The URL can be used to link to this page

Home My WebLink About2016-01273 - tree removal ` CITY OF ORONO * Z 0 1 6 - 0 1 2 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/iU2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3262 NORTH SHORE DR PIN : 08-117-23-41-0008 LEGAL DESC : UNPLATTED 08 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : TREE REMOVAL WITHIN 0-75'(DON'T USE PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 APPLICANT TREE REMOVAL 0.00 JAQUA,DAVID&PATRICIA TOTAL 0.00 3262 NORTH SHORE DR WAYZATA,MN 55391- OWNER JAQUA,DAVID&PATRICIA 3262 NORTH SHORE DR WAYZATA,MN 55391- AGREEMENT AND SWORI�i 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 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. � �-e� /D � �i � l � Applicant Permitee Signature Date Issue Signature Date . ' ;REGEIVED City of Orono OCT 0 6 2Q16 �oning Permit A lication � Mailing Address: Permit number: ��P'� �� PO Box 66 Date received: �Q' �—� Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: 2750 Kelley Parkway �� 1 Orono, MN 55356 Permit Fee: G �'�k�SHoa�' Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.qrono.mn.us 7his application fo(m must be completed in;fult�nd al�requiretl i�ifarm�tion must be submitted. (Please print.) Job Site Address: CONTRACTOR J APPLICANT INFORMA710N: -- CG�tY�L.-7Z>�2 ��3 J� Name: Phone: Fax: Address: Cit� ZIP: Contact Person: ContacYs phone number Email Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: '[�y/S� c3"�� f}— Phone(day): a— — 3�E '"�t. Mailing Address: 27� t� JJ V '�'C►til' ZIP: Email and/or Fax Ove�allProJectDescription: �c'�(/t�,� T7�L�5 !� CS� �2N�lJYF� �r�'7?<Y7 /��'� L�G.�S�� Check 'i'YPE OF PERMIT FEE � Box collected whan 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 uires is a Mlnar or Ma or Land Altera�on F�ermit 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 Iakeshore setback (also requires Conditional Use Permit) lReference: CTtv Code Secdons 78-987.78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(grading, fllling 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: Cfri Code Sectfons 78-857.78-1247 and 78-12881 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 fReferenCe: Cltv Code 5ection 78-1405(3.i)] Retalning 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 ta Lake(New or Replacement) tReference: Clrv Code sec�s 78-1282I $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 permit but $50+engineering review costs �egulated by the zoning code fRefere�ce: Citv Code Sect/oo 8&6B1 Escrow for erosion control and en ineerin review costs $2,500 � Tree Removal or other vegetation removal within 75 feet of lakes No charge. R /eren e: G C d�S ct/ n 7 -12 Pre-lns ction re ulred. Tem ora Constructlon Offlce/Trailer associated with buildin ermit $30 Updated: May 2015 r � APPLICANT/OWNER ACKNOWLEDGEMENT: • ApplicanVOwner agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the Ctty of Orono for engfnee�ing 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 untii it is complete; • Applicant acknowledges the attached Escrow Agreement is campleted and signed by Owner; • ApplicanUOwner understands their project may require an initial and/or as-built survey per City Code Sectlon 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 i5sued. 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: l� r"/Q �f�o SUBMISSI N R MENTS: Except for tree removal permits, all permits requlre a completed TYPE OF PERMIT: application form, escrow agreement(sig�ed by the property owner) and escrow check from owner, two copies of each,where applicable,plans,landscape plans;grading plans,surveys or slte plans. DoCk,CommerCia) L 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— lans as a roved b CUP and co ot LMCD ermit if a licable Hardcover Perm(t 1, All Minor or Major Land Alteration Pennit requirements apply as appropriate 2. Hardcover calculations,e�usting and proposed 3. Survey Land Alteration,Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed Dist�ict(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the Clty wlll not lssue a buildln ermit without intormatlon from the MCWD. Land Alteratlon,Minor 1. Sunrey/grading plan inGuding ebsting and proposed contours 2. AmounYof flll to be imported and/or exported and haul route 3. Amount of earth to be moved around on site 4. Erosion control plan. 5. A capy of Minnehaha Creek Watershed Dlstrict(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 butldin ermit wtthout informaUon from the MCWD. Retaining Wall 1. Plans forwall(s) 2. Unless repair or exact replacement of existi�g wall,submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculatlon worksheets if in shorelarx!district 4. Erosion control plan 5. A copy of Minnehaha Creek Wate�shed Oistrict(MCWD)permits or documentation from the MCWD stating the proposed project does not irigger any of their permitting requi�ements. Please note,the City will not issue a bulldin �rmit without lnfortnaUon from the MCWD. Stairway or Lifts to 1. Construction plans for st�irway 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 Walershed District(MCWD)permits or documentation from lhe MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City wlll not issue s bulldin ermit without informaUon 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 stnictures on property and the sepiic system indicated.The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is proposed. 4, Ha�dcover 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. Pleaae note,the Clty wllf not Issue a buildin ermit without informa8on from tho MCWD. T�ee RemOva) Call: 952-249�600 to schedule an inspection for removal of an individual tree(s). A re-planting plan I erosion control! mana ement lan ma be re uired for clear cuttin ,buckthom or other i�tensive ve etation removal. Updated: May 2015 _ , _ .,. F �� ✓ DATE TIME CITY OF ORONO cnLLED IN lo -L-/,h INSPECTION NOTICE SCHEDULED !D 7D N L� � PERMIT NOc�O��-v�a73 COMPLETED ADDRESS �� OWNER� Ja�u�� TELEPHONE NO.�� -s� CONTRACTOR � DESCRIPTION � � t-� , 1��""� �f 75 / ��-�-- Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNEAICOKTMCTOR TO MEET V�OU:_YES_NO � COMMENT� , � Q /�.�,s.1.� �O�r�sZ oK c�5� 5�� o ��,,h.N �s a�4 .:�c S � rrt�.cy �Gc¢� �.o.�c�lcs - d� � � '�6 r�w��,ve 0 Q — i raar.� o� ��st s �e o-f �,�i�� T 2 �S L��f��S �I �iS�•r��t� �D�t.iBS �4�G — g � K � l'e�''�O!!� r � � O� � �rr.rt, �4K /r� -�ia � �'a !�•�, 5-p�1�� W ❑W�ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE �` � ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPYINCY W � ❑OORRECT YMORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERINO PERMANENT ❑CORRECT UNSAFE COHIDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �aTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. CaM for the next inspection 24 hours in advence. (952) 249-4600 ow�rlcontractor on site: �4 4'E ' In "^' Whits Copynnapectw's Fila c.nary CopylSlt�Noda