HomeMy WebLinkAbout2014-00677 - land alteration/driveway CITY OF ORONO * z 0 1 4 - 0 0 6 7 7 *
• ` 2750 KELLEY PARKWAY DATE ISSUED: 07/O1/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2501 KELLY AVE
PIN : 20-117-23-12-0053
LEGAL DESC : KELLY COVE
: LOT 003 BLOCK 001
PERM[T TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION (0-500 CU YDS)
NO"I�F,: $2,000 S/13 COLI.F:C"I�F.D ]N I�:SCROW FEE
ACTUAI,ESCROW FEE AMOUNT COLLEC'CED $2,000.00
HOW DID THF.Y PAY? CI�ECK� WHO PnID?BRENT LINDGREN
ESCROW PERMI�I�#: (DON'"1'FORGET TO I:N'I�ER) 2014-00678
ESCROW FEE FOR: GROSION CON"I�ROI.& GNGINEERING RFVIEW COS"I�S
LAND ALTERA'I�IO�]/DRIVEW�Y
APPLICANT MINOR LAND ALTERATION 50.00
ENGINEERING REVIEW COSTS
LINDGREN, BRF.NT TOTAL 50.00
2501 KELLY AVE
EXCELSIOR, MN 55331- Payment(s)
CASH 50.00
OWNER
LINDGREN, BREN7�
2501 KELLY AVE
EXCELSIOR, MN 55331-
AGREEMENT ANU SWORN STATEMENT
"�he work for which this permit is issued shall bc performcd according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. �l�his permit is for only thc work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of la��s and ordinanccs governing this type of work
shall be compied with whether or not specitied herein."(�his 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State l3uilding Code.This permit may be
revoked at any[ime for due cause.
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� p licant Permitee Signature � Date ssu �d Iiy Signature Date
Plan Review Checklist for Zoning Permit Applications
Address: L:✓V � `
T� � �
Description of work: Q �V �� �
Type of permit: 1Y\��r � al��o1^–�
Zoning review by: � Date Approved: � • I ' �T_
Grading review by: N � Date Approved: �"—"
Other Review, Reviewed by: Date Approved:
Zonin :
Zoning File#: Resolution #: Resolution Date:
Lot Area: SF/AC Width: � 1 ,'/L �epth:
,.�
Survey Submitted? ❑ Yes o Date of Sun � l,�,,,•� ,�'
�� Uw1�
Existin Setbacks: /'n I t Q(�
�W�C1 �
1.5��"��.
Front(Lake) Rear(Street) ( N S E . , ther Buildings Wetland
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 0 N/A / � Yes � No
Yes � No � Yes 0 No � N/A
Permit Number: Setback:
Hardcover Zones Existin Pro osed Variance Required CUP Required
0-75' 0 Yes 0 No � Yes 0 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
In Out Total
Haul Route? ? ❑ Yes 0 No
Explain haul route in detail:
Fees to be Charged Amount Orono Inspections Required
Permit Amount ��
❑ Site
Escrow Amount L��V� � Hardcover Removal
❑ Footing
Signed escrow received? 0 Poured Wall
❑ As-Built Survey
0 Yes ❑ No 0 Planting Plan
0 Wetland
Escrow amount received? Final
0 Other(specify)
� Yes � No
I
I
Engineering review needed? '
� Yes 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
City of Orono
Zoning Permit A lication
MailingAddress: Permitnumber D/ - ���
��� PO Box 66 Date received: 1 ' • ��
� Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amourrt:
y �, 2750 Kelley Parkway Permit Fee: ��
� Orono,MN 55356
� �G Approved by:
q'�ESH�� Fax: 952-249-4616 Notes:
Main: 952-249-4600 W`�✓�ci.orono.mn.us
This application form must be completed in full and all required infortnation must be submitted_ (P/ease print.)
L
Job Site Address: � � . � i � � �..�r� � ' ; e, >
CONTRACTOR/APPLICANT INFORMATION;
�.
