HomeMy WebLinkAbout2018-00431 - zoning permit City of Orono
Zoning Permit Application
AO Mailing Address: Permit number: �/n -t�y3 I
VO CryPOBal Bay, MN 55323-0066 ox 66
Date received: �l - 9-131
Escrow#and
Street Address: amount:
2750 Kelley Parkway
1-•
C. Orono, MN 55356 Permit Fee:
F �,
!,1 Approved by:
kE S H O° Fax: 952-249-4616
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: 2101 5 F4-Nect_Sa-tet 2d. U a 'M-,-) SS 331
CONTRACTOR/APPLICANT INFORMATION:
Name: i11G(.4.Ssa Sctc S,ccck.v;s±
Phone: SEE. 13 Lc, Fax:
Address: City: ZIP:
Contact Person: Mme+ ��� Sr,�", s r Contact's phone number Wiz
Email t, u;s gwuc1 I_ Ld,14 Applicant is: Contractor C oK m`eo`wner (Circle One)
PROPERTY OWNER INFORMATION: J
Name: YY\e.Lt5scx. + Scott_ S;cacjotst
Phone(day): (.(Z - Sy 5• loci'4
Mailing Address: 2(01S pncascei,,,t 2(4. Orvna , j SS331 ZIP: SS 33I
Email and/or Fax S;col u s vvx L cruD6 l. t n+k
Overall Project Description: Fk_e_T U�� 5 eol u)1+11 1ariu� Sl�eoe.
FEE
Check TYPE OF PERMIT 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(5.1)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 ttI D C.)
Tree Removal or other vegetation removal within 75 feet of lakes No charge.
(Reference: City Code Section 78-12851 Pre-inspection required.
Temporary Construction Office/Trailer(associated with building permit) $30
Updated: January 2017
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: ��'`-�—��� _� Date:
Property Owner's Signature: Sty Date: 240 mom 20t 8
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: January 2017
' • ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES I ADDITIONS
Address: 7413 r K(21 l.�I 4 Permit No.: 2_01S"-00+5/
Description of work: A(LQ)> A( 31106141/c-- 10(10 .f. Date Rec'd: 4_-1 r
I(ILS
Septic review by: /VHI► 1-- VV tl R Date Approved:
Zoning review by: OniA i '_-, Date Approved: 5. 11 .t v
Building review by: Date Approved:
Grading review by: N Date Approved: ___—.~
Zoning District: 1.16 Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution /NA
Zoning: Lot Area: 2576L- SF/AC Width: Structural Coverage: SF %
ubm te� d:-5es 0 No Date of Survey: Revised date(?):
Landscape plan submitted? D Yes Landscaper: D No/ None proposed
Proposed Setbacks:
Front( e) Rear(Str ) ( N E W ) ( N S E W ) Other Buildings Wetland
cl
e Side
11 ' is
Building Height Analysis:
Distance Between First Floor and defined Top of Roof*(See "building height" (a)
definition):
--'----
First Floor Elevation (from building plans):---- (b)
Highest Existing ground level (per survey) or 10' above lowest ground level, (c)
whichever is lower:
Difference between (b)and (c)*: (d) F---....*
DEFINED GHT
"If highestexisting adjacent grade is above FFE-Height is(a)-(d): (e)
"If highest existing adjacent grade is below FFE-Height is(a) +(d)
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
Yes 0 No Permit Number: 0 Yes 0 No / 1/A 0 Yes q�tcro
41/A-see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
(circle one) (% and sf) (% and sf)
1 2 3 4 5 ZZ'Lo� 42•(04010 D Yes No 0 Yes o
5^101 S-F Z51-s.�-
Type(s): Type(s):
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
- Fees to be Charged YES ` NO •
Plan Review
State Surcharge'.
