HomeMy WebLinkAbout2017-00177 - tree removal � CITY OF ORONO * 2 0 1 7 - 0 0 1 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 02/23/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3768 NORTH SHORE DR
PIN : 08-117-23-34-0063
LEGAL DESC : N/A
: LOT MB BLOCK MB
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
APPLICANT TREE REMOVAL 0.00
TOTAL 0.00
WEAVER'S TREE SERVICE
1460 115TH STREET NW#184
RICE, MN 56367-
(763)334-3524
OWNER
BLAIR,NANCY
3768 NORTH SHORE DRIVE
WAYZATA, MN 55391-
AGREEMEIYT 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 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.
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Applic nt P mitee Sig re Date Issued B ignature Date
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Mailing Address: Permit number: o�p/�—�� � 7
�.��o PO Box 66 Date received:
Crystal Bay, MN 55323-0066
Escrow#and
Street Address: amount:
�, � 2750 Kelley Parkway
''S�, ` Orono, MN 55356 Permit Fee:
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`�kFSH04� Fax: 952-249-4616 Approved by:
Main: 952-249-4600 Notes:
v�.ci.orona.mn.us
This application form must be completed in full and all required information must be submitted. (P/ease prinf.)
Job Site Address: �j,�QQ� �Q(�'� �R.�' �Q��(-e
CONTRACTOR/APPLICANT INFORMATION:
Name: I�t1'�2 3 1�1�1�1i(1 �P�� L�, _�/-�/PA� P�P,��(".Q�f1C�
Phone: ��¢�-��- ���. Fax�
Address: ��{-(,e0 ��� � NW �t4,h- City�Q�(�� ZIP• Fifo2�a-I
Contact Person: �� ���, Contact s phone nu b _ 3 _
Email ����}������� Applicant is: Contractor Homeowner (Circle One)
���
PROPERTY OWNER INFORMATION:
Name:
Phone (day):
Mailing Address: ZIP:
Email and/or Fax
Oderall Project Description:
--C�iecl�_ __ -- __ _ - _ _ _ ___ _ _ - - - �
- __ - - _ _ — -- -- __
Box TYPE OF PERMIT
collected when ermit is issuea
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)
lReference: 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
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 flve feet from the property line.
Escrow for erosion control and engineering review costs $2,500
lReference: Citv Code Section 78-1405l5 1)1
Retaining Walls which measure more than four feet(from bottom of footings to top of wal!)
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) IReference: C;tv Code Sections 78-12821 $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
regulated by the zoning Code lReference: Citv Code 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: Cf Code Section 78-1285 Pre-ins ection re uired.
Tem ora Construction Office/Trailer associated with buildin ermit $30
Updated: May 2015
1rr�.n.r+�•��v..�.�.......-•------- ----- .
, Applicant/Owner agrees to provide aii information required or requested by the Planning Department; -
� Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; � y
� ApplicanUOwnsolel rt�fies ohnsible for�subtmitting a'omp erte appl cation be ng awa ef h�at�upon fa lure toTdo so pthenstaff�hasZ o
that they are y P
altemative 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-buflt survey per City Code Sectfon 86-68.
. Some or all of the information that you are asked to provide on this application is ciassfied by State law as either private or
confidentiai. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confldential 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 ce�tify that the information s pplied ' true and correct to the best of their knowledge.
Appiicant's Signature: Date: �� ��`�y�
Property Owner's Signature: Date:
SUBMISSION RECIUIREMENTS: Except for tree removal permits, all pernnits require a completed
TYPE OF PERMIT: aQplication form, escrow agreement(signedl by the propanS 9 di� a lans,s rve h or sitemlansner,
tviro copies of each,where applicable,plans, andscape p 9 P YS P
DoCk,Comme�Cial 2. Su�rv��s'ite plan showi g tl�e proposed locabon of the dock
3. Copy of LMCD permit
DoCk,Residential Seasonal Dodc�urvey showing propos�dodc
Pertnanent Docic— lans as a roved b CUP and co of LMCD rmit('rf applicable
Hardcover Permit 1. All Minor or Major Land Alteradon Pertnit requirements apply as appropriate
2. Hardcover calculations,existing and proposed
3. Survey
Land Alteration,Ma)or 1. Survey/grading plan induding existing and proposed c�ntours 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 Vigger any of their permitting requirements. Piease note,the City wfll not issue a
buildin rmit without infortnation from the MCWD.
Lend Alte�ation,Mino� 1. Survey/grading plan including existing and proposed contours
2. Amount of fill to be impoRed and/or expoRed and haul route
3. Amount of earth to be moved around on site
4. Erosion contr�ol plan.
5. A copy of Minnehaha Creek Watershed DisUict(MCWD)permits or documenNation from the MCWD stating the
proposed project does not Vigger any of their permitting requirements. Please note,the City will not issue a
buildfn 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�py of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the
propased project does not trigger any of their permitting requirements. Please note,the City will nat issue a
buildin rmk without Informatfon Trom the MCWD.
Stairway or Lifts to 1. Construction plans for stairway or lift,inGuding footings
Lake 2• T�Po9�Phica�survey of property with proposed stairs or lift shown
3. Erosion control plan
4. A copy of Minnehaha Creek Watershed District(MCWD)pertnits 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 irom the MCWD.
Structure Permit 1. Construction plans.
2. Survey/site plan of property rvfth ProPosed strudure shown and with setbacks to property lines,other structures on
property and the septic system indicated.The general location of any sewer and water senrices should be shown if
applicable.
3. Grading plan if grading is proposed.
4. Hardwver calculation woricsheets
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 r uired for clear cuttin ,budcthom or oU�er intensive ve etation removal.
Updated: May 2015
ESCROW AGREEMENT
AGREEMENT made this�_day of 201=1, by and between the CITY OF ORONO, a Minnesota
municipal corporation ("City")and ("Owner(s)").
RECITALS
A. The undersigned is/are the Owner(s)of the Subject Property and hereby agrees to and consent to the
terms and conditions of this Escrow Agreement.
B. Owner has: (check one)�
o Filed a zoning application#
❑ Filed an application for a Building/Zoning Permit#
❑ Agreed to comply with Orono City Code Section 78-1432 regarding accessory structures.
❑ Filed an Individual Sewer Treatment System (ISTS)pennit application.
o Requested to do work within public Right-of-Way
❑ Filed a request for a Temporary Certificate of Occupancy
o Other
("Application")on land situated in the City and located at
(the"Subject Property"); and
C. The City is willing to review or monitor the Application only if the Owner agrees to reimburse the City
for the actual costs expended by the City on behalf of, or on account of, the Owner.
NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS:
1. DEPOSIT REQUIRED. Contemporaneously with the execution of this Escrow Agreement, the Owner
shall deposit $ ("Escrow") with the City necessary to secure coverage of the total costs
associated with review, approval, and monitoring of the Application. Any Escrow shall be held in a
special escrow account and shall be credited to the Owner.
2. PURPOSE OF ESCROW.
■ Zonina. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures
including but not be limited to staff time, at the rates established by the City Council, in excess of
that covered by the standard application fees, engineering consultant and legal consultant
expenses incurred by the City in �eviewing and approving the Application and all other city staff
administrative and consultant services pertormed in the processing of said review and approval.
■ Building/Zonina. The purpose of the escrow is to guarantee completion of the site plan as approved
and the provision of the as-built survey as required by the Building official.
■ Accessorv Structure. The purpose of the Escrow is to guarantee reimbursement to the City for
expenditures including but not limited to staff time, at the rates established by the City
Administrator, engineering and legal consultant expenses incurred by the City in removing an
accessory building if the Owner fails to perForm the obligations in Orono City Code Section 78-1432
and all other City staff administrative and consultant services performed in removing the accessory
building, including land stabilization.
■ ISTS. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures
including but not be limited to staff time, at the rates established by the City Council, in excess of
that covered by the standard application fees, engineering consultant and legal consultant
expenses incurred by the City if Owner for any reason is unable or unwilling to honor the
requirements of Chapter 58 of the Orono City Code, and all other city staff administrative and
consultant services pertormed in relating to the Application. The City may also reimburse itself for
all engineering and legat expenses associated with the construction, removal, alteration, or repair
of the ISTS if the Owner fails to do so.
■ Temnorarv Certificate of Occu�ancv The purpose of the Escrow is to guarantee completion of
exterior improvements (driveway, grass, etc.) that cannot be accomplished due to weather
conditions.
January 2017 1
. � �
3. MONTHLY BILLING. The City will monthly forward to the Owner a statement and bill for the
expenditu�es incurred by the City for staff and consultant services. Such statements shall be due and
payable within 15 days for receipt by the Owner. No statement will be sent if there are no expenses
incurred in the period since the most recent statement. The City shall itemize all time, services, and
materials billed to any Owner and said time, services, and materials shall be in accordance with the
rules, regulations, and fees as promulgated and adopted by the City Council.
4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event the Owner does not make payment the
City as required under paragraph 3, the Ciry may draw from the Escrow without further approval of the
Owner to reimburse the City for eligible expenses the City has incurred. The Ciry shall periodically __�
notify the Owner of the draws the City has made and the nature of the expense for which the
�eimbursement is being made.
5. REIMBURSEMENT OF ESCROW. The Owner shall reimburse the Escrow fund for any deficits caused
if the amount actuatly expended by, or billed to, the City exceeds the escrow fund balance.
6. RIGHT OF ENTRY.
■ Zonina. This section is not applicable.
• Buildina. This section is not applicable.
• Accessorv Structure. The Owner hereby grants the City, its agents, employees, officers and
contractors the right to enter the property to remove the accessory building(s) should the Owner
not complete the removal obligations in Orono City Code Section 78-1432.
• ISTS. The Owner hereby grants the City, its agents, employees, officers and contractors the right
to enter the property to perform all work and inspections deemed appropriate by the City in
conjunction with replacement of the septic system, including but not limited to constructing or
completing any and all of the agreed upon improvements should the Owner not complete those
improvements by the date agreed upon.
• Temoorarv Certificate of Occu�anc� This section is not applicable.
7. NO INTEREST PAID. All accrued interest, if any, shall be paid to the City to reimburse the City for its
cost in administering the Escrow account.
8. CLOSING ESCROW. When the review has been completed or the project has been completed, the
balance of the Escrow, if any, shall be retumed to(check one):
❑ Owner ❑ Applicant a Other
Name:
Street Address 1 PO Box:
City/State/ZIP:
9. CERTI�IED UNPAID CHARGES. If the Application is abandoned by Owner, or if the eligible expenses
incuRed by the City exceed the amount in Escrow, the City shall have the right to certify the unpaid
balance to the Subject Property pursuant to Minn. Stat. §§415.01 and 366.012.
IN WITNESS WHEREOF,the undersigned have executed this Agreement as of the day and year first above written.
CITY OF ORONO: OWNER(s):
BY: BY:
January 2017 2
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DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �'U/�"��'�� COMPLETED /7 ___�
ADDRESS 0/` Ll r^ 1"l1/'
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ CAV/GRADING/FILLING
v� ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ ITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01NNERlCONTRACTOR TO MEET YiOU:_YES_NO
c� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 24 hours in advance. (952) 249-460�
OMrnerlContra or on site:
Inspector:
Whits Copyflnspector's File Canary CopylSite Notice