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Home My WebLink About2010-00748 - escrow fee CITY OF ORUNO * 2 0 1 0 - 0 0 7 4 8 * 2750 KELLEY PARKWAY DATE ISSUEU: 02/28/2012 � ORONO, MN 55356- ` 952 249-4600 FAX: 952 249-4616 ADDRESS : 550 EAST LONG LAKE RD PIN : 35-118-23-14-0002 LEGAL DESC : UNPLATTED 35 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION (501+CU YDS) NOTE: $AMOUNT TO BE DGTGRMINGD BY CUP-S/B COLLECTED IN ESCROW FF,F, ACTUAL GSCROW FEE AMOUNT COLLECTED $ Z�bO e � , t{OW D[D THGY PAY? Gk. Z,ZR�`j &WHO PAID? �U��/Ve��•d GSCROW PERMI"1�#:(DON'"I'FORGET TO ENTER) ZD1 p -Q 07 � 9 ESCROW FF,h;FOR: EROSION CONTROL&ENGINI:k?RING RI?VIEW COSTS APPLICANT MAJOR LAND ALTERATION 50.00 BOLLIG �, SONS, INC. ENGINEERING REVIEW COSTS 11401 COUNTY ROAD 3 HOPKINS, MN TOTAL 50.00 (612)938-4433 PAID WITH CASH 2O.00 OWNER NETJES, DAVID 550 EAST LONG LAKE RD WAYZATA, MN 55391- AGREEMEIYT AND SWORN STATEMENT I�he��ork for ti�hich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Buildine 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 type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if eonstruction authorized is not commenced��ithin 180 days of the date of issuance,or if construction is suspended for a period of I 80 days al any time atter work has commenced. The applica t is responsible for assuring all required inspections are requested in onformance with the State Building Code.This permit may be revoked at �time for due cause. -- -- / / pplicant Nermitec Signature Date Issued y Si r ture ' ate SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. r � City of Orono �' Zoning Permit Application oo,o - ao��9-escrav✓ �'�'�'�- Pennit number Ol0 -GY> $ O.¢�,�0 PO Box 66 / Crystal Bay, MN 55323-0066 Date reoeived: $ �//D ��?y a, Street Add�ess: Esanw amouM: �. �, � � ti`�' 2750 Kelley Parkway Permit Fee: � c��. D ��o$,�G Orono,MN 55356 - Rec:eived by: Main: 952-249-4600 Fa�c 952-249-4616 www ci oronomn us This application form must be completed in full and all required i�ormation must be submitted. (PJease print.) GENERAL INFORMATION: �� QS� �� w A_ _i � Job Site Address: �--�{« CONTRACTOR/APPLfCANT INFORMATION: Name: �'E F E c.S oi..l - t3 0�.�.:.c�. -S��S � C-• Phone: -4 3�j- � Fax: 5 - � I Address: o C,-t� 17 Ci : ZIP: Contact Person: � Nc�.S Contad's phone number 1 - b - "t Email Np1f�. Applicant is: Contractor omeowner �c�aeonsl PROPERTY OWNER�FORMATIO�1: Name: ( ��L i.D t�i -L'�£,S Phone(day): - - o Mailing Address: o � ZIP: 3 Email and/or Fax � • C. Overall Project Description: Check TYpE OF PERMIT COST Box Residential Dock-Permanerrt dodc on any lake or initial seasonal dock not on $30+engineering review Lake Minnetonka Rnanerrt dock r uires CUP costs Commercial Dock $50+engineering review costs Escrow for erosion control and en ineerin review oosts $2,000 Minor Land Alteratlon(grading,filling or excavating)�00 or less cubic yards $50+engineering revieMr outside of lakeshore setback w less than 10 yards in lakeshare setbadc costs Escrow for erosion corrtrol and e ineeri review costs $2,000 XMajor l.and Alberation(grading,filling, or excavating)more 500 cubic yards or $30 more than 10 cubic yards in takeshore setback(also requires CUP) Escrow for erosion control and en ineerin review costs As determined b CUP Stairway to lake $50+engineering review costs Escrow for erosion control and en ineerin review c�sts $Z 000 Retaining Wa{I not requiring a building permit(A building permit is required for any y50+engineering review retaining wall that measures more than four feet from bottom of foatings to top of costs wall. Tiered retaining walls are considered one wall unless the walls are separated by twice the height of the lower wall.) Escrow for erosion control a�d en ineerin review costs $2,500 Tree Removal or intensive v tation removal in 0 to 75 foot zone No char e. Structure Permit for other structures not requiring a building permit but regulated 550;enginee�ing rev'iew by the zoning code(incl�ing,but n�limibed to accessary building of less�an 120 � square feet, detached dedc or platform and sport court) Escrow for erosion control and en ineeri review costs $2 500 (�e�l �. . ': , � a � APPLICAI�"r�/OWNER ACKNOWLEDGEMENT: • . Agrees to provide all information required or requested by the Planning Department; • Owner agr+ees to pay the City of Orono for engineering consultarrt review costs where applicable; • Cer6fies 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 altemative but to reject it until it is complete; • Adcnowledges the attached Escrow Agreemerrt is completed and signed by Owner; • Some or all of the infoRnation that you are asked to provide on this application is Gassfied 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 rec�ords and records of other govemmerrtal agencies required by law. If you refuse to supply the information,the application may not be issued. The u�dersigned certify that th '�formation supplied is true and correct to the best of their knowledge. ApplicanYs Signature: 1 Date: � �2��Z �( � Property Owner's Signature: � Date: � (Z� � �( � TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits,att permfffi require a compteted applicatlon fortn,escrow agreement(signed by the property owner)and escrow check from owner,two copies of all plans,and three copi�of all grading plans or surveys/site plans Resider�tial Dock Seasonal Dodc�unrey showing praposed dodc Permanerrt Dodc-plans as ap�oved by CUP and copy of LMCD permit Commercial Dock 1. Structural plans for the dock 2. Survey showing tl�e proposed location of the dodc 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, qrnourrt of fill to be importcd and/or exported and hauf 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 Corrtrol Permit Major l.and Alteration 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Corrtrol Permit Stairway to Lake 1. Construction plans for stairway 2_ Topographical survey of property with proposed stairs draMm in. 3. Erosion corrtrol plan or copy of MCWD Erosion Corttrol Permit Retaining Wall 1. Plans for wall(s) 2. Unless repair or exad replacement of existing wall,grading plan ir�cluding existing and proposed corrtours 3. Hardcover calculation worksheets if in shoreland district 4. Erosion corrtrol plan or copy of MCWD Erosion Control Permit Tree Removal Call 952-249-4600 to schedule inspec6on. Structure Pertnit 1. Plans for structure. 2. Survey of property with proposed structure drawn in and with setbacks to property lines,other structu�es on property and the septic system indicated .The general location of any sewer and water services should be shov+m if applicable. 3. Grading plan iF grading is requined 4. Hardcover catculation worksheets if in shoreland disUid 5. Erosion cor�trol !an or co of MCWD Erosion Corrtrol Permit �t upaaced: ��y,20�0