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HomeMy WebLinkAbout2014-00636 - land alteration '� '�► CITY OF ORONO * 2 0 1 4 — 0 0 6 3 6 2750 KELLEY PARKWAY DATE ISSUED: 05/19/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 4440 FOREST LAKE LANDING PIN 07-117-23-24-0017 LEGAL DESC TONKAVIEW GARDENS : LOT 012 BLOCK 000 PERMIT TYPE ZONING PERMIT PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE LAND ALTERATION(0-500 CU YDS) NOTE: $2,000 S/B COLLECTED IN ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTED $2000.00 HOW DID THEY PAY? CHECK &WHO PAID?JOE CHURCH ECROW PERMIT#:(DON'T FORGET TO ENTER) c20/5= !e0&02.0 ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS APPLICANT MINOR LAND ALTERATION 50.00 TOTAL 50.00 CHURCH,JOSEPH 6175 STONE COURT Payment(s) CHECK 1292 50.00 INDEPENDENCE,MN 55359- (612)308-7482 OWNER CHURCH,JOSEPH 6175 STONE COURT INDEPENDENCE,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. AppliMnt Permitee Signature Date Issued Wy Signature Date Council Exhibit A City of Orono Zoning Permit Application /-�t.� Mailing Address: Permit number: o v V �fe::> PO Box 66 Date received: 0 Crystal Bay, MN 55323-0066 Escrow#and �� ,,.. Street Address: amount: a > 2750 Kelley Parkway Permit Fee:AI ' F Orono, MN 55356 Approved by: �kFSHD�Lk' Fax: 952-249-4616 Notes: Main: 952-249-4600 www_ci_orono_mn_us i This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: �/�i� CONTRACTOR/APPLICANT INFORMATION: Name: , x,11 wf c i, Phone: _(�,/2_ )c),S 7 tf 9 Z Fax: Address: 3i-cr_- Cr CitZIP: Contact Person: ,ie+< CV, t^ Contact's phone number V KZ Email nt'�l�l..r mom; jv7 Applicant is: Contractor omeown (Circle One) PROPERTY OWNER INFORMATION: Name: -4, Phone(day): 7 V Mailing Address: Col-75- J+-=.•w_ 01 1�1de ceicJ-t.tet z ZIP: Email and/or Fax Cc, (0-I Overall Project Description: 1?P�ojccc�. c�r�V 'tv G l4 rc j s;cl�.,,� (c Cin, '►} Check TYPE OF PERMIT COSTBox * Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $50 + 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 Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (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 $50 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 Xoutside 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 other vegetation removal in 0 to 75 foot zone No charge. Temporary Construction Office/Trailer associated with building permit $30 (over) *Permit fee will be collected when the permit is issued. Updated: November 30,2012 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 information supplied is true and correct to the best of their knowledge. Applicant's Signature: QQ_C6 Date: S�� /7iD(Y Property Owner's Signature: 61., c&,— Date: 17;01`f T TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits 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(if applicable) Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. 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. Survey/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. 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 or copy of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cutting, buckthorn or other intensive vegetation removal. Updated: November 30,2012 a s Planning & Zoning Department Memo To: Finance Department From: Christine Mattson, Planning Assistantcy� CC: Street File Date: December 8, 2015 G/L: 101-22205 Re: Escrow Refund Building Permit #2014-00636 pertaining to 4440 Forest Lake Landing is complete. Please refund $2,000 to the property owner, Joseph Church. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Joseph Church 6175 Stone Court Maple Plain, MN 55359 wAstreet files4orest lake landing\4440\escrow refund form 2014-00636.docx ZONING PERMIT ESCROW AGREEMENT Permit#2014-00636 AGREEMENT made this 9 day of fYL , 20 by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Michelle GiIn#r and Joseph Church ("Owners"). Recitals 1. A zoning permit application has been filed for a property located at 4440 Forest Lake Landing the ("Subject Property"), legally described as Lot 12, Tonkaview Gardens. 2. Owner requests the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $2,000 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning permit application. The escrow will also guarantee reimbursement to the City for all out-of- pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with permit#2014-00636 if compliance with the approved zoning permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO'�n OWNER: By: Its: Mm I Internal Use Only: ©1c;1rV" i ,``pp nii 6 I rtment 0 Copy to Street Fife 1 � MICHELE L GIUAER JOSEPH C CHURCH 1291 6195 STONE CTiszwzsat MAPLE PLAIN,MN 55359-2438 Pay to the ' ' '� Date j Order.of O �Ira " l Dollars F For, '10 12-91 r City of Orono 2750 Kelley Parkway Orono MN 55356 952-249-4600 Receipt No: 3.013437 May 19, 2015 Joe Church Previous Balance: .00 Permits 4440 Forest Lake Landing 2,000.00 101-22205 Deferred Rev-Developer Deposit --------------- Total: 2,000.00 Check Check No: 1291 2,000.00 Payor: Joe Church Total Applied: 2,000.00 --------------- Change Tendered: .00 -------------- 05/19/2015 07:48AM 11111111111111111111111 IN IN III ffm ` CITY OF ORONO * 2 0 1 5 - 0 0 6 2 0 2750 KELLEY PARKWAY DATE ISSUED: 05/19/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 4440 FOREST LAKE LANDING PIN 07-117-23-24-0017 LEGAL DESC TONKAVIEW GARDENS LOT 012 BLOCK 000 PERMIT TYPE ESCROW FEE-APPLICANT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-APPLICANT NOTE: THIS$2,000 ESCROW IS TIED TO ZONING PERMIT 2014-00636 APPLICANT ESCROW FEE-APPLICANT 2,000.00 ESCROW FEE-DEVELOPER 0.00 CHURCH,JOSEPH TOTAL 2,000.00 6175 STONE COURT INDEPENDENCE,MN 55359- Payment(s) (612)308-7482 CHECK 2,000.00 OWNER CHURCH,JOSEPH 6175 STONE COURT INDEPENDENCE,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. Applicant Permitee Signature Date Issued By Signature Date