HomeMy WebLinkAbout2015-00911 - tree removal CITY OF ORONO * Z QJ 1 5 — 0 fd 9 1 1 �
2750 KELLEY PARKWAY DATE ISSUED: 07/2U2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
AD:,�tESS : 3026 CASCO POINT RD
PIN : 20-117-23-34-0026
L�EGAL DESC : KELLY 2ND ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: 3 TREES PER ATTACHED DIAGRAM OKD FOR REMOVAL PER ROGER PIETSO ON 07/20/15
APPLICANT
DETERMAN,ANTHONY&TR1NA TOTAL
3026 CASCO PT RD Payment(s)
WAYZATA,MN 55391-
OWNER
DETERMAN,ANTHONY&TRINA
3026 CASCO PT 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 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 assuring all required inspections aze
re�ested in conformance with the State Building Code.This permit may be
revol5ed at any time for due cause. '}�,,,
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f�pplicant Permitee Si nature Date Issued By Signatur Date
i
� � �. City of Orono
Zoning Perrr�it A lication
Mailing Address: Permit number: G.-v��`- C�G9
�Q PO Box 66
�Q Crystal Bay, MN 55323-0066 Date received: � Z/ l S
Escrow#and / �t
Street Address: amount: ` r�
� 2750 Kelley Parkway
y `� Orono, MN 55356 Permit Fee:
en �,
t�kESH04� Fax: 952-249-4616 APProved by:
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.)
Job Site Address: 3� Z �p C AS Cb 1�01 NT lZD 0 Rb N C) M N 5S?j� �
/APPLICANT INFORMATION:
►vame: A�T�oNY ! 'f'R1 N R �D TERMA N
Phone: �{ Fax:
Address: 2n2(� CAS�O Aoi1�i" 'iZD Ciry• ORbNO ZIP' .rjS�q
Contact Person: '(R,l N A Contact's phone number �52 3q 3 2(��.�-}
Email �-G�{C3(oQS� �w►�t.i 1. , C O Wl Applicant is: Contractor omeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: l�.1•I'TH-oNV ITRWA l7�TGRMIkN
Phone(day): qC�2� �q�. 7� y�}
MailingAddress: �Q�(Q (ASCo 1�DiNT fZp ZIP• SC�Q �
Email and/or Fax .�-�k�V�@ Gmai L. r d rv�
Overall Project Description: r—�"'ro�M 0 N 1 F3.)b l.l 5 TO'���FQ '1Tt�,S W/ fN 7$� �F S�I�E
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 Minor 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)
[Reference: Citv 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
fReference: Citv Code Sections 78-967. 78-1247 and 78-12861
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
lReference: Ciri Code Section 78-1405(5.1)1
Retaining 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.
Stairway or Lifts to Lake(New or Replacement) lReference: C/tv Code Sectfons 78-128� $50+engineering review cosCs
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 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.
�/ elerence: Ci Code Section 78-1285 Pre-ins ection re uired.
Tem ora Construction Office/Trailer associated with buildin nnit $30
.d,-ovE�--
Updated: May 2015
APPLICANT/OWNER ACKNOWLEDGEMENT: �
. ApplicanUOwner agrees to provide ali 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 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/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 informatio is to annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the info a 'on,the a lication ma not be issued.
The undersigned certify that t, ' mation sup �e s e an ct to the best of their knowledge.
Applicant's Signature: Date: ZI JUL � 5
Property Owner's Signature: Date: ? I )U L I S
SUBMISSION REGIUIREMENTS: 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 Pertnit requirements apply as appropriate
2. Hardcover calculations,existing and proposed
3. Survey
Land Alteratlon,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 AlterBtlon,Minor 1. Survey/grading plan including existing and proposed contours
2. Amount ot 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 sta6ng the
proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a
buildin rmit 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 staUng the
proposed project does not trigger any of their pertnitting requirements. Please note,the City will not issue a
buildin rmit without information from the MCWD.
Stalrvvay 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
buildin permit without information from the MCWD.
StruCtu�e Pe�mit 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 permit 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.
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DATE TIME✓
CITY OF ORONO CALLED IN
INSPECTION NOTI�E SCHEDULED
PERMIT NO. a0 S-(X?G/'l� COMPLEfED 7.Z ! ' //.'G!9
ADDRESS ✓?�� C�i�GO T pr/l f 0�
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION ���- r �-��V�� `-' '�
ly ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OYVNERICONTIUCTOA TO MEET YOU:_YES_NO
� COMMENTS: � `- ��'(e S
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W WORKSATiSFACTORY:PROCEED O PROJECT COMPLEfE
❑ ECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE GWERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
on site:
.
Inspecto.
White Copyllnspector's File Cenary CopyfSfte Notke
C� � � .�
DATE TIM�
CITY OF ORONO ALLED IN
INSPECTION N�TICE SCHEDULED _j�
PERMIT NO. C{✓'�-"�-��� COMPLETED
ADDRESS �C�i Z-�D l� C'R.,�7 �C��� �
OWNER _�ri 1�1C����J�—��' `TEL�PHO NO.��S�` ��7���T
CONTRACTOR C ��� ��.
� DESCRIPTION �{�� � �C�� ���lC �� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J �tRtAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC I S ALL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
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� ❑WORK SATISFACTORY:PROCEED �A6dECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WOflK,CALI FOR REINSPECTION TEMPORARY
� BEFOREC0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �' = � � `�'
White Copyllnspector's File Canary CopyfSite Notice