HomeMy WebLinkAbout2016-00525 - paver replacement/minor lane alteration CITY OF ORONO � 1 6 - 0 0 5 2 5 *
� 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2016
� ORONO, MN 55356-
952) 249-4600 FAX: 952) 249-4616
ADDRESS : 45 MYRTLEWOOD RD
PIN : 36-118-23-33-OO15
LEGAL DESC : MYRTLEWOOD
: LOT 003 BLOCK 002
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTE: PAVER REPLACEMENT AND MINOR LAND ALTERATION PERMIT
NOTE:PLEASG SUBMIT PHOTOS OF COMPLETED PROJECT. INITIAL:/ .,/�
1�--
APPLICANT MINOR LAND ALTERATION 50.00
TOTAL 50.00
LUSARDI&JESSICA BROWN,PHIL Payment(s)
45 MYRTLEWOOD RD CHECK 3256 50.00
WAYZATA, MN 55391-
(952)476-2575
OWNER
LUSARDI&JESSICA BROWN, PHIL
45 MYRTLEWOOD RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
'1'he 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 governing 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 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 Building Code.This permit may be
revoked at any time for due cause.
" ���-� � �� ��. � Cb
Applicant Permitee Signature Date Issued Signature Date
City of �rono
� Zoning Permit A lication
Mailing Address: Permit number. �C.���; " ��'����-�'`�
�Q�O PO Box 66 _
Crystai Bay, MN 55323-0066 Date received: '�
Escrow#and
Street Address: amount: N
� � 2750 Kelley Parkway Permit Fee: � ` ; �'� �
y � Orono, MN 55356 .,_X� �
G � �, .
`�'�FS H O�� Fax: 952-249-4616 APP�ed by: �
Main: 952-249-4600 Notes: � ; ,: (. -1 _
www.ci.orono.mn.us
r.
This application forrn must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: �� ���'1"uCW�O /t` 1`�
CONTRACTOR/AP��ICANT INFORMATION:
Name: � �� Lv����r� ;
Phone: �.� - ,� ` Fax:
Address: � i'V� r �,-�'� +1��Qt Ci : � )�, ZIP: ?'
Contact Person: ContacYs phone number
Email ��'�,;�t�,i�'� .�.�.� Applicant is: Contractor '��,Homeowne (Circle One)
PROPERTY OWNE1�[NFORMATION:
Name: Y�� " L.v i��,;i�
Phone(day): j2�
Mailing Address: S � (�c.,�.,/�r r /�l y ^ r Z�p. a
Email andlor Fax y�f'!,.lC, rl"N� ,L-��^�t.
Overall Project Description: �'����/ �'��/��r��J",G,,��7
Ch�� TYPE OF PERMlT FEE
Box collected when rmit is issued
Dock,Commercial $50+engineering review costs
Escrow for erosion control and en ineerin review oosts $2,000
Dock, Residential — Permanent docic on any {ake or initial seasorsal docic nat on Lake $50+engineering review costs
Minnetonka ermanent dodc uires CUP
Hardcover Pe�mit:Driveway,Patio,Sidewalk,etc.(Ne�w or Replacement) No charge
Also ufres is a Minor o�Ma" r Land Alteration Permit
Land Alteration, Major (grading, fiiling, or excavating) of more than 5Q0 cubic yards $50
beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback
(also requires Conditional Use Pennit)
IReference: Ciri Code Sections 7&9bT,7&1247and 7&12861
Escrow for erosion controi and engineering review costs As determined b CUP
nd Alteration, Minor(grading,filling or excavating)of 51 to 500 cubic yarcls beyond the $50+engineering review costs
f;,� lakeshor�e setback OR 50 cubic yards or less within the lakeshore setbadc
/Refenence: Ciri Code Sections 78-967.78-1247 and 7&12861
,� ? EsCrow for erosion control and engineering review costs $2,000
Retaining Walls which exceed two 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 properiy line.
Escrow for erosion control and engineering review costs $2,500
lReference: Citv Code Seclion 78-1405(5.1)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) lReferenae: Cirv Code Sections 78-12821 $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Structure Permit for other structures 200 sf or less not requiring a building pennit but $50+engineering review costs
regulated by the zoning code(Reterence: Citv Code Section 86-661
Escrow for erosion controi and en ineerin review costs $2 5pp
Tree Removal or other vegetation removal within 75 feet of lakes No charge.
Reference: Ci Code Secrion 78-1285 Pre-ins tion uired.
