HomeMy WebLinkAboutInfo on voided permit-2012 � 4
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To: Finance Department
From: Christine Mattson, Planning Assistant C�
CC: Street File
Date: August 4, 2015
G/L: 101-22205
Re: Escrow Refund
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Building Permit#2012-0(�7'pertaining to 1700 Bohns Point Road was voided. Please refund
the advance plan review fee of$230.10 to the applicant, AI Hirsch.
The following is attached:
• Copy of receipt showing amount received
Mail to: AI Hirsch
PO Box 633
Delano, MN 55328-0633
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w:�.street files�bohns pt rd�1700�escrow refund 2012-00987.docx
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� CITY OF ORONO * z 0 1 z - 0 0 9 8 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/04/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1700 BOHNS POINT RD
PIN : 16-117-23-22-0003
LEGAL DESC : AUDITOR'S SUBD.NO. 349
: LOT 003 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL �
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 21,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 21000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING-RETAINING WALL �
PERMIT#THIS PRE-PAYMENT 1S TIED TO:2012-00961
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APPLICANT pDVANCED PLAN REVIEW 230.10
AL HIRSCH& SONS TOTAL 230.10
PO BOX 633
DELANO,MN 55328 PAID WITH CC# 7645
(763)972-2716
Minnesota State License#: 1240
OWNER
OWENS, ROBERT&CAROL
1700 BOHNS PT RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN ST TEMENT
The work for which this permit is issued shall be p rformed according to
the approved plans and specifications,applicable iry approvals,and the
State Building Code. This permit is for only th ork described and does
not grant permission for additional or related rk which requires sepazate
permits. All provisions of laws and ordinanc s goveming this type of work
shall be compied with whether or not specif d herein.This permit will
expire and become nul(and void if constru tion authorized is not
commenced within 180 days of the date issuance,or if construction is
suspended for a period of 180 days at time after work has commenced.
The applicant is responsible for assuri 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 Sig ure Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE.
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� City of Orono \ I 6 ��
Building Permit Application
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for New Structures or Additions
�.�; Mailing Address: Permit number: � C� —C`�� �/
�,0,�. PO Box 66
0 �, O Crystal Bay, MN 55323-0066 Date received: `�'�2�'`�Z f�'—�( Z"
�'���'"�'� • Received by:
�.� �% -` ,, , Str�et Address:'
\�r � �;;,� ��``' 2750 Kelley Parkway Plan review fee: �(i. / �
\•q���o4� Orono, MN 55356 �Q�� _�C ��
=_=_�' Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: f7�D �o�j ns S°y` R � O hDn 1�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shutt/e bus service will be
required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR I APPLICANT INFORMATION:
Name: ,!�/ ��r� �G� d s�n s
State License# /a ya �s/� Expiration Date: 3-3/-��
Phone: �l�3- y'7�.- -� 7/�a (��) (�/�-a �6'2Ge(o3 (cell)
Mailing Address: _{'. e . g , � �3� city: D,� /�,,6 ZIP: ,3�--,3�g
Contact Person: �/ Applicant is: Contractor / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER IN�ORMATION:
Name: ��c�,�o L D�e��-d-J
Phone (day):
Address: j 7!� L� Q City: ZIP:
Email and/or Fax
�. ARCHITECT/ENGINEER INFORMATION:
Name:
Phone (day):
Address: City: ZIP:
Email and/or Fax:
PROJECT INFORMATION:
1.Type of Project 2. Proposed Use 3. Structure Type 4. Sewage Disposal&
Water Supply
❑ New Construction ❑ Single Family with ❑ Residence
❑ Addition attached garage ❑ Garage/Accessory Bldg. ❑ Public Sewer
❑ Accessory Building ❑ Single Family with ❑ Deck
❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer
❑ Other: (specify) ❑ Multiple Family/Condo ❑Warehouse
❑ Public ❑ Storage ❑ Public Water
""Any earth movement may require ❑ Commercial ❑ Other(specify)
MCWD review 8�permits. ❑ Industrial ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (SpeCify)
18202 Minnetonka Blvd r.e T�.'r,o LJct��
Deephaven,MN 55391
Phone: 952-471-0590
Fax: 952-471-0652
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � �i i �pd � �' �
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STRUCTURE INFORMATION:
1.Structure Dimensions 1.Structure Dimensions (continued) 2.Type of Construction
a. Length (ft.}= Number of bedrooms=
❑Wood/Frame
b.Width(ft.}= Number of garage stalls: ❑ Masonry
Areas in spuare feet Attached = ❑ Metal
❑ Pole Bldg.
