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Home My WebLink About2015-00549/VOIDED � !` `::;��.��iV�`D , ; r City of Orono � �`� - 6 2015 Zoning Permit Application L-t��ey�ok �, Mailing Address: Permit number. ��-f_� - (_.`(`��i �-O� PO Box 66 Date received: �-'_ �c _ i c� � Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: y � 2750 Kelley Parkway Permit Fee: r �� Orono, MN 55356 �q �, Approved by: k�S H�� Fax: 952-249-4616 Notes: Main: 952-249-4600 `^"Nw.ci.orono.mn.us This application form must be comple d in full and all required information must be�mitted. (P/ease prinf.) Job Site Address: � . (��-yf'1� �f� CONTRACTOR/AP�ICANT INFORMATION: `'� Name: 1��A� I l�;?C_='��c'•'"` C",��` Phone: : Z Z- " � Fax: +� Address: /1 ,�( ,,v. AQ�ri,. y� )� ZIP� �Ss'(1� � v�'�� Contact Person: ContacYs phone number Email �l ��_, ��t�v�,�, . ��y1;a� ;, �Applicant is: Contr CtOf �F�017120Wn [' (Circ�e one) � �--------�i PROPERTY OWNER INFORMATION: Name: -j�,� Plione (day): Mailing Address: �� Email and/or Fax �O� _ S-4-I�j Overall Project Description: — ��' `�°�� /D�/�• �O� Y VI Check TYPE OF C\ � n �� Box �_�` Dock, Residential -Permanent dock on �'�� I ' ��,�, ��t� Lake Minnetonka ermanent dock re ui / Dock, Commercial �� , � qln I/� �`� Escrow for erosion control and en inee � �� Hardcover Permit: Driveway, Patio, Si � �Q�� p ��e�� (,(�t�� 'C(,�(/ l Also re uired is a Minor or Ma'or Land A�«�G,,,,,, , .,...._ Land Alteration, Major(grading, filling, or excavating) more 500 c� more than 10 cubic yards in lakeshore setback (also requires CUP) ��d`?• Escrow for erosion control and en ineerin review costs ��Cu� ��Q J(�� Land Alteration, Minor(grading, filling or excavating) -500 or les= r `'l outside of lakeshore setback or less than 10 yards in lakeshore set Escrow for erosion control and en ineerin review costs �� ,�� P �BJ�d �fp `�` Retaining Wall measuring under four feet require a zoning permit. Retaining walls measuring more than four feet (from bottom of foot r'�� / ��P �QC ��/ wall) require a building permit. (Tiered retaining walls are consider V �+< < unless the walls are separated by twice the height of the lower wal t fe �a� ` .,1,,,� � Escrow for ero�ion control and en ineerin review costs � "(C+�e tMUr Stairway to �ke (New or Replacement) e �� ! �, ��{,( Escrow for errosion control and engineering review costs �e � � �� , ' / Structure ermit foroher g�u�� `�Ia�� l� t structures not requinng a building perr�� uU, ,�,,,, regulated y the zoning code (including, but not limited to accessory building of � � less tha 120 square feet, detached deck or platform and sport court) Escro 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; • Applicant/Owner 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 pubfic or the subject of the data. Our purpose and intended use of this information is to annualty 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 informati s ied is true an rrect to the best of their knowledge. ApplicanYs Signature: Date: �--�� /`"� Property Owner's Signature: �� Date: �'"�j��`� 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 Permit 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 including 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 Control 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 Remova) Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ mana ement plan required for clear cutting, buckthorn or other intensive vegetation removal. Updated: November 30,2012 � , � � � � � � � � � � � .! ._,. � � ,.�, � �� , � � t � � � � j �� , t� � { � � i # � � �� cc�► _ �. �� , � , � � � ��-� � � � � r �� ' �-- � , � �� .� � � c _ �., � � � 1 �,,� � ;, � � � � � �- � �, �� i � _ � � �� _� ; � ,�: , \ � � �� .� �� , � � � � � , � � � � � � � � �� ! �� --- -- - � � �' , � � c.. � � � � 1 � � ��