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2015-00880 (Zoning)
CITYOFORONO * z015 - 008e0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2015 ORONO, MN 55356- ' (952 249-4600 FAX: 952) 249-4616 ADDRESS : 1416 BALDUR PARK RD p�� : 08-117-23-34-0015 LEGAL DESC : BALDUR PARK : LOT 011 BLOCK 001 � PERMIT TYPE : ZONING PERM[T PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 APPLICANT TOTAL MARCIA PETERSON,JEFFREY ULKU/ Payment(s) 1416 BALDUR PARK RD WAYZATA, MN 55391- OWNER MARCIA PETERSON,JEFFREY ULKU/ 1416 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 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 additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construc[ion au[horized 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 wi h the State Building Code.This permit may be revoked at an time d ause. ' � , ( �.(� I � ,�� , �- � ..�,�L'f�� �i / !� � � � � Appli ite igna re ate Issued By Signature Date : t�'-.��n�� .�,�, �,�h�. ax �"� �a� C.�hs l�.a�s 6� -�( �o r�o � °, City of Orono � Zoning Permit A plica�tion �� -� � Mailing Address: Permit number: (.' �J (�a � �,Q�O PO Box 66 �! Crystal Bay, MN 55323-0066 Date received: � 1� Escrow#and Street Address: amount: � 2750 Kelley Parkway permit Fee: y �� Orono, MN 55356 �' G `qkESH04� Fax: 952-249-4616 �1PProved by: .i� ' :'�'; ' 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: ���� �C�.!'�►' P� �d CONTRACTOR/APPLICAN IN RMATION: Name: �1��_ Phone: � 1- ��l —S Z Fax: Address: ! � K Ci : � ZIP: �'�'�q� / _ Contact Person: �.wi �e Contact's phone number Email �_� '�- r"l I/�e t"�l�"(p,���1 Applicant is: Contractor H eown (Circle One) �� PROPERTY OWNER INFORMATION: Name: �Ct/i'Vl f GLS c�fl f!'� Phone(day): Mailing Address: Zip: Emaii and/or Fax Overall Project Description: Check TYPE OF PERMIT FEE Box collected when 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 re uires is a Mlnor or Ma or Land Alteratlon 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: Citv Code Sections 78-967. 78-1247 and 78-1286T 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: Citv Code Sections 78-967. 78-1247 and 78-1286i 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 IReference: Citv Code Section 78-1405(5.111 Retaining Walls which measure more than four feet(irom 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. Stairway or Lifts to Lake(New or Replacement) lReference: C►tv Code Sections 78-12821 $50+engineering review cosYs 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 IReference: Citv Code Secrion 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. eference: CI Code Section 78-1285 Pre-ins ection re uired. Tem ora Construction Office/Trailer associated with buildin rmit $30 Updated: May 2015 APPLICANT/OWNER ACKNOWLEDGEMENT: . ApplicanUOwner 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; . � . ApplicanUOwner certifies that the information supplied is true and corcect 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, tfie staff has no alternative but to reject it until it is complete; • Applicant acknowledges the attached Escrow Agreement is compieted and signed by Owner; . AppficanUOwner 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 ou refuse to su I 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: Date: Property Owner's Signature: ! Date: �' �S Z D/.� _ 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 buildin ermit without information from the MCWD. Land Alte�ation,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 buildin ermit 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 buildin permit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairv✓ay 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 buildin 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 buildin ermit 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/ mana ement lan ma be r uired for clear cuttin ,buckthorn or other intensive ve etation removal. ,;��.e�-J-ce�c, ��e by J r►� �f � �-l�S �zn�� � Updated: May 2015 LAND USE APPLICATION ESCROW AGREEMENT Application# AGREEMENT made this day of , 20 , by and between the CITY OF ORONO, a Minnesota municipal corporation ("City") and [a corporation—optionaQ ("Owners�). Recitals 1. Owners have filed Land Use Application# formally requesting the City to review plans for the property addressed: (the "Subject Property') legally described as 2. Owners request the City to review said plans which requires City approval and may require consulting legal and/or engineering review. 3. The City is willing to commence its review of the application and incur costs associated with said review only if the Owners establish 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 $ 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, or legal consultant review) or will incur in meeting with the Owners, reviewing the plans, and preparing agenda packet material for City Council review of Land Use Application # . Eligible expenses shall be consistent with expenses the Owners would be responsible for under a land use application. 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 cease all reviews 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 retumed to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 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. 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