Investigation Fee •
•
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits
•
O Footing 0 Site 0 Plumbing 0 Grading/Filling
O Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
O Framing 0 Other(specify) 0 Masonry 0 Sewer Connection
O Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation
O Foundation Waterproofing 0 Other(specify) 0 Landscaping
O Framing 0 Septic
O Insulation
O As-Built Survey
O Final
O Lathe Required State Permits
O Other(specify)
0 Well 0 Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
di
See Builder Acknowledgement Form
0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
RECEIVED
I1AY 01 2018 _
.„„r,„„ Interactive q +
Maps ir,„F, I egerx1 F'rint Share Help
Type an address ora property In(PID) &ar4h help
Y� t
f',
r
Go to Property links 6 , - - _�_� ..`� 5 ,�/e� �► ;a
:lear results , _ _ _ 1 I ‘r - RF - ,...44.• "' r1+",A
'ID: 2111723230010 0 �,• -' - '1,4_,4, al, 4-.'\
675 Pheasant Rd ; O •,Q , ",' :,,.,., _..:,'r?' '' r`"',
)rono, MN 55331 ' ;
a I n
k
Y -�`.' 1R ,+.
Owner/Taxpayer #, �,,
• kz
owner M Sjoquist&S Sjoquist ( 3-
.,. a k
r
MELISSA SJOQUIST ,�. CO •; .; R, a �'/.
SCOTT SJOQUIST G ^'• I ��#: 4.
_. f3i
Taxpayer: 2675 PHEASANT RD661
J ; e
EXCELSIOR MN 55331 •• �, i
Tax Parcel ' .,` �. } ' {,
•
0.59 acres "'
Darcel Area: -
ti
25.702 sq ft U _ �` t ; .
Torrens/Abstract: Torrens *.�`'� 6 i I -
4ddition: Pheasant Lawn �;. .4` ` - ' �.'
_ot: • r.
006 1111 r A. '� ' F t yam" `' '
A .... t
Hetes&Bounds: .. ` �` s .
Tax Data(Assessed 2017, Payable 2018) New Shed � �
Market Value: �.Q 12'x16' � ,
a ue: 5577.000
Total Tax: 56.258.66 ' ,• Key: `i# .,.4 ,",, r
Property Type: Residential Lake Shore 15.73' '
•1 "yl
NM f
-lomestead: Homestead 1v if'
Year Built: 1964 �' , t �'=
Tax Data(Assessed 2018. Payable 2019) �' 11 • - r,.,
Go to... + —
Amu. ' »,,° - •
City of Orono
oNo. Hardcover Calculation Worksheet
(x Property Address: Z�-1 S- R .
Prepared by: Date:
1111 -ssa.. S It Civ S� 2-La maw- 2ot8
Stormwater Quality Overlay District Tier: (Circle one) Tier 1ier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify all items of existing hardcover on the property, keyed by letter to Certificate of
Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing
hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the
75' setback line and calculate hardcover square footage separately for each portion.
Key to Hardcover Item(Describe) Length x Width Total
Survey (Square Feet)
(Example) (Garage) (24'x 30') (720 S.F.)
A kActxse LICA-ill -i- `it'xss' 1935 S.F.
11 + 231S.F.
C nteve gx lo' g c S.F.
-,r-c.44 tj lbrivcw `if x Il-5` 4- 9Z'K1LS E S.F.
E �) '-183 +- ci 5 31- 2 3 1 S.F.
F
12' A I`i' +3 'x 1z.5' S.F.
4" 315 4- S.F.
H 3-1' x Iz-_i"' S.F.
I k toe S.F.
1.1«k Or •IC+ti tz' x 11' + go' x 21' (2-I I S.F.
K 131 .+ IPSO S.F.
L pa��i c lnac k `1' x lG' S.F.
M S.F.
N S.F.
O S.F.
P S.F.
Q S.F.
R S.F.
S S.F.
T S.F.
U S.F.
✓ S.F.
W S.F.
X S.F.
S.F.
Z S.F.
(1) Total Existing Hardcover 5 -1(-)1 S.F.
Excludable Hardcover(See City Code Sec 78-1684):
S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover C S.F.
(3) Net Existing Hardcover [Subtract line(2)from line(1)] 5 7c)--I S.F.
(4) Total Lot Area iS,Thu . S.F.
