HomeMy WebLinkAbout2016-01459 - storage shed � CITY OF ORONO * Z 0 1 6 - 0 1 4 5 9 *
2750 KELLEY PARKWAY DATE ISSUED: 12/OU2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3444 NORTH SHORE DR
PIN : 08-117-23-43-0022
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 0]7 BLOCK 000
PERM[T TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : STRUCTURE PERMIT
NOTE: 200 SF ACCESSORY STRUCTURE-STORAGE SHED
APPLICANT STRUCTURE PERMIT 50.00
TOTAL 50.00
LUMENDAL, DEBORAH Payment(s)
3444 NORTH SHORE DR CHECK 6025 50.00
WAYZATA, MN 55391-
OWNER
LUMENDAL, DEBORAH
3444 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 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 l80 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State uilding Code.This permit may be
revoked at any time for due cau : ;� � �
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A�f"p icant Permitee ignature Date [ssued By Signature Date
- � , � City of Orono
� Zoning Permit Application
Mailing Address: Permit number: —0 f S
�Q�O PO Box 66
Crystal Bay, MN 55323-0066 Date received: // — / —/
Escrow#and
StreetAddress: amount: ��� � � �� ���� ���� �
,� � 2750 Kelley Parkway
y � Orono, MN 55356 Permit Fee: ,. �
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j�kFSHO��' Fax: 952-249-4616 Approved by:
Main: 952-249-4600 Notes:
www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted. (Please print.)
Job Site Address: �4'�`�" /v���1 �j�1I• �-° �I
CONTRACTOR/APPLICANT INFORM TION:
Name: ' - '� ' (�
Phone: �.,(� -- �jSq - ��j U Fax:
Address: Cit : ZIP:
Contact Person: ContacYs phone number
Email Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER INFORMATION:
Name: �
Phone(day): - ^ -
Mailing Address: � � ZIP: ,
Email and/or Fax r � �, •� �
,.
Overall Project Description: `)�'�;�;c � 'a
Check TYPE OF PERMIT FEE
Box collected when 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 5G cubic yards within the lakeshore setback
(also requires Conditional Use Permit)
lReference: Citv Code Sections 78-967. 78-1247 and 78-i28b1
Escrow for erosion control and engineering review costs As determined b CUP
Land Alteration, Minor(grading,filling or excavaiing)of 51 to 500 cubic yards beyond the $50+engineering review costs
lakeshore setback OR 50 cubic yards or less within the lakeshore setback
lReference: 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
lReierence: Citv Code Section 78-1405(S.UI
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.
Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-12821 $50+engineering review costs
Escrow for erosion control and engineeri eview costs $2,000
Structure Permit for other structure 200 s or les ot requiring a building permit but $50+engineering review costs
regulated by the zoning code lReference: ode Section 86-661
Escrow for erosion control and en ineerin review costs $2,500
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
APPLICANT/OWNER 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
altemative but to reject it untit it is complete;
• Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner;
• ApplicanUOwner 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 governmental 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 supp'ed 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,grading plans,surveys or site plans.
Dock,Commercial 1. Struetural plans for the dodc
2. Survey/site plan showing the proposed tocation of the dock
3. Copy of LMCD permit
DoCk,Residential Seasonal Dodc�urvey showing proposed dodc
Permanent Dock—plans as a roved b CUP and copy of LMCD permit 'rf applicable)
He�dCove�Permit 1. All Minor or Major Land AReration Permit requirements apply as appropriate
2. Hardcover plculations,existing and proposed
3. Survey
Land Alteratfon,Mejor 1. Survey/grading plan including ebsting and proposed contours as approved by Conditional Use Permit
2. Erosion control plan.
3. A copy of Minnehaha Creek Watershed District(MCWD)pertnits or documentation from the MCWD stating the
proposed project does not trigger any of their pertriitting requirements. Please note,the City will not issue a
buildln rmit without information from the MCWD.
