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Home My WebLink About2010-01019 zoning CITY OF ORONO PERMIT NO.: 2010-01019 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1965 COUNTRY CLUB RD PIN : 27-118-23-42-0020 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 002 BLOCK 003 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED< 120 SQ FT NOTE: SHED-8 X 10 APPLICANT STRUCTURE PERMIT 50.00 CONNER, MICHAEL&PATRICIA TOTAL 50.00 1965 COUNTRY CLUB RD LONG LAKE, MN 55356- PAID WITH CASH 50.00 OWNER CONNER, M[CHAEL& PATRICIA 1965 COUNTRY CLUB RD LONG LAKE, MN 55356- AGREEMENT AIVD SWORN STATEMENT T'he work for which this pcmiit is issued shall bc performed according to the approved plans and specitica[ions,applicable City approvals,and ihe State Building Code. This permit is for only the work described and does not gant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this typc 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 commenccd. 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 ti for du se. � '��G�� /��5 ��o �o D � i Applicant Permitee ignature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � City of Orono , �. Zoning Permit Application _� V'' Mailing Address: Permit number: oZ(�/�-��l ��,0� ��„ � �� PO Box 66 � { 1'`� " Crystal Bay, MN 55323-0066 Date received: l��8'/� a.. 0 , 1 ,� �'x=i:.-:� ��,a ;`��;��a�� ,� � Street Address: Escrow amount: 1 ��-y ��'.�c, '� ��"�' �� 2750 Kelley Parkway Permit Fee: �D• D� tqkESH�g'� Orono, MN 55356 - APPLICANT/OWNER ACKNOWLEDGEMENT: • 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; • 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 completed 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 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 you refuse to supply the information, the application may not be issued. The undersigned certify that the information supplied i true and correct to the best of their knowledge. A licant's Si nature: � � �— �� ' Pp 9 _ ,/s � Date: �� t,l--�� Property Owner's Signature: L��t �;� �r'�t�.�r b �r' Date: .- � � 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 LMCD permit Commercial Dock 1. Structural plans for the dock 2. Survey showing the proposed 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 earth to be moved 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 MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway 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 calculation 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 of MCWD Erosion Control Permit Last Updated: July,2010 ZONING PERMIT ESCROW AGREEMENT Permit# AGREEMENT made this day of , 20_, by and between the CITY OF ORONO, a Minnesota municipai corporation ("City") and ("Owners"). Recitals 1. A building permit application has been filed for a zoning permit for a property located at the ("Subject Property"), legally described as Hennepin County Minnesota. 2. Owner requests the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE, THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit $ with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning permit application. The escrow will also guarantee reimbursement to the City for all out-of- pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with permit # if compliance with the approved zoning permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in #3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§ 415.01 and 366.012. CITY: CITY OF ORONO OWNER: By: its: Internal Use Only: ` . �Original to Finance Department , L7 Copyto Street File Plan Review Checklist for New Structures / Additions Address/ PID / Legal: _ I `l lo� �v NT,R,�, L�,� IZ-br4y� Description of work: Q� �� (� 5 I-}L.