fNtr 0 Yes /116 Type(s): �// Type(s): N)-I 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 Amount 0 Site Escrow Amount 0 Hardcover Removal 1D 0 Footing Escrow Agreement received? 0 Poured Wall 0 As-Built Survey "(Yes 0 No 0 Planting Plan 0 Wetland Buffer Escrow Money received? C3ff(inal Yes 0 No 0 Other(specify) Engineering review needed? )I,(es 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS(TO BE NOTED ON PERMIT AND INITIALLED ply, PERSON PULLING PERMIT) bas\ c �,4-cd �- wt �(. iI uki e�- arm) Kaki Q 12 -e:� iQ[i3 i e ViAdati(A(`-- Updated:January 2013 z:\fomis\plan review checklist for zoning permit applications 2013.docx