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HomeMy WebLinkAbout2015-00759 (tree removal) ° CITYOFORONO * 2015 - 00759 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015 ORONO,MN 55356- (952 249-4600 FAX: 952 249-4616 ADDRESS : 1340 BALDUR PARK RD PIN : 08-117-23-31-0015 LEGAL DESC : BALDUR PARK : LOT 030 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 NOTE: TREE REMOVAL OF SEVERAL LOTS,SEE DIAGRAM ATTACHED TO PERMIT. APPLICANT TOTAL PUZAK,FREDERICK Payment(s) 1340 BALDUR PARK RD WAYZATA,MN 55391- OWNER PUZAK,FREDERICK 1340 BALDUR PARK RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT 1'he 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. T'his 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 goveming 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 asswing all required inspections are requested in conformance with the State Building Code.This permit may be ,(� � revoked at any time for due cause. J , Vl �� `� �� ��� l.� Applicant Permitee Signatur Date [ssued By Signature Date 1 '� � City of Orono ` 4 � � • Zoning Permit Application Mailing Address: Permit number: �� � S ' � � ��� �Q� PO Box 66 Date received: �O `1 Z�� O Crystal Bay,MN 55323-0066 Escrow#and � / � Streef Address: amount: � 2750 Kelley Parkway y `�' Orono, MN 55356 Permit Fee: �l �' Approved b : qkESH��� Fax: 952-249-4616 y Main: 952-249-4600 Notes: www.ci.orono.mn.us � This application form must be completed in full and all,�equired information m st be submitted. (P/ease print) Job Site Address: � �,.\� .r CONTRACTOR/APP ANTI OR . Name: Phone: . Fax: Address: Ci : ZIP: Contact Person: Contact's phone number Email Applicant is: Contractor ome (Circle One) G9'W►E ,11��, PROPERTY OWNER INFORMATION: Name: �i,�.._ .. Phone(day): __ __ Mailing Address: ZIP: _ Email and/or Fax Overall Project Description: . CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential — Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also requires is a Minor or Ma or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) lReference: Cftv Code Sections 78-967.78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b 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 lReference: Ciri Code Sectlons 78-967,78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaintng 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 fReierence: Cltv Code Section 78-1405(5.1)1 Retalning 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 se arated b twice the hei ht of the lower wall. Stalrway or Lifts to Lake(New or Replacement) lReference: C►tv 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!lteference: Cftv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: C' Code Sectfon 78-1285 Pre-inspection required. Tem ora Construction Office/Trailer associated with buildin ermit $30 +` � . i rti:F� � . � Updated: May 2015 APPLICANT/OWNER ACKNOWLEDGEMENT: , °�' � t • ApplicanUOwner agrees to provide all information required or requested by the Planning Department; " � • Owner agrees to pay the City of Orono for englneering consultant revtew 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 altemative but to reject it until it is complete; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • Applicant/Owner understands thelr project may require an Initial and/or as-built survey per City Code Sectlon 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 govemmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. The undersigned certify that the information uppli �' ue n orrect to the best of their knowledg . Applicant's Signatur�: — Date: ( � � Property Owner's Signature: �� Date: � SUBMISSION REQUIREMENTS: Except for �ree:�remov�:perinits, a�l permits requlre a completed TYPE OF PERMIT: applicai'tion form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of each,where applicable,plans,landscape plans,grading pians,surveys or slte plans. Dock,Commercial 1. • Structural plans for the dock , - ^ ,. 2. ` Survey/site plan showing the proposed location of the dock 4� , 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) Ha�dCove�Pemlit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alte�ation,Majo� 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 statlng the proposed project does not trigger any of their permitting requirements. Please note,the City w(II not issue a buildln rmPt without InformaUon from the MCWD. Land Alteration,Mino� 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 permlt wlthout informatlon from the MCWD. RetaPning Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan including e�asting 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 requfrements. Please note,the City will not Issue a building rmlt without informaUon from the MCWD. StaPnNay 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 Clty wlll not issue a buildin permit wlthout information from the MCWD. StruCture PBRnit 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 Clty wlll not issue a bulldin nnit wlthout information from the MCWD. Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planUng plan/erosion control/ mana ement plan ma be r uired for clear cuttin ,buckthom or other intensive v etation removal. Updated: May2015 �� 5� �� ��.� � � � ��� � , �� . �� . -�`14! N88 � _ 89.00 � + • �-.�', ��w�4 �.;e° � GO�tDSJN R . COFFi01t - Q I � <y 2,� S�� , <� •eo �� . 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"' � �/ DATE TIME � v CITY OF ORONO CALLED IN INSPECTION N TIC ry SCHEDULED _�� PERMIT NO. ���� L� COMPLET D � ADDRESS � OWNER �TELEPHONE NO.��- ���'��S CONTRACTOR � DESCRIPTION �e� ���Q� �- /'� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES�C NO �� � COMMENTS: a o U� � � � 0 w � Q � w W � j 0 W ❑VIFORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED O ISS CERTIFlCATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR RElNSPECTiON TEMPORARY BEFOREC�/ERING f, PERMANENT �QECT UNSAFE CONDfTiON WITHIN HOURS. O PHOTO TAKEN '�CTOR W{LL RERiRN ❑CITATION ISSUED "TED.CALLINSPECTOR ' �.ALL TO ARRAN(iE ACCESS. 'bn 24 hours in advanc�+. (952) 249-4600 � •'Slte Notfce