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Home My WebLink About2014-01472-VOIDED 3 " - kt $1 City of Orono Zoning Permit Application_ Mailing Address: Permit number: A 7 Z PO Box 66 Date received: ( - I� U Gc�inti Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: 2750 Kelley Parkway Permit Fee: Orono, MN 55356 Approved by: L, KFS H�� Fax: 952-249-4616 Notes: Main: 952-249-4600 www.ci.orono.mn.us !y A4 addfen�. This application form must be completed in full and al lo n must be submitted. (Please print.) Job Site Address: -/ ��' -� � b� �^'�e-A- -✓�._ CONTRACTOR/APPLICANT INFORMATION: Name: 7 �v S Phone: — /q- e& Fax: 5 L- Z Address: D e'eCity: rturr_LaKP ZIP: S—�3 7 Contact Person: yew o phone number !p/Z-y/�$-7� Email �S�l.,,�Iio�� (��rrR, nct li nt is: Contractor Homeowner (Circle One) v PROPERTY OWNER INFORMATION: Name: (_'thaj Sv Phone(day): 4, ' 'A I N D Mailing Address: 0 7*Px 4 L Iv,-4ZIP: 4; 3 C 3 � Email and/or Fax Overall Project Description: Check TY OFPERMIT Box COST* Dock, Commercial $50+ engineering review costs Escrow for erosion control a engineering review costs $2,000 Dock, Residential— Permanfht dock on any lake or initial seasonal dock not $50 +engineering review costs on Lake Minnetonka (permg1hent dock requires CUP Hardcover Permit: Drive ay, Patio, Sidewalk, Etc. (New or Replacement) No charge Also requires is a Minor or Major Land Alteration Permit Land Alteration, MIntrol (grading, filling, or excavating) more 500 cubic yards $50 or more than 10 cubards in Lakeshore setback (also requires CUP) Escrow for erosion and engineering review costs As determined by CUP Land Alteration, ff#r(grading, filling or excavating)—500 or less cubic $50+ engineering review costs. yards outside of lJVshore setback or less than 10 yards in lakeshore setback Escrow for eroshfi control and engineering review costs $2,000 --- whivebr Retaining Wallreasuring under four feet require a zoning permit. $50+ engineering review costs Retaining wall measuring more than four feet(from bottom of footings to top of wall) requiiA 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 engineering review costs $2,500 Stairway or Lifts 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 engineering review costs $2,500 Tree Removal or other vegetation removal in 0 to 75 foot zone No charge. Pre-inspection required. Temporary Construction Office/Trailer associated with building permit) $30 (over) ro(J( *Permit fee will be collected when the permit is issued. f 7 Updated: January 2014 .�I t 1 O I 3�3� N dry APPLICANT/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 consultant review costs where applicable; • Applicant/Owner 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, • Applicant/Owner 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 governmental agencies required by law. If you refuse to supply the information,the application may not be issued. The undersigned certify that the inform plied is taie t 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 all plans,and three copies of all grading plans or surveys/site plans Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Dock, Residential Seasonal Dock—survey showing proposed dock Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing and proposed 3. Survey Land Alteration,Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 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 trigger any of their permitting requirements. Please note,the City will not Issue a building permit without Information from the MCWD. Land Alteration,Minor 1. Survey/grading plan Including existing and proposed contours (Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported and haul route within 75'of lake or less 3. Amount of earth to be moved around on site than 501 cu.yds 4. Erosion control plan. elsewhere.) 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 building 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 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 building permit without Information from the MCWD. Stairway or Lifts to 1. Construction 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 building permit without information from the MCWD. 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 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 building permit without Information from the MCWD. Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/erosion control/management plan required for clear cutting,buckthorn or other intensive vegetation removal. Updated: January 2014