HomeMy WebLinkAbout2017 - 00778 - land alteration I III Il Ill 111111111 111 ,
CITY OF ORONO * 20 1 7 - 007 78 *
2750 KELLEY PARKWAY DATE ISSUED: 07/28/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 200 WOODHILL RD
PIN : 02-117-23-12-0001
LEGAL DESC : UNPLATTED 02 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTE: LAND ALTERATION
APPLICANT MINOR LAND ALTERATION 50.00
TOTAL 50.00
CLUB,WOODHILL COUNTRY Payment(s)
200 WOODHILL RD CHECK 48013 50.00
WAYZATA,MN 55391
OWNER
CLUB, WOODHILL COUNTRY
200 WOODHILL RD
WAYZATA, MN 55391
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. p
Applicant ermitee Signature Date Issued Signature Date
City of Orono
. Zoning Permit Application
Mailing Address: Permit number: 0. 01 7- O 07 7
cQ�O PO Box 66
Crystal Bay, MN 55323-0066 Date received: 7 jp-)7
Escrow#and
Street Address: amount: � CLOD V
U
2750 Kelley Parkway /
y Orono, MN 55356 Permit Fee: 50 V
e,1 Approved by:
kES H OR Fax: 952-249-4616
Main: 952-249-4600 Notes:
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: a.L C. "'LL Ci „ &Li (( P.k,
CONTRACTOR/AP LIC NT IN.EORMATION:
Name: k1# �1� 4�&.iZt�LS .. �W
a> • C � .., P.-W.-42- -3 0•-. 1c= . t.& Itv
Phone: 6 ( . - .?e .. -. 0 Fax: 5`.s`.1. _c/ r_jff
0J j - / ! I
Address: . G Co t.),.'•t '•Jr„�t.; I( i<:C.?c.i,t City: L' A 7 Ze4.-k-C3_ ZIP: 5M-35' I
Contact Person: 44..-.r c.� , I ila C 0 , .z Contact's phone number
Email e„. k(Z424.4tid— , 4: Applicant is: Contractor (H---q-meowne� (Circle One)
e..9,ty. (lc --
PC
PROPERTY OWNER INFORMATION: ff ` t RC�1e s` ` - •,
Name: - 'c.Glir�..\t :. as ..., k f_I C /J - ,C. c ,- t R ti� 11 s.• .✓
Phone(day): f. ( '1.-.��c' - :i-' Yl 6
Mailing Address: a c,c 0 0 l.,; (t RC, ZIP: Y 5-3 y /
Email and/or Fax a_ .. it4&,«.og_. A. vn.si:. CC,v. ct-5 1 - /7 3.- C !/j
Overall Project Description: L c�i l& �; _;,` 17 L Cis 1._k l '
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 beyond $50
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!5.111
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 78-12853 Pre-inspection required.
Temporary Construction Office/Trailer(associated with building permit) $30 RECEIVED
JUL 0 6 201i
Updated: January 2017
CITY OF ORONO
•
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 inf ation s ied is true and correct to the best of their knowledge.
Applicant's Signature: ' Date: 6 - k C I )
Property Owner's Signature: �F _�.,� ,�� -
Ott `P Date: -.4 ( •. �) 17
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/ osion control/
management plan may be required for clear cutting,buckthom or other intensive vegetation removal. RECEIVED
Updated: January 2017 JUL 0 bt,
CITY OF ORONO
PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS
Address: 2-00 NoOdhi' I Rd-- Z-r7-coT1
Description of work: I.(IU( [ . /4t A-f ' Co'/ 7
Type of permit:
Zoning review by: C- Date Approved: 1 • 2-' .17
Grading review by: Date Approved: 25dJJc_ 17
Other Review, Reviewed by: Date Approved:
Zoning Information:
Zoning File#: Resolution#: Resolution Date:
Lot Area: SF/AC Width: Depth:
Survey Submitted? D Yes p'Ko 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 WD Permit Received Average Lakeshore Setback Met? Bluff
Yes 0 No 0 N/A 0 YesNo
D Yes No 0 Yes D No AKN/A —
Permit Number: ii -$52..z_ Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overlay District Tier Hardcover Hardcover
D Yes o ' D Yes
,—,,---- 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
400—
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
pio00 0 Footing
Escrow Agreement received? 0 Poured Wall
0 As-Built Survey
/Yes 0 No 0 Planting Plan
0 Wetland Buffer
Escrow Money received? "214-Final
/Yes 0 No 0 Other(specify)
Engineering review needed?