Tem rar Construction Offic�lTrailer associated with buildin Rnit $30
Updated: May 2015
APPLICANT/OWNER ACKNOWLEDGEMENT:
• ApplicanUOwner agrees to provide all informatiai required or requested by the Planning Department;
'• Owner agrees to pay the City of Orono for engineering consultaM revfew c�sts where applicable;
• ApplicanUOwner cefifies that the i�om�ation supplied is true and comscc:t to the best of hislher knowledge. The appticarrt recognizes
that they are �lety responsible for submitting a complete appl�ation being aware that up� fa�ure to do so, the staff has no
altemative but to rejed�until it is oomplete;
. ApplicaM adcnowledges the attact�ed Escro�w Agreement is oompleted and signed by Owner,
• Applicar�t/Owner understands th�r project may require an init�al and/or as-built s�ey per City Code Section 86-58.
• Some or all of U�e information lhat you are asked to provide on lhis application is dassified by State law as either private or
confidential. Private data is infortriation which ge�eraly cannot be given to the p�lic but can be given to tt�e subject of the data.
ConfideMial data is ir�formation which generally cannot be given to either the public or the subject of the data. Our purpose and
iMended eise of ihis iMorrnation is��ra�ly update our�oords and re�nds of other gov�tal age�ies required by law_ If
ou refuse to su the infortnation the ficatiom m �ot be issued.
The undersigned certify that the i ation supplied ' true and co►rect to the best af their knowledge.
ApRlicant's Signature: � Date: �/��j zD1�
Property Ovmer's Signature: � � ,.��- �- Date: s//�l Zv��
-T
�UBMISSION RE(�UIREMENTS: Except for tree removal permits, all permits require a completed
TYPE OF PERMIT: application form, escrow agreement(slgned by the property owner)and �crow check from owner,
two copies of�ch,wher�e applicable,plans,landscape plar��grading plans,surveys or site plar�.
DoCk,Commercial 1. Struc�ural pfans for the dodc
2. Survey/site plan showing the proposed location of the dock
3. Copy of LMCD permit
DoCk,ReBideMial Seaso�al Dock—surveY��9 P���
Permanent Dock— ans� roved CUP and of LMCD rmit if e
HB�dCOv@r P�YIt1it 1. A1 Minor or Maj�Land Alteration Permit requiremc�nts appfy as aqxopriabe
2. Hardcover calculatia�s,ebstr�g a�d proposed
3. Susvey
L811d Alt@f'BtfOn,AAejO� 1. Surveyl�acing plan indu�ng existing and proposed contours as approved by Conc6tional Use Permit
2. Erosion oontrd plan.
3. A copy of N�u�ehaha Creek Wart�shed Distrid(MCWD)Permi�or doc�nner�tion from U�e MCWD sta�ng the
proposed project does not trigger am/of their permitdng requrcemerds. Ple�ose nate,the Cfty wtll nd Issue a
bulld withart irrforr�tion iran the�ACWD.
LBtld AI On, � 1. Survey/gra�ng plan induding e�dsting�d proposed corrtours
2. Amourn of 1�to be nnported andlor exported and haul route t^�i��� ��
3. AmouM of ea�th to be moved around on si6e 0 �
4. Erosion corrtrol plan. -.��
5. A copy of Nlinnehaha Creek Watershed District(MCWD)pernWs or doc�unerAation irom the MCWD stating the
���*� ����wlthout iMonnetfon tlrom the YCWD��merrt,s. Please note,the CitywlN nat issue a
Retaining Wall 1. Plans for wau(s)
2. Unless repair or exact replacemerd of e�g wall,submit an updated survey with gre�ng plan indud�g ebsting and
proposed twntours
3. Ha�dcover cak�lation worksheets if in shoreland d�strict
4. Erosion control plan
5. A capy of 1�1'nnehaha Creek Watershed Distrir�(MCWD)p�or doc�xneMation trom the MCWD stating the
proposed project does not trigger any of�eir permit6ng requiremerqs. Pleaa�na�e,tl�e City wlll nat Issue a
build widfout infonrmHon irom the MCWD.
Stalrway or L1fts to 1. Construction plans fur shairway or ift,inducLng footin�
�k@ 2. Topo�aphical suroey of property wilfi proposed stairs or lift shown
3. Eros7on ca�trol plan
4. A copy of Mamet�aha Geek Watershed District(MCWD)permils or documer�ation from the MCWD staing tfie
proposed projec[does not trigger any of their pertr�ting requ'remerris. Please note,tl�e Clty w1Y not Issue a
bu wld�out iMorynetlo�n iront the�ACWD.
St�llcture Permft 1. ConstrucUon plans.
2. Survey/site plan of property witt�proposed structure shown and with setbacks to property 5nes,other structures on
properly and the septic system incicated.The general location of any sewer�d water services should be shown if
appGcaWe.
