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Home My WebLink About2015-00577-voided City of Orono Zoning Permit Application O Mailrng Address: Permit number: �c��a��/ � �O PO Box 66 � Crystal Bay, MN 55323-0066 Date received: �//—/✓ Escrow#and Street Address: amount: � � 2750 Kelley Parkway y ; Orono, MN 55356 Permit Fee: �' F �,9 �,�' Approved by: kFSHO� Fax: 952-249-4616 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. (P/ease print.) G� Job Site Address: ;�1(, 1 � C..�,�� 01�U 1 �Z�l�'1' i�. CONTRACTOR I APPLICANT INFORMATION: / Nam e: �lzl C_- ��C�`�'�v t�l �9 � Phone: (�/a ��p �ScU Fax: Address: l C.�HS�o �T �z0 Cit ' fZ�,u(� ZIP: S� 3�'1 Contact Person: ContacYs phone number Email �'�Lti L � L'tX,,S�,�;,r+q ,cv�tiQpplicant is: Contrac or Homeowner �c��ie o�e� PROPERTY OWNER INFORMATION: �`j Name: �i'p'i"t� i-1 S f�'l30�lt � t Phone(day): Mailing Address '�, ZIP: Email and/or Fax � Overall Project Description: lZc�'T�°+�N 1 l��, W��'�C� Check TYpE OF PERMIT Box �f�f�� Dock, Commercial (/�•� Escrow for erosion control and engineerin revie�costs '�� Dock, Residential – Permanent dock on any lake'br initial seas� � �l 1 on Lake Minnetonka permanent dock requires,:!CUP � �1 Hardcover Permit: Driveway, Patio, Sidewa�k, etc. (New or F � � _ . Land Alteration, Major(grading, filling, or excavating) more 5� �'I' ��—.��,� c or more than 10 cubic yards in lakeshore setback (also requires , Escrow for erosion control and engineering review costs , Land Alteration, Minor(grading, filling or excavating)–500 or I � � yards outside of lakeshore setback or less than 10 yards in lake — Escrow for erosion control and engineering review costs �--- Retaining Wall measuring under four feet require a zoning perr �„ �J � Retaining walls measuring more than four feet (from bottom of fi r/� f�� 'l,��X- � of wall) require a building p 'rmit. (Tiered retaining walls are cor Y � V wall unless the walls are parated by twice the height of the lo� � � � ^ � Escrow for erosion con I and engineerin review costs � �l �,(_, Stairway or Lifts to L e (New or Replacement) � ��J )� Escrow for erosion c trol and engineering review costs � .�� Structure Permit for other structures not requiring a building pE � regulated by the zoning code (including, but not limited to acces of less than 120 square feet, detached deck or platform and spo � �/ ._ f Escrow for erosion control and en ineering review costs ��/1'�"�� Tree Removal or other vegetation removal in 0 to 75 foot zon d. Temporary Construction Office/Trailer(associated with buildii (over) *Permit fee will be collected when the permit is issued. Updated: January 2015 APPLICANTIOWNER 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 appiicable; . ApplicanUOwner 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; . Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • ApplicanUOwner understands their project may require an initial and 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 info ti pplied is true and correct to the best of their knowledge. ApplicanYs Signature: � Date: �— ��'� S Property Owner's Signature: Date: 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 all plans, and three copies of all grading plans or surveys/site plans DoCk, CommerCial 1. Structural plans for the dock 2. Survey 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 permit without information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours (Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported and haul route within 75' of lake Or less 3. Amount of earth to be moved around on site than 501 cu.yds 4. Erosion control plan. elsewhere.) 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 permit 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 building permit without information from the MCWD. Stairway 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 City will not issue a building permit without information from the MCWD. Structure Permit 1. Construction plans. 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 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 building permit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/erosion control/management plan re uired for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: January 2015