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Home My WebLink About2012-00737 - land alteration � , CITY OF ORONO * z 0 1 z - 0 0 7 3 7 * 2750 KELLEY PARKWAY llATE ISSUED: 08/02/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3205 GRAHAM HILL RD PIN : OS-117-23-14-0065 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 1 BLOCK 1 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : LAND ALTERATION(501+CU YDS) NOTE: $AMOUN"I'TO BE DE"CERMINED{3Y CUP-SB COLLECTED[N ESCROW FEE ACTUAL ESCROW FEE AMOUNT COLLECTGD $700.00-LAND USE APPLICATION 12-3560 HOW DID THEY PAY? CHECK#i 1306 ESCKOW PERM[T#:(DON'T FORGGT TO ENTER) 2012-00463 ESCI20W FEE FOR EROSION CONTROL&ENGINEERING RF,VIEW COSTS APPLICANT MAJOR LAND ALTERAT[ON 100.00 KISSNER, MATT&NEENA TOTAL 100.00 505 S IOTH STREET MINNEAPOLIS, MN 55404- OWNER KISSNER, MATT&NEENA 505 S l OTH STREET MINNEAPOLIS, MN 55404- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to thc approvcd plans and specifications,applicablc City approvals,and the State Building Code. This permit is for only Yhe work described and does not grant permission for additional or related work which requires separate permits All provisions of laws and ordinances goveming this rype of work shall be compied with whether or no[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 Tor assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at time for du c. . l . � ��2 �2�� _ �, Z, � � 'Applicant Permrtee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . City of Orono Zoning Permit Application MailingAddress: Permit number: (� � — �7 O.Q,Q J1�O PO Box 66 Date received: Y �`V Crystal Bay, MN 55323-0066 Escrow#and i" Street Address: amount: l �I� �Z � � F 2750 Kelley Parkway Permit Fee: — �'� ' p� Orono, MN 55356 t.yx�x�g,� Approved by: Fax: 952-249-4616 Notes: r v 'L7' �--- Main: 952-249-4600 `N`nnni.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: ��.C./ Lt{�,�m �' �.. _ CONTRACTOR/APPLICANT INFORMATION: Name: `,��OYk W OCX� L.�-�C� Phone: Fax: Address: '� 1 VQ Cit : I'�I� ZIP;� Contact Person: p Contact's phone number - 2- Email ��}S�y��,}.�(� Applicant is: ontractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: I�I�.Q�{-°F- �'Y�y K�SYI?� Phone(day): LDI Z •�� • !t12— Mailing Address: ZIP: Email and/or Fax m�,�� vancx� conn Overall Project Description: �BoXk TYPE OF PERMIT COST* Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs Lake Minnetonka ermanent dock re uires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Driveway Permit(New or Replacement) No charge Also re uired is a Minor or Ma�or 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 en ineerin review costs As determined b 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 en ineerin 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 en ineerin 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 en ineerin review costs $2,500 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. (over) *Permit fee will be collected at the time the permit is issued. Updated: April 23,2012 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 overnmental a encies re uired b law. If ou refuse to su I the information, the a lication ma not be issued. The undersigned certify that the information suppl� correct to the best of their knowledge. � ApplicanYs Signature: � �— Date: � �f�1� � Property Owner's Signature: ZG�� 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 lan or co 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 lan or co 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 cuttin , buckthorn or other intensive vegetation removal. Updated: April 23,2012 BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2012-00384 After-the-Fact ZONING PERMIT ESCROW AGREEMENT Permit#2012- �o� 3 7 After-the-Fact CONDITIONAL USE PERMIT ESCROW AGREEMENT 12-3560 AGREEMENT made this � day of f�l. , 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and Matt a Neena Kissner("Owners"). Recitals 1. A building permit application has been filed for a new principal structure located at 3205 Graham Hill Road the ("Subject Property"), legally described as Lot 1, Block1, Graham Hill Preserve, Hennepin County Minnesota. 2. Owners request 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 $2,500 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, in excess of $500, 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 building 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 building permit #2012-00384, ATF zoning permit #2012- 60'1 3"7 and ATF Conditional Use Permit#12-03560 if compliance with the approved building 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 the review has been completed and written notification is received from the Owners requesting the funds. 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 ORUt�O OWN R: ` � � l Z-- � � , �'«��..,---- By: ��" �- , �ts: � �C C�.=�.�}`_�-�--�- �,.. ... .. l�e-Dnly: ��.��.7 q�i�l��ning ��?��'��►`._ ��r��'�.,�� ,...,w .�►*.,w.,. '�I��e