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Home My WebLink About2011-01012-VOIDED �. e e._ I I -�2-g City of Orono � Zoning Permit Application Mailing Address: Permit number: b / –��l — � �Q\ PO Box 66 Date received: � /� � Crystal Bay, MN 55323-0066 Q � Q � Escrow#and �� "s ! Street Address: amount: ;:.. � � � A' ' '~� � I 2750 Kelley Parkway Permit Fee: �� d� p� Orono, MN 55356 '�.9 w Approved by: kESH04' Fax: 952-249-4616 Notes: Main: 952-249-4600 �•ci.orono.mn.us This application form must be completed in full and all required information must be submitted. (Please print.) GENERAL INFORMATION: Job Site Address: ��;�� 1�,��;��.�-f� ��,..� �r;��.� CONTRACTOR/APPLICANT INFORMATION: � Name: �n:�'To �r��n� L�t.�:�Sc.�;�r Phone: y;1 - >�;.�. ��, Fax: Address: �2�i �,,., Cit : (o:;,,�,� � ,,� ZIP: Contact Person: �-;� ContacYs phone nurx�ber �trt- �� .. , Ced,� Email Applicant is: �Contractdr' Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name:� �v�� - Phone (day): Mailing Address: 4'L„y– �;ef�.aL,. Sl.�,,..E �iUti � ZIP: ��.jlC'� Email and/or Fax Overall Project Description: Check TYPE OF PERMIT Box COST* Dock, Residential – Permanent dock on any lake or initial seasonal dock not on $30 + engineering review costs Lake Minnetonka ermanent dock requires CUP Dock, Commercial $50+ engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Driveway Permit(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 $30 more than 10 cubic yards in lakeshore setback (also res�uires CUP) Escrow for erosion control and en ineering 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 �e�� 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 intensive ve etation removal in 0 to 75 foot zone No char e. (over) *Permit fee will be collected at the time the permit is issued. APPLICANT/01NNER ACKNOWLEDGEMENT: � • Applicant 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; •. ,Appliaant 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 until it is complete; • • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • 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 you refuse to supply the information, the application may not be issued. The undersigned certify that the inform 'on supplied is true and correct to the best of their knowledge. Applicant's Signature: Date: �ro�j� Property Owner's Signature: Date: 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 Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Driveway Permit 1. All Minor or Major Land Alteration Permit requirements 2. Hardcover calculations, existing and proposed 3. Driveway 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. 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. Plans for structure. 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 required 4. Hardcover calculation worksheets if in shoreland district 5. Erosion control lan or co of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule inspection. 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