HomeMy WebLinkAbout2016-00506 - replacing sidewalk CITY OF ORONO * Z 0 1 6 - 0 PJ 5 0 6 *
2750 KELLEY PARKWAY DATE ISSUED: 05/27/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 DEER RUN TR E
PIN : 04-117-23-13-0014
LEGAL DESC : CRYSTAL BAY PRESERVE
: LOT 007 BLOCK 001
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HARDCOVER PERMIT(SEE ZONING APPL)
NOTE: REPLACING EXISTING SIDEWALK
NOTE: ALL DISTRUBED AREAS MUST BE ESTABLISHED WITH VEGETATION: INITIAL: �`�
APPLICANT
SIERRA HOMES INC. TOTAL
Payment(s)
22615 E. BETHEL BLVD NE
BETHEL,MN 55005-
(612)270-2722
Minnesota State License#: BUIL-BC005126
OWNER
STAHL&CYNTHIA ARNOLD, PETER
2755 DEER RUN TR E
LONG LAKE,MN 55356-
AGREEMENT AIYD SWORN STATEME1vT
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 rype 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 oY 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 o�? z�l b -� �J /��/
Applicant Permitee Signature Dat Issued By 'gnature Date
� City of Orono
� Zoning Permit Application
Mailing Address.� Permit number: — �� S � lp
�Q�O PO Box 66 � � �
Crystal Bay, MN 55323-0066 Date received:
Escrow#and
Street Address: amount: N�
,� � 2750 Kelley Parkway �
y� ; Orono, MN 55356 Ta i�t_Fee:�
G
j�kFSHO��' Fax: 952-249-4616 Approved by: `i '
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.)
n .r.i _, ,, ,/
Job Site Address: !j- ! S `7 -��(' ��� � ✓1r�4-�Z-. G/4,�� `1
CONTRACTOR/APPLICANT INFORMATION:
Name: �j i�r„-/.s �-I u,�.a,n ,J—n% z=-
Phone: fv i � —�'1 0 —���-Z Fax:
Address: ��lol C�s•r �',c� �',L�. Cit :�. �3E�� ZIP� �rsas
Contact Person: L ContacYs phone n 1�j� ��o ---;,Z'?��
Email 5�'uyyy,t�v�s' (i2,��e_,,,` Applicant is: Contracfor Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: P�e�-� S�'i Y-��-t` � ��`�..� �T�
Phone(day): q,�,� --�?�3 - I189
Mailing Address: ���� ��� �,� "���� ��s._- ZIP�
Email and/or Fax
Overall Project Description: �,.��,� -� (r�c� . p5•, �•;� .� �� .��
Check TYPE OF PERMIT FEE
Box co/lected when 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 UP
Hardcover Permit: Driveway, Pati , Sidewalk, c. (New or eplacement) No charge
Also re uires is a Minor or Ma'or ion 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
�Reference: Citv Code Section 78-1405(5.111
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 un�ess 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 78-12821 $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.
Reference: Cit Code Section 78-1285 Pre-inspection required.
Tem ora 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 initiai 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 is true and correct to the best of their knowledge.
Applicant's Signature: Date:
Property Owner's Signature: Date:
SUBMISSION REQUIREMENTS: Except for tree removal perrnits, 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. Surveylsite 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 Pe�mit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate
2. Hardcover calculations,existing and proposed
3. Survey
Land AlterBtiOn, MBjor 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 issuq;,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 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 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
� PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS
Add ress: ��`/� I�, �
Description of work: �n
Type of permit:
Zoning review by: ���,�pUy r�- Date Approved: � ''Z'1 �
Grading review by: N� Date Approved:
Other Review, Reviewed by: Date Approved:
Zonin Information:
Zoning File#: Resolution #: Resolution Date:
Lot Area: SF/AC Width: Depth:
Survey Submitted? es � No Date of Survey: v ��I `I� Revision date:
0
Existing Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Proposed Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff
\ / � Yes � No � N/A 0 Yes No
0 Yes �Q No 0 Yes � No �N/A
,/ � Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overlay District Tier Hardcover Hardcover
0 Yes 0 0 � Yes No
Type(s): Type(s):
File# File#
Updated:January 2013
z:\forms\old stuff�plan review checklist for zoning permit applications 2013.docx
Earth Movement-Cubic Yards
In Out Total
Haul Route? ? � Yes 0 No
Explain haul route in detail:
Fees to be Charged Amount Orono Inspections Required
Permit Fee Amount � �
� Site
Escrow Amount 0 Hardcover Removal
f�( � � Footing
� .�
0 Poured Wall
Escrow Agreement received? � As-Built Survey
0 Yes � No 0 Planting Plan
O Wetland Buffer
Escrow Money received? Final
� Yes � No 0 Other(specify)
Engineering review needed?
� Yes � No
REMARKS (in-house):
Other Review: Reviewed by: Date Approved:
�
REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
• r V �Dy�..
Updated:January 2013
z:\forms\old stufflplan review checklist for zoning permit applications 2013.docx
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INSPECTION NOTIC CHEDULED - ��.��
PERMR NO. � �� O PLETED
ADDRESS '//'•
OWNER TELEPHONE NO. ������—'
CONTRACTO
� DESCRIPTIO , �� ,
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C or the n 'nspect�on 24 hours in advance. (g52) 249-4600
Owner ontra o � /!.r
Inspector. �'"/�-- �
White Copyllnspector's File Canary CopylSke Notice