Name: (�, � � (� , �� ��1/�_ ? '
Phone: , " ;{ , . � "� Fax: N .`
Address: � - �. �::`� ' Ciry: , ZIP: ``.``. � ,
Contact Person: � ; . - • c� Contact's phone number !' ' ' � ' ' `
Email , ,•. ,�I�.. ,; .,', ;,�Applicant is: Contractor (Homeowner �c�.��o�e�
PROPERTY OWNER INFORMATION:
Name: �
Phone(day):
Mailing Address: Z�P�
Email and/or Fax
Overall Project Description: , `..� �_' �
�BoXk TYPE OF PERMIT COST*
Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $50+engineering review costs
Lake Minnetonka ermanent dock re uires CUP
Dock,Commercial $50+engineering rev�o�••--;ts
Escrow for erosion control and en ineerin review costs ��^^"
,�, Hardcover Permit: Driveway, Patio, Sidewalk, Eta (New or R�^'--
Also re uired is a Minor or Ma�or Land Alteration Permit
Land Alteration,Major(grading,filling, or excavating) more � �� ������--C L'�
more than 10 cubic yards in lakeshore setback(also requires �
Escrow for erosion control and en ineerin review costs �✓ �� ���
Land Alteration, Minor(grading,filling or excavating)-500 oi <� �0 �� �r� � � � �
� outside of lakeshore setback or less than 10 yards in lakeshore G- ��,LZ ({�u.l�
Escrow for erosion control and engineerin review costs ��2_ �1�(.- �
Retaining Wall measuring under four feet require a zoning pen � �y �
Retaining walls measuring more than four feet(from bottom of f ���,� y;(.,U•�-( ��
wall) require a building permit. (Tiered retaining walls are consic
unless the walls are separated by twice the height of the lower w
Escrow for erosion control and en ineerin review costs
Stairway to Lake(New or Replacement)
Escrow for erosion control and engineering review costs
Structure Permit for other structures not requiring a building per
regulated by the zoning code(including, but not limited to accessc
less than 120 square feet, detached deck or platForm and sport co�
Escrow for erosion control and en ineerin review costs
Tree Removal or other v etation removal in 0 to 75 foot zone No char e.
Tem ora Construction Office/Trailer associated with buildin ermit $30
(over)
*Permit fee will be collected when the permit is issued.
Updated: November 30,2012
APPLICANT/OWNER ACKNOWLEDGEMENT:
� � Appiicant/Owner agrees to provide ail information required or requested by the Planning Departrnent;
• Owner agrees to pay the City of Orono for en9ineering cansultant review c�ts where applicable;
• ApplicanUOwner certifies that the information supplied is true and conect to the best of his/her knrnnrtedge. The
applicant►�ecogn¢es that they are solely responsible fo�submitting a camplete application being aware that upon failure
to do so,the stafF has no altemative but to reject it until it is complete;
• Appficant acknowledges the attached Escrow Agreement is completed and signed by Owner,
• Applicant/Owner understands their project may require an initia!and as-built survey per City Code Section 86-68.
• Some or all of the informffiion that you are asked to provide on this application is classified by State law as either
private or oonfidential. 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 infarmation which generally cannot be given to either the public or the subject
of the data. Our purpose and intended use of this infortnaiion is to annually update our records and records of other
ovemmental a encies r uired law. If ou refuse to su the information, the a lication ma not be issued.
The undersigned certirt�fyy that the information supplied is true and correct to the best of their knowledge.
Applicant's Signature: Date: ,6/Z 3/ZOj�
�
Property Owner's Signature: Date: k;��3��0��
7—�
TYPE OF PERMIT• SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits
require a compteted application form,e�row agreemeM(signed by the property
owner}and escrow check from owner,iwo copies of all plans, and three copies
of ali grading plans or surveyslsite plans
Dock,Residential Seasonal Dodc-�survey stiowing proposed dock
PeRnanent Dock–plans as approved by CUP and copy of LMCD pennit(if applicable)
Dock,Commer+clal 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Hardcover Permit 1. A11 Minor or Major Land Alteration Permit requirements apply as appropriate
2. Hardcover calcula6ons,existing and proposed
3. Plans
Land Akeration,Major 1. Plans as approved by Conditional Use Permit
2. Erosion control plan or copy of MCWD Erosion Control Permit
Lartd Alteration,Mino� 1. Survey/grading plan including exis6ng and proposed contours
(Less than 10 cu.yds.within 75'of 2. Amount of fill to be imported and/or exported and haul route
lake or tess than 501 cu.yds 3. Amount of earth to be moved around on site
elsewhere.) 4. Erosion control plan or c�py of MCVVD Erosion Control Permit
Retaining Wall 1. Plans for wall(s)
2. Unless repair or exact replacement of existing wall, submit an updated survey with
grading plan including ex'isting and proposed contours
3. Hardcover calculation worksheets if in shoreland district
4. Erosion control lan or of MCWD Erosion Control Pennit
Stairway to Lake 1. Construction plans for stairvvay, including footings
2. Topographical survey of property witti proposed stairs shown
3. Erosion control pian or copy of MCWD Erosion Control Permit
Structure Permit 1. Construction plans_
2. Survey of property with proposed structure shown and with setbadcs to property
lines,other structures on property and the septic system indicated.The general
location of any sev�r and water services should be shrnm if applicable.
