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HomeMy WebLinkAbout2011-01268 - land alteration 1111111111111111111111 nil 1111111111111111111111 CITY OF ORONO * 2011 - 2011 - 01268 * 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 685 OLD CRYSTAL BAY RD N PIN : 33-118-23-21-0002 LEGAL DESC : UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE ZONING PERMIT PROPERTY TYPE INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE LAND ALTERATION(501+CU YDS) I NOTE: REGRADE AND CONSTRUCT SOFTBALL FIELD WETLAND BOARDWALK ESCROW WAS PAID ON 11-15-11$2,000 CUP#11-3506 APPLICANT MAJOR LAND ALTERATION 30.00 SCHOOLS,ORONO PUBLIC TOTAL 30.00 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- AGREEMENT 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 suspenjed for a period of 180 days at any time after work has commenced. The ap yiresponsiblgifae. ing all required inspections are reque ance ateBuilding Code.This permit may be revokk for du --7 f ! [ /30 OC_._C1k— C?TYI C t i 1- /9 � Appli ant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Zoning Permit Application �y Mailing Address: Permit number: PO Box 66 Date received: Crystal Bay, MN 55323-0066 Escrow#and f��^W Street Address: amount: 0D f-C4 (l,"6-1) m 2750 Kelley Parkway Permit Fee: ] 7 I S Z GOrono, MN 55356 ��kESHo4� Approved by: mcmhs — Fax: 952-249-4616 Notes: Main: 952-249-4600 www.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: ©l-ldl�le CONTRACTOR/APPLICANT INFORMATION: Name: -'Jo6ow 44xlacel4n Phone: - Fax: T52 - Address: -4d City: M ZIP: Contact Person: Contacfs phone number - / Email �S f�y,��,p�© a�o,�d, Applicant is: Contractor Homeowner (circle One) Kt2• ��• uS PROPERTY OWNER INFORMATION: /� Name: Q/2 &,� reho0/ Zf Z v Phone (day): q- -,7,1-1-74T Mailing Address: S O/ " e p ZIP: Email and/or Fax .O Q O NO_ k, CC S 09 Overall Project Description: 462 4 a dif Check TYPE OF PERMIT COSTBox * Dock, Residential-Permanent dock on any lake or initial seasonal dock not on $30 +engineering review costs Lake Minnetonka (permanent dock requires CUP Dock, Commercial $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Driveway Permit(New or Replacement) No charge Also required is a Minor or Major Land Alteration Permit C3-, Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $30."'OI- more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and engineering review costs As determined by CUP H-'J 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 engineering 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 engineering 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 engineering review costs $2,500 Tree Removal or intensive vegetation removal in 0 to 75 foot zone No charge. (over) *Permit fee will be collected at the time the permit is issued. APPLICANT/OWNER 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; • Applicant 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; • 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 ion supplied s u and correct to the best of their knowl ge. Applicant's Signature: Date: -7 3D Z Property Owner's Signature: X 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 and 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 plan or copy 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 plan or copy of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule inspection. Last Updated: April,2011 Plan Review Checklist for Zoning Permit Applications Address: ed,- Description of work: Type of permit: Zoning review by: �� + �;fr Date Approved: ! 14 Grading review by: Date Approved: Other Review, Reviewed by: Date Approved: Zoning: Zoning File#: I 3 Resolution #: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes 0 No Date of Survey: Existing Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff 0 Yes O No 0 N/A 0 Yes o We 13 No 13 Yes 13 No �N/A Permit Number: Setback: Hardcover Zones Existing Pro osed Variