HomeMy WebLinkAbout2013-00717 - zoning permit �-_ . ..__._ /
'� CITY OF ORONO
� 2750 KELLEY PARKWAY * Z 0 1 3 - 0 0 7 1 7 *
DATE ISSUED: 07/25/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3165 NORTH SHORE DR
PIN : 09-117-23-33-0002
LEGAL DESC : LJNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS) .
APPLICANT MINOR LAND ALTERATION 50.00
Wagener Properties LLC ENGINEERING REVIEW COSTS
12520 WAYZATA BLVD TOTAL 50.00
MINNETONKA,MN 55305-
OWNER
Wagener Properties LLC
12520 WAYZATA BLVD
MINNETONKA,MN 55305-
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 wit he State Building Code.This permit may be
time or e c se.
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Ap t�Pe te Si atu Date .
��� �� � (�LC� Issued By gnature ate
SEPA TE PERMI REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
' � C�ty of Orono
� � Zoning Pe�mit A plication
�O . ` Mailing Address:
Permit number: �-���'��7�
�V PO Box 66 Date received: �— 2.�"` �3
� Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
� � 2750 Kelley Parkway Permit Fee: � �''� ��
y�. � Orono, MN 55356
! G Approved by:
qkFSH��� Fax: 952-249-4616 Notes:
Main: 952-249-4600
This application form must be completed in full and all required information must be submitted. (Please print.J
Job SiteAddress: � �,�5 �1 e>�L�, ��cM. �.1�L� � ���,.,p
CONTRACTOR/APPLICANT I FORMATION: 1
Name: ��.�c.� �p„�d,.�.£�.
Phone: b I 2. - �y S- �S 31 Fax:
Address: Cit : ZIP:
Contact Person: LL � c�n ContacYs phone number ('2- - -
Email Applicant is: Contractor Homeowne (Circle One)
PROPERTY OWNER INFORMATION:
Name: W LLC.. �[Z-�. 1 -I�lb1
Phone (day): ��st. W c,� co��- --13 -Z t� � r- c� �nio�.
Mailing Address: Zc� otr.v,S o w� c�. r� c� ZIP:
Email and/or Fax
Overaf! Project Description• �� � ct,,-�-, a�, �"1 v�„r7L, < S� ���,., � p��,
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Check TYPE OF PERMIT
8ox COST*
Dock, Residential-Permanent dock on any lake or initial seasonai 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 Replacement) No charge
Also re uired is a Minor or Ma�or Land Alteration Permit
Land Alteration, Major(grading, filling, or sxcavating) more 500 cubic yards 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
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.
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 sc�lely 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 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
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 th�ormation su�lied is tru �nd co L,t t�he best of their knowledge.
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Applicant's Signature: to �-�J /�` Date: '� ZS� l
-1-
Property Owner's Signature: � �_ Date: 11 Z� 1 � �
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 surveyslsite 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 pr,pposed 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 witf�
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 tan or co of MCWD Erosion Control Permit
Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/
mana ement plan re uired for clear cuttin , buckthorn or other intensive ve etation removal.
Updated: November 30,2012