�jj Septic review by: /�- Date Approved: Zoning review by: �- l�1�1 L- Date Approved: / � -2 Z-/v Building review by: Date Approved: /v - ZZ-i� Grading review by: _ /J//�} Date Approved: Zoning File #: Resolution#: Resolution Date: Zonin District Fire De artment Post Office School District I Zoning: Lot Area: SF /AC Width: Depth: Survey Submitted: ❑ Yes ❑ No Date of Survey: Pro osed Setbacks: Front (Lake) Rear(Streetj ( N S E �W ) ( N S � W ) Other Buildings Wetland Side Side I /�! Z ' � � / 5U ' ♦ � Q ' + N �A Building Defined Height: c�� JL Building Peak Height: — FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: START the distance between the basement floor/ START the distance between the slab and the WITH crawl space floor and the highest roof peak, WITH highest roof peak, the top of the comice ; the top of the cornice of a flat roof, the deck of a ffat roof, the deck line of a mansard ' line of a mansard roof, or the uppermost roof, or the uppermost point on a round or oint on a round or other arch-t e roof other arch-t e roof SUBTRACT half the distance between the highest SUBTRACT ' half the distance between the highest ' window and highest roof peak of a pitched window and highest roof peak of a � roof , itched roof I SUBTRACT the distance between the basement floor/ ADD the distance between the slab and the ' crawl space floor and the highest existing highest existing grade within the grade within the foundation or 10 feet, foundation whichever is less. j EQUALS Defined buildin hei ht EQUALS Defined buildin hei ht Lot Coverage: ��./L SF — % Shoreland District i MCWD Permit Received � Average Lakeshore Setback Biuff ❑ Yes No � � Yes ❑ No jZ( N/A , ❑ Yes No � Permit Number: ❑ Yes ❑ No � N/A Setback: Hardcover Zones Existin Proposed Variance Required CUP Required 0-75 I ❑ Yes ❑ No ❑ Yes ❑ No ' 75-250' � TYpe�S�: TyPe�S�: 250-500' ' I 500-1000' ; ; � � REMARKS (in-house): Updated: 07/01/2009 z:\forms\plan review checklist.docx Fees to be Charged YES NO ,P,erraiit Plan Review ;State��u�c�ar e Investigation Fee �S�'C �:N�a�'ber�of:`�AC�Unyts _ Sewer Connection ��lfate�r°tiC.on necfibn Park Fee ��ite;=lns{�ection Other(specify) �INiscella�neous��Fees Calculated B : UBC: Construction Type: i Square Foota e $ er S uare Foota e I � � � Basement X � _ $ , 1 S Floor X � _ $ 2" FVoOr X = � $ Gara e X � _ $ Estimated Construction Value: $ �1 � Orono Inspections Required Work Requirinq Separate Permits Required State Permits ❑ Site ❑ Plumbing ❑ Grading / Filling ❑ Well 0 Hardcover Removal ❑ Mechanical ❑ Fire ❑ Electrical 0 Footing ❑ Septic ❑ Water Connection � Foundation Survey ❑ Fireplace ❑ Sewer Connection � Framing ❑ Masonry ❑ Lawn Irrigation ❑ Insulation ❑ Mfg. ❑ Wall Board ❑ Other (specify) ❑ s-Built Survey �inal Other (s ecif ) REMARKS (in-house): Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INfTIALLED BY PERSON PULLING PERMIT) Updated: 07l01/2009 z:\forms\plan review checklist.docx ' rilN CODE 10160-1 t , „ �� ; . '062_� ' 06i02/2010 , �: t •� �- ��„�. i CuStomer Service ' � < ''� O�.� �r�.Ga�� i Servicio"al`cl�ente' � � 1-888 827-9056 �� ` �� : - - i1000 Temes Dr�ve' - :� - .�,. �(�U��n .30� �,24� ,�� ` Manroe�Mi�48152� � � � ' I .I M ' � � - � 1 w " �' r�^.. . `�� F �� .r V ' L � e I R r a y A �� , f''� Building/Edificios ��!2 10'x8' Lt'l��'" (305 x 244 cm) � � � �� y,+ �a- 2�^� �i�� i -�,�. '�.u,� > ,.