HomeMy WebLinkAboutProject PacketApplication# {j I -c)7 /.).
Date Received ~, -1 C( ~OI
Amount Paid ------CITY OF ORONO -VARIANCE APPLICATION
Initial Application Fee $250.00
($50.00 per each additional variance)
Renewal Variance Fee $150.00
(no change from original application)
Variance for non-conforming structures $250.00
After-the-Fact Fees (Double application fee)
PROPERTY INFORMATION
Site Address oL C .5-7 C1u i, I Ir. R J. ?v Py ) -T~ I hJw .TJ-37 /
Property Identification Number (P.I.D.) __________________ _
Attach legal description to application if not included on required survey.
Date Pr~cquired 9 / 'iJ_.,,,. (month/year)
I (do) ~ also own the adjacent parcels of land.
Present use of property: vresidential __ other (specify) _________ _
Zoning District: __________________________ _
APPLICANT
Name ~Surr<-h.o~~~
Address: ZlJ<t ell.I<. I fr. eJ.
Phone (home) 9r z-y71-0 9'77
Phone (work) 'trz.-</7~ -/37.b
City: Orocv/J Zip: s-..r.J'<;/
OWNER (if different than applicant)
Name
Phone (home) --------
------"""'"'------------Phone (work) _______ _
Address: -------------City: ________ Zip: ___ _
DESCRIPTION OF REQUEST Estimated Construction Cost $ _ _._Q.....,,o=lJ'---, =®_....D __ _
Describe request in detail: --'{=-"2c~-~,:,....L;!.o:::::...,:;...,"""-------=--"':::..<e......LJ......i!.._!..cl----""CJ'-"==-"""'----'""-----"O:::__..:;_c_.c. . .-.::1:_=-
e_., 1/:.:> c...-r I 41-L. P',,.e... A::.-C
(attach additional sheets if necessary)
Y ARIANCES REQUIRED
Lot Area Lot Width
Setback: Front Side
Hardcover
Rear
__ Lot Coverage
Average Lakeshore
/other (specify) rc ~ R ) O{ e, u l'jT 19 cl e_e,,l::_
\'?l ~ <:..,-A,J) '---'" -
42 I
HARDSIDP/DESCRIPTION OF UNUSUAL PROPERTY CONDITIONS
Describe undue hardship or practical difficulty or unusual property conditions preventing
compliance with Zoning Code requirements: "T/2/J c/Qc,.J . ua,u a"" -I Jc..
fjv C:< ;r 6, u.1 e. . tv /4 c--< J _ pn,,,. c ), JPJ£ & J 4. p7 0 r,t?e,,.,,(i)
j.; lo/Br lu/2y clo _L /VU.,P CL l/,/P /" I 0,/V(.,t fl_
(attach additional sheets if necessary)
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REQUIRED SUBMITTALS
All of the following information must be submitted bv the application deadline date in
order for your application to be considered complete:
1.
2.
3.
4.
5.
6.
7.
8.
Completed Application Form
Certified Property Owners List of O\vners vvithin 150', labels and plat map (you
must obtain this list, labels and map from Hennepin County Department of
Finance, A-603, Govt Center, 348-5910).
Certificate of Survey (signed by a licensed surveyor) and include hardcover
calculations as required. In addition, provide one (1) copy 8½" x 11" for
reproduction.
Topographic survey (existing and proposed elevations) if any changes in existing
grade are proposed. In addition, provide one (1) copy 8½" x 11" for reproduction.
Sketches or plans of floor & elevation views (provide one (1) copy 8½" x 11 ").
List of the legal names (include marital status) of all persons with an interest in
the property. This would include name(s) of applicant(s) if not curre-nt owner(s).
As an addendum to this application, please attach a separate list of any other
persons you wish notified of this application.
Additional items as may be requested by City staff.
The Applicant and Property Owner must-sign this application. Please remember that your
variance application is not complete if the above information has not been included.
APPLICANT'S SIGNATURE
The applicant hereby agrees to provide all information required or requested by the Zoning
Administrator, agrees to pay additional fees (staff time not covered by original fee payment)
and/or consultant expenses incurred in review of this application, and certifies that the
information supplied is true and correct to the best of his/her knowledge.
Applicant's Signature ½ ~ Date 7 /2,e:,,/,1 --+, ---+. ----'-----
OWNER'S SIGNATURE
The owner hereby acknowledges and agrees to this application and further authorizes reasonable
entry onto the property by City staff, consultants, agents. Commission members, and Council
members for purposes of investigation and verification of this request.
