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HomeMy WebLinkAbout2011 - 00846 - land alteration CITY OF ORONO PERMIT NO.: 2011-00846 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 08/12/2011 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 320 WOODHILL RD PIN : 02-117-23-13-0005 LEGAL DESC : EDGEWOOD PLACE : LOT 002 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(501+CU YDS) NOTE: $AMOUNT TO BE DETERMINED BY CUP-S/B COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $1800.00 HOW DID THEY PAY? yl/800. Oa &WHO PAID?GINA PAULUCCI ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2011-00847 ESCROW FEE FOR:LAND ALT.&DRIVEWAY EROSION CONTROL&ENGINEERING REVIEW COSTS APPLICANT MAJOR LAND ALTERATION 30.00 PAULUCCI,GINA ENGINEERING REVIEW COSTS 322 WOODHILL RD TOTAL 30.00 WAYZATA,MN 55391- OWNER PAULUCCI,GINA 322 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 d ; _•use. ` p pplicant PermitetFSi! ature Date Issued By nature / Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABC\ City of Orono Zoning Permit Application Mailing Address: Permit number: 0)0 ( - 00 S tv Q_J�, PO Box 66 Date received: Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: 2_00 l� 2750 Kelley Parkway Permit Fee: r Orono, MN 55356 ' � Approved by: 04/149061 `4kESHoV' 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.) GENERAL INFORMATION: . n , Job Site Address: w w 0� /lf�Vr/r1_ CONTRACTOR/AP LICANT INFO WION: Name: j/ • Phone: ,s2—¢7t Fax: 932—4-,�c—/40!.. Address: / rlGt ,�lf- t j31{�. City:/`f/h/le411r1ZIP: SSW' Contact Person: Tod d r^1//flG Contact's phone number aft-32€-Z�jZ Email 7 .�es,ksiondq,-rn . Applicant is: (contractoj Homeowner (circle One) con PROPERTY OWNER INFORMATION: Name: &7f#ld 1 PG(W4fcc/ Phone (day): -7 -4¢04 �. Cj' 2 1 r Mailing Address: uJpp h� Ne / err/Mel,M A.) ZIP: 55 / Email and/or Fax C `1c ' %fee . Overall Project Description: 9f-k ( 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 X 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. APPLICANT/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 information supplied is rue and correct to the best of their knowledge. Applicant's Signature: dri/ � i /_ , Date: 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 DAT' TIME v CITY OF ORONODi A`�I�" WALLED IN ) - INSPECTION NOTICE /•(/` SCHEDULED / Aka/ i I: 3 ) PERMIT NO�( - tX)8 /a C MPLETED ADDRESS �;vl / ,� 4$ I OWNER /TELEPHONE NO. _�( 7 1z2y i� CONTRACTOR ✓ViC/ y e Lam' • >: DESCRIPTION 4 .frt CLQ -Sbt-e d - `-(�-'t' aa 144 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING 0 MECHANICAL FINAL QID TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP ct 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL <--- OWNER/CONTRACTOR TO MEET YOU: YES_NO 2 COMMENTS:�kd - 20a- 007 a/ W a cc O cc 0 14.W CC Q ColW Z LU CC LULI WORK SATISFACTORY:PROCEED �oJECT COMPLETE W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED CISTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. S White Copy/Inspector's File Canary Copy/Site Notice 7_382 520 VV00ft Ei r-0-- Oct --0074U; 2DII.6©94(o 4-2001co -oo&b