�"'y"'t'S Y�'}x � i � -,. „"sw,,r''`'r..;-�,.* `"��.4',�,�i^, � a : �k� � ; ��^�� -�� s RE.Qu�RED�� .�� z��'� � ��n� �'°,_�..,:�T'a'4_r:Nx.. �";'�;.�w �` �i. ,�.�,�.'.r'�.�.`.?,�"`'�&�'k� *n. `,_�.'?y�''�:^ � f�' �`�iE .�asw,`'w,t� x,,:..c,''+7.:,,,r. 'x:?sx� ,a`.?"� �S.-�.., „'_,=��I.i . . „ . :: __�. _. .... , ., . ,. ..�-•_ .,.,.. . .. �Electric drill with#2 o Pencil �Phiilips Screwdriv2r ❑Wood Glue Phillips Tip �S uare ❑ Hammer ❑Nail Pouch q ❑Utility Knife ❑Tape Measure �Level ❑Caulk Gun �Chalk Line ❑Ladder �Paint Tools �Clamps - : , ° �� `� � ��HERR�AMIENTAS NECESARIAS �,�� : , _ < , ,. ,� , ❑Taladro electrico o Lapiz ❑Desmarador cruz ❑ Pegamento para madera Broca"Phillips" ❑Escuadra ❑Martillo ❑Navaja ❑Bolsillo para clavos ❑Cinta metrica ❑Nivel ❑ Pistolo para masiilado ❑Cordeau ❑Escalera o Herramientas para pintar ❑Grapas We manufacture Itits from selecl consiruction gratle lumber antl engineered wood products.Consiruction gratle lumber,a D�oduct�vl frwn irees,h2s many natural characlenstics antl Glemishes that may ba present in soma ot Ihe qeces you receive in your kit.Natura�c0aracteristics antl blemishes in construclion WmDer may incwtle knots,torn wootl grain along eages,mmor creckslsptils,nvists,limitetl bark alorg etlges aM qich pockats t�at may exude sap.Be assureA IDat the intlividual paris have been cut arM Inspactetl to remove as many of Ihe wootl's natural,less appealing c�aracleristics as possible.These charectenstia and/or GemisAes vnll not alfect the slrengM,durabiliry,or structurel iMegriry of the fmished protluct.Gerrerally, Ne e�cfenor Mm parts seiected br your kit are gratletl irom only one side antl should be installed with Ne most anractive sitle outwartl.Our limiietl warranty tloes nol cover ihe natural characterislics antl Dlemishes t�at occur wlih construc[ion graae lumbar protluds. Fabncamos nuestros equipos tle maaera elaborada y tle protluctos maquinatlos tle matlera.La maaera elaboratla,pro0ucto tle Arboles,tiene muchas caracteristicas e Impertecciones natureles que puedan tener algunas piezas contenidas en el equipo.Estas imperrecciones y caracterisM1cas pueden mclwr nudos,grano rasgatlo sohra el bortle,mjas�griatas pequenas.torsiones,conezas en el Dortle,y bolsos pue exutlen savia.Asegurams pue nemos conado e �nspecaonaao ias panes�ndrviduales para eiiminar ias caracterisiicas naWrales menos atreclrvas posibles.Estas caracteri5ticas y/o impertecciones no afeclaran la fueria,tlurabilitlatl ni la integritlatl eslruaural ael prooucto final.Po io generai,las piazas tle moltlura wctanor seleccionatlas Oare su equipo sa elaboran tle un soio laoo y tleben ser instalatla5 con la parta mas a�raclrva por fuera.Nuestra garantia limitaaa no cubra ias caracteristicas a impe�ecciones qua ocurren con los prOtlucios tle madera elatwraaa. •� i , �� % ��rh�� C'l-�� , - � ,,. -�,� . . .: �� lAt �r ;;��.w�y � `=��r�-: 4 .. �or �'�rv F. 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Imn mar'y�r Ilon�; I.nk�, '�ir_r,esota �' DA TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE GSCHEDULED / l�� PERMIT NO.Q�Df 0 -D�Q l/ COMPLETED ADDRESS ��S l,%U1�I�7��(�'7 G/�`� OWNER • T � /ONE NO.��-�75-3�0�� CONTRACTOR �CC�I Q �� DESCRIPTION ��,d� —�V`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTR CTOR TO MEET YOU:_Y�NO � COMMENTS��--�" ��/�-� LC��C I � JVI� L� ��G� � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED 7 ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� Owner►Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice