HomeMy WebLinkAbout2012-01215 - shed . , CITY OF ORONO * z 0 1 z - 0 1 z 1 5 *
2750 KELLEY PARKWAY DATE ISSUED: 07/3U2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3070 NORTH SHORE DR
PIN : 09-117-23-32-0020
LEGAL DESC : REG. LAND SURVEY NO. 1457
: LOT 000 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SHED< l20 SQ FT
NOTC: $700 S/F3 COLLGC"I'F,D IN ESCROW FEE
ACTUAL ESCROW FEE AMOUNT COLLECTED $700.00
HOW DID��HGY PAY? CHECK#3348 &WHO PAID?RALPH SMI"I'H
ESCROW PERMIT#:(DON'T FORGET TO ENTER) 2013-00220 i
ESCROW FEE FOR: EROSION CONTROL&ENGINEERING REVIEW COSTS ,���
,,�„
,;�
* AS-BUIL"I'SURVEY WI"I'H HARDCOVER WILL BF.REQUIRED PRIOR TO RELEASE OF ESCROW.�';` (INITIAI,)
�• t�::.� '`.,� �la.. „c�
'�T+C��'.� �,.r3`� �fi:'��,,'
'r'J1�wUc .
-''�"9!D�5
� ,!,�M•����e� 7i:�-,��,i r
,c Ulc. . .
{_,S�t',
,�in4 ��:,
;ia1,
�-----�--�_:�._
APPLICANT '� -
SMITH, RALPH & SHELLEY ='��'�'�' � � 100.00
,�..
3070 NORTH SHORE DR �� :�
WAYZATA, MN 55391- � 100.00
OWNER
SMITH, RALPH& SHELLEY
3070 NORTH SHORE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
l�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approv�ls,and the
State Building Code. This permit is tbr only the work described and does
not grant permission for additional or related work which requires separate
pem�its. All provisions of Iaws and ordinances goveming this type of work
shall be compied with whcther or not specitied 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 atter�vork has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformai�ce with the State Building Code.This pennit may be
revoked at any time for due c�use. J
�l � ,��� �.a( ��� �3 - �G� l�v� � /3
Applicant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
-y �, ��,� City of Orono
� � ��oning Permit Application
� � �
/� Mailing Address: Permit number: ��/p�—�/ /
.Q,� I1� " PO Box 66 Date received: �4�"����
�' �`V Crystal Bay, MN 55323-0066
Q � Q Escrow#and � � �� ,(� ���
���'�" � Street Address: amount:
`� �� ��'a��J F 2750KeIleyParkway PermitFee: `�� -� �-T�-- �5� -_ ���(�
�c� y '' � Orono, MN 55356
��k sH��G Approved by: �(�
Fax: 952-249-4616 Notes:
Main: 952-249-4600 �,�;•;,;; c, ar;n� r ��_�s
This application form must be completed in full and all required information must be submitted. (P/ease print.)
Job Site Address: �1..��1�.,�� � �,'1�� ��� ����;"Y� �����
CONTRACTOR I APPLICANT INFORMATION:
Name:
Phone: Fax:
Address: -� � Cit : ZIP:
Contact Person: ContacYs phone number
Email Applicant is: Contractor Homeowner �c���ie o�e�
PROPERTY OWNER INFORMATION:
Name: ��.��� '� 5/,0_l/��, 5.�, -IC
Phone (day): �� � � �; � � q;, 7Y
Mailing Address: �,v�� ��;,,�� y�,,� ��r ZIP:
Email and/or Fax rr,��, „ �,,,,, ,� �a VE>� ,��,�,;,, . � ,,,t
Overall Project Description: �-i, I,1�, ��l/
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 permanent dock re uires CUP
Dock, Commercial $50+ engineering review costs
Escrow for erosion control and en ineerin review costs $2,000
Driveway Permit(New or Replacement) No charge
Also re uired is a Minor or Ma�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 ineering 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 ineering 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 engineering 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
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.
(over)
*Permit fee will be collected at
the time the permit is issued.
Updated: December 30,2011
APPLICANT/OWNER ACKNOWLEDGEMENT:
• Applicant 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 applicalile;
• Applicant 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;
• 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 governmental agencies required by law. If you refuse to supply the information, the application may not be
issued.
The undersigned certify that the information supplied is true and correct to the best of their knowledge.
Applicant's Signature: � � ,�� Date: � ,�j
\20 �2
Property Owner's Signature: � Date: �e� `�j
\ ���
TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits
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
Dock, Commercial 1. Structural plans for the dock
2. Survey showing the proposed location of the dock
3. Copy of LMCD permit
Driveway Permit 1. All Minor or Major Land Alteration Permit requirements
2. Hardcover calculations, existing and proposed
3. Driveway 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. 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 �ake 1. Construction plans for stairway, including footings
2. Topographical sunrey of property with proposed stairs shown
3. Erosion control plan or copy of MCWD Erosion Control Permit
Structure Permit 1. Plans for structure.
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 required
4. Hardcover calculation worksheets if in shoreland district
5. Erosion control lan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspec6on. A re-planting plan/
mana ement lan re uired for clear cuttin , buckthom or other intensive ve etation removal.
Updated: December 30,2011
� Plan Review Checklist for Zoning Permit Applications
Address: ��d 1V �� J��.. �
.
Description of work: !"�t,��� J�,�, r� �,g. Z,. cj �''
Type of permit:
Zoning review by: .S Date Approved: "i'L 'l�
Grading review by: Date Approved:
Other Review, Reviewed by: 6(.�� Date Approved: `'� �0 —�3
Zonin :
- Zoning File#: Resolution#: Resolution Date:
Lot Area: SF/AC Width: Depth:
Survey Submitted? es 0 No Date of Survey:� .�/_ ' '�
�
Existin Setbacks:
` Front(L e) Rear( et) ( N S E� ( N S E W ) Other Buildings Wetland
Side Side
� lo •2� ►5 od
Pro osed 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
� Yes � No � N/A 0 Yes ��Vo
�s � No � Yes � No /A
Permit Number: Setback:
Hardcover Zones Existin Pro osed Variance Required CUP Required
0-75' ❑ Yes o 0 Yes o
75-250' Type(s): Type(s):
250-500' Zoning File#: Zoning File#:
500-1000' Resolution#: Resolution#:
� i C.� 2.q °la 2q�Z�z�
Created: March 29,2011
z�\forms\plan review checklist for zoning permit applications.docx
Planning Review Checklist for Zoning Permit Appiications
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 � � Hardcover Removal
Footing
_ Signed escrow received? � P red Wall
/ As-Built Survey
,0 Yes � No 0 Planting Plan
� � Wetland
Escrow amount received? � Final �
�" Yes ❑ No � Other(specify)
/
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)
- C. l I4�-- !� 1�
Created: March 29,2011
z:\forms\plan review checklist for zoning permit applications.docx
�
t
i
; -�P,�,���
�
/� J�� �
L.�p
1•��
y
� ��� �
v � ���
� — _..__ Y.._�
� � �
�
� � �
�
a �. �..� �
� .� ��.-
, �
� �
���� �
� .. ,�..�-��- �
� �.
'l l,.
� wan�r�.+,,.rr...�+—�.......,...,....r.unar�+�.r,.,,. �..r-•� .
� ... �� `� 5� .�r�.t,�✓�"yxK��wr�'e'N`�'��
�� ���in'�"`��.+a+u
}
� �
�
�vv '��'
�
Christine Mattson
From: Christine Mattson
Sent: Wednesday, April 03, 2013 11:25 AM
To: 'Smith, Ralph'
Cc: Melanie Curtis
Subject: 3070 North Shore Drive/ Permit#2012-01215
Attachments: 96-Interim Ordinance Temporarily Prohibiting Accessory Structure.pdf; Escrow Agreement-
Zoning Permitw Erosion Control 2012-01215.pdf
Ralph,
As noted on our zoning permit application, accessory structures require a $2,500 escrow, but since this
structure has already been constructed on site and only needs to be moved, we have lowered the escrow
amount to $700. Attached is a copy of the escrow agreement which requires your signature. The City will hold
the escrow until the shed has been moved to the approved conforming location and all disturbed areas have
been established with vegetation.
We will continue to review the application and prepare it for issuance: however we will be unable to issue the
permit until the agreement is signed and returned with a check for $700. Additionally, the City adopted a
moratorium on new accessory structures & uses within the City in November 2012 (a copy of the moratorium
ordinance is attached). What this means is that the City is studying the unlisted accessory structures and uses
in Residential districts. Currently the code only specifically lists "garages" as allowed accessory structures in
Residential districts. Sheds and other unlisted accessory structures are included in this study. And,
unfortunately, as a result of the moratorium ordinance no new accessory sheds can be permitted at this time.
We will need to wait until the study is completed and the City Council lifts the moratorium before we can issue
the permits. We anticipate the moratorium will be lifted by the end of June.
If you have any questions, please don't hesitate to contact me.
Christine Mattson
Planning Assistant
City of Orono
2750 Kelly Parkway Orono MN 55356 (physical addressJ
PO Box 66 Crystal Bay MN 55323-0066 (mailing addressJ
� 952.249.4620 8 952.249.4616
� cmattson@ci.orono.mn.us � www.ci.orono.mn.us
Office Hours: Monday- Friday 8 am to 4:30 pm
1
DATA PRIVACY ADVISORY
In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen
warning , we would like to inform you that your request for a permit or license from the Ciry of Orono or
,�
any of its departments may require you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or
license requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or
license.
3. The information may be shared with other local, state or federal agencies to the extent
necessary to process the permit or license.
4. If your requested permit or license requires Council action to approve, some information
may become public.
5. You have certain rights under Minnesota State Statute 13.04 (see following page) to
review private data on yourself.
6. Your full name is required to process this application or permit.
'��,��e�u ��`Ca,co�c� Sm.��
First Middle Last
�10 Noc�� S�rro�-e, 'C��c •
Address
O co�cyo M�� 5 S"?j°� � �Sa=S��-�J�
City State Zip Phone
1 understand my rights as stated above.
S'
Padcet Last Updated: 03-06-2012
- 19-
DE51GN MEMORANDUM
Client: Sheet Of ame
Project: Date:
Data For: Work Order:
Prepared By: Checked By: File No:
Note:This form must be used for project calculations and original filed in project files
�� � _
E ��
� � � �`' � . . . . . . . . � x
� -1 �� ° � ' � �
� ��
� � � � � � �
� � �, . ��� � �
� � � � �� .
� o �
�n -� � �-. .� �
� s � } r,,,,� C41 ;': �� ,,,
rt�, P � � �' -•----..-.q � �
� � ' '' � � � ,.._..`.�.... '� �
� ° �
2 �' _ .,* ;
a �'"' �
� _, �"'' �
, c�, �
, � N ,�.
,; � ..`�"'~�
� �' � � �, �'.a
' �, ` ' _ _.� '" � � `�, �
. �„
�� � �--,-----.-�--. � � ��'
.��- ,��
, .� �...
-v ;p � r _ "� �' ��'f
Zm _ � �' � ��`
� � � � � � r,. .: �
m � � `���,, � �' � `�'
� �
.
X � �
3�
C, � � � � � ���
m
� ,�.� "� �� r'�
�r+ . � '�'�Sr
� � � ��
� � � � ��
� � � � �
� �s
� t i �""
-bi � �" �-` �,,,
m � �
� -�- :`�
a � �� � �.
r.. �,,��
t � � atl�'�..-
� � ' � � �
' � �.�,
�;:� �,, �
� .��
� .
. _ � _ _ _ _ . �
5� �� Y'� e �..� a-�' Pp�► 1 ����� s�._���.� _
� .
� .
2 � '� f �-�-�.�
, 2 X � (�•�
.r N
0 � � . .. ..�,,:W,,,. .�, � .. . .. � �. . . � .. . . . . . . .
y— ,
� ., .., �._ :: :� � � � -.,: - � � � . .
.. , . . r _ sa. . .�. t;��' ;: _ � . ... . .. . . _� . .. ...
# '4,
N •� � .� �_ , `�. . �. -,. , . - ` . . .
O O c -- � � f- - l � . ��-(,�:yy7; '�r�„J Y�� r. �
•,, Y Z , . . . . � . . � . - .
y y ` . : ; t
d .. o � � - -'._ .: , .Y�; _ . :. . ._ �_..' : ..,� '
vLi o 3 ii �. . _.Y= -
_ , � , � �
To
- --..._ -- - - �--._._.. --.,__ ; , _ .,, ,:
c
.� C�Y rC c�-��.., ��►�
•c
0
�
c _
m
a
c . _
r :
� y ,�►� ��.�-�
� _
�
m u
� � , _ , ..:�-�". Q�:e�G� �?���:
�► _�,.-�--
�c d
� a !._
L ' � � . �. . � . - . .
! V � . . � . � _ � . � � . . .._ .. . .. . . . . . .� . . � . . . . . . . _ .. � .. _ . . . .
i
� 9 , � . . . -. . . . ' . . . _ . � . .
0 ' . . .. . . . . . . . . . . _ . _ . . _ . . . . , .
N �
� � . ' : �� t e �1` �4�t�+� +�««��.
�
� E . ;- - .;_ _. �_ ; : - .... ; : .------_ : . _ , � �td►.�„���. �t��,�� '
. , ,
_
� •• � ' � , . _ , _
� u ii � � , - _ _ : - �I�� �- +��.1f+r�.t;.t�w� �`QI.�� t?'�`'� �
Wm °' � o- �:�'"`°`°°.,�„ .�.��. :�..,^"`�-.•. �:r.�..,...,:.....��.,_••-�-�
� G ci a c a z � `�
���► .� �', 1�:�.�-�'
�
�a.�� �-.�. ro� ���
. . .... _. . ... _ . .
,� _. . . _
� . ' ' :ONO � O
_ . ...
.
� �o;ui� �
_ _ ._ . . . _
� : :
. . . .: .....,.
: .
. _..£10�..6 tl. ��dW ....:.... ... ...>..�. ..� ..
<
_ . ..� C�3
: .. � ; ... : . : .
. .. "�. ; _. _.
Af3��.b
. ._ .v_.. ;..._.. .. ; .. . _. _ .,
: . ...�' _ . .: .. : .... . ...:... . _
. .
.. . .
, .
, �_
... . ,. � .. :� ..., ._. . __ _ ... .
; . �. _ ; .. . _. .
.. ,.
..
. . , � �� ._ �►� . � � � , � .
3
._:.. _'._..... . . �-..... . � . ...__.,. ...... .. .... ... . , ... .. ., � _.. . ._ _ .
;..
.
,
. . 4 , _ .t... .:._ ...- � .
. . .V,_. �. :
t� •
W� .. . ........ . ..... : � ....,. . �.......... .,.. .. .. .._ . , .. . . .. . .
. <
._. � ... ��.
�
, . : , . . ` , .: . . . . .
�:.. .�... ,...
� ;
. ,
...
. ; �
.
, . '
... _._ . _:...... _.. .... . .........i..... , . . . __ _. .. _ .. .._. .. . . ... . .. .
.
,
,
. ..
: . �:� : � . . F .
. � ; .: . . , . �__ :.
�_. ._.. ....:..__........_...�... _ ...,_. . .................. ....... ..... f .... . . . . , _ _ `v�. ... . .. ., . . .. ... ... ..
. . , : . . : .:.. .. . '. .:_. ..r""%�<�_.
. . .. . . , � ...,.. � ...i.. _v... .; . i .
. � ! : �. ��� i
� . ..._ ......, ;...�;... ; ....; � � ' i .
.�......; ., ._,._.. . ,_..,....�. ... .i'_'
� �' .�i..... ..... .. .�_... _�... .... ....... .. :. .i....... .... ... i ...j. .... .. . .. . .... ... .. .
........ ....:...... � . .�.. �. ,...:... ...... . ..:...... . ... . .. ., .. .D� .. .... . .. �.
:
: � �
i :
�
, . ... .:.. .... . :
.�. '^-•_.. �r s^.•'.
, . . , y ....;. .,.
.�.����� �r--
. _ . ._
S:L.
` . . ..:... _ ,... ' . ' . ._. . ... _ . _ .. .
� �;
..i . .... : ,
� ` .
....
t V
:
,
;
�: _... ..: .
, t _
x
>�,
; _..°. .... _....
, ,
�._.: .., _.. _...;_... ,.
... . ;....�. ._..;..._ :__.
_.. . .
� . .. ..._ '
... .. . ._ _.._ ..,
, _
, �
; , :
, , ��
. �: �
. . __.
......... . ..: . ..... _.. _..... _ :
. .. ..._ .._-
..�.. : :. w.-. .... :.. ` ���
, � � �� �.
_.. _i__ ._.__ i ' . _ _ _ . . ._ _ ._
; :
.
. .
. �
_ ;.. _:.
.
.. _ � �
- .�, --` .... ?
: ; ; .,,`�` ..
\�:.
_. . ,.. ;. . . <_ . . �_ _ _. . .
... _ :_ ..� ...
. •.:, � :,.._
' . _.. . .---.. :_. �;. . , . , ; _. �_ . _ .... . _ � .. . . _
, < �
iN� {��
.
;
.
,
.
; `
. . .,'.... �. ., �.... ...� �.
, . . , . .�... . .� . f
. ...... ..� .
�i�^
,
� W
�.,._.... ._..�........ ......:..... ... . . ....... ... c. ... � .......,. .. _. .. . _.. . ._ _ . . .. ... . _
. . .
. .
. �._.._. .. ..,. ..-. .. ..:.., . .. � ..
;
• , ,
. .�.. .... ...
�
� t
;_�.... ........ .. .... . . . :....... ...:....,. .. :.., :.. ... ..... . ."' . .... .. . .
: �,
,
.4e
...... . ;.. ..a...� .: �mm.
_........ . ... . ?__ ,..�._ ... �..... _ . _ 'ti��,n��ari4� ..
. :._ _. ...-. :.. `.... ;.
Y-A r �^ � �
� ,
, ; •
. .:. .__ . <..._ _.. _ _ _.: _.. _ ..._ _ ... __ . ._ _ _.
, . _: .:. ... ..
.
.
_ . . .
, . , �
. s. �.:.
; ; ' :
, :
...._. ....... ...... . _. ..__ _ :.... . _. _. . . .
; .
_.,.... .:. •.. ..
.
_ :. .;
_ ..:�..
_._. . . _�... i._ ....;.. _.. - .... ;.... . _. _ _ _ .
`.. , i... ..
: � ; Y
_,... ._. .. ��
. - •
oRONo co�Y
���y�
���
� .��
�r '�
.�
�
R46.
�;«
r�/ / �
'r�
.=`� ��}G'"
� ,
,�
� ��
�
6�'� �
� ;.
, ;;
� � :
� 9 �
, � � �� ��
� ��
' 11
� �
�----- ��� ti ��. __... � e
�. ___..LL.____�__ '��.� �„^�____�_____.._._M_�
Gvn 5-�lu��-��v� �, t,�.,l���
��v-�: �� i a�s1� ��,► �-� ���v. �� �,
� �
. , oCity of Orono �0�0 CjOPY
�o Hardcover Calculation Worksheet
�
�.,�� �� Property Address: ?�-7� NL�l(}� �pj.�(�� v��,�/�
� � ` �
�A'fSHn�'E Prepared by:
'ffLilv�� w- VRN n��S� Q��Wy�v9 Date: �- i7- Zot,�
�� �. ��5�
Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
Step 1: EXISTING HARDCOVER
In the following table identify ali items of existing hardcover on the property, keyed by letter to Certificate
of Survey(survey must accompany this form). Use as many lines as necessary to accurately depict
existing hardcover status of the properry. For Tier 1 properties, identify any features by letter which are
split at the 75' setback line and calcu(ate hardcover square footage separately for each portion.
Surve� Hardcover Item(Describe) Length x Width Total
S uare Feet)
Exam le Gara e 24'x 30' 20 S.F.
A �� �J. �' /0-Z 1�8 S.F.
B Uv� A7TAG� ,�A�i� S'-i S.F.
C WouD �S �.3 S.F.
� � L GoniG���'`. S: S.F.
E P�1i (97t�r(3
F Z S.F.
���� P�T S.F.
G GIfZG�L/){L pgf/p f f S.F.
H � Z G�2G LC �7�tT�U "7 S.F.
� SDv�-rzE G e GY� 61 s.F.
J PovL PovL "Gr-� giL/ S.F.
K b UNG 2d6u7' .3T��'S 9'! S.F.
� ►�M' ��S i v i.v Pn RT an% ���6R'TY
Ll3d� S.F.
M � ► Gu� P/fi(zT un� ,�c��;tr�'4� b 3 s.F.
N G�N��aTE DA�u�tS , �;� �-�,x�- 5' 3 S.F.
O
P S.F.
�PS UF D 2��"A�� +wA�t- S.F.
Q , !v� GlfA��Ut�� S.F.
R
S S.F.
T S.F.
� # A S.F.
V � S.F.
W S.F.
X S.F.
Y S.F.
Z S.F.
S.F.
1 Total Existin Hardcover �S 8► S.F.
Excludable Hardcover See Cit Code Sec 78-1684 :
R�R1)tl/L C�� iZf�b ���r�:,�' �r"�IZ.
�Z S.F.
S.F.
�PS � wUW �►.it ic-.� - ��T �!l�L, S.F.
S.F. I
S.F.
2 Total Excludable Hardcover •� S F ',
3 Net Existin Hardcover Subtract line 2 from line 1 �c��o��, S F �
4 Total Lot Area 5 Zt� t� S.F.
Proposed Hardcover Percentage [(3j= (4)] Z�.� o�o
(Praposed Hardcover next page)
lanuary 8,2013 I
_ _
� , .
� ����� � r� City of Orono �
.�� ������� �oNo�,, Hardcover Caiculation Worksheet
,� �I PropertyAddress: 3U-�v N��-j-� j��R� ��� �
. `�'rf5M0�'EL Prepared by: -j-��S � Date:
V/9�% ��� �-1?' �G��
r's ��-i�i�vq i�� Gi ��
0
Stormwater Quality Overlay District Tier: (Circie one) Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 W o �
Step 2: PROPOSED HARDCOVER � "' �
W c� O
In the following table, identify all items of proposed hardcover on the property, keyed by letter to V � p
Certificate of Survey(survey must accompany this form). Include all existing hardcover items that� Q }
in ten de d to remain, as well as alf proposed hardcover items that will be added. Use as many lines as � F'
necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify U
any features by letter which are split at the 75' setback line and calculate hardcover square footage
separately for each portion.
Key to Totat
Hardcover Item Describe
Surve � ) Length x Width S uare Feet
Euam le Gara e 24'x 30'
q 2o S:F.
,,. ��v- �� s.F.
B Hrr�� ft fj fitUl U"
C � �� S.F.
� �"1sSG. ��<.-fPt57� T'fil?.S t S.F.
E u� S.F.
�►D .� S.F.
F i2b P�i b S.F.
G Glf�(1Uf2 �/t)70 ��.i S.F.
H G,(Z�L� �ir7? 7.� S.F.
� GLv/!a6 R-� Gk 3T�P 1 S.F.
� I�UL/ �G �'G,i' ��``� S.F.
K �. �S �! S.F.
� �'risn�f ��i 2►� �urt�cs� �rv {'�'/N�t�L �/ O S.F.
M s�► t�l�lrt'X.� r- �, i� 6 .`� S.F.
N GG Gf�bTf v�PS t 7 ���i�E, F; S.F.
� uPU
P 11. �/4. S.F. I
Q S.F.
S.F.
R `l73 G� WGrJj? t��4 � G/1��i:�! - J� S.F.
S S.F. , �
� T
� S.F.
V S.F.
W S.F. `
X S.F. ;
y S.F. �
Z S.F.
1 Total Pro osed Hardcover S.F.
Excludable Hardcover See Ci Code Sec 78-1684 : � �3 S.F.
Gfip"/1 L"i �' '�i S�``,'fZ�t/F/ 12.
7 Z S.F.
S.F.
S.F.
S.F.
2 Total Excludable Hardcover S.F.
'7 ZS S.F.
3 Net Pro osed Hardcover Subtract line 2 from line 1 I S ZO 8 S.F.
4 Total LotArea 5Zv1� S.F.
Proposed Hardcover Percer�tage [(3)=(4)] ��.� ,�o
lanuary 8,1013
/
� DATE TIME
CITY OF ORONO . , CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED ��'�5'�Z ���
ADDRESS � 4uv -S/`�"�Q� ��
OWNER 3��� TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
� ❑ FOOT�NG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
0 5N C�� (�J/O L��.v►1.�
a
�
0
�
W
�
Q
�
z
W
�
W
�
�
O
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS.�OTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED
❑INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContracto n i
Inspector.
W e Copyllnspector's File Canary CopylSite Notice
� � DATE TIME
CITY OF ORONO CALLED IN `
INSPECT'ION �O/T�ICE q/�' SCHEDULED ��" �' �,
PERMIT NO. �^�+'L oI�N COMPLETED �
ADDRESS �O N�N�. U�K..- �
OWNER TELEPHONE NO.
CONTRACTOR
>; DESCRIPTION �� Y �Sl �
�
lL ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
� � '�.�1/
a
�
O �
�
oGo. �JI ��-t�y � ��.,�" -f
W
�
Q
Z /.hq/� C,d u-�^ rs v-� R S E� �.�� .s�".�'e,�
� Rrb �t�44/sM C.o� ���c.s. G �f 4� -1�(
�
�
GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContracto ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
i }
� • • � �
•
, � •
emo
To: Finance Department
From: Christine Mattson, Planning Assistant .� .
CC: Street File
Date: July 9, 2014
G/L: 101-22205
Re: Escrow Refund
Zoning Permit#2012-01215 pertaining to 3070 North Shore Drive is complete. Please refund
$700 to the applicant, Robert&Shelley Smith.
The following is attached:
• Original signed escrow agreement
• Copy of cash register receipt showing escrow amount received
Mail to: Robert&Shelley Sm�h
3070 North Shore Drive
Wayzata, MN 55391
w:�.street files�north shore dr�3070�escrow refund request 2012-01215.doac
ZONING PERMIT ESCROW AGREEMENT
Permit#2012-d1215
AGREEMENT made this � day of « � , 20 j'3, by and between the CITY OF ORONO,
a Minnesota municipal corporation ("City'� and Ralp 8 Shelley Smith ("Owners�).
Recitals
1. A zoning permit application has been filed for a property located at 3Q70 North Shore Drive the
("Subje�t Property"), legally described as Tract B, R.L.S. No. 1457, 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 $700 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. PU�iPOSE 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 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 P4an and the provisions of O�or►o 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#2012-01215 if compliance with the approved zoning permit is not accomplished.
