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HomeMy WebLinkAbout2015-01441 - structure permit CITY OF ORONO * Z 0 1 5 - 0 1 4 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/1U2015 � ORONO, MN 55356- (952) 249-4600 FAX: 952) 249-4616 ADDRESS : 2625 NORTH SHORE DR PIN : 09-117-23-42-0003 LEGAL DESC : LINPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : ZONING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : STRUCTURE PERMIT NOTE: 10'X 10'CONCRETE SLAB APPLICANT STRUCTURE PERMIT 50.00 TOTAL 50.00 ANDERSON-REDA INC Payment(s) 4920 LINCOLN DRIVE CHECK 6976 50.00 EDINA, MN 55424- (612)308-2722 Minnesota State License#: BUIL-20229198 OWNER MEHBOD,AMIR&ASHLEY 2625 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 6/� requested in conformance with the State Building Code.This permit may be , �� revo d at any time for due cause. `� r ^ " �� � ' ti \/ ' � ��--�--�- �� i� i���s �v App ic t Permit Signatur Date Issued By Signatur Date , � City of Orono Zoning Permit Application ` Z�tS -O1 �l O Mailing Address: Permit number: � � PO Box 66 Date received: �I � � O Crystal Bay, MN 55323-0066 Escrow#and ,n Street Address: amount: 1� � � 2750 Kelley Parkway y ; Orono, MN 55356 Permit Fee: F �, `�kFSHOR� Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us i �,�5 � � _ �3 .�c.� This application form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: ���� V��I`�' � J�}�.� �JV� CONTRACTOR/APPLI A�NF��OR`MATION�� Name: 1� Phone: (�I� � 3LS - `6'8'S 9 Fax: Address: LO LiY�WI Vl iYc- Cit : CCl i ZIP: Contact Persorr: �Y� 0`CdYlnoi'' ContacYs phone number Email j j m (��-y���y-�R� �pyy� Applicant is: ontracto Homeowner (Circle One) PROPERTY OWNER INFORMATION: "� Name: jkm, (' q,YtO� �Vll-Pjy ��.�I.�JU Phone(day): 2„ -;3(3� • � a Mailing Address: Z(p L5 N 0(`W't Slrl�rL ziP: 553a l Email and/or Fax Overall Project Description: _�7� � (,(����,(,� �,��Q CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock, Commercial $50 +engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50 +engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio, Sidewalk,etc. (New or Replacement) No charge Also re uires is a Minor or Ma'or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) fReference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, filling or excavating)of 51 to 500 cubic yards beyond the $50+engineering review costs lakeshore setback OR 50 cubic yards or less within the lakeshore setback (Reference: Citv Code Sections 78-967. 78-1247 and 78-12861 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 property line. Escrow for erosion control and engineering review costs $2,500 (Reference: Citv Code Section 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. � 1,� Stairway or Lifts to Lake(New or Replacement) �Reference: Citv Code Sections 78-12821 $50 +engineering review co ts Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50 +engineering revie costs � regulated by the zoning code lReference: Citv Code Section 86-661 �J/ A �y��,p� Escrow for erosion control and en ineerin review costs $2,500 �� �'I� Tree Removal or other vegetation removal within 75 feet of lakes No charge. Reference: Cit Code Section 78-1285 Pre-inSpeCtiOn required. Tem orar Construction Office/Trailer associated with buildin ermit $30 Updated: May 2015 APPLICANTIOWNER ACKNOWLEDGEMENT: � • ApplicanUOwner 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; • Applicant/Owner understands their project may require an initial and/or 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 govemmental agencies required by 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: � Date: Property Owner's Signature: Date: SUBMISSION REQUIREMENTS: Except for tree removal permits, all.permits require a completed TYPE OF PERMIT: application form, escrow agreement (signed by the property owner) and•escrow check from owner, two copies of each,where applicable, plans, landscape plans,gradiMg plans,surveys or site plans. DOCk, CommerCial 1. Structural plans for the dock • 2. Survey/site plan showing the proposed location of the dock 3. Copy of LMCD permit DoCk, Residential Seasonal Dock—survey showing proposed dock Permanent Dock—plans as approved by CUF'and copy of LMCD permit(if applicable) HardCover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriaie 2. Hardcover calculations,existing and proposed ' � 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Pertnit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Land Alteration, Minor 1. Survey/grading plan including existing and proposed contours 2. Amount of fill to be imported andlor exported and haul route 3. Amount of earth to be moved around on site 4. Erosion control plan. 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin rmit without information from the MCWD. 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 plan 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD staGng the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway or lift,including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin ermit without information from the MCWD. Structure Permit 1. Construction plans. 2. Survey/site plan 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 plan. 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin rmit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion control/ mana ement lan ma be re uired for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: May 2015 � PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS � �Z.� N or4�r� Sh��. �. Address: Description of work: �� � �U UUY tl,rQ� J�'C�b�J Type of permit: Zoning review by: ��a� Date Approved: ] � • � p � �CL Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zonin Information: Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? es 0 No Date of Survey: I I � . Revision date: l etbacks: Fr t(Lake) R�r(Street) ( N S E�) ( N S E W ) Other Buildings Wetland � Side Side lb ' " R7 ` Proposed 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 0 N/A � Yes No Yes � No �Yes D No 0 N/A Permit Number: Setback: Stormwater Quality Existing Proposed Variance Require CUP Required Overlay District Tier Hardcover Hardcover � Yes No � Yes No I �� ��'�R� Type(s): Type(s): 15, �-$�f-� File # File# Updated:January 2013 z:\forms\old stufflplan review checklist for zoning permit applications 2013.docx Earth Movement-Cubic Yards ' In Out Total Haul Route? ? � Yes 0 No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Fee Amount ��� 0 Site Escrow Amount 0 Hardcover Removal ,� L� � Footing Escrow Agreement received? 