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Home My WebLink About2010-00939 - land alteration • CITY OF ORONO PERMIT NO.: 2010-00939 ' 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 10/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 809 BROWN RD N PIN : 27-118-23-34-0006 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) NOTf?: ESCROW FEE AMOUNT COLLECTED $2000.00 ESCROW PFRMIT#:2010-00940 F,SCROW FEE FOR: EROSION CONTROL&ENGINEERING R�VIGW COSTS APPLICANT MINOR LAND ALTERATION 50.00 HAUCK ASSOCIATES, INC. ENGINEERING REVIEW COSTS 3620 FRANCE INC. TOTAL 50.00 ST. LOUIS PK,MN 55416 (952)920-5088 Minnesota State License#: 8242 OWNER HAHN, JERAD& LESLIE 809 BROWN RD N LONG LAKE, MN 55356- 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 Buildinc Code. This permit is for only the work described and does not grant pennission 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. pecified hereia This pennit will expire and become null and void i�istruction authorized is not commeneed within 1$0 days of the date of issuance,or if construction is suspended tor a p�ciod of 180 days at any time after work has commenced. Thc applicanC'is'res sible for assuring all r�j quired inspections are requ�Sfed in.con� nna ce with the State B�rilding Code."I'his permit may be / r oked at a ime f' /ause. /� � /��,�) �_' �`"� � �� -� � -r � l � l C� � � ,[�? � � ��D �� Applicant P itee Signature Date Issued By Sign ure � ` �� Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of C�rono .�� Zoning Permit Application 50� , Mailing Address: Permit number: �v�� - � � �✓� ,,;�:¢,0,�.�::� PO Box 66 /D D� /O �� Crystal Bay, MN 55323-0066 Date received: ' 0 � 0 ��, �° Escrow amournt: U�• � ��,� ,r� ;� �,'; Street Address: .�`�C��,�,' ��iG_ c�,fa t�j/� \'�,�, ,�� Gti 2750 Kelley ParkwaY Permit ee: ��o��v,� Orono, MN 55356 �-- - Received by: 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. (Please print) GENERAL INFORMATIO � Job Site Address: ` CONTRACTOR/APPLIC T I�N�F RMA ION: Name: �y " ` � Phone: Fax: Address: r —' �` Cit :�'T ZIP: Contact Person: �- Contact's p on number ` Email �, � � �� , w Applicant is�Contractor ❑ Homeowner (CirdeOne) PROPERTY OWNER INF RMATION: Name: `� � �. Phone (day): Mailing Address: ` '°' ZIP: Email and/or Fax Overall Project Description: � Check TYPE OF PERMIT COST Box ❑ Residential Dock— Permanent dock on any lake or initial seasonal dock not on $30 + engineering review Lake Minnetonka ermanent dock re uires CUP costs ❑ Commercial Dock $50+ engineering review costs scrow for erosion controt and en ineerin review costs $2,000 Minor Land Alteration (grading, filling or excavating) —500 or less cubic yards $50+ engineering review outside of lakeshore setback or less than 10 yards in lakeshore setback costs Escrow for erosion control and en ineerin review costs $2,000 ❑ Major Land Alteration (grading, filling, or excavating) more 500 cubic yards or $30 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP ❑ Stairway to Lake $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Retaining Wall not requiring a building permit (A building permit is required for any $50+ engineering review ❑ retaining wall that measures more than four feet from bottom of footings to top of costs wa�l. 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 ineerin review costs $2,500 Tree Removal or intensive ve etation removal in 0 to 75 foot zone No char e. Structure Permit for other structures not requiring a building permit but regulated $50+ engineering review ❑ by the zoning code (including, but not limited to accessory building of less than 120 costs square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 (over) � � • APPLICANT/OWNER ACKNOWLEDGEMENT: _ ___ _ -- • Agrees to provide all information required or requested by the Planning Deparfment; . Owner agrees to pay the City of Orono for engineering consultant review casts where applicable; . 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; . Acknowledges the attached Escrow Agreement is completetl 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 generaliy 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 governmentai agencies requ��d'by la . If you refuse fio supply the information, the application may not be issued. ! -- ---�---- ---- -- --------- The undersigned certify that the inforry� � supp ed is true a ,orrect to the best of their knowledge. i � /'� !'' �� Applicant's Signature: _ _ �(;�,�}�j� Date: v Date: � �/��/ (� Property Owner's Signature:,. {,�1._c�. l."lV - �� -- - —-------—__—__--- TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits 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 _____ ______ Residential Dock Seasonal Dock—survey showing proposed dock Permanent Dock_plans as approved by CUP and copy of LMGD permit I l Commercial Dock 1. Structural plans for the dock 2. Survey showing the propased location of the dock 3. Copy of LMCD permit __ ______ Minor Land Alteration 1. Grading plan including existing and proposed contours (Less than 10 cu.yds. within 75' of lake 2. Amount of fill to be imported and/or exported and haul route or less than 501 cu.yds elsewhere.) 3. Amount of eailh to be movetl around on site 4. Erosion control plan or copy of MCWD Erosion Control Permit_ _ __ Major Land Alteration 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MC1ND Erosion Control Permit -- --------_ Stairway to Lake ^ 1. Construction plans for stairway ' I 2. Topographical survey of property with proposed stairs drawn in. 3. 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, grading plan including existing and proposed contours 3. Hardcover calc�alation worksheets if in shoreland district 4. Erosion control plan or copy of MCWD Erosion Control Permit _ Tree Removal Call 952-249-4600 to schedule inspection. Structure Permit 1. Plans for structure. 2. Survey of property with proposed structure drawn in 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�y of MCWD Erosion Control Permit _______ ; I_ast Updated: July,2010