Lend Alte�ation,Minor 1. Survey/grading plan including existing and proposed contours
2. Amount of fill 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 copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their pertnitting 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 replacemerrt of epstlng wall,submit an updated survey with grading plan including existing and
proposed contours
3. Hardcover ca�culation woMcsheets ff in shoreland district
4. Erosion conUol 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 informatlon from the MCWD.
Stainivey o�Llfts to 1. Consbvction 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 rmit wlthout information from the MCWD.
StruCture Permit .1'' Construction plans.
,2! Survey/site plan of property with proposed structure shown and with setbadcs to property lines,other structures on
property and the septic system indicated.The general loqtion of any sewer and water services should be shown'rf
applipble. ��`
3. Grading plan ff gFadipg.ic.pr�d, f�IJCj1��
,.4! Hardcover calculation worksheets J
. Erosion controi plan.
. 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.
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 r uired for clear cuttin ,budcthom or other intensive v etation removal.
Updated: May 2015
� PLAN REVIEW CHECKLIST FOR ZONING PERMIT APPLICATIONS
Address: Q 1 �► l {�`
Description of work: L-W �l�,�J(� I / �/l. Y �
Type of permit:
Zoning review by: �,�(� Date Approved: � Z'� ���
Grading review by: NA- Date Approved:
Other Review, Reviewed by: Date Approved:
Zonin Information:
Zoning File#: Resolution#: Resolution Date:
Lot Area: (�l ��,,1 F AC Width: Depth:
V
Survey Submitted? Yes 0 No Date of Survey: ' 1 Revision date:
�'[�I ��
Existin Setbacks:
Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Proposed Setbacks:
Front( e) Rear(S et) ( N S E W ) ( N S E W ) Other Buildings Wetland
Si Side
/
Shoreland District MCWD Permit Receive Average Lakeshore Setback Met? Bluff
� Yes 0 No N/A � Yes No
Yes � No 0 Yes 0 No /A
Permit Number: Setback:
Stormwater Quality Existing Proposed Variance Required CUP Required
Overla District Tier Hardcover Hardcover
`-, .��� I� p�� 0 Yes o � Yes o
� Type(s): Type(s):
� 3��S� � File# File#
3�
Updated:January 2013
z:\forms�plan review checklist for zoning permit applications 2013.docx
Earth Movement - Cubic Yards
In Out Total
Haul Route? ? � Yes � No
Explain haul route in detail:
Fees to be Char ed Amount Orono Inspections Required
Permit Fee Amount �
� Site
Escrow Amount � Hardcover Removal
�j�o 0 Footing
Escrow Agreement received? 0 Poured Wall
0 As-Built Survey
� Yes � No 0 Planting Plan
� Wetland Buffer
Escrow Money received? Final
� Yes 0 No � ther(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)
Updated:January 2013
z:\forms\plan review checklist for zoning permit applications 2013.docx
Builder Acknowledgement Form
Permit #2016-01459 / 3444 North Shore Drive
��� l,�l� C'�1 C�c��
Builder Representative Name: ���1�
Permit Conditions: Initials
Exterior of finished structure to be consistent with color of principal structure. ` ?
Prior to the release of escrow money a final inspection must be completed and all disturbed � i
areas must be established with vegetation. �
Advisory Comments
Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining,
walls, etc. not currently shown on the approved survey and landscaping plan will require a ;�
separate Zoning Permit application to be submitted and approved prior to the work ✓�
commencing.
Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the
height of the lower wall require engineered plans and a building permit to be submitted and
approved prior to construction.
