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Home My WebLink About2014-01366 - tree removal � CITY OF ORONO * 2 0 1 4 - 0 1 3 6 6 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/O1/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1165 FEKNDALE RD W PIN : 02-117-23-43-0026 LEGAL DESC : NORTH SHORE COTTAGE ACRES LAKE : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 NOTL: "I�REE RI;MOVAL WI�I�FIIN 75'OF LAKL:SI IORt?. APPLICANT OSTVIG TREE CARE TOTAL Payment(s) 1 l61 E WAYIATA BLVD WAYZATA, MN 55391- (612)221-6538 OWNGR BROOK, KOBER"I' 1 165 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State l3uilding Code. This permit is fbr only the work described and does not grant permission for additional or related work��hich requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pennit will expire and become null and void if construction authorized is not commcnced within 180 days of the date of issuance,or if construction is suspcnded ibr a period of 180 days at any time after work has commcnced. The applicant is responsible for assuring all required inspections are requested in contbnnance with the State Building Code.This permit may be �^� revoked at an��time for due cause. i �Z /�/ //� Applicant Permitce Signature Date ]ssue y Signature Date � . . City of Orono ' � � Zoning Permit Application Mailing Address: Permit number: � / �D�O PO Box 66 Date received: — .Z � Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: y �„ 2750 Kelley Parkway Permit Fee: G� Orono, MN 55356 �� Approved by: �Kf S H�� Fax: 952-249-4616 Main: 952-249-4600 W`�vw.ci.orono.mn.us Notes: `--2 T�,�s �� p �,� �/ _ J�7�4fU0-0-�`g This application form must be completed in full and all required information must be submitted. (P/ease print.) Job Site Address: /�� °rN�G, �� ]�c� - vV• CONTRACTOR I APPLICANT INFORMATION: Name: OS-i-V16 Tt'¢e ��c r� Phone: �� fjl , ! . 6S' Fax: Address: l lh/ �. !�t/�yZti q 8f✓c�• CitY: a yZ�, Z1P:S,3'��'/ Contact Person: Scotr Leioh�c�rv� Contact's phone number ' Email S�o{{� � @ �s-}�V%q '�r'f�•c�»1 Applicant is: C�t�r Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: �o � �r o O� Phone (day): , t�� Mailing Address: ZIP: Email and/or Fax r b r..�, o��d e� S i � -. C J�'►'L_ Overall Project Description: S'�v��r- � ti,rY�2 0� �o�v��-y %11 1'ti�� d�� '� � �l"�!loU�, � �BoXk TYPE OF PERMIT COST* 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 $50 +engineering review costs on Lake Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards $50 or 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 $50+ engineering review costs yards 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 feet(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 or Lifts 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 $50+ engineering review costs regulated by the zoning code (including, but not limited to accessory building of less than 120 square feet, detached deck or platform and sport court) Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required. Temporar Construction OfficelTrailer associated with buildin ermit $30 (over) *Permit fee will be collected when the permit is issued. Updated: January 2014 APPLICANTIOWNER 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 compteted and signed by Owner; • ApplicanUOwner 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 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: �(—a�/—l� Property Owner's Signature: Date: SUBMISSION REQUIREMENTS: Except 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 all plans, and three copies of all grading plans or surveyslsite plans DoCk, Commercial 1. Structural plans for the dock 2. Survey 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 ca�culations,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 ermit without information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours (Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported and haul route within 75'of lake or less 3. Amount of earth to be moved around on site than 501 cu.yds 4. Erosion control plan. elsewhere.) 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. 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 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 a single tree removal inspection. A re-planting plan!erosion control/management plan re uired for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: January 2014 � 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 accom plished. 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: O Original to Planning Department � Copy to Street File Updated: January 2014 OSTVIG TREE, INC. SINCE 1933 A Tradition of Excellence TESTIMONIALS FR�M SOME OF OUR SATISIFIED CLIENTS "I just wanted to say what Ostvig Tree Care's staff did was absolutely wonderful. I am so happy and satisfied I can't say enough with your work! Thank You! Thank You! Thank You!" Ms. Rita Andreoli, Maplewood "Thank you for your professional work pruning our trees and shrubs!" Ms. Priscilla Herbison, Minneapolis "Trees look great! Lots of compiiments from the neighbors! Thank You!" Ms. Carol Tillman, Jordan "Thanks so much! The neighbors say our trees look great!" Mrs. Lynea Dimond, Eden Prairie "Your crew did a great job!" Mr. Rick Graft, Medina "Thanks so much for a real good job! The fellows were real professional and left the yard in good shape!" Ms. Virginia Jansen, Plymouth "Thanks! You did a wonderful job! I will give your name to anyone I know in need of service to their trees!" Bob Brittn, Minneapolis 1 16l E. W,iyzata Bl��d.. 31 1 • �l�'ayzata. MN �5;91 West Atetro: (952) 4�3-0534 East l�tetro: (651) 653-�►930 Fax: (!63) 47�-3620 Website: «��ti-.ostvigtree.com A Family Owned Business For Three Generations �`��- CERTIFICATE OF LIABILITY INSURANCE 3i2ii2o°�"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFtCATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BE�OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER t7TA T Re lTld Bunker NAA1 : g Ross Nesbit Agencies, Inc. �q�� E� . (952)941-9418 FA� �� : (952)941-9615 7500 Flying Cloud Drive #950 Ao R�esS•=bunker@pauletslater.com PROGUCER 00015343 cusroreeR Eden Prairie MN 55344 It75URERS AFFORDINGCOVERAGE NAICN �NsuReo iNsuRERA:United Fire 3021 INSURERB:Tt10 Builders Grou OstvicJ Tree Service, IT1C. INSURERC: 1161 East Wayzata BZVd. INSURERD: Suite 311 iNSURER E: Wayzata MN 55391 INSURERF: COVERAGES CERTIFICATE NUMBER:11-12 REVISION NUMBER: THIS IS TO CERTIFY THAT T11E POLICIES OF INSURANCE LISTED BELOW HAVC BEEN ISSUED TO THE INSURED NAMED AE30VE FOR THE POIfCY PERIOD INDICATED. NOTIMTNSTANDING ANY REOUIREMENT, TERti1 OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED NEREIN IS SUBJECT TO AlL TNE TERMS, EXCLUSIONS AND CONDfT�ONS OF SUCH POLICIES.LIMITS SHOWN A1AY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OP INSURANCE � POUCY NUt.18EP AIM/ODY� �O�n�Y EXP UfAfTS LTR GENERAL UABILITY EACH OCCURRENCE 3 1,O00,OOO X COMMERCIAL GENERAL LIA�KITY PREMISES Ea ocT rrence S 100,000 A CLAIMS�MAOc �OCCUR 60370652 /12/2011 /12/2012 �,�EDEXP�Myaneperson) S 5,00� PERSONAL 8 ADV INJURY S 1,OOO,OOO GEHERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIR1R APPUES PER PRODUCTS•COA�P/OP AGG S 2,000,000 X POUCY PRa LOC S AUTOMOBtLE LIABILITY COt.18�NED SINGLE UMR �Ee�N� S 1,000,000 X ANY AUTO A AlL OWNED AUTOS 0370652 /12/2011 /12/2012 �d01tYINJURY(Perpeison) S BOOiLY INJURY(Per accdent) S SCHEDULEO AUTOS PROPERTY DAAIAGE s X IiIRED AU70S (Per eccdenl) X Nor�•ot�eo nuTos Uninsured mdorist canbined s 1,000,000 PIP-Besic S X UMBRELLALIAB OCCUR EACHOCCURRENCE S 3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE S 3,OOO,000 DEDUCTIBLE S A X RETENTION s SO 000 0370652 /22/2o1i /iz/zoi2 s B VJORKERS COIAPENSATION X YvR STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORlPARTNER/EXECUTIVE❑ N�A E L.EACH ACCIpENT f 1 OOO OOO OFFlCERiME6.'BER EXCLUDED? (�.landa�ory in NH� 8-0000474 /1/2011 /1/2012 E l Oi5En5E•EA Er.4PLOYE , 5 1 000 000 n yas,oasuiDe urwar DESCRIPTION OF OPERA710NS bebw E.L.DISEASF.•POLICY LIM(T S 1 000 OOO A Rented Leased Equipment o3�0652 /12/2011 /1z/2oi2 Lmit 100,000 oea $500 DESCRIPTION OF OPERATIOfIS!LOCA710NS I VEHICI_ES (Auach ACORD 101,Additional Remarks Schedule,if mare space Is requirod) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVEREO IN To Whom it May Concern ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Wayne Nesbit ACORD 25(2009/09) O 1988-2009 ACORD CORPORATION. All rights reservecf. INS025�2�t The ACORD name and logo are registered marks of ACORD �`�� DATE l� TIME ' - �'C�: CITY OF ORONO CALLED IN '�� INSPECTION NOTICE,U�3 �� SCHEDULED __J��SL� PERMIT NO��,��— COMPLETED v` �� ADDRESS �/ �� i''7�� ,(o �� /�, � OWNER TELEP�i�I��O. - CONTRACTOR �� ' � �' YE,C� /YlC?(,� � � � �J�� r � DESCRIPTION � � tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL G � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL Z OWNE�TOR TO MEET YOU: YES_NO � COMMENTS: � W a o (9,j� � 2:��`�-'P 2 �Z-�-� �•� e-�5'i �' -- 0 N� � --�'��(d+, �� 's�iAw�nr OS Ar i o � �'i�S r� Q�4C 4 W � .� or.rC w-.-;F-�- S�e.,.2.� go� R�D Q 2 ��e� i�°r-S W � W � j GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor Inspector. White Copyllnspector's File Cenary CopylSite Notice