3. Gradng plan if grad"ing�proposed.
4. Hardcover calculation worlcsheets
5. Er�on control plan_
6. A copy of N�mehaha Creek Watetshed District(MCVVD)perm�s or dociune�tion hom 1he MCWD staing the
proposed project does not trigger arry of their pertnitting requireme�. Please no�s,the City wlll not lssue a
bulld wlthout IMom�ellon trorn ths MCWD.
Tree Removel �O: 952 249�600 to sd�edule an inspection for removal of a�indnridual tree(s). A re-planting plan/erosion control/
man ement ma be red for dear cuttin ,bucktl�am or dher irrtensive v ' n removal.
l�dated: May 2015
, � PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS
Address: � -
.
Description of work: � �
Type of permit:
Zoning review by: �.�� Date Approved: �� •�1-'�� .
Grading review by: N�' Date Approved:
Other Review, Reviewed by: �ate Approved:
Zonin. Informationc s
Zoning �ile#: Resolution#: Resolution Date: - `
LotArea: SF/AC Width: Deptti: "'
Sunrey Submitted? �Yes No Date of Survey: Revision date:
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 Buildi�gs Wetla�d
: Side ;_ Side <
Shoreland"District ' ' MCWD::Permit Receiv d, A�erage Lakeshore Settiack Met? Bluff ' �
0 Yes ` � No N/A � Yes No
C7 Yes No I]�Yes � No N/A .
Permit Number: � � . Setback: �-
Stormwater Quality Existing Proposed Variance Required CUP i2�quired j
Overla District Tier Hardcover Hardcoyer
O Yes p .Yes o .
Type�S�.. ,��e�S�• . _
File# File#
Updated:January 2013
z:\forms\old stuff�plan review checklist for zoning permit applicaGons 2013.docx
Earfh Movement-Cubic Yards
In Out Total
Haul Route? ? 0 Yes 0 No
Explain haul route in detaiL•
fees to!ie.Char "ed ` � . ";�� �':;, Ocono Inspections Requited'
� �� _ �� � �,,, �. �� �,•�
�.s�'� +�€ f.:-� s� ��
?�,� .��.� �� '" �,'�°,y,'�r�,�.'�� +6,���"- i'�. ��.:v. � ��S�tP. :.. �-. .. �
xh �a a''�,"";� ,�.ssTM�' a�'€a' �r ��.cx�5:. �r ` .. ,Piz��" .. . . .
Escrpw Amount G" � Ha�dcover Removal
, N � 0 Footing
Escrow Agreement received? � Poured Wall
�� G As-Built St�rvey
0 Yes 0 No , 0 Planting Plan
0 Wetland Buffer
Escrow Money received? �{�,�-� �nal
. �V 0 Other(specify) .
_ G Yes D No
. � , . J �
' a�,�„�'��.:;� ��,. . .
��� r � : � �� .
a„'�'��� -
' �+rx�,` s � ��� c �
�t' qR 5� � 3. �'� � �
• '� � k �,n4 ��.�°Y`��,rk�."c.y� � . . . .
_ '•r*F_. . . . ..
REMARKS (in-house): `
Other Review: Reviewed by: . Date Approved: '
REMARKS'(t0 B�NOTED ON PERMIT AND INITIALLED 8Y PERSON P.ULLING PERMIT) ` ;
Updated:January 2013
z:\fonns�old stufflplan review chedclist for zoning permit applications 2013.docx '
� From: Penniltlng permitting�'minnehahacreek.org B
8ubject: RE:Land�c8pe
Date: �2g.2p16 at 1t:09 AM
To: Wril Lusardi yophi!@me.com
Thank you!After an initial review it appears that your project wil!not impact the wetland on your
property, nor will trigger our erosion control rule. l will email the city and let them know you will not
need a permit with MCWD. Would you like to be copied on that email?
Best,
Lauren Sampedro
Lead District Represerrtative
Minnehaha Creek Watershed District
15320 Mi�netonka Blvd
Minnetonka,MN 55345
952-641-4580
MIMMENANA CR#EK
w��lf�SwED D�StRsCf
From:Phil Lusardi [mailto:yophil@me.com]
Sent: Monday, March 28, 201610:55 AM
To:Permitting<permitting@minnehahacreek.org>
Subject:Re: Landscape
Lauren,
In response to yow question, the project is in our back yard
Phil Lusardi
This message has been hacked out with my thumbs on an iPhone. Please excuse typos and apple
auto correct
On Mar 28,2016,at 10:19 AM,Permitting< rm� i (a�minnehahacreek org>wrote:
Hi Phil,
Thank you for this informafion and for contacfing MCWD. I have a quick quesfion for you
on paver location. Is the paver project occurring in your front yard?
Thank you, ,
ORONO COPY
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