0 Poured Wall � As-Built Survey � Yes 0 No � Planting Plan � Wetland Buffer Escrow Money received? Final � Yes 0 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) �� .,f_ �� `: � Updated:January 2013 z:\forms\old stuff�plan review checklist for zoning permit applications 2013.docx � y Zar11 IC.Q C/l�- 2�1 - � . 5 0 1 2C� ��v� �5 No�� s��K E�ibi � - l I a � fi��s�,�� �V� Parcel 1: That part of Government Lots 4 and 5, Section 9, Township 117, Range 23, described as commencing at the North Quarter corner of said thence on a bearing of South (the North line of the Northeast Quarter of said section being assumed to have a bearing of North 88 degr minutes West for purposes of this description) a distance of 2878.55 feet; thence South 70 degrees 37 minutes 31 seconds East a distar 838.42 feet; thence South 67 degrees 19 minutes 23 seconds East a distance of 266.25 feet; thence South 59 degrees 5 minutes 30 se East o distance of 300 feet to the point of beginning of the property being described; thence continuing South 59 degrees 5 minutes 30 East a distance of 159.15 feet; thence South 26 degrees 36 minutes West to the shore of Lake Minnetonka; thence�Northwesterly along s to its intersection with a line drawn South 32 degrees 16 minutes 30 seconds West from the point of beginning; thence North 32 degrees minutes 30 seconds Eost to the point of beginning. Parcel 2: That part of Government Lot 4, Section 9, Township 117, Range 23, described as foliows: Commencing at the North Quarter corner of saic thence on a bearing of South (the North line of the Northeast Quarter of said section being assumed to have a bearing of North 88 degr minutes West for purposes of the description) a distance of 2878.55 feet; thence South 70 degrees 37 minutes 31 seconds East a distan 838.42 feet; thence South 67 degrees 19 minutes 23 seconds East a distance of 266.25 feet to "Point A", said Point A, being the point beginning of the property being described, and also the point of beginning of "Line A"; thence South 32 degrees 1fi minutes 30 seconds V said Line A to point on the shore of Lake Minnetonka, and said Line A there ending; thence Southeasterly along said shore to a point 30� Southeasterly from said Line A, said 300 feet being measured on a bearing of South 59 degrees 05 minutes 30 seconds East from said L thence North 32 degrees 16 minutes 30 seconds East a distance of 370 feet to an intersection with a line drawn South 59 degrees 05 rr seconds East from said Point A; thence North 59 degrees 05 minutes 30 seconds West to said Point A the point of beginning, except th� said above—described property lying Northwesterly of the following described line: Commencing at said Point A; thence South 59 degrees 5 30 seconds East a distance of 246.74 feet to the point of beginning of the line being described; thence South 34 degrees 54 minutes 3C West to the shore of Lake Minnetonka and there ending. Subject to a mutual easement for common driveway over the southeasterly 7 1/2 feet of the northeasterly 286.81 feet of the above desc shown by deed recorded in CR Book 1021 of Deeds, page 276, Doc. No. 1146365; (as to Parcel 1). Subject to a flowage easement set forth in decree in which a certified copy is of record in CR Book 85 of Miscellaneous Records, page 3( 318546; (as to Parcels 1 and 2) Chr.istine Mattson From: Christine Mattson Sent: Thursday, November 19, 2015 10:16 AM To: 'Kareem@andersonreda.com' Subject: FW: 2625 North Shore Drive/#2015-01441 Attachments: escrow.pdf Good Morning, 1 received an out of office reply from Tim and you were listed as an alternate contact. O Let me know if you have any questions. Christine^' From:Christine Mattson Sent:Thursday, November 19, 2015 10:14 AM To: 'Tim O'Connor'<tim@andersonreda.com> Subject: 2625 North Shore Drive/#2015-01441 Tim, We have the zoning permit application ready to be issued for the 10'x 10'concrete patio at 2625 North Shore Drive; however before we can issue the permit we must have the property owners sign the attached escrow agreement and return with a check for$2,500. I don't believe this project will trigger the Minnehaha Creek Watershed Districts permitting requirements, but I would recommend you call them directly at 952-471-0590 to discuss your project. If you have any questions, please don't hesitate to contact me. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono � MN � 55356(physical address) PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ 'a' 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 OUR OFFICE W/LL BE CLOSED: Thursday& Friday, November 26& 27,2015 Thursday& Friday, December 24&25,2015 Friday,January 1,2016 i � �"� DAl�E TIME ITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �� l S � PERMIT NO. Z I.�l S-0�4y� COMPLETED ADDRESS �? (o�. 5 �j . S l/�O(�� J� j`Z- OWNER TELEPHONE NO. � Z ' '�CK`"z7?� CONTRACTOR �-tV1 -�Y►— �a-�hc'. �; DESCRIPTION ( �13 I StQb ll� ❑ FOOTING ❑ DEMO-FINAI.�I���❑ SEPTIC FINAL—�/' �J� Q ❑ POURED WALL ❑ PLUMBING RII ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �3 Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: OrCd �� _ C�d ' I � I � -�, , -� �-v o , ����� . � � ° ���u� s /�l� — g � <3 ``�x 8 '' 3 << W " i r Q �l,(7iSi.�� P c�T+2 /s ✓� � `� <�'G��J�d'� � e ' �� � 1 [l,�, z � ;s � �1� - W � � � ❑WORKSATISFACTORY:PROCEED ,`�AROJECT COMPLEfE � ❑CORRECT WORK&PROCEED �� SI❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlConVactor on site: Inspector. � � � � White Copyllnspector's File Canary CopylSite Notice