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Home My WebLink About2012-01180 - temp trailer � CITY OF ORONO * 2 0 1 z - 0 1 1 e 0 * 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRIN'i'ED ON 11/16/2012 ADDRESS : 80 CREEK R[DGE PASS PIN : 03-117-23-12-0018 LEGAL DESC : CREEKSIDE IN ORONO : LOT 007 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TEMPORARY TRAILER ACTNITY : 328-OTHER NONRESIDENTIAL BUILDINGS NO�I'E: "f}IIS PERMIT IS TIED TO BU[LDING PERMIT#2012-00964 FOR A NEW STRUC"I'URE. SE"I�"I�ING A TEMPORARY MODULAR OFFICG ON THE LOT NEXT TO THE BUILDING S1TF, FOR NEW HOUSG. APPL[CANT ZONING REVIEW 30.00 HOMETIME VIDEO PUBLISHING, INC. TOTAL 30.00 4355 PEAVEY ROAD CHASKA, MN 55318- (952)856-4611 Minnesota State License#: 20456399 OWNER Hometime Video Publishing Inc 4355 PEAVY RD CHASKA, MN 55318- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only thc work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinanccs govcrning this type of work shall be compied with whcther 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 are requested in conformance with the State Building Code.This permit may be revoked a[any time for due cause. / / / / Applicant Permitee Signature Date Issued F3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . . ' CITY OF ORONO * z 0 1 z - 0 1 1 e 0 * 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 80 CREEK RIDGE PASS PIN : 03-117-23-12-0018 LEGAL DESC : CREEKSIDE IN ORONO : LOT 007 BLOCK 001 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : BUILDING UNIDENTIFIED ACTIVITY : 649-ALL OTHER BUILDING& STRUCTURES NO�I'I?: "CHIS NERMI"1'1S'I�IED TO BUILD[NG PERMI�C#2012-00964 FOR A NEW STUI2CTURE. SI?TTING A TGMPORARY MODULAR OFFICE ON THI?LO"C NEX"C�CO'Cl�li BU[I,DING SI"CL FOR N1�;W HOUSE. APPLICANT ZONING REVIEW 30.00 HOMETIME VIDEO PUBLISHING, INC. TOTAL 30.00 4355 PEAVEY ROAD CHASKA, MN 55318- (952) 856-461 l Minnesota State License#: 20456399 OWNER Hometime Video Publishing Inc 4355 PEAVY RD CHASKA, MN 55318- AGREEMENT AND SWORN STATEMENT The��ork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does no[grant pem�ission for additional or related work�ihich 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 it�construction is suspended for a period of l80 days at any time atter work has commenced. The appl cant is responsible for assuring all required inspections are request in conformance with the State Building Code.This pennit may be rev �e time for due cause. I ( �� ` � (i 1�GL //l / l� /2 Appl' nt ermitee Signature Date Iss' � By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono Zoning Permit A lication ;— — Mailing Address: Permit number: av� 'D`/�'� �Q � PO Box 66 Date received: � �� 2 � Crystal Bay, MN 55323-0066 ' V Q �� Q\\1 Escrow#and � � ��- _ �� StreetAddress: amount: '� � ,�'� ti 2750 Kelley Parkway Permit Fee: �� '� �� i ' " G� Orono, MN 55356 ��kESH�4� Approved by: � �___ Fax: 952-249-4616 Notes: - ,.y, . Main: 952-249-4600 W�ci.orono.mn.us � ��'�' N� �D C�-GiLl�l This application form must be completed in full and all required information must be submitted. (Pfease print.) Job Site Address: g� ��1C. �Z�d c�c. Po,�,� �J r(�✓l � , � (�1 CONTRACTOR/APPLICANT INFORMA ION: � • Name: (—��YY1�'}I,LYI�, � -Q Pu,b l t sl��n �I�l�,. Phone: - 4 - l Fax: Address: �j Cit : ZIP: Contact Person: Y1 Contact's pho e nu ber - Email D�Oln n 5 On�, Applicant is: Contractor � Homeowner' (Circle One) h n m,c,-1-u1'�c�. Cn m PROPERTY OWNER INFORMATION: Name: 5 Qil'Y1�Q, (�) (,�,kj� 11UQ„ Phone (day): Mailing Address: ZIP: Email and/or Fax Overall ProjectDescription: W� 0�,�'�e,. �,�'-OYYI r Y� m�d�,t,�►� d��rl, O�� e,u-fi OU�+r �t S.�, -e,— Su, Check TYpE OF PERMIT Box COST* Dock, Residential—Permanent dock on any lake or initial seasonal dock not on $50+ engineering review costs Lake Minnetonka ermanent dock re uires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Driveway Permit(New or Replacement) No charge Also re uired is a Minor or Ma'or Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and en ineerin review costs As determined b 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 en ineerin review costs $2,000 Retaining Wall measuring under four feet require a zoning permit. $50+ engineering review costs Retaining walls measuring more than four teet(from bottom of footings to top of wall) require a building permit. (Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control and en ineerin review costs $2,500 Stairway to Lake(New or Replacement) $50+ engineering review costs Escrow for erosion control and engineering review costs $2,000 � Structure Permit for other structures not requiring a building permit but + enginee � review costs regulated by the zoning code (including, but not timited to accessory buildinq of � �l �` less than 120 square feet, detached deck or platform and sport court) �� L-�.r Escrow for erosion control and en ineerin review costs $ , 0 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. (over) *Permit fee will be collected at the time the permit is issued. Updated: April 23,2012 APPLICANT/OWNER ACKNOWLEDGEMENT: • Applicant/Owner 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; • Applicant/Owner 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 overnmental a encies re uir b law If ou refuse to su I the information, the a lication ma not be issued. The undersigned certify that the i ormati n upplie i and corr ct to the best of heir knowledge. Applicant's Signature: Date: � ` Property Owner's Signature: Date: � �/'" SUBMISSI EQUIREMENTS: Except for tree removal permits, all permits TYPE OF PERMIT: 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 Dock, Residential Seasonal Dock—survey showing proposed dock Permanent Dock-plans as approved by CUP and copy of LMCD permit Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Driveway Permit 1. All Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway 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. Grading 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. Amount 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. Untess repair or exact replacement of existing walf, submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion control lan or co of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway, including footings 2. Topographical survey of property with proposed stairs shown 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 1. Plans for structure. 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 required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ mana ement lan re uired for clear cuttin , buckthom or other intensive ve etation removal. 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