0 Yes o
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
Updated:January 2013
z:\forms\plan review checklist for zoning permit applications 2013.docx
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I (- I _I_L LI-I 1 I . 1. Build new back tee behind current tees
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r• -_� L_L_I J ' The tee shot landing zone will become the
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400y rcli �` t I I I landing zone and on the right and remove
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v :ib 'I _L_i r 1__ ra ridge top in the new tee shot landing area.
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Christine Mattson
From: Jack Distel <Jdistel@minnehahacreek.org>
Sent: Wednesday,July 19, 2017 8:20 AM
To: Christine Mattson
Subject: RE: MCWD permit 17-322: 200 Woodhill Rd, Orono
Christine,
They have 450 cubic yards written on their application form.
-Jack
From: Christine Mattson [mailto:CMattson@ci.orono.mn.us]
Sent:Tuesday,July 18, 2017 4:58 PM
To:Jack Distel<Jdistel@minnehahacreek.org>
Subject: RE: MCWD permit 17-322: 200 Woodhill Rd, Orono
Hi,
I was actually looking for total cubic yards. I'll have to ask again.
Thanks!
From:Jack Distel [mailto:Jdistel@minnehahacreek.org]
Sent:Tuesday,July 18, 2017 4:29 PM
To: Christine Mattson<CMattson@ci.orono.mn.us>
Cc: Luke Menden<Imenden@minnehahacreek.org>
Subject: MCWD permit 17-322: 200 Woodhill Rd, Orono
Hello Christine,
About your question on the proposed activity to occur at the above mentioned address, there is a stockpile that is going
to occur at site and then after the fill has been amassed (they are getting it from a nearby construction site)they will
rebuild a golf T-box which is adjacent to the stock pile.
Does this kind of answer your question? If not, let me know and I can try to supplement more!
Best,
Jack Distel
District Representative
Minnehaha Creek Watershed District
15320 Minnetonka BLVD
Minnetonka, MN 55345
952-641-4581
1
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information
contained in the permit application, correspondence, plans, maps, and all other supporting data
submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY
GRANTED to the applicant named below for use and development of land in the Minnehaha
Creek Watershed District.
217 -0017
Issued to: Woodhill Country Club Permit No: 17-322
Location: 200 Woodhill Road, Orono
Purpose: Erosion Control — Landscaping
Date of Issuance: 7/18/2017 Date of Expiration: 7/18/2018
By Order of the Board of -pagers
Heidi Quinn
Permitting Technician
This permit is not transferable without District approval, and is valid to the date of expiration. No
activity is authorized beyond the expiration date. If the permittee requires more time to complete
the project, an application for renewal of the permit must be received by the District at least 30
days before expiration.
The applicant is responsible for compliance with all District Rules and for the action of their
representatives, contractors, and employees.
Conditions: Project to be completed as described in plans submitted to the
MCWD office on July 591, 2017 according to the provisions of this permit.
• Properly install and maintain all required erosion control measures until the
disturbed areas are re-stabilized
• Notify MCWD in writing upon completing installation of perimeter and
sedimentation controls
• When the site is re-stabilized and the MCWD staff has performed a final
inspection, all perimeter control must be removed
(Statement concerning fees for inspections, violations, etc... on following page)
We collaborate with public and private partners to protect and improve land and water for current and future generations.
15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org
MINNEHAHA CREEK WATERSHED DISTRICT
QUALITY OF WATER QUALITY OF LIFE
Inspection/Analysis/Monitoring Fees
A site inspection and monitoring by District staff will be performed where the activity involves:
• a commercial/industrial/multi-family residential development
• a single family residential development greater than 5 acres or of any size if within the
Minnehaha Creek subwatershed
• any alteration of a floodplain or wetland
• dredging within the beds, banks or shores of any protected water or wetland
• a violation
• any project which in the judgment of the District staff should be inspected due to project
location, scope, or construction techniques
In these cases, the applicant shall pay to the District a fee equal to the actual costs of field
inspection of the work, including investigation of the area affected by the work, analysis of the
work, and any subsequent monitoring of the work, which in the case of a violation shall be at
least $35.
Standard Fee Schedule
District professional staff $ 65.51*
District interns $ 40.35*
District clerical staff $ 46.69*
Consulting Senior Engineer $ contracted rate
Consulting Engineer/Technician $ contracted rate
District Counsel $ contracted rate
Application fee $ 10.00
Copy costs $ .25 + actual staff time
Color copy costs $ 1.00 + actual staff time
• Hourly
We collaborate with public and private partners to protect and improve land and water for current and future generations.
15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org