3. Grading plan if grading is proposed.
4_ Hardcover calculation worksheets
5. Erosion control lan or of MCWD Erosion Control Permit
Tnee Removal Call: 952-249-4600 to schedule a singie tree removal inspedion. A re-planting plaN
ma ment an r irerJ fcx clear cxrttin ,buGcthom or other intensive v tation removal.
updated: Nov�nber 30,2072
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� .�s6 �,� , �' �Plannmg 8 Zoning Plan Rsvi�w
y6�� �� �p� ; Site Plan Review Date: �'�� �¢
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�� '� �'� p APPROVED WIT�I F;EVISI ' 'S(s notes)
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�— DATE TIME �
CITY OF ORONO CALLED IN ��
INSPECTION NOTI E SCHEDULED 7,7-/� �
PERMIT NO. - 67� COMPLETED
ADDRESS SU/
OWNER � TELEPHONE NO.gS2-�7/-DO/�
CONTRACTOR
� DESCRIPTION �1�� ��o
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ WOpD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
� �MNAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP
? � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �8Q IECT COMPLETE
W �CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR Wlll REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
il for the next inspection 24 hours in advance. (952) 249-4600
ctor on site: rQ�� �-! �
Inspector: w
White Copydnspector's Ffle Canary CopyfSite Notiee
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant • �
CC: Street File
Date: July 9, 2014
GIL: 101-22205
Re: Escrow Refund for 2501 Kelly Avenue
Zoning Permit #2014-00677 pertaining to 2501 Kelly Avenue is complete. Please refund
$2,000 to the applicant, Brent Lindgren.
No as-built survey required. Inspections performed in-house
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
• Copy of escrow refund request
Mail to: Brent Lindgren
2501 Kelly Ave
Excelsior, MN 55331
w:lstreet filesUcelly avenue�2501�escxow refund request 2014-00677.doac
ZONING PERMIT�R�W A�G�,,�MENT
� Permit#
AGREEMENT made this 1_day of � 20�by and between the CITY OF ORONO,
a Minnesota municipal corporafion ("City�and P�I�dn�l- LiuldlllrCN1 ("Owners'�.
Recitals
1. A building permit application has been filed for a zoning pem�it for a property located at
� l � 1 I !r the ("Subject Property'�, legally described as LA�'3� L3L�t.K- I � kCIIV �Vt�,
Hennepin C unty Minnesota.
2. Owner requests the City to review this application.
3. The City will cammence its review of the application and incur costs associated with said review
onty if the Owner establishes an escrow to ensur+e reimbursement to the Ciiy of its costs.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSR OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow
Agreement, the Owners shall deposit$ �� with the City. All ac�crued interest, if any, shali 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-podcet costs the City has incurned(inciuding planning, engineering or legal c�nsuttant review)or will
incur in reviewing the plan. Eligble expenses shall be consistent with expenses the Owners would be responsible
for under a zoning permit applicafion. The escrow will also guarantee neimbursement to the City for all out-of-
pocket costs the City has incurred to assure that the work is completed in acxordance with the Stormwater
Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financia! security may also be
used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to
public properly or infrastructure that is caused by the work (includ'mg planning, engineering, or legal cflnsultant
review) associated with permit # ZOl4-001077 if compliance w�h 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 everrt that the Owners do not make payment
to the C'ity within the timeframe oudined in#3 above,shall issue a Stop Work Order urrtil the Owners pay all expenses
invoiced pursuaM to #3. The City may drawr from the esaow accourrt wittwut further approval of the Owmers to
reimburse the Gty for eligibte expenses the Ciiy has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the
Owners when the review has been completed and writfien notficafion is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. if the project is abandoneri by Owners, or if the eligible expenses
incurred by the City exceed the amount in escrow, the City shall have the rigtrt to certi�y the unpaid balance to the
subject property pursuarrt to Minn. Stat§§415.01 and 366.012.
