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Home My WebLink About2014-01365 - tree removal � � j CITY OF ORONO * 2 PJ 1 4 - 0 1 3 6 5 * 2750 KELLEY PARKWAY DATE ISSUED: 11/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1685 CONCORDIA ST PIN : 17-1 17-2.i-22-0022 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 016 E3LOCK 000 PERMIT TYPE : TREE REMOVAL WITHIN 0-75' PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYNE : TREE REMOVAL WITHIN 0-75 APPLICANT TOTAL PALM, MR. & MRS. TOM Payment(s) 1685 CONCORDIA ST WAYZATA, MN 55391- OWNER PALM, MR. & MRS. TOM 1685 CONCORDIA ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I he work for which this permit is issued shall be per(ormed according to the approved plans and specitications,applicable Cit��approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related�vork��hich reyuires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with�vhether or not specified herein."I�his permit will expire and become null and void if construction authorized is not commenced within I 80 days of the da[e of issuance,or if construction is suspended for a period of 180 da}'s at anp time afrer work has commenced. The applicant is responsible Yor assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be rcvukcd at any time for due cause. / / Applicant Permitee Signature Date Issued 13y Signature Dat� ,Nov L1 14 05: 29p Design & Layout Services 952-471 -8797 p. l City of Orono Zoning Permit Application � o�/ S I Permit number � O Mailing Address: PO Box 66 Date received: �� Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: � ,� 2750 Kelley Parkway Permit Fee; '`i� � Orono, MN 55356 C, Approved by: 1 �/.�y� + ( -2-y '� � �'�ESH�� Fax. 952-249-46�6 Notes: M2in: 952-249-460C `�^N`^'��.ororo.mn.us , This application form must be completed in full and all required information must be submitted. (Please pr�nt.) Job Site Address: rC7 �� '�� h`�� f CONTRAGTOR 1 APPLlCANT 1NFORMATION: Name: �O M 1�F1"Ls'Yl - -- Phone: 9 So�t- �{�1 -I �-ov e�� 6�a-a-�S-i�.ov F.a�- �-l-�i- - 7 Address: e.l�r i City:�✓�t/7�f")r ZIP: Contact Person: r'pn-� ContacYs phone number �_ Email -Tp�t�r•� � 3��o LA O�PPlicant is: Contractor Homeow er {CircleOne) �o/Yi PROPERTY OWWER INFORMATION: Name: Phone(day): - Mailing Address' 1 Z1P: Email and/or Fax _ — - — Overall Project Description: ��t�p-✓� ld��-��-�� S�F 5�� /Gf'' G�2Cvrr�r'-�"2-��-,_ 'l � �� i�TTiN� Check I TYPE OF PERMIT i—�T COST* �vG� j Box � j Dock, Residential-Permanent dock on any lake or initiaf seasonal dock not on �50+engineering review costs Lake Minnetonka ermanent dock requires CUP) Dock,Commercial $50+ engineering review costs Escrow for erosion control and engineering review costs �2,000 Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge Also required is a Minor or Maior Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubi�yards or $50 more than 10 cubic yards in lakeshore setback (also requires CUP) II Escrow for erosion control and engineering review costs As determined by 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 enqineering review costs i S2,000 � Retaining Wall measuring under four feet require a zoning permit. $50+engineering review costs I Retaining walls measuring more than four feet (from bottom of footings to top of wa11) require a buifding permit. (7iered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) 2,500 Escrow for erosion control and engineering review costs _�� Stairway to Lake(New or Replacement) $50+engineering review costs � Escrow for erosion control and engineering review costs $2,000 IStructure 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) 2,500 � Escrow for erosion control and en ineerin review costs $ � Tree Removal ar other vegetation removal in 0 to 75 foot zone _ No char e. . Tem ora Construction Officel7railer (associated with buildi� permit) S30 ___� (over) *Permit fee will be collected when the permit is issued. Updated: November 30,2012 Nov �1 14 05: 30p Design � Layout Services 952-471 -8797 p. 2 ' � . APPLICANT/OWNER ACKNOWLEDGEMENT: . Applicant/Owner agrees to provide ail 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. 7he 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 requ+re 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 j go�ernmental a encies required by law_ If you refuse to supply the information,the application may not be issued. The undersigned certify that the information supplied is true and correct to the best of their knowledge. '�-''�^ �� .--------- Date: II l ApplicanYs Signature: � �✓� a -�`"`��J �� Date: ��1 � / Property Owner's Signature: i�� — SUBMIS510N REQUIREMENTS: Except for tree removal permits, all permits ' TYPE OF PERMIT: require a completed application form, escrow agreement(signed by the property i � owner) and escrow check from owner, two copies of all plans, and three copies I of all grading pfans or surveys/site plans f Dock, ftesidential Seasonal Dock-survey shawing proposed dock Permanent Dock-plans as approved by CUP and copy of LMCD permit(if applicable� I Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock � 3. Copy of LMCD permit � Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements appfy as appropriate ', I2. Hardcover calculations, existing and proposed i 3. Plans Land Alteration, Major 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Land Aiteration, Minor 1. Surveylgrading 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. Amourtt 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 contr�l lan or co of MCWD Erosion Control Permit ' Stairway to Lake 1. Construction plans for stairway, including footings I 2. Topographical survey of property with proposed stairs shown I 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 'I. 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. I � 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion controf plan or copy of MCWD Erosion Control Permit Tree Removal Call: 952-249-460D to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cutting buckthom or other intensive vegetation removal. Updated: November 30.2012 � � TR�NSh�9I�'�IUN VERIFIC�TION REPORT TIME : 12101/2014 �y: �5 N�ME : CITV OF ORONO FAX : 9522454E1E TEL : �522494E�� SER. # : BROL2J412694 D�TE,TIN1E 12+'�1 �9: k�4 FAX NO.fN�ME 9524?1879? DLIR�TION �N: 0k7: �6 P�C;E{S} 03 RESULT OI� h�10DE �TAhJD�RD ECM C�TY �F OR�NO * 2 � 1 4 - e � 3 E 5 * �� L��'��'�'�►� DATE TSSLED: i l/2512014 a�o:vo, M�T s5�s�- 9s2 249_��0o FAx: 9sz� z�4-�615 aanRrss : �ss� t�a;vcaRDir� sT . AiN : l7�117-?3-?2-0022 I��GA.L DESC : CCIFFEES ADDN TQ SNi1T)Y WQQ]�i,AIC : LOT O 1 G BLOCK QI)Q P�R:171T TYPE ; TRFF RFM(�VAf, W�T1•�TN 0-;5' PROPERTY TYPF, : RESTT_IENTIA,L CONSTRUCTiQIV TYPF : TRI;F Tt6N10VAL �b'I'T�IN 0-;5 AFPLiG�NT T07'AL PALM, MR. �,MRS_ TQM Payment(�) l6$5 CpNCORDiA ST W,�tY7ATr1.. IVIN 55±9]- OV1'NER