w:\street files\north shore dr\3444\builder acknowledgement form 2016-01459.docx
� ZONING PERMIT ESCROW AGREEMENT
Permit#2016-01458
EXHIBIT A-LEGAL DESCRIPTION
LEGAL DESCRIPTION PER DOC. N0. A9889304:
All 7'het part of 3�ot 17. "Lydiard's Park"� Gaka iilAnetodca. deoaribed as
Polloras CwlMenai� at a point on the 8cath�esterly 21ne ot eaid Lot, �lcb
said poir►t is nidway betxeen tt�e Northreeterly and the Sonth+iesterly coraera Qf
sa�d Lot. satd poln� also boing 197 1/2 lest I�arthKeaterly lro� the polat wl�ere
"dattad line" sho�m on s�id plat and xdich said dottod line salcee an an�le ot
88 degrees Ktth said SartMresterly 1lne of sald lot, interaects sald ltt�e with
said lot; theace Soutlktaateclq 100.7 Pset to'tlie 8seterly Iiue oi eaid Lot 17
iotersectin� tl�e sare at a paint 188 1!a teet�North�resterlp fra� ahare the said
abova described dotted line �croesea the said 8aater2y line ol. eaid lot; t[ience
5outheasterly 298 1/2 feet to tlie southeaet coraer o! uid Lot; thence 1Aeaterly ,
aiong t�a shore of Laks !llnnetonlca to the Southaest carr�er u! saAd lot; tbence �
NortM�esterly alo�g the 1�eeterly li�ae o! said Lot �82 1/2 lest to the plscs o[ !
bs�innfag except the Sonth�eaterly B5 feet lront and rear. af tlis above ;
desacibed property. • .
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/ DATE TIME
CITY OF ORONO CALLED IN �^ g �l �
IN$PECTION N �E_D 1 S EDULED �Q=L�Z
PERMR NO. coM�ErED
ADDRESS � y � � • -��'1�'� �✓� �'`e
OMINER TELEPHONE N0.�05-��-�f! 90
CONfRAC'TOR o �'�
� DESCRiPT10N ���-�-�`i ���"�
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADINGIFILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OAMNHUCOKTRACT'OR TO MEET VWl:_YES_NO
� COMMENT�
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� ❑WiOfiK SATISFACTORY:PROCEED �ECT COMPLETE
W O CORRECT WORK 8 PROCEED ❑I E CEFiTIFlCATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERINO PEAMANENT
O CORRECTUNSAFEOONWTIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
❑INSPECTION F��UIRED.CALL TO ARFiAN(iE ACCESS.
caM rnru�e�ext inspectio�za nours in a�►anoe. (952) 249-4600
on sit�e:
�nspecior:
Yllhib GopyAnp�Ctors FN� Can�ry Cop�d811�Notle�
CERTIFICATE OF SURVEY -
LEGAL DESCRIPTION PER DOC. N0. A9889304:
PREPARED FOR:
DEBORAH LUMENDAL All That part of 7,ot 17. "Lydiard's Pack", Gake Ftlnnetonka, deacribed as
3444 NORTHSHORE DRIVE Pallowa: Comnencing et a paint on the SoutttNesterly lis�e of said Lot, wblch
O��N� MN 55391 saia Fo�nt is nldway hetween the NorthNesterly and the SouthWesterly carners of ;
, sald Lot, sa.fd point alao being 187 1/2 �eet Northwesterly fros the point where
"dotted line" yhown an said plat and which aaid dotted lfne �akee an angle of
88 degrees wlth said 5outhwesterly line oL 9aid lot, intersects said ltne wirh
� Sca/a /n Feef sald lot: thence 5outheasterly 100.7 Peet to 'the $asterly line of safd Lot 17
O� int�raecting the saQe at a point 188 1/2 feet Morthwesterly fro� Where the sald
O C O 30 Hbove descrlbed dotted Iine crosses ihe said Easterly line of said lnt; thence
' O� Southeasterly 2S8 1/2 Peet to the southeaet corner of sa�d Lot; thence westerly
O� a�ong tb� shore of Leke Minnetonka to the 5outhaeat carner of said lot; thence
� �rp ` North+vesterly aiong the Westerly lins of 8aid Lot 282 1/2 leet to the place oP
-Q pG,E � g. beglnning except the Southweaterly 25 feet frant and rear, of the above
G�V Q r� ��� � � descrlbed property.
1001 ����'�j s�oo�� /\'\ \ � -- --___-- -
-- -
, _ _ _ _- -- - - -
l > �`� _ � ----
006� ��6 s � � -o � ,�� � IVOTES•
/ 1 � / ����\ 1) THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT
/ /�E� / p ^/���QO`'Zp 2o OF A TITLE INSURANCE COMMITMENT.
�
l2� '�1'� � �� rP�aS�� p / — — — — �, �U�'�• � � 2) P.i.D.:08-117-23-43-0022
m � � ,
�1\\ c ���\ � / ` �� \ � 3) BEARING BASIS IS ASSUMED.
� � ��t�� `� � _ � ��`� ����s � 4) ELEVATION DATUM: NAVD 88
� / � •cp f I \ „Ftio
��� \ � / °o� �( �6� � �� \ � \ �G� 5) DATE OF FIELDWORK: 10-28-2016
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'�Py��''b�� \ �s �1� ���5� �6 ` �y� `L � � � Planning&Zoning Plan Review
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HARDCOVER CALCULATIONS: CERTIFICATION :
PARCEL AREA: 22,700 Sq. FT. I hereby certify that this survey, plan, or report was prepared by me or
AREA WITHIN ROAD EASEMENT: 5,040 S4. Ff. under my direct supervision and that I am a duly Licensed Land Surveyor
NEf PARCEL AREA: �7,sso sq. FT. under the laws of the state of Minnesota.
DCISTING HARDCOVER: 1 � ,<'_ _ �,,
HOUSE: 1,860 SQ. FT. S/6IVED : `� . "� `" , - � i �./ f ,
DECK: 537 SQ. FT. ' �
BITUMINOUS DRNEWAY: 667 SQ. FT. Travia W. Van Neate, Minnesota Professional Surveyor �44109
CONCRETE: 303 SQ. FT. Michigan Profesaional Surveyor � 695
CHIMNEY: 8 SQ. FT.
JOB � 2016067 ISSUED: 11-21-2016
PROPOSED SHED: 200 SQ.FT.
DRAWN BY: TNNN REV:
DCCLUSIONS PER CITY CODE SECTION 78-1684
DECK 100 SQ. Ff. SCALE: t" = 3o FEET
PORTION OF DRIVEWAY USED EXCLUSIVELY BY ADJACENT LOT:129
SQ� �� VAN NESTE SURVEYING
TOTAL EXISTING HARDCOVER PER CITY CODE SECTION 78-1684: PROFESSIONAL SURVEYING SERVICES
3,146 SQ. FT. OR 17.8% V S
85 WILDHURST ROAD EXCELSIOR, MN 55331
TOTAL PROPOSED HARDCOVER PER CITY CODE SECTION PHONE (952) 686-3�55 TOLL-FREE FAX (866) 473-0120
78-1684: 3,346 SQ. FT. OR 18.9� 1NWW.VANNESTESURVEYING.COM SHEET 1 OF t
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emo
To: Finance Department
From: Christine Mattson, Planning Assistant ���
CC: Street File
Date: August 17, 2017
G/L: 101-22205
Re: Escrow Refund
Zoning Permit#2016-01459 pertaining to 3444 North Shore Drive is complete. Please refund
$700 to the property owner, Deborah Lumendal.
Mail to: Deborah Lumendal
3444 North Shore Drive
Wayzata, MN 55391
w:�street filesMorth shore dr�3444�escrow refund form 2016-01459.doac
. .
Christine Mattson
From: Deb Lumendal <here76sun@yahoo.com>
Sent: Thursday,August 17, 2017 10:09 AM
To: Christine Mattson
Subject: Zoning permit escrow
Dear Chris,
I just got your email from Monica and she said you could do the paperwork to get the escrow released on a zoning
permit.
My name is Deborah Lumendal at 3444 Northshore Drive. My permit is 2016-01459
The inspector stopped by on 8-10-2017 and signed off on this project.
Please let me know if there is more I need to do, and how/when I receive my money back.
Thanks, Deb
Sent from my iPhone
1