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Home My WebLink About2014-00176 - tree removal � , CITY OF ORONO * 2 0 1 4 — 0 fd 1 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 02/28/2014 ORONO, MN 55356- 952) 249-4600 FAX: 952 249-4616 ADDRESS : 3675 NORTH SHORE DR PIN : 08-117-23-34-0052 LEGAL DESC : CRYSTAL BEACH : LOT 004 BLOCK 000 PERMIT TYPE : TREE REMOVAL WITHIN 0-75' PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 NOTE: TREE REMOVAL WITHIN 75 FOOT ZONE. APPLICANT TREE REMOVAL 0.00 TOTAL 0.00 PLACHECKI ET AL, FRANK 3675 NORTH SHORE DR WAYZATA,MN 55391- OWNER PLACHECKI ET AL,FRANK 3675 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shalt be performed according to the approved plans and specifications,applicab►e Ciry 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 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 1 SO 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� `�Z / °Z�/ �� Applicant Permitee Signature Date Issue By Signature Date � � ` City of Orono Zoning Permit A lication Mailing Address: Pe��t number: �0 PO Box 66 Date received: �0 Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: � � 2750 Kelley Parkway Permit Fee: � Orono, MN 55356 �< <' Approved by: qkFSHO�'� Fax: 952-249-4616 Notes: Main: 952-249-4600 �•ci.orono.mn.us This application form must be completed in full and all required infoRnation must be submitted. (Please print) Job Site Address: 3,-� 7��2� cs��.e �2, CONTRACTOR/APPLICANT INFORMAT ON: Name: �lZA1JK �G�G�) Phone: I � 1 1`� Fax: Address: 3 O � � Cit : ZIP: Contact Person: ontacYs phone number � 2� 7- /'7 Email ��)�C� ' Applicant is: Contractor omeow (Circle One) PROPERTY OWNER INFORMATIONp•, Name: �� 1 �� Phone (day): f - - I Mailing Address: 1t ZIP: � Email and/or Fax Overall Project Description: �e/Y)�� V1_�('� �BoXk TYPE OF PERMIT COST* Dock, Residential-Permanent dock on any lake or initial seasonal 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 excavating) 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 OfficeITrailer associated with buildin ermit $30 (over) *Permit fee will be collected when the permit is issued. Updated: November 30.2012 � APP�.ICANT/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 consuttant 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; • ApplicanUOwner 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 the information supplied is true and correct to the best of their knowledge. Applicant's Signature: Date: Z" Z�t `� � Property Owner's Signature: �/�"/d "' Date: Z'Z�i - �`� 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 surveys/site 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 proposed 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 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 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 lan 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 lan re uired for clear cuttin , buckthom or other intensive ve etation removal. Updated: November 30,2012 The Davey Tree Expert Company 7085 Shady Oak Rd DA Eden Prairie,MN 55344 Phone:(612)392-2405 Fax:(612)392-2406 ' r��_ PIYX.IL'fZ SG��O�?S R Gtt�ZUl11 �pt� Email: Scott.Grubba@davey.com �, � � Client 2/21/2014 Dave Berg Proposal#:20023939-00000731 3669 N Shore Dr Account#: Wayzata,MN 55391 Mobile: (612)247-4577 Email: dwb@lindbergh.com Tree PruninE and Sureerv ❑ Tree Removal $1,360.00 Remove near grade and dispose of cottonwood lakeside. Does not include stump grinding. Remove portion of fence to access tree. Sales tax will be added per local jurisdiction unless tax exempt form is on file. ❑ Yes,please schedule the services marked above. ACCEPTANCE OF PROPOSAL:The above prices and conditions are hereby accepted.You are authorized to do this work as specified.1 am familiar with and agree to the terms and conditions appended to this form.All deletions have been noted.I understand that once accepted,this proposal constitutes a binding contract.This proposal may be withdrawn if not accepted within 30 days. I Sc.o-f-f-GrU�c� Scott Grubba ISA Certified Arborist MN-4309A Authorizing Signature Date Ver 2.1 2/2]/2014 Page 1 of 1 �� DATE TIME ✓ CITY OF ORONO CALLED IN �_� INSPECTION N TICE SCHEDULED � - � PERMIT NO. �/`�—��7 O LETED . -� ADDRESS 3 �5 • � �l� I/�- OWNER �rC(,L�� ` r1'1� ELEPHONE NO.Y��'S�7 ��3 CONTRACTOR � DESCRIPTION ��`=- R��I/L�V� � � ❑ FOOTiNG � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING O ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl70N/REMOVAL 2 OWNERICONTRACTOR TO MEET 1I�U:_YES_NO y COMMENTS: � � � , O �. � 0 W � Q � � � � W aC , O W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OvmerlContractor on site: Inspector: White Copyllnspector's File C a opylSke Notks