HomeMy WebLinkAbout2015-00646-VOIDED �
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City of Orono
Zoning Permit A lication
Mailing Address: Permit number. �6� �� ���
� ��N PO Box 66 Date received: c.,� �f��
/ � Crystai Bay, MN 55323-0066
Escrow#and
�� Street Address: amount:
-�. 1 >. 2750 Kelley Parkway Permit Fee:
F � Orono. MN 55356
�q , ��' Approved by:
���H uR Fax: 952-249-4616 Notes:
Main: 952-249-4600 �V`^�`�'�ci.oronamn.us
This application form must be completed in full and all required information must be submitted. (Please print,)
Job Site Address: 1�OO MIIIStOCI Orono, MN 5539'i
CONTRACTOR/APPLICANT INFORMATION:
Name: Conceat Landscaae
Phone: 952-4 2-4118 ' Fax:
Add�ess: 3153 Priest Lane c�tY: Mound ZiP: 55364
Contact Person: Jim Smlth ContacYs phone n��mhPr 612-750-4374
Email '�hsmith3102@aoI.00111Applicant is: �ontractor Homeowner (CircleOne)
PROPERTY OWNER INFORMATION:
Name: Rodnev& Barbra Burwell 0
Phone(day): 612-719-4443
Mailing Address: 1')OO MIIIS�Q ne Orono, MN 55391 Z1P
Email and/or Fax burwellbelWaO�.COn'1
Overall Project Description: Renlace stens to lake, restore ro3�ir�n, build water swale �f
11
�BOzk TYPE OF PERMIT COST*
Dock, Commercial $50+ engineering review costs
Escrow for erosion cantrol and engineerin� �����- costs 2,000
Dock, Residential- Perma�c���� initial seasonal dock no $50+engineering review costs
on Lake Minneto � ) � '�
Hardcover Perrr ` /n� . (Ne or Re lacem nt) No charge
V v `� � Also requires is a Minor or Major
� Land Alteration Permit
Land Alteration, � � j more�+500 cu 'c yards $50
X or more than 10 c� � requir�s CUP�
Escrow for erosior `n � ts ' As determined b CUP
Land Alteration, N, Y ' -500 or I ss c bic $50+ engineering review costs
yards outside of lak ,u,�s m lakesh setback
Escrow for erosion _.,��Cr in review costs $2,000
__ _ ,.___--
Retaining Wall mea��,nna under four feet require a zoning permit. $50+ engineering review costs
�( Retaining walls measuring more than four feet(from botto�of footings to top
of wall) require a buildfng permit. (Tiered retaining walls are sidered one
wall unless the walls are separated by twice the height of the low r wall.)
Escrow for erosion control and en ineerin review costs $2,500
Stairway or Lffts 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 vegetation removal in 0 to 75 foot zone No char e. Pre-ins ection requirea.
Tem orar Construction Office/Trailer associated with buildin ermit $30
� (over)
*Permit tee will be collected when the permit is issued.
Updated: January 2014
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���ti���� Cit of Orono
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�; ��'��� Zoning Permit Ap lication � � �
� ���
Mailing Address: Permit number: �/����L
�O� PO Box 66 Date received: / �� �
� Crystal Bay, MN 55323-0066 Escrow#and �,
Street Address:
amount: N�{� t;a�L��,���� ►�1�,�sy �j'
� �. 2750 Kelley Parkway Permit Fee:
y�. � Orono, MN 55356
! G Approved by:
qkFSH��� Fax: 952-249-4616 Notes:
Main: 952-249-4600 �v',ti'�ti �i orono mn us
This application form must be completed in full and all required information must be submitted. (P/ease print.)
