HomeMy WebLinkAbout2015-01461 - tree removal CITY OF ORONO * z 0 1 5 - 0 1 4 6 1 *
2750 KELLEY PARKWAY DATE ISSUED: 11/13/2015
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3255 CRYSTAL BAY RD
P[N : 17-117-23-41-0012
LEGAL DESC : TOWNS[TE OF LANGDON PARK
: LOT 001 BLOCK 002
PERMIT TYPE : ZON[NG PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
APPLICANT TREE REMOVAL 0.00
WOLFE, MR&MRS WILLIAM TOTAL 0.00
3255 CRYSTAL BAY RD
WAYZATA, MN 55391-
OWNER
WOLFE, MR& MRS WILL[AM
3255 CRYSTAL BAY 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 permi[is for only the work described and does
not grant permission for additional or related work which requires separa[e
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. l
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Applicant Permitee Signature Date Issued By Signature : Date
City of Orono
. Zoning Permit Application
MailingAddress: Permitnumber: " �a - ���i�
�Q�O PO Box 66
Crystal Bay, MN 55323-0066 Date received: �—1 j — ��
Escrow#and ;/� \ n
Street Address: amount: { � �)
� � 2750 Kelley Parkway Permit Fee: -
y ; Orono, MN 55356
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��kESHO�� 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. (Please print.)
Job Site Address: J �s'S GRyzf�� ��� f-�,D , �U�y iA;� ful� S S �J9 ?
/APPLICANT INFORMATION:
Name: 3��� woL�'�
Phone: ( $5r2) q'7�- (� '� � Fax: _
Address: ��,�i 3�SS �ayartlL 3l�v Q.D City: l.U�qy�Ar.' ZIP: S J^3�
Contact Person: _'� ,L i.- ContacYs phone number y�s a. '`��� ' 967�
Email �,,.,�,�,�w �, Q�„���L, L,,.` Applicantis: Contractor omeo e� (CircleOne)
PROPERTY OWNER INFORMATION:
Name: SI}m�� �}s � �pt��A�„i AoevL
Phone(day):
Mailing Address: ZIP:
Email and/or Fax
Overall Project Description: �F�ovE 2, � „n��.�. DL���e.,�`�J o� �aKc: R/a�k �-r�� ,S�+ARE 1 �Zoar�
�BoXk 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)
(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: 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) fReference: Citv Code Secrions 78-12821 $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.
V Reference: Cit Code Section 78-1285 Pre-inspeCtion required.
Tem orar Construction Office/Trailer associated with buildin ermit $30
Updated: May 2015
APPLICANT/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;
• 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 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 � u nd ect the best of their knowledge.
Applicant's Signature: � Date: ��I � ��1�
Property Owner's Signature: (;. Date: � ��������
SUBMISSION REQUIREMENTS: E cept 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 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 permit 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 permit 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 permit without information from the MCWD.
Stairway 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.
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 required for clear cuttin ,buckthorn or other intensive ve etation removal.
Updated: May 2015
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LAND USE APPLICATION ESCROW AGREEMENT .
Application #
AGREEMENT made this day of , 20 , by and between the CITY OF
ORONO, a Minnesota municipal corporation ("City") and
[a corporation—optionalJ ("Owners").
Recitals
1. Owners have filed Land Use Application # formally requesting the City to review plans
for the property addressed: (the "Subject Property") legally
described as
2. Owners request the City to review said plans which requires City approval and may require
consulting legal and/or engineering review.
3. The City is willing to commence its review of the application and incur costs associated with said
review only if the Owners establish 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 meeting with the Owners, reviewing the plans, and preparing agenda packet material for City Council
review of Land Use Application # . Eligible expenses shall be consistent with expenses the Owners
would be responsible for under a land use application.
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 cease all reviews 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whether the requirements of the project have been successfully
completed and whether it is appropriate to return the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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 OWNERS:
By: gy:
its: its:
Internal Use Only: G Original to Finance Department 0 Copy to Zoning File � Copy to Street File
Updated: May 2015
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DAT��� TIME
CITY OF ORONO CALLED IN �•�
INSPECTION NOTIC / SCHEDULED / - 6
PERMIT NO. o2D�� b�� MPLEfED
ADDRESS -3 �
OWNER T EPHONE NO. ^ ��9��
CONTRACTOR
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ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ CAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ TE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8�PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 9-4600
OwnerfContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN _�
INSPECTION NOTICE � SCHEDULED ���
PERMIT NO. 2Gl G"� � ��� COMPLETED /i /0 � t
ADDRESS �
OWNER TELEPHON NO.
CONTRACTOR
>; DESCRIPTION / ' L'�- � ` '��Sv'a (
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLAC ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING 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.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra n site:
Inspector.
White Copyllnspector's File Cenary CopylSite Notice