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Home My WebLink About2015-01135 - land alteration CITY OF ORONO * z 0 1 5 - 0 1 1 3 5 * , � 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1340 EOX ST PI(Y : 02-117-23-31-0056 LEGAL DESC : MINNETONKA BLUFFS : LOT MB BLOCK 14 PERMIT TYPE : ZONING PERM[T PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS) NOTE: ESCROW WAS COLLECTED WITH THE NEW BUILD[NG PERMIT-#20 1 5-004 1 3 NOTE: PRIOR TO RELEASE OF ESCROW,AN AS-BU[LT SURVEY MUST BE SUBM[TTED&APPROVED. INITIAL: v `S�— APPLICANT MINOR LAND ALTERATION 50.00 ENGINEERING REVIEW COSTS CHAMBERLA[N CAPITAL LLC TOTAL 50.00 11578 CHAMBERLAIN CT Payment(s) EDEN PRAIRIE, MN 55344- CHECK 932 50.00 Minnesota State License#: BUIL-BC661410 OWNER Chamberlain Capital LLC 11578 CHAMBERLAIN COURT EDEN PRAIRIE,MN 55344- 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 goveming this type 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 of l80 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. ('� �,� �� -�_, � � - � � ' ��-�1__= � ��.L�� , �� SC � �j�, l l, � Applicant Permitee Signature Date [ssued By Signature Date ° �, City of Orono Zoning Perrr�it A lication Mailing Address: Permit number: -L� � S - !�� = �---� �Q�^ PO Box 66 ._ 1J Crystal Bay, MN 55323-0066 Date received: - � � Escrow#and Street Address: amount: , ��r l,�� j �Z(;�� 2750 Kelley Parkway permit Fee: �y `�C' Orono, MN 55356 .� F G `qxESH��'� Fax: 952-249-4616 APProved by: � � Main: 952-249-4600 Notes: www.ci.orono.mn.us This application form must be completed in full and ail r quired information must be submitted. (Please prinf.) Job Site Address: �� ' ✓�� ,� CONTRACTOR/APP ICANT INFORMATI N: Name: �' i'I;6,'//��%� �'Q, �i�a L L�� Phone: �o� - � � 1 S� Fax: Address: iS' ,�a �/a�� T Ci : ��,.� ZIP: c- � 'L Contact Person: �,, L �,-rt.t ✓o.� Contact's phone number ,�..Cy � r�- Email �2i;L E ( ��yq,�., (;� :�r-.. Applicant is: ontracto�� eo r (Circle One) PROPERTY OWNER INFORMATION: Name: Phone(day): Mailing Address � " Z�p. Email and/or Fax Overall Project Description: 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 charge Also re uires is a Mlnor 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-l2861 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 lReference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed finro 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 lReference: Ciri Code Sectlon 78-1405f5.1)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 7s-12821 $50+engineering review cosYs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permft 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. eference: Cf Code Section 78-1285 P�e-ins eCtion required. Tem ora Construction Office/Trailer associated with buildin rmit $3p 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 sole�y 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/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 infor tion supp d is true and correct to the best of their knowled e. Applicant's Signature: �,�' �Lfv�^� Date: �� Property Owner's Signature: ��'� Date: 9�% �S —�� SUBMISSION RE�UIREMENTS: 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 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 Alte�ation,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 pertnitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Land Alteration,Mlnor 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 rmit without information from the MCWD. Retaining Wall 1. Plans for wall(s) 2. Unless repair or exact replacement of ewsting 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 pertnitting requirements. Please note,the City will not issue a buildin permit 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 pertnitting requirements. Please note,the City will not issue a buildin permit without information from the MCWD. StfuCture 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 �LAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS Address: I�J-LLJ �� ,�� Description of work: �j ,�� LCA Yt(/� �'J"��/If� � 1/ I �--� Type of permit: Zoning review by: �`" Date Approved: Q � � e� Grading review by: ,/�t(;�.bl� � �a� Date Approved: Q ��' � �� 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: �� ' �5 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 :L��Li �f 11� Shoreland District WD Permit Receiv Average Lakeshore Setback Met? Bluff Yes � No N/A 0 Yes No 0 Yes � No 0 Yes 0 No /A Permit Number: '��j.i5� ` Setback: Stormwater Quality Existing Proposed Variance Require CUP Required Overlay District Tier Hardcover Hardcover � Yes No 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 � Hardcover Removal .�----- 0 Footing Escrow Agreement received? � Poured Wall ,,L�As-Built Survey ��1� � Yes 0 No . � Planting Plan I �' � Wetland Buffer Escrow Money received? � Final �� Yes � No � Other(specify) J `�� Engineering review needed? �s � No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PERMI AND INITIALLED BY PERSON PULLING PERMIT) �� --�) � �� -� Y �� '%�� Jt�.-��v�-' �E�1 i I{_ `�' (I � (�,�, "— V Y�,td.,��" ��U� �u�bml � � C��V�ed Updated:January 2013 z:\forms\old stufflplan review checklist for zoning permit applications 2013.docx Ch�istine Mattson From: Adam Edwards Sent: Wednesday, September 16, 2015 4:15 PM To: Christine Mattson Subject: RE: 1340 Fox Street/#2015-01135 Approved From: Christine Mattson Sent:Tuesday, September 15, 2015 9:02 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject: 1340 Fox Street/#2015-01135 Ada m, We received a zoning permit for a minor land alteration associated with a proposed new home already permitted at the above address. Please review and provide comments. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway ; Orono ' MN ;€ 55356 (physical addressJ PO Box 66 Crystal Bay ` MN ! 55323-0066 (mailing addressJ � 952.249.4620 ` � 952.249.4616 �� cmattson@ci.orono.mn.us � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFF/CE WILL BE CLOSED: Wednesday, November 11, 2015 1 Ch`ristine Mattson From: Christine Mattson Sent: Thursday, September 10, 2015 3:43 PM To: 'paul@chamberlaincap.com' Cc: 'travis@vannestesurveying.com' Subject: 1340 Fox Street/#2015-01135 We received a zoning permit application for the property addressed 1340 Fox Street. The survey's submitted with the application are not to scale. Please submit two full-size copies of the survey dated 9-3-2015 so we can review the application. Thank you. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway , Orono MN " 55356 (physical addressJ PO Box 66 `: Crystal Bay "" MN 55323-0066 (mailing addressJ `� 952.249.4620 ; � 952.249.4616 � cmattson@ci.orono.mn.us ' � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE W/LL BE CLOSED: Wednesday, November 11, 2015 1 �v / � DATE TIME � CITY OF ORONO � CALLED IN INSPECTION NOTICE SCHEDULED ��j PERMIT NO. ��%��'��=�5 COMPLETED ADDRESS � .3�-� ��j� S f � T�s�,� OWNER TELE ONE NO. � �Z�� CONTRACTOR �' � .�� : DESCRIPTION W ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEW , HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ IC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: ' YES_NO � COMMENTS: o� � • a /// f�r^�'uc�e q f e bnc�cG l47�i ' �l�,d�Pi�+c� aoK w�s� ��,�.e d-f' /6 ' v, t/- c�c�s� - � �4�k � 5 ts.is iaPe �PG� .� � 7�ri �s' f`nie W ��'.1��C -�es�e K.��,�� !C/( /v��-✓ ��iol Q �I�- CoN-J�✓ 5 ZI Jl ��fc G �,_.,t!✓� 't��'j�/ �r�c�� /S � �9'tll�rl��eacO or� ��e.tl� '� 4J�l.o Sc�� Co✓v�t�� -F- d� _ � C'av�� 0 W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��AECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-460� OwnerfContractor on site: �Q/SCG Inspector. � � White Copylinspector's File Canary CopylSite Notice