Owners Signature \ ff~ Date __ 7_,.J'-l-=v:.._;:,,~r/4;._;_(1:.._J __ _
Applicant must have all submittals into the City offices 25 days before the Planning
Commission Meeting. Planning Commission Meetings are held on the third Monday of each
month. Applicants must be present at all scheduled review meetings of the Planning
Commission and Council. If an applicant is unable to attend a scheduled meeting, please
make arrangements to have an authorized agent attend in your place and to advise the Building
& Zoning Office of this change prior to the meeting.
7
CITY of ORONO
Street Address:
2750 Kelley Parkway
Orono, MN 55356
Municipal Offices
DATA PRIVACY ADVISORY
Mailing Address:
P.O. Box 66
Crystal Bay, MN 55323-0066
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to
inform you that your request for a permit or license from the City of Orono or any of its
departments may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the
permit or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit
or license.
3. The information may be shared with other local, state or federal agencies to the
extent necessary to process the permit or license.
4. If your requested permit or license requires Council action to approve, some
information may become public.
5. You have certain rights under M.S. 13.04 (see following page) to review private data
on yourself.
6. Your full name is required to process this application or permit.
~ JJr, ~~oa
First Middle Last
26J7
Address
/AIPv 2 =,,o
City I
/7r. RJ
hJ-v
State
..r .. r.?~1
Zip
I understand my rights as stated above.
J:£4
Signature
Telephone (612) 249-4600 • Fax (612) 249-4616
9rz --v J/-tJl;?'1
Phone
9
Adjacent Property Owners' Acknowledgement Form
I (we) f4R.L f ((}fJ. f(.,1 L.'ffl/ SH u--rr.f? of ~(.;fp5"' CA Seo Pr /(..p
[print name( s)] [print address]
have reviewed the plans for the proposed improvement or proposed use of the property located
at :.:::.t;;,r'-j Ct,.,,,_,,, fft • KA also referred to as Land Use Application No. ____ .
I (we) understand that in executing this acknowledgement, I (we) am (are) not asked to
declare approval or disapproval of the property or use but merely to confirm for the City
Council that I (we) am (are) aware of the improvement plans and that the proposed neighbor's
project or use requires Council approval.
Property Owner Date
;t[MA.Ml/f',/1~
P operty Own
, I
Date
******************************************************************************
I (we) JuL./t,, ct-~ol. Jo:':>WUlk'.,
[print name(s)] [print address]
have reviewed the plans for the proposed improvement or proposed use of the property located
at zt..n Cl[_J1.,v -f't. R.,/. also referred to as Land Use Application No. ___ _
I (we) understand that in executing this acknov,,ledgement, I (we) am (are) not asked to
declare approval or disapproval of the property or use but merely to confirm for the City
Council that I (we) am (are) aware of the improvement plans and that the proposed neighbor's
project or use requires Council approval.
Property Owner ~ ....., Date
Owner , Date
( l
you have any info~at may assist the City in the review of this Land Use
Application, please submit your comments to the Building & Zoning Office at least 10 days
prior to the scheduled meeting date.
8
SETBACK ZONE:
HAR 'OV~ALCULATION WORKS: ET
(CIRCLE ONE) 0-7 75-250' 250-500' 500-1000'
EXISTING HARDCOVER IN ZONE
A. House X S.F.
Length Width
X S.F.
X S.F.
X S.F.
B. Garage X S.F.
C. Driveway X S.F.
X S.F.
D. Sidewalk X S.F.
X S.F.
E. Patio/Deck <ol
X I~ 9/Q S.F.
X S.F.
F. Landscape X S.F.
Underlain X S.F.
By Plastic X S.F.
G. Other x. S.F.
TOTAL HARDCOVER IN ZONE S.F. A
TOTAL PROPERTY AREA IN ZONE S.F. B
A B X JOO %
A B X JQQ %
PROPOSED HARDCOVER IN ZONE
A. House X S.F.
Length Width
X S.F.
X S.F.
X S.F.
B. Garage X S.F.
C. Driveway X S.F.
X S.F.
D. Sidewalk X S.F.
X S.F.
E. Patio/Deck 01 X \ l I 9~ S.F.
X S.F.
F. Landscape X S.F.
Underlain X S.F.
By Plastic X S.F.
G. Other X S.F.
TOTAL HARDCOVER IN ZONE S.F. A
TOTAL PROPERTY AREA IN ZONE S.F. B
A B X 100 %
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Ap~lic~nt:
Address:
TRACKING SHEET
FILE NO. QI-J-7 J .J_
Staff: .
0 Meeting with Staff: -----------
□ Date Application Completed: ------,----
0 Incomplete Notice Sent: ---------
0 Date Property Owners Notified: -------
X Date Legal Notice Published: _9.;_:-_,_/_~_o--+-( ___ _
·□ PC Meeting(s):
□ ·Notice of PC Action:
□ City Council Meeting(s):
1 •
D Resolution
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