Proposed Hardcover Percentage [(3)_(4)] ZZ_-7,
(Proposed Hardcover next page)
Last Updated: January 2018
Note: This is an information sheet only, every effort has been made to insure the accuracy of the information contained herein;
however, if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 8 of 9
City of Orono
8?- o Hardcover Calculation Worksheet
Property Address:
Zoo s Ph, ctxtt ( Jc
'1-41 ,(''s.y' Prepared by: Date:
CV\X53 CkSC,c lY1 SC" 2 w m Cul 2e I
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 2: PROPOSED HARDCOVER
In the following table, identify all items of proposed hardcover on the property, keyed by letter to
Certificate of Survey (survey must accompany this form). Include all existing hardcover items that are
intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify
any features by letter which are split at the 75' setback line and calculate hardcover square footage
separately for each portion.
Key to Hardcover Item (Describe) Length x Width Total
Survey (Square Feet)
(Example) (Garage) (24'x 30') (720 S.F.)
A P.,v jti 2't` x t y2' x 5.5' 1935 S.F.
B I'f o'i + 231 S.F.
C SyyCoQ IZ. AItoI 192- S.F.
D+n V 42' x ll.5' + 1-1z!x11,5' 23`i I S.F.
E
4-0,3 '6 3'r S.F.
F 1.{7.'xl-t' 4- 3Cri --5 S.F.
* 315-r S.F.
H 31' ,c 11- s' S.F.
I y�2 S.F.
1 ac-k Dv,../euO-tet 12'x'1' .4 �t�'x 2.1` I Zi I S.F.
K J 131 4 is 16t S.F.
L Fctk.c 13aC14- 9'x LE,' 9 o S.F.
M S.F.
N S.F.
O S.F.
P S.F.
O S.F.
R S.F.
S S.F.
T S.F.
U S.F.
✓ S.F.
W S.F.
X S.F.
S.F.
Z S.F.
(1) Total Proposed Hardcover S 19 S.F.
Excludable Hardcover(See City Code Sec 78-1684):
S.F.
S.F.
S.F.
S.F.
S.F.
(2) Total Excludable Hardcover p S.F.
(3) Net Proposed Hardcover [Subtract line(2)from line(1)] I ci S.F.
(4) Total Lot Area ZS,'I.o 2 S.F.
Proposed Hardcover Percentage [(3)+(4)] 22- `j °°
Last Updated: January 2018
Note: This is an information sheet only,every effort has been made to insure the accuracy of the information contained
herein;however,if any information is not consistent with provisions of the City Code, the Code provisions will prevail.
Page 9 of 9
CITY OF ORONO
2750 KELLEY PARKWAY ��, I�q �, III
ORONO, MN 55356 2018-00431
tiF ° (952) 249-4600 FAX (952)249-4616 DATE ISSUED: 05/21/2018
ADDRESS: 2675 Pheasant Rd , MN 55364
PIN: 2111723230010
PERMIT TYPE: Grading and Land Alteration Permit - Residential
PROPERTY TYPE:
CONSTRUCTION TYPE:
ACTIVITY: ZONG RESI SHED
VALUATION: $
APPLICANT
-
Sjoquist, Scott & Melissa
2675 Pheasant Rd
Excelsior, MN 55331-
OWNER PERMIT FEE SCHEDULE
___ STATE SURCHARGE (VALUATION):
Description Amount
Escrow $ 1,000.00
AGREEMENT AND SWORN STATEMENT Grading and Land Alteration Fe $ 50.00
Total Permit Fees $ 1,050.00
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 PAYMENT(S):
additional or related work which requires separate permits.All Payment Date Reference# Amount Paid
provisions of laws and ordinances governing this type of work
shall be complied with whether or not specified herein.This 05/21/2018 Zoning Permit $ 1,050.00
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: ISSUED BY:
May 21, 2018
ROGER PEITSO
BUILDING OFFICIAL
CITY OF ORONO
2750 KELLEY PARKWAY PERMIT NO.: 2018-00431
ORONO, MN 55356 DATE ISSUED:
KESHov-� (952) 249-4600 FAX: (952)249-4616
ADDRESS: 2675 Pheasant Rd , MN 55364 PERMIT APPLICANT:
PIN: 2111723230010 Sjoquist, Scott & Melissa
PERMIT TYPE: Grading and Land Alteration Permit - Residential 2675 Pheasant Rd
PROPERTY TYPE: Excelsior, MN 55331-
CONSTRUCTION TYPE:
ACTIVITY: ZONG RESI SHED
VALUATION: $
BUILDING INSPECTION REQUIRED
48 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: (952)249-4600
CONSTRUCTION HOURS: 7AM-8PM Weekdays&8am-8pm Weekends& Holidays
Inspection Type Date Inspector Comments
Zoning Final
Other:
IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL
NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY
HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
Comments:
Helical ground anchors are recommend at all four corners and in the middle of the 16' sides.
