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Home My WebLink About2012-01083 (land alteration) CITY OF ORONO * Z 0 1 2 - 0 1 0 8 3 * 2750 KELLEY PARKWAY �ATE ►SSUE�: 10/31/2012 � ' ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1501 BAY R[DGE RD PIN : ]0-117-23-34-0007 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : LAND ALTERATION (501+CU YDS) NOTE: $AMOU1�"C TO BE DETERMINED BY CUP-S/Q COLLECTED IN ESCKOW FEL *FINAL INSPECTION TO BG PERI'ORMED B Y GNGINGGR.JESSG STRUVE. GRADING MUST BE APPROVI;D BY CI I Y ENGINGGR 13EFORG ESCROW WILL BG REFUNDED. (INITIAL) ACTUAL GSCKOW FEE AMOUN"I'COLLEC'I'ED $2,000 HOW DID THGY PAY? CHECK#2930 &WHO PAID?DON GERMANSON ESCROW PERMIT#:(DON'T FORGET TO GNTER) O�DIp� -�� ESCROW FF,1=,I'OR: EROSION CONTROL& ENGINGGRING RI?VIEW COS"I'S APPLICANT MAJOR LAND ALTERATION 50.00 GERMANSON, DON &TWILA ENGINEERING REVIEW COSTS 150] BAY RIDGE RD WAYZATA, MN 55391- TOTAL 50.00 OWNER GERMANSON, DON &TWILA 1501 BAY RIDGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant pennission for additional or relaled 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 bccome null and void if construction authorized is not commenced within I RO days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has conunenced. The applicant� esponsib or�suring all required inspections are requested in onTorinanc with�fhe State Quilding Code.This permit may bc revoked at tinte for e o�use. `,, ; - l l � %'Y!/[-�C- /D / 3/ l / Z App Ea e ec S�gnature Date Issu By Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ' City of Orono Zoning Permit Application Mailing Address: Permit number. Q� -�`� 3 �Q� PO Box 66 Date received: ��J� Crystal Bay, MN 55323-0066 Q ;� Q Escrow#and �,��'" � Street Address: amount: � ��'�� ti 2750 Kelley Parkway Permit Fee: ��'�'��`SF;�,. p� Orono, MN 55356 q�Es�H��,'�v Approved by: — Fax: 952-249-4616 Notes: Main: 952-249-4600 " " , ,,,,�.�, .�� This application form must be completed in full and all required information must be submitted. (P/ease print.) Job Site Address: I� � 1 �t�-�/ ti�9� , /C� CONTRACTOR/APPLICANT INFORMATION: N a m e: �C?/1�-�h��-�t a a,f r�1� Phone: a� ,Sb- �j�iS� Fax: Address: /S�?/ �'� Cit : ,f� -• � ZIP: �S 3j Contact Person: S� � ContacYs phone number Email �,T f��,y�4;f, r�,y,,� Applicant is: Contractor Homeowne� �c��ie o�e� PROPERTY OWNER INFORMATION: Name: Phone (day): Mailing Address: ZIP: Email and/or Fax Overall Project Description: Check �(pE OF PERMIT Box COST* Dock, Residential — Permanent dock on any lake or initial seasonal dock not on $50 + engineering review costs Lake Minnetonka permanent dock requires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and engineering 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 ineering 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 engineering 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 ineering 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: December 30, 2011 APPLICANT/OWNER ACKNOWLEDGEMENT: . • Applicant 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 certifies that the information supplied is true and correct to the best of his/her knowledge. The dpplicant 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; • 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 you refuse to supply the information, the application may not be issued. The undersigned certify that the inform ion supplied is true and correct to the best of their knowledge. -� , Applicant's Signature: ,/�,�� Date: ��/aS`"�a Property Owner's Signature: .5�-- 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 surveyslsite 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 plan or cop 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: December 30,2011 Plan Review Checklist for Zoning Permit Applications A r �� ( � ��( �� dd ess: Description of work: r 1��/ � �i( I�� ' Type of permit: Zoning review by: Date Approved: � , �_- � , ,!� Grading review by: _,�� ` , 4 - Date Approved: �� ..-`� ; �--- -- Other Review, Reviewed by: Date Approved: Zonin : Zoning File#: Resolutio�#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? es � No Date of Survey: 1v , ( �.... Existin Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff � � Yes 0 No 0 N/A ,, � Yes o 0 Yes 0 No � Yes � No �'N/A ,� Permit Number: - Setback: HardcoverZones Existin Pro osed Variance RequireQ CUP Required- 0-75' ❑ Yes ,F] No 0 Yes � No 75-250' � Type(s): Type(s): 250-500' ,,�� '.. Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution#: Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx Planning Review Checklist for Zoning Permit Applications Page 2 of2 . Cubic Yards In Out Total �� Haul Route? ? � Yes / No Explain haul route in detail: ✓� YC� � � !1' WV� Q�V� �I i� Fees to be Charged Amount Orono Inspections Required Permit Amount 0 Site k Escrow Amount 0 Hardcover Removal `��,v � Footing Signed escrow received? � Poured Wall 0 As-Built Survey � Yes 0 No 0 Planting Plan 0 Wetland Escrow amount received? �Final � Yes 0 No � Other(specify) Engineering review needed? 0 Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALL BY PERSON PULLING PERMIT) _hot. � t��-- r Gi _s..� �S�YI�I . Ca vc�d� rnu�-� Created: March 29,2011 z:\foRns\plan review checklist for zoning permit applications.docx Addendum Zoning Permit Application Don Germanson 1501 Bay Ridge Rd, Orono Submission Requirements: Minor Land Alteration 1. Grading Plan — see attached Topographic Detail 2. Fill Imported/Exported— none 3. Amount of earth to be moved around on site— 35 yds 4. Erosion Control Plan —Silt fences, see attached Topographic Detail � �hristine Mattson From: Christine Mattson Sent: Wednesday, October 31, 2012 8:46 AM To: 'don.germanson@gmail.com' Subject: 1505 Bay Ridge Road / Permit#2012-01083 Attachments: Escrow Agreement-Zoning Permit w Erosion Control 2012-01083.pdf Don, The zoning permit application for a minor land alteration is ready for pickup...the permit fee is $50. Zoning permits for minor land alterations require a $2,000 escrow. I have attached an escrow agreement for your proposed project. When you pick up the permit, please be prepared to pay both the permit fee and escrow amount. In the event you are unable to print off the attached escrow agreement, I will have a copy of the agreement ready for you here. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelly Parkway Orono MN 55356 (physical addressJ PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ �° 952.249.4620 8 952.249.4616 �� cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, November 12, 2012 � DATE TIME � CI�'Y OF ORONO CALLED IN INSPECTION N TI E SCHEDULED PERMIT NO. �� COMPLETED L -� ""� ADDRESS �=' U l �3!'��1f2i��C.� �=�'� OWNER G ��`'"��n'Sn�`-� TELEPHONE NO. CONTRACTOR � DESCRIPTION �''l''�'�'��' �� '" � �'< <-'` �'V� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � /��.�5 � �c� ��—� �� 0 � 0 � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED p ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor s' e: Inspector. White opyllnspector's File Canary CopylSfte Notice