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Home My WebLink About2016-01029 - land alteration T . CITY OF ORONO * 2 0 1 6 - 0 1 0 2 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2016 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 805 FOREST ARMS LA PIN : 07-117-23-12-0009 LEGAL DESC : FOREST ARMS : LOT 001 BLOCK 002 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) NOTE: STONE STAIRS INSTALL AFTER-THE FACT PERMIT NOTE:PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUIL"I'SURVEY AND HARD COVER CALCULATIONS MUST BE SUBM[TTED AND APPR V . INITIAL: APPLICANT MINOR LAND ALTERATION 50.00 AFTER-THE-FACT FEE 50.00 OUTDOOR INNOVATIONS 5885 165TH ST N TOTAL 100.00 HL1G0, MN 55038- Payment(s) (651)325-6046 CHECK 10284 100.00 OWNER FELDMANN,JOSEPH& DONELLE 805 FOREST ARMS LA MOUND, MN 55364- 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 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 of issuance,or if construction is suspended for a period 180 days at any time after work has commenced. The applicant is respon ible for assuring all required inspections are requeste �n conforma e with the State Building Code.This permit may be revoked t a�time for u cause. . � �ZCo� 1,(� Applicant Permitee Signature Date Issued Signature Date t � City of Orono Zoning Permit Application Mailing Address: Permit number. � " � �Q PO Box 66 � , � �O Crystal Bay, MN 55323-0066 Date received: Escrow#and ��i�5� G; l� �� Streef Address: amount: ��i I�'" � � 2750 Kelley Parkway � �+ =. O� y ; Orono, MN 55356 Permit Fee: -� �, � 1 l�kES H O�� Fax: 952-249-4616 Approved by: � � Main: 952-249-4600 Notes: - _- - s� _ 2� 1 � This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: gQ $� c��<S'� /Qj.r,.•��' L� CONTRACTOR/APPLICANT INFORMATION: Name: !9� �s�r �h�reu�+.LF��S Phone: (iS/ —TZ S�(o�y(p Fax: Address: S' /��'� So� Cit : �l'U ZIP: ��S-.fets�' Contact Person: � �;,.,/ ContacYs phone numb GS/ �375��YG Email -��GJ�ol�.--=,,,,.u�l:�r.�PPlicant is: ntract Homeowner (Circle One) � PROPERTY OWNER INFORMATIO �1 Name: S.e c �/G��-a-,v�. �+.G//-( ��..-,.� Phone (day): Mailing Address: o ,,�,ri5/- N..S �w ZIP: .��"'3z Email and/or Fax �/ � . ��_ Overall Project Description: .$o(,-..r SoC,,.�-S ��,,s�- I l Check TYPE OF PERMIT FEE Box collected 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 CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc. (New or Replacement) No cFiarge , 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) lReference: 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 k (Reference: 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 tine. Escrow for erosion control and engineering review costs $2,500 lReference: Citv Code Section 78-1405l5.1)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) 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 APPLIC,A(�T/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; • 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; • ApplicantlOwner understands their project may require an initial a�d/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 inform � su s true and correct to the best of their knowledge. ApplicanYs Signature: Date: ��o/(� Property Owner's Signature: �� 't_. Date: � �(p �)�/� SUBMISSION REQ IREMENTS: Except for tree removal permits, all permits require a completed TYPE OF PERMIT: application form, scrow 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. Surveylgrading 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 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 wilf 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 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 . , . PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: — pl.�J 1 VI {i� !"�1'!'Y� l.U�� Q – Q�� Description of work: _ �'f�.t�l� $' Z C�j'l� Type of permit: Zoning review by: C� Date Approved: ��'��D Grading review by: �t�,�- ��/1�a►� Date Approved:_ ��Z.�"� Other Review, Reviewed by: Date Approved: Zonin Information: Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? Yes � No Date of Survey: Revision date: �• �4�1 Existin Setbacks: `��(S �' �� tl� ��'� 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 0 Yes � No � N/A 0 Yes No Yes 0 No � Yes � No /A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Require CUP Required Overla District Tier Hardcover Hardcover � Yes No 0 Yes No I Type(s): Type(s): File# File# Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx . . • Earth Movement - Cubic Yards In Out Total Haul Route? ? � Yes � No Explain haul route in detail: Fees to be Char ed Amount Orono Inspections Required Permit Fee Amount 0 Site Escrow Amount 0 Hardcover Removal � Footing Escrow Agreement received? �VV � Poured Wall ��r�,yt�N� As-Built Survey 0 Yes � No �� r(J�'r � Planting Plan ❑ Wetland Buffer Escrow Money received? � �b(J Final 0 Yes 0 No � Other(specify) � Engineering review needed? � Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) � f �o � C�'tinl ✓1 ol.�S-IDk� btit�✓ Cor er � �( �- ��brb ved. Updated:January 2013 z:\forms\plan review checklist for zoning permit applications 2013.docx ,, , DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �Ol(o �/DZ� COMPLETED 4 �� ADDRESS �� 'r'�3 t �/'��t5 `�l- OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � � � q�r.Pir��.qL la��sc�c .S��r� ste�- j ��c.��t R'�� [,J��c�-K•t � 0 � ° � �yd� !Ja r ic � � �p n ��ct ��rs �4tfiaSa� � �la.ad Q ,r� 2 C��t�► t'�¢/� t w /��lf/1/'1l.� � ��rl�� ' W � W 2 � � GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED `/�i�QP ORDER POSTED.CALL INSPECTOR � ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerfContractor on site: Inspector.' White Copyllnspector's File Canary CopylSite Notice