HomeMy WebLinkAbout2014-00485 - tree removal � y
CITY OF ORONO * Z 0 1 4 - 0 PJ 4 8 5 *
2750 KELLEY PARKWAY DATE ISSUED: OS/20/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 300 SIXTH AVE N
PIN : 25-118-23-41-0001
LEGAL DESC : UNPLATTED 25 1 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : TREE REMOVAL WITHIN 0-75'
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: TREE REMOVAL WITHIN TH�75'ZONE
APPLICANT TREE REMOVAL 0.00
TOTAL 0.00
DAYTON, DOUGLAS
300 SIXTH AVE N
WAYZATA, MN 55391-
OWNER
DAYTON, DOUGLAS
300 SIXTH AVE N
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work Yor 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 separatc
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whe[her or no[specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of[he date of issuance,or if construction is
suspended for a period of 180 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections arc
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued Signature Date
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City of Orono
Zoning Permit A plication
�O . `O Mailing Address:
Permit number: � � —��
1V PO Box 66 Date received:
Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
� >. 2750 Kelley Parkway Permit Fee:
y�c. � Orono, MN 55356
! �' Approved by:
q'�FS H��� Fax: 952-249-4616 Notes:
Main: 952-249-4600
This application form must be compfeted in full and all required information must be submitted. (Please print.J
Job Site Address: �j(�C� (,{y �� (� (jr��,�-o
CONTRACTOR/APPLICANT INFORM9TION:
Name: Si-c,,�h.�..� S}-c.�nbc�^n
Phone: �, �� a� -� - ���'� Fax:
Address: City: ZIP:
Contact Person: 5't-e,ph,�.� Contact's phone number f� ati� - 70�t"
Email Applicant is: Contractor Homeowner (Circle One) ;.;���4�y „�;,,,,K���
PROPERTY OWNER INFORMATION:
Name: i.�J c�,.a�a Oay f-��
Phone (day): �;� a -�� k _ 7� / �
Mailing Address: 3oc� C,4� �, r w4:.�z�..�� ZIP: 5 5 3 7/
Email and/or Fax
Overall Project Description: ,,,^,,;�,�„tiY �i h,�t�. ,;,��„�„
Check TYPE OF PERMfT
Sox 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 Reptacement) No charge
Also re uired is a Minor or Ma�or Land Alteration Permit
Land Alteration, Major(grading, filling, or exc�vating) more.5�0 c�ibic y�r�s 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 $2,000
Structure Permit for other structures not requiring a building permit but $50+ engineering review costs
regufated 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 Remova! or o#her ve etation remova! 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
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APPLICANT/OWNER ACKNOWLEDGEMENT:
• Applicant/Owner agrees to provide all information required or r quested by the Planning Department; '
• Owner agrees to pay the City of Orono for engineering co ultant review costs where applicable;
• Applicant/Owner certifies that the information supplied is tr and correct to the best of his/her knowledge. The
applicant recognizes that they are solely responsible for submi ing a complete application being aware that upon failure
to do so,the staff has no alternative but to reject it until it is co plete;
• Applicant acknowledges the attached Escrow Agreement is co pleted and signed by Owner;
• Applicant/Owner understands their project may require an initi I and as-built survey per City Code Section 86-68.
• Some or all of the information that you are asked to provid on this application is classified by State law as either
private or confidential. Private data is information which gener Ily cannot be given to the public but can be given to the
subject of the data. Confidential data is information which ge erally cannot be given to either the public or the subject
of the data. Our purpose and intended use of this informatio 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 c ect to the best of their knowledge.
ApplicanYs Signature: � Date:
Property Owner's Signature: Date:
TYPE OF PERMIT: SUBMISSION RE UIREME TS: Except for tree removal permits, all permits
require a completed applicaltion form, escrow agreement(signed by the properly
owner) and escrow check fiom owner, two copies of all plans, and three copies
of all grading plans or surv s/site plans
Dock, Residential Seasonal Dock—survey show g proposed dock
Permanent Dock—plans as a proved by CUP and copy of LMCD permit(if applicable)
Dock,Commercial 1. Structural plans for the do k
2. Survey showing the prop sed location of the dock
3. Copy of LMCD permit '
Hardcover Permit 1. All Minor or Major Land AI eration Permit requirements apply as appropriate
2. Hardcover calculations, e�isting and proposed
3. Plans '
Land Alteration, Major 1. Plans as approved by Co ditional Use Permit
2. Erosion control plan or co y of MCWD Erosion Control Permit
Land Alteration,Minor 1. Survey/grading plan inclu ing existing and proposed contours
(Less than 10 cu.yds. within 75'of 2. Amount of fill to be import d and/or exported and haul route
lake or less than 501 cu.yds 3. Amount of earth to be mo ed around on site
elsewhere.) 4. Erosion control plan or co y of MCWD Erosion Control Permit
Retaining Wall 1. Plans forwall(s)
2. Unless repair or exact re acement of existing wall, submit an updated survey with
grading plan including exi ting and proposed contours
3. Hardcover calculation wo sheets if in shoreland district
4. Erosion control lan or co of MCWD Erosion Control Permit
Stairway to Lake 1. Construction plans for sta rway, including footings
2. Topographical survey of roperty with proposed stairs shown
3. Erosion control plan or co y of MCWD Erosion Control Permit "
Structure Permit 1. Construction plans.
2. Survey of property with p posed structure shown and with setbacks to property
lines, other structures on roperty 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 roposed.
4. Hardcover calculation wo ksheets
5. Erosion control lan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule single tree removal inspection. A re-planting plan/
mana ement plan required for cl ar cuttin , buckthom or other intensive ve etation removal.
Updated: November 30,2012 ',
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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. 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 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 aiso guarantee reimbursement to the City for all out-of-
pocket costs the City has incurred to assure that the work is compieted 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 biil.
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 ail 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:
Internai Use Only: �Original to_Pianning Department G Copy to Street File
Updated: November 30,2012
DATE TIME �
..ITY OF ORONO CALLED IN
INSPECTION NO E SCHEDULED
PERMITNO. r � �� COMPLETED Y-LS-IN
ADDRESS 3V� S��'� Av�2
OWNER A...f3?n� TELEPHONE NO.
CONTRACTOR
� DESCRIPTION TK� f�"'�`'A'�-
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP
p PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEA REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnedContrac o si
Inspector.
White opyllnspector's Ffle Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �6✓S/�GbS�fjS COMPLEfED ���'�-/�S—
ADDRESS �Gd �5��$�i /�!/r. �V.
OWNER �l�l�����ELEPHONE NO.
CONTRACTOR
� DESCRIPTION ✓/"�� �/�GP/`,�G
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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� �1N2.L ❑ WATER HOOK-UP Q'�OLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
� ❑CORRECT V1fORK 8 PROCEED / ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C 'nspection 24 hours in advance. (g52) 249-46��
Ownerl ntractor on site: � �✓� s�
Inspector.
White Copyllnspector's File Canary CopylSite Notice