HomeMy WebLinkAbout2015-01011 - tree removal , , CITY OF ORONO * z 0 1 5 - 0 1 0 1 1 *
2750 KELLEY PARKWAY DATE 1SSUED: 08/10/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1410 CHERRY PL
PIN : 08-117-23-33-0081
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 004
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: TREE REMOVAL WITHIN 75'OF THE LAKE.
APPLICANT
TORGERSON,KEVIN&TERESA TOTAL
1410 CHERRY PL Payment(s)
MOUND,MN 55364-
OWNER
TORGERSON, KEVIN&TERESA
1410 CHERRY PL
MOL1Nq MN 55364-
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 l80 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 with the State Building Code.This permit may be
revoked at any time for due cause.
� � � � � ��� �s
Applicant Permitee Signature Date Iss ed B Signature Date
, � , ,t City of Orono
Zoning Permit A lication
Mailing Address: Permit number: � '�d���
�Q�O PO Box 66 Date received: ��� -�
Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
� 2750 Kelley Parkway
y � Orono, MN 55356 Permit Fee: �
F
�,y �,G Approved by:
kE S H�� 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.)
Job Site Address: ��'��� C��e�sr�, P�o.�c OCoro , MN 5536y
CONTRACTOR/APPLICANT INFORMATION:
Name: S���e.�,,�oal ,L�c
Phone: s,� ��Z-�6�-�oUo Fax:
Address: i53 �as+ �.o.kc St City: W�z�a ZIP: Ss39�
Contact Person: q��,x �q�,p ContacYs phone number (,�2- 9�s-3 gco
Email ,���k�St�r�.wood•c.o�., Applicant is: �� Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: ���,���.. ac ec o.. ceSn t e�Sor
Phone (day): 9�Z_�,�g_ ti 53
Mailing Address: �tiiu G4�ecrv, Pl�,�c, Z�P: SS3 6'�
Email and/or Fax
Overall Project Description: (Z,.w,n�� Iwa ��x,es d�Co�sl� c,1os� �o �x�..,�,1•„� ,.,,.,�, r�sk „F 4..u•
CBoXk TYPE OF PERMIT collected whenE 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 Alteration 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)
fReference: 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
lReference: 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: Citv 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: Citv Code Sections 78-�2821 $50+engineering review costs
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 lReference: 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.
Reference: Cit Code Section 78-1285 Pre-ins ction re uired.
Tem orar Construction Office/Trailer associated with buildin ermit $30
Updated: May 2015
ApPLIC4NT/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;
. Applicant/Owner 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;
• ApplicanVOwner 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 i rue and correct to the best of their knowledge.
Applicant's Signature: Date: Z7 �S
Property Owner's Signature: �-� Date: � z-� �
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,CommeYCial 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)
HardCovel'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 Alteration, 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 ermit without information from the MCWD.
Stairway oY 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 pian
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 ermit 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 re uired for clear cuttin ,buckthorn or other intensive ve etation removal.
Updated: May 2015
7/30/2015 IMG952978 jpg
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https://drive.google.com/drive/u/0/my-drive U I
CITY OF ORONO * z 0 1 5 - 0 1 0 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: 08/10/201:�
ORONO, MN 55356—
952 249-4600 FAX: 952 249-4616 �
ADDRESS : 1410 CHERRY PL
PIN : 08-117-23-33-0081
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 000 BLOCK 004
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: TREE REMOVAL WITHM 75'OF THE LAKE.
APPLICANT
TOTAL
TORGERSON,KEVIN&TERESA Payment(s)
1410 CHERRY PL
MOUND, MN 55364-
OWNER
TORGERSON,KEVIN&TERESA
1410 CHERRY PL
MOiJND,MN 55364-
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 goveming 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
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
!' � �,,°�l� c� � �/D �/
Applicant Permitee Signature Date Issued ignature Date
7/30/2015 In9G95297R.1pg
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OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN
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OwnerlCon r on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice