HomeMy WebLinkAbout2014-00460 garden water feature , CITY OF ORONO * 2 0 1 4 - 0 0 4 6 0 *
` 2750 KELLEY PARKWAY DATE ISSUED: 08/08/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3350 FOX ST
PIN : OS-117-23-44-0008
LEGAL DESC : FULLERTON ESTATES
: LOT 004 BLOCK 001
PERMIT TYPE . ZONING PF,RMIT
�.ity ur iiror��
PROPERTY TYPF, . RESIDENTIAL 2750 !'elley Parkway
Oruno MN 5Ei356 952-�4��-460�
CONSTRUCTION TYPE . LAND ALTERATION (0-500 CU YDS)
Receipt No: 3.U11509 Aug �, [014
NOTG: LAND ALTF?RATION FOR�ARDEN WATER PEA7'URI; SlgnatUl'e PoGls
Previous Balance: .00
Permits
2014-00460 3350 Fox St 50.OU
101-32510
Bc�ildin� Permits
Total: ------ 5U.00
Check
Check No: 1736 50.OU
Payor :
;iyn�iti.ire Pon!s
Tnt:�+l Gnnlir�rl• ��i "�'
APPLICANT MINOR LAND ALTERATION 50.00
TOTAL 50.00
SIGNATURE POOLS LTD. Payment(s)
P O BOX 299 CHECK 1736 50.00
EXCELS[OR, MN 55331-
(612) 867-3457
OWNER
BIGOS,NANCY
3350 FOX S"T
LONG LAKE, MN 55356-
AGREEMEIVT AND SWORN STATEMENT
The work for which this permit is issued shall be perlormed according to
the approved plans and specifications,applicablc City approvals,and the
State[3uilding Code. 'I�his permit is for only the work described and docs
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���ith�vhether or not specified herein.'1'his permit will
expire and become null and void if construction authorircd is not
commenced within 180 days of the datc of issuance,or if construction is
suspended for a period of 180 days at any time a�J,er_work�as commenced.
The applicant is responsible for ass.urk+ig�1l�required inspections are
requested in conformancC•�+'�tii�the State[�uilding Code.�fhis permit may bc
revoked at any tim due cause.
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`"j��l \�� , �-- �,� �� c�ncc,�� � � �l�
Ap ieant Permitee ignature Dale Issued B��Signature Date
,
. ,
City of Orono
� Zoning Permit Application
Mailing Address: Permit number: � (`�� --
�D�O PO Box 66 Date received: �J"��'1
Crystal Bay, MN 55323-0066
Escrow#and N�,�Y� ^1
Street Address: amount:
y � 2750 Kelley Parkway Permit Fee:
�, G� Orono, MN 55356 ^,._
� Approved by: v�r�n
�kFSH��� Fax: 952-249-4616 Notes:
Main: 952-249-4600 �^"^"^�ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: ����' ��l� �7,/!�''j
CONTRACTOR/APPLICANT INFORMATION: ,
Name: ��l'�,�� 2� �s� �
Phone: `r"'S'� `f � �'7G� Fax: r� � �'Jc3
Address: i? �t, �����'% City: �XGt1S`i•� ZIP: SS��f
Contact Person: /ti � K� ��1/�j�/ ContacYs phone n er ��/Z �'G�3��7
Email M,r���„�;,;,��Applicant is: ontract Homeowner (CircleOne)
�
PROPERTY OWNER INF�R,,4�ATION:
Name: U�r1,�UC' �Jr�G S
Phone (day): (o�Z � L �� ',G 7/i�d _
MailingAddress: SU �✓ (�,�, +�G�I � ��b
Email and/or Fax `� 7�
Overall Project Description: �� ��.�J (,n.�.j�"'.c1L. / � �-'�� �[�( _
/ .J
Check TYPE OF PERMIT
Box /�
Dock, Commercial �� ] �—j
Escrow for erosion control and en ineerin review costs �
Dock, Residential — Permanent dock on any lake or initial seasc
on Lake Minnetonka ermanent dock re uires CUP
Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or f �50 ��S�"
�
Land Alteration, Major(grading, filling, or excavating) more 50 /'au (��^'—•- —
or more than 10 cubic yards in lakeshore setback (also requires y � r
Escrow for erosion control and en ineerin review costs
� Land Alteration, Minor(grading, filling or excavating)—500 or I��� „u.,,., w,,.,� .,��y�,,.,....,.� .__._.. ___._
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 Office/Trailer associated with buildin permit) $30
(over)
*Permit fee will be collected when the permit is issued.
Updated: January 2014
APPLICANT/OWNER ACKNOWLEDGEMENT:
• • ApplicanUOwner agrees to provide all information required or requested by the Planning Department;
• Ow'ner 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 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 tio i correct to the best of their knowledge.
Applicant's Signature: Date: �/��7�/ �
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, Comme�Ci81 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.
5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
elSewhere.) 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.
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 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 permitting requirements. Please note,the City will not issue a
buildin permit 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 ctear cuttin ,buckthorn or other intensive ve etation removal.
Updated: January 2014
�lan Review Checklist for Zoning Permit Applications
Address: ��/�
Description of work: VV 1�`.�
Type of permit:
Zoning review by: ` Date Approved: 1 ' Zd � �'
Grading review by: Date Approved:
Other Review, Reviewed by: Date Approved:
Zonin :
Zoning File#: Resolution #: Resolution Date:
Lot Area: SF/AC Width: Depth:
Survey Submitted? � Yes o Date of Survey:
Existin Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Pro osed 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
� Yes 0 No � N/A / ❑ Yes 0 No
Yes ❑ No � Yes � No � N/A
Permit Number: Setback:
Hardcover Zones Existin Pro osed Variance Required CUP Required
0-75' 0 Yes ❑ No � Yes � No
75-250' Type(s): Type(s):
250-500' Zoning File#: Zoning File#:
500-1000' Resolution#: Resolution#:
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
�
Planning Review Checklist for Zoning Permit Applications ,
Page 2 of2
Cubic Yards
�n Out Total
Haul Route? ? � Yes 0 No
f Explain haul route in detail:
Fees to be Char ed Amount Orono Inspections Required
Permit Amount
� ❑ Site �
Escrow Amount � Hardcover Removal
� Footing
0 Poured Wall
Signed escrow received? p As-Built Survey
0 Yes 0 No � Planting Plan
� Wetland
Escrow amount received? 0 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)
�
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
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