CITY: CfTY OF ORONO OWNER:
�
By:
Its: �
Interrial Use OnCy:-° ��i�ginal fo Planning.Qeparhneirt D Capjr#o Street�Fiie
Updated: November 30,2012
. ' IIW11111_I�11W
CITY OF ORONO * z a 1 4 — 0 fd 6 S 6 *
' � 2750 KELLEY PARKWAY nAT� 1ssuE�: 07/O1/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2501 KELLY AVE
PIN : 20-117-23-12-0053
LEGAL DESC : KELLY COVE
: LOT 003 BLOCK 001
PERMIT TYPE : ESCROW FEE-APPLICANT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEF -APPLICANT
'�'01�G: 'I�HIS$2,000 ESCROW IS TIGD TO"I.ONING APYLICAT[ON 2014-00677
APPLICANT ESCROW FEE-APPLICANT 2,000.00
ESCROW FEE- DEVELOPER 0.00
LINDGREN, BRENT TOTAL 2,000.00
2501 KELLY AVE
EXCELSIOR, MN 55331- Payment(s)
CHECK 8907 2,000.00
OWNER
LINDGREN, BRENT
2501 KELLY AVE
EXCELSIOR, MN 55331-
AGREEMENT AND SWORN STATEMENT
l he wark for which[his permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. �Chis permit is for only the work described and does
not grant permission for additional or relatcd work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit 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
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsibie for assurine all required inspections are
requested in conformance with[he State Building Code.This pcmiit may be
revoked at anv time for due causc.
/ /
Applicant Permitee Signaturc Datc Issued By Signaturc Date
� �
�
��'e`�� f:����
ZONING PERMIT ESCR W AGREEMENT ' ���;���,.
Permit# '1-A1�- OOIp'1�
3��'
AGREEMENT made this�_day of � , 20 1 , by and between the CITY OF ORONO,
a Minnesota municipal corporation ("Cit�')and PS�d�1� Lt IM1�.Qrelrl ("Owners").
Recitals
1. A building permit application has been fifed for a zoning permit for a property located at
�Q` � 1 !� the ("Subject Property"), legally described as LOF3� d�ocK- La Kel�v C.�v�.,
Hennepin C unty 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 $ �a 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 ptan. E{igible expenses shall be consistent with expenses the Owners would be responsible
for under a zoning permit application. The escrow witl 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 # 2014-OOIOII 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 everrt that the Owners do not make payment
to the City within the timeframe outlined in#3 above,shall issue a Stop Woric Order urrtil the Owners pay all expenses
invoiced pursuarrt to #3. The City may draw from the esaow account without further approval of the Owners to
�eimburse the City for eligible expenses the City has incurred.
5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be retumed to the
Owners when the review has been completed and written not�cation is received from the Owners requesting the
funds.
6. CERTIFY UNPAID CHARGES. tf 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: 'LGG�%` �
gy. _�,,,%��L� '1-G �—�
/J - "1 ,
Its: '..{;z.'n�c.�-L�- �'Z'-�-�
Interna(Use Only: 0 Original to Planning Department 0 Copy to Street File
Updated: November 30,2012
City of Orono
2750 Kelley Parkway 952_249-4660
Orono MN 55356
Receipt No: 3.011234
Jul 1. 2014
Brent Lindgren
Previous Balance:
.00
permits 2,000.00
2014-00677 2501 Kelly
AVe
101-22205
Deferred Rev-Developer Deposit
Total: ____ 2Y000 00_
Check 2,000.00
Check No: 8907
Payor:
Brent Lindgren 2,000.00
Total Applied: ______________
,00
Change Tendered: ___�_„_______:
07/01/2014 03:33PM