c. Basement= Detached= ❑ ICF
d. 15t Story = ❑ On-site Prefab
e.2"d Story= ❑ Off-site Prefab
f. '/z Story =
❑ Other(please specify):
g.Total Area=
REQUIRED SUBMITTALS:
All of the information must be submitted in order for your application to be processed:
Not
Enclosed A licable
� ❑ Permit A lication
❑ ❑ Pro osed Buildin Plans
❑ ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form
❑ ❑ Surve meetin all re uirements
❑ ❑ Stormwater Pollufion Prevention Plan
� ❑ Hardcover Calculation s
❑ ❑ Se tic S stem Site Evaluation Re ort
❑ ❑ Access Permit
❑ ❑ Wetland Buffer Im rovement Plan
❑ ❑ En ineered Plans for Retainin Walls 4 feet or above
❑ ❑ Plan Review Fee
❑ 0 Other:
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Agrees to pay the City of Orono for engineering consultant review costs in excess of$500;
• 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 afternative
but to reject it until it is complete;
• Acknowledges the Escrow Agreement is completed and signed;
• Understands 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. ff you refuse to supply the information, the application may not be issued.
• Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the
Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000
escrow to ensure completion of the as-buitt survey and all site improvements.
ApplicanYs Signature: . ��� , ���.c.,�,, Date: �/1 — 1-�—�6l�
Owner's Signature: Date:
. e.
Jesse Struve
From: Jesse Struve
Sent: Friday, October 12, 2012 8:45 AM
To: Melanie Curtis
Cc: Christine Mattson
Subject: 20121012 1700 Bohn's Point Rd -2012-00961
Melanie,
I have reviewed the permit application for the proposed retaining wall and just need a letter from the neighbor
informing us they are in agreement with the project. I believe the construction limits will cross the property line and
impact some plantings. I just want a letter or email from the neighbor giving the applicant permission to impact their
property.
Jesse Struve, PE
Director of Public Works/City Engineer
City of Orono
(952) 249-4661- Direct -
(952) 249-4616- Fax p
www.ci.orono.mn.us � 0 r a
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City of Orono �I2��
� Zoning Permit Application
Mailing Address:
Permit number: ��� � ��
.Q,0 J�,, PO Box 66 Date received: 9 2�v Z�
Q� `r Crystal Bay, MN 55323-0066
o Q Escrow#and
Streef Address: amount:
� 2750 Kelley Parkway Permit Fee: '�
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', ��t p�F Orono, MN 55356
�kE8H�4'� Approved by:
: 952-249-4616 Notes:
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Main: 952-249-4600 �`^� i.orono.mn.us �'
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This application form must b completed in full and all r�uired information must be submitted. (P/ease print.)
Job Site Address: �� Q '� � - � , � �
CONTRACTOR/APPLICANT INFOR ATION:
Name: � � i�C.. _
Phone: _ c • Fax:
Address: � ,� Cit : ZIP:
Contact Person: ContacYs phone number (���= A��u�,� �,
Email Applicant is: on ractor Homeowner (Circle One)
- PROPERTY OWNER INFORMATION:
Name: �a r Q
Phone (day):
Mailing Address: ZIP:
Email and/or Fax
Overall Project Descriptio :
Check TYPE OF PERMI
Box COST*
Dock, eside al— Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs
Lake Min et ka 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�orLand 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 L'd
vo�;
unless the walls are separated by twice the height of the lower wall.) `� �i
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
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HI''F'LII.HIV I/VVVIVCK HI.YIIVVVVLCUt�tMtlV I :
• F Appl`ant/Owner agrees to provide ali 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 compieted 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 pl the information, the a lication ma not be issued.
The undersigned certify that the information supplied is true and correct to the best of their knowledge.
�
Applicant's Signature: l ��n � , Date: ��r � (r — `�b ��`
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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 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 cutting, buckthorn or other intensive vegetation removal.
Updated: April 23,2012
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