HomeMy WebLinkAbout2014-01038 - tree removal _ ' CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 4 - 0 1 PJ 3 8 *
DATE ISSUED: 09/24/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4415 FOREST LAKE LANDING
PIN : 07-117-23-24-0047
LEGAL DESC : TONKAVIEW GARDENS
: LOT 000 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: STORMS HAVE"I'[PPGD LARGE TRGF TO 45 DEGREE. TRLE NEF,DS TO BE REMOVI:D AS IT IS NOT SAFE.
APPLICANT
TOTAL
LINE, TIMOTHY& LORI Payment(s)
4415 FOREST LAKE LAND[NG
MOUND, MN 55364
OWNER
LINE, TIMOTHY& LORI
4415 FOREST LAKE LANDING
MOUND, MN 55364
AGREEMENT AND SWORN STATEMENT
I�hc work Cor which diis permit is issued shall be performcd according to
the approved plans and specifications,applicable City approvals,and the
Statc[3uilding Code. This permit is for only tl�e work described and does
not grant pern�ission 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 permi[will
expire and become null and void if construction audiorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended Cor a period of 180 days at any time after work has commenced.
Ihe applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at anv time for due cause.
/ /
Applicant Permitec Signaturc Date Issued By Signature Date
. , �rCEIVED City of Orono
" � ' �'FF' ' � �0�4 Zoning Permit Application
OF ORONO Permit number: �/ '" O d
O Mailing Address:
PO Box 66 Date received: 9 �
� � Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
� �a, 2750 Kelley Parkway Permit Fee:
�, � Orono, MN 55356
( �' Approved by:
�kf S H��� Fax: 952-249-4616 Notes:
Main: 952-249-4600 W`�✓`N.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: � �`� h �i���'Lj � `� �1C"
CONTRACTOR I APPLICANT INFORMATION:
Name:
Phone: Fax:
Address: City: ZIP:
Contact Nerson: Contact's phone number
- ---- --.—_.___.__ ---
Email Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER INFORMATION: � �
Name: � �11 d ��� � ( ���
Phone (day): 1 ' �] -
Mailing Address: ) �� ZIP: -.�
Email and/or Fax
Over II Pr ject-Descri tion:� �i� S 1 � � � �� C lrl" E� � E'��4���, {�L
(7 � �� s� � �,
;
�' heck� TYpE OF PERMIT
Bo . : ��� (� nc t�lrev', cosT* p�fi Z�� -
�"�� 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 $2,00�
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
'j` �� '/,� Tree Removal or other ve etation removal in 0 to 75 foot zone No char e. Pre-inspection required.
Tempora Construction Office/Trailer associated with buildin ermit $30
(over)
' *Permit fee will be collected when the permit is issued.
Updated: January 2014
A!'PLIC�NT/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 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 governmentai 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 i true and correct to the best of their knowled e.
ApplicanYs Signature: ��(eh�. � Date: �U�iY
Property Owner's Signature: t,s_.� Date: ��j�r��
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 ail pians, 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 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 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 permit 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 municipal 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. Contempnr�neous!; with ,he exe�utio;� 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 tegal 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
accomplished.
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 0 Copy to Street File
Updated: January 2014