Builder Acknowledgement Form
Permit#2018-00431
Builder Representative Name:
Permit Conditions: Initials
Erosion control shall be installed and maintained throughout the entire project and must remain until
vegetation has been established.
Prior to the release of the escrow funds a final inspection must be completed and all disturbed areas
established with vegetation. Please note established vegetation means perennial cover with a density of
75%. Seed blankets or sowing grass seed it not considered established vegetation.
ADVISORY COMMENTS
Any changes to the exterior/landscaping improvements, i.e. patios, grading, sidewalks, retaining
walls, etc. not currently shown on the approved survey and landscaping plan will require a separate
Zoning Permit application to be submitted and approved prior to the work commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the height of the
lower wall require engineered plans and a building permit to be submitted and approved prior to construction.
Helical earth anchors are recommend on each corner and at 8' intervals along the 16'walls.
Reviewed&Approved by: C.Mattson RECEIVED
5-11-2018 ,nAY 01 2018
Interactive q
Maps
at
p '.,teyh 11 I Ii 1.�,,.i'.1.
• rcpevy 'I : .o 4TH. +Aa .A,µ t S} ,� 's'- �a�.' .�
�'� a ' •
Go to Property Inks 1 [ . (0 , , mow—
s
:lear results .�°; + .� ♦ , ".
'ID:2111723230010 :/ ` 4 S. ^ y i Al,'»•
675 Pheasant Rd O'V- ,�� 'a "�1 ‘-',..ti• '
)rono MN 55331 a ,„1.),,, �0 r y . <' *>
D-.ner M Sjoqvist&S Sjoqvist ., 65�0-,ith ';.,' •.' i<• ..- 3 r :. j•# �� '� i
MELISSA SJOQUIST a. mss.
Taxpayer SCOTT SJOQUIST y,' ��''^,, �ti -, '� -'1.t.'
� 4
2675 PHEASANT RD 4, _ „• x •
t +' ,t .: �� } ��I •
EXCELSIOR MN 55331v s•
0 59 acres \3 l 4 i� 4 r fi. . „:„-:ft:,.,� , I.
j
Parcel Area 25.702 sq ft •*, !rl'P a �+V
rorrens�ADstract. Torrens
.'"-4:„ ''FF �-. t X 9'7 r
4dtlrtion: Pheasant Lavin . ' ° ,yl� ' ^ „�.; kr • y �'� 'tr
4' , ` •t' + (t - 511 f� �° ° ra
ot: 006 `
3lock S � !' •r. 1' 19,„;., at !,,Or -.• .'k
Hetes 8 Bounds: r ,� s,��.�^. A. • ..fit . % y�S y,, i ` ap
Y • r - .
�Ow(Mww4 2017.Pryepb 2D18) �;: '� �+�" � New Shed `��� � �� ` � �
Market Valve: $577.000 A r'' + `; �". 12'x16' " ;�.y y„”Total Tax $6.25866S �.�n. L r' KeY :,..„..:,?-i
rj3,..17,;:,,,,,,,,,,,.
Y .a .'r ,�.
property Type: Residential Lake Shore , ,+x ° 15.73 . ' i_Cr]
4
iomesteetl: Homestead ip{r 4 0. b, 4. a �..
t, s
Year Buill. 1964 r. T�- _ i r ^G`�'r,, + �t `
Tax Data(Assessed 2018 Payable 2019) v�`a r a*,_.��i* �:,,:t.-ti I:- r }i
Go to...+ li'CR 0, y �. 1 ti. , OIIYI�rr