HomeMy WebLinkAbout2014-diseased tree D T TIME V
CITY OF ORONO CALLED IN S--� V
INSP�CTION NOTICE SCHEDULED S-/ /
PEk'MIT NO. COMPLETED �
ADDRESS ���5 N�� S`'-� � �
OWNER �L�l''C�1y (:����LEPHONE NO. ��Z �7� /OZ�J
CONTRACTOR ��,
� DESCRIPTION ����a S e� 7�ree h� L�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVA�
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: _NO
c�i, COMMENTS: �
�
W
a
J �� �/
O
).
�
O
�
W
�
Q
�
2
W
�
W
�
�
J ,
d
W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g5 ) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSfte Notice
.
. . _ City of Qrono
. Zoning Permit lication
� Meuir►g address: Permit numt�er. oZ D _`i - �D ��
'� a� Pti Box 66 Date rec�iv�:
Crystal Bay,MN 55323-0066 E��#and
SYreet Address: amount
.a� " 2750 Kelley Paricwey Permit Fes:
�rono�MN 55356
�+PP�hY
�� � Fa�c 952 249-0616 ��:
Main: 9i52-2d9,46�0 +�r.ci.orono.mn.us
This applica�on form must be compl ted in full a all require.�i iriformation must be subm�ffied. (Please pNn�)
..(� �v� J +3�/' ✓� 61�a v. 'lr� �S'
Job Site Address: `� '1 � v(, � U V'� � l�" `� S 3�P
CONTR�ICTOR 1 APP FORAAATIS}AI: � . �- (�
Name: 7��� �ai .I ,V�.P e J�'✓< <�
Phone: o � Fax:
Address: C : ZIP:
Contact Person: Contact's phone n
Email Applicant is: ntractor Homeowmer �cvraa o��
PROPERTY�3WNER ORAA ON:
N�,�: U� C(�������
Phone(day�: 3- 3
Mailing Address: � �/'�,� o ZIP: S 3!0
Email and/or Fax 'v�- s ''
�v�rall Pro,�ect cription: ��✓� r/',� � �.w o� a,
� e
c�` nrPE oF PERnnrr
e„x cosT*
Dock�Commercial $50+engfn�ing review c�sts
Escrovv for erosion control and en ine�ri review crosts $2 OUO
Dadc,Residential-Permanent dock on any lake or initial seasanal dack no# $54+engineering review c�sts
an Lake Minnetonka anent dock uires CUP
Hardcover Perm�t: Dnlveway, Patfo,Sldewalk,Et+c.(New or Replacement) No charge
Also requires is a Minor or I�IaJor
Lar�/�lter�tlon Permit
Land Alteratlon� AAajor(grading,filling,or excava�ng}mare�0 cubic yards $5Q
or more than 10 cubic yards in lakeshore setbadc(also r�uir�s CUP)
Escrow far erosion cor�tra!and en ine�rin review c�sts As determined b CUP
Land Alteration� Minor(grading,flAtng or excava�ng),5D0 or less a�bia �50+engirteering review cos#s
yards outside of lakeshore setback or less than 10 yards in lakeshore setbadc
Escraw for erosion c�ntrol and e fneerin review costs $2.000
Retalning WaI!measuring under faur feet r�uire a zoning permit. $50+enginesring review t�sts
Retaining walls measuring mors than faur feet(from bottom of footings to top
of wall}require a building permit. (Tiered retaining walts are considered one
wali unless the walts are separated by fiaice the height of the lower v�alL)
Escrow►for erasion c�ntrol and e nee�i review costs $2,50Q
Sfi.aunaay or Lifts to Lake(New or Repfacement) $50+engin�ring review c�sts
Escraw for erosion contral and engir�ering revievv costs $2,OOt}
Structure Permit for other struatures not requirirtg a bui[ding�mit but $50+engineering review oasts
regulsted by the zonjng code(inctuding, but nof limited to atxessory building
of less than 120 square feet,detached deck or�tatform and spart c�urt)
Escrowr for erosion coritrol and e ineerin review c�sts $2 5Q0
T�e Removal or other v !on renwvai in p to 75 faot zone No c e.P�e-I uir�d.
T�n ra Construction Ot�c�eJTrail� associat�wi#h twtldin rmit $30
{over)
*Permifi fee witl bs r.ollect�l arhen the permit is issued.
1�PPLICANTIOWNER ACKNOWLEDGEAAEMT:
. Applica C3u�^+ee agr�es to provYde ell information r�uired or requeste+d by the Planni�Departrne�;
. Owner agre�to�y the Clty of Orono far engl�eering cansultant r�vte�ar c�ts where appllc.abte;
• AppAcartit/Owner c�tlNes that tlle InFortnetlan supplled 1s true and c�mect to the best af h�/her knov�edge. The applicent recognizes
that they are solely �nsble for submitting a cmnplate applic�tion being awar�that upon feilure to do �, the steff hes no
a{temattve but to reJect it unUl it is camplete;
• Applic�nt admomAedges the a#�ached E�raw Agr�ment is�mpleted and sigr�by OHmar,
� /�pplicantJOwner understands thetr proJ�:E may requlrr�an lnitlal and a�s-buil#survey per City C�le Secdon 86�.
• Some ar all af the Informstlon titat you are �iced to provide on this appllcat�an ts dassifl� by State �w as el�er priv�te or
canfider�tial. Prtvate dat� Is h�fartnatlon vNhich g�neially canrrot be glven to t�h�pu�i�but can be given�o the subject of the data.
Confld�tlal da#a Is infom�atlon afiich gener�lly cannot be gi�ren to ei�er the pu�ic�ftre s�bjed of the data. Our purpo�antl
intended use of this it�formatlon Is ta annualfy update our recaras and�s of oth�govemmer�il agernd�requir� by lavy. If
u refuse to� the iM+armstlan the a Ifca�tlom m �ot be i�.
The under�igned cxrtify that the i ation is true nd con�t to the best af their krrov����i/ I
ApplicanE's Signaturet Date: S �( �
Property Qwner's Signature: Date: �
SUBMISSIt3N RE�IJIREMENTS: F�ccept for tr+ee r+emovel Rerm�s, al! permlts requtr+e a c�mpl�ed
7YPE OF PERMIT: ���� ���p�����(sigr� by tl�e praperty o�nmar�and escr�nr check from own�r,
tvvo coples of all plans,and three copi�of all grading ptar�s or sunreys/sit�plans
Dock�Commerclat 1. Stru�plar�br the aoctc
2. Stwsy show�tg the ptopased lacatlon of tl�e dodc
3. Copq of LMGD p�mlt
Doek�Resldentlal Seasar�l D�Ic-s�av�sy shavuin9 P��
Pemtar►�t Qock- ar�s as CUP and co of LAACQ it a ble
Ha1'+dCovBr PePmtt 1. �1A NAtmr or AAajor Land I�Jteratl�Permit requir�nents appiy as ap�uvprlate
2. Hardcaver c�ldilatlans,e�SUt►9 a►►d ProPosed
3. Survey
Land Alteratlon,Ma�ar 1. Survay/gradir�g plan�c3udh�g�dstlrig ar�d prop�ed�ontaurs�a�roved by Cand�ior�al U:�Permit
2. Era�on control p�n.
3. A cnpy of Minnehaha Cresk Watershed Dlstric�(►lACWD)Pe�mlis ar doaunentation ftarn the MCWD�ttng fhe
p�Pa�l�lect do�rmt Mgger any of thNr permltting require�ner�s. Ple�e rwte�the City wlll not i�re a
bulidln rmlt wi�out Iniormatlon from tFaa AACWD.
Land Al�ratlon�11�[nor 9. Siavsylgreding plan Irtduding e�dstlrtg�d propased�ntaurs
(tess tn�n�o cu.yds. 2. Amo�,c o�fln�o ne�n���ex�o►t�d�d rr�ui ro�te
vukttln 75'of lake or less 3. Amount of earth to be mo+r�around on slte
then 5D1 cu.yds 4. Erosian csonh�of plan.
�sewhere.) s. S c�opy of tU�nnehatm Creek Watersh�t Dlstnict(bICIIVD)permits or da�nentaUon fi+a�n the NiCWD sta8ng the
P�ProJet�doe.a rmt idg,g�any of Weir pe�mittlrx,�re�Wr+emerrts. Please�tfre City wil!not Issue a
buNd permit w�thaut iMorm�ion from tlte BACWQ.
R�Ining Wall 1. Plans for vuaN(s)
2. Unless repsir or e�c�replac�m�nf of ex�11�wall,submit an uP���Y�9�9 P�ir�duding e�dsUng aatd
P��
3. Hardcover c�lailatlon v�aorlcsheeis 1�In shoreland d�
4. Erosion�ntrol plan
5. A c�opy of M�nneriat�creelc watershed ahstrlr.t{MCUVD)t�rmms or d�nn�#atfor,trom the no�dlm sfaeng the
P�P�ed prolect do�s not tr1gg�anyl af iheir Permitqn9 rsequ��r►errts. Piease note,the t�ty wW nat Issue a
bulld It avitF�out Informadon'F�m the MCWD.
Statrwziy or Lifl,s to 1. Cor�b�udion plar�t+�sial�y or Iift,ir�ltt�footlr�
Lake 2. Tapographic�l survey of property with pro�d s�lrs or Itft showm
3. Er�ian conti'ol plan
4. A r.opy of NDnn�►at�Cresk Wate►sh�Dishid(MCdVD)µermils w do�m�tattvn iran t�e MCdUD staUng the
proposed pro}ect does rrot lrtgger ar�r of thelr p�mlttlrtg r�qu�rnerris. Please�rote,q»City will not Issue a
build rmtt without IMarma#Ion[rom the BAC�ItD.
Strucbure Permlt 1. Car�truchon plaru.
2. Survey of properly arith propos�stru�tte shaum and with setbaacs to property Iin�.other shac�ures on prop�ty
and the sep�c system IndFcated.The genenal loc��on af ariy seurer and wat��rvicss stwuld be shown if applicable.
. 3. G'rddit�plan ff gr�ding is prapased.
4. Hardmver cala�latlan worksheets
5. F�an c:ontrol plan.
8. A c�py of Minnehaha Creek Watershed Distrtd{RACWb)Permits or dac�m�niatlan irom the MCWD staUng the
Rrop�ed praler.t do�nat bigger arry of it►elr pe�mittlng requlrements. F�e�e note�#he CEty wlll rtot fasue a
bt1I��R �YV�fOU��[i�0IR18dOR ff0111�'18��.
T�Refl'IOVaI (�11: 952 249-4800�st�edule a sir�gle tree r�noval irropec�n. A r�plarr�r�p�nJ�lon saontr�ol/marragemerrt plan
t�red for cc�ear buckUtom or other bttensive �don removal.
Ilwi+s�nd• Inro�nni�N11A