Job Site Address: l 1 G n i� �11 5���� I<< , ����,-r�, ,�,� S 5;�, �
CONTRACTOR I APPLICANT INFORMATION:
Name: ���n d�c �3��r-..����
Phone: �i;z '-���. r b �-t 7 Fax:
Address: !!�t� �,1I 51�� ���( City: t�,�o., ZIP:
��53�� 1
Contact Person: �t�uc �"��.i..�e�r ContacYs phone number °�;z �- �t 7� -� ���
Email ��i3�,��,�,�� ��, ;tG r, ��;,,.,, Applicant is: Contractor omeowner� ircle One)
PROPERTY OWNER INFORMATION:
Name: f'Z� c�,,,F, l3�.r u r�J
Phone (day): �,z s�;� 1��5
Mailing Address: i l� o rv��ll s}�,� ��t.-( o���. ,�„� ZIP: %5 3°� I
Email and/or Fax ���� — ��y _ -�-t; ;
Overall Project Description: f�1.� r;,f „��( S/-<„�s j>�t I �,-, �Y�w f� Sf�-•��S ��� sn�- S��r
Check TYPE OF PERMIT
Box 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 review costs
Escrow for erosion control and en ineerin review costs $2,000
Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge
Also re uired is a Minor or IVla�or Land Alteration Permit
Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50
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 yards $50+engineering review costs
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 to Lake (New or Replacement) � $50+engineering review costs
, Escrow for erosion control and engineering review costs (h-�In/� $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.
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:
• 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;
• 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
overnmental a encies re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
The undersigned certify that the information supplied is true and correct to the best of their knowledge.
Applicant's Signature: �,P� Date: 7��5/13
Property Owner's Signature: Date:
SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits
TYPE OF PERMIT: require a completed 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 surveys/site plans
Dock, Residential Seasonal Dock—survey showing proposed dock
Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable)
Dock,Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate
2. Hardcover calculations, existing and proposed
3. Plans
Land Alteration,Major 1. Plans as approved by Conditional Use Permit
2. Erosion control plan or copy of MCWD Erosion Control Perrnit
Land Alteration,Minor 1. Survey/grading plan including existing 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 less than 501 cu.yds 3. Amount of earth to be moved around on site
elsewhere.) 4. Erosion control plan or copy of MCWD 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 inc�uding existing and proposed contours
3. Hardcover calculation worksheets if in shoreland district
4. Erosion control lan or co of MCWD Erosion Control Permit
Stairway to Lake 1. Construction plans for stairway, including footings
2. Topographical survey of property with proposed stairs shown
3. Erosion control plan or copy of MCWD Erosion Controt Permit
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 lan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/
mana ement plan re uired for clear cuttin , buckthom or other intensive ve etation removal.
Updated: November 30,2012
�
APPUCANT/OWNER ACKNOWLEDGEMENT:
• ApplicanUOwner agrees to provide all information required or requested by the Planning Department;
• Owner agrees to pay the Ctty of Orono for engineering consuitant review costs where applicable;
• ApplicanUOwner certifies that the information supplied is Vue 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
attemative but to reject it until it is complete;
. Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• ApplicanUOwner understands thelr project may require an initlal and as-bullt survey per City Code Sectlon 86-68. �
• Some o� 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 informatiai which generally cannot be given to the public but can be given to the subject of the data.
Confidential data is informabon 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 recoMs of other govemmental agencies required by law. If
ou refuse to su I the information the a lica' n ma no issued.
The undersigned certify that the i o tio 'ed is e nd correct to the best of their knowled e
Applicant's Signature: Date: April 22, 2015
Property Owners Signature: X On file Date: x
SUBMISSION REDUIREMENTS: Except for tree removal peRnits, all permlts require a completed
TYPE OF PERMIT: application form,escrow agreemeM(slgned by the property owner) and eacrow check from owner,
two copfes oi ell plans,and three coples of all grading plans or surveya/site plans
DOCk,COmme1'Cial 1. Structu�al plans for the dock
2. Survey showing the proposed location of the dodc
3. Copy of LMCD pertnft
Dock,ResideMial Seasonal Dodc-survey showing proposed dodc
Permanent Dock— lans as approved b CUP and cop of IMCD permk if a licable)
Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements appty as appropriate
2. Hardcover calculations,existing and proposed
3. Survey
Land Alteration,MaJo1' 1. Survey/grading plan induding existing and proposed contours as approved by Conditional Use Permit
2. Erosion control plan.
3. A�py of Minnehaha Creek Watershed District(MCWD)permits or documentaUon from the MCWD stabng the
proposed project dces not trigger any of their permitting requirements. PleaSe note,the City wfll not fssue a
buildin rmR wlthout Informatlon from the AACWD.
Land AIte1'ation,Minor 1. Surveylgrading plan including existing and proposed contours
(Less than 10 cu.yds. 2. Amount of fill to be imported and/or e�orted 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 wntrol plan.
elsewhere.) 5. A copy of Minnehaha Creek Watershed Oistrict(MCWD)permits or documentation from the MCWD stating the
proposed projeG does not trigger any of their pertnitting requirements. Please note,the City will not Issue a
bulldln t without infortnadon from the MCWD.
Retal�ing Wall �. P�ans for wa11(s)
2. Unless repair or e�cact replacement of existing wall,submit an updated survey wfth grading plan including existi�g a�d
proposed contours
3. Hardcover calculation worfcsheets'rf in shoreland district
4. Erosion control plan
5. A copy of Minnehaha Creek Watershed District(MCWD)pertnits or documentation from the MCWD stating the
proposed project does not trigger any of their pertnitting requirements. Please note,the Cky wlll not Issue a
bulldln rmlt wlthout InformaUon from tlu MCWD.
Stairway or Lifts to 1. Construction plans for stairway or lift,including f�tings
Lake 2. Topographical survey of property writh proposed stairs or lift shown
3. Erosion control plan
4. A copy of Minnehaha Creek Watershed Distrid(MCWD)�rtnits or documentation from the MCWD staUng the
proposed projed does not trigger any of their pertnitting requirements. Please note,the City will not Iss�a
buildin rmlt wlthout IniormaUon irom the MCWD.
Stl'uCture Permlt 1. Construdion plans.
2. Survey of propeRy with proposed struGure shown and with setbacks to property lines,other strudures on propeRy
and the septic system indicated.The general location of any sev�r and water services should be shown if applicable.
3. Grading plan if grading is proposed.
4. Hardcover calculation wo�icsheets
5. Erosion control plan.
6. A copy of Minnehaha Creek Watershed District(MCWO)pe►mits or documentation from the MCWD stadng the
proposed project does not trigger any of their permkting requirements. Please note,the City wlll not issue a
buildin rmtt wlthout Informatlon from the MCWD.
Tree Removal Call: 952-249-4600 ta schedule a single tree removal inspedion. A re-planting plan/erosion control/management plan
uired for Gear cuttin ,buckthom or other intensive etation removal.
Updated: January 2014
.
LAND USE APPLICATION ESCROW AGREEMENT
Application#
AGREEMENT made this day of , 20 , by and befinreen the CITY OF
ORONO,a Minnesota municipal corporation("City")and
[a corporation—optionalj(°Owners").
Recitals
1. Owners have filed Land Use Apptication# formally requesting the City to�eview plans
for the property addressed: (the "Subject Property") legally
described as
2. Owners request the City to review said plans which requires City approval and may require
consulting legal and/or engineering review.
3. The City is willing to commence its review of the application and incur costs associated with said
review only if the Owners establish 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$ 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 wiU
incur in meeting with the Owners, reviewing the plans, and preparing agenda packet material for City Council
review of Land Use Application# . Eligible expenses shall be consistent with expenses the Owners
would be responsible for under a land use application.
3. MONTH�Y 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. DlSBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make
payment to the City within the timeframe outlined in #3 above, shall cease all reviews until the Owners pay all
expenses invoiced pursuant to #3. The City may draw ftom 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 all requirements related to the project are complete. City Staff shall review the terms of this escrow
agreement two times per year to determine whethe� the requirements of the project have been successfully
completed and whether it is appropriate to retum the funds. Owner may also request the release of the funds,
and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the
project have been successfully completed.
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 OWNERS:
By: By:
�cs: �ts:
I�temal Use Only:'' G Ortglnal to Fl�anoe Depar,tment O Copyto'Zoning Pile. ' O Copy to Street Ftle
Updated: January 2014