3. MONTHLY BILLING. As the City receives consuttar�t bills for incurred costs, the City will in turn
send a bill to the Owners. Owners shall be responsible for paymerrt to the City within 30 days of the Owners'
receipt of bill.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment
to the City within the timeframe outiined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses
invoiced pursuant to #3. The Ciiy 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 retumed 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: I Y OF ORONO OWNER:
gy: ���Vv /`� ^
Its: `1" � tiT
Irrternal Use Only: G Original ta Planning Departmerrt �Copy to Street File
City of pronc,
275(t N,elley Par�cway
Orona MN 5535E �5t-G��-���G
Receipt Na: 3.p0856s �ar� 5, L�f3
�{}12-Ul�i�
Planr�in and Zuning
Escr�aw �e�sit 74!'�.00
10I-cc^��
Ueferred fiev-Deveioper I}�pasit
7ot a i e -----7�p.�ry
;��ck _______________
�heck No: 3348 ?(t0.Uv
Pa c,r:
L��G-�i��J
?uta2 A�olied: 7Qp,�
-----------.qir
:hanoe TQnderec�;
�4l45f��3i� t.�:�q��'� _ _ M
� CITY OF ORONO * z 0 1 3 - 0 0 z 2 0 *
2750 KELLEY PARKWAY DATE ISSUED: 04/OS/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3070 NORTH SHORE DR
PIN : 09-117-23-32-0020
LEGAL DESC : REG. LAND SURVEY NO. 1457
: LOT 000 BLOCK 000
PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT 2012-01215-PD CHECK#3348
APPLICANT ESCROW FEE-BUILDING 700.00
SMITH,RALPH&SHELLEY ESCROW FEE-EROSION CONTROL 0.00
3070 NORTH SHORE DR
WAYZATA,MN 55391- ESCROW FEE-GRADING 0.00
TOTAL 700.00
OWNER
SMITH, RALPH&SHELLEY
3070 NORTH SHORE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The 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 sepazate
permits. All provisions of laws and ordinances goveming 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.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�- ������ ��._° _ � �
� i� � ► ►� p ';j� � PI� � o* o �♦
Uptiate �ddre��
Perrni��: 2{}12-01215 ! f�` [V�ain I�iN �ddre�s
P�rn�it Address: 3070 North Shore Dr f' ��di�i4nai �Et� ,4ddres�
'" Parc�el Issue
r Permit 15sue
Genersl� Fees ����R� I N�es I Apalicant[)etail� GU D�etail�
S�ey I�s�eeEian Type I[�sp�eta� D�a�e ����r�s H F� ReC
�1 �F�v�g (
/ �
►� f 7�C �
Seale, in Feed
0 20
PREPARED FOR:
RALPH SMITH
3070 NORTH SHORE DRIVE
ORONO, MN 55391
A f1 "T' A
CERTIFICATE OF SURVEY NOW COPY
_LEGAL DESCRIPTiON
oy TRACT B, R.L.S. NO. 1457, HENNEPIN COUNTY,
MINNESOTA
ox/ s
LEGEND:
FOUND IRON PIPE
(AS NOTED)
SET MAG NAIL
�9. layx°�Sj'� Q W/WASHER #44109
y���OF,
.Q 4 0" POWER POLE (WITH GUY ANCHOR)
��'° °G
°,�
Oso
COMMUNICATIONS PEDESTAL
'1
OVERHEAD UTILITY LINE
WOOD FENCE
T'�
CHAINLINK FENCE
fi L
IRON FENCE
65 WILDHURST ROAD EXCELSIOR, MN 55331
PHONE (952) 686-3055 TOLL-FREE FAX (866) 473-0120
WWW.VANNEST€SURVEYING.COM RECEI 1 OF 1
2JI2,--01215 APR 2 '2013
3670 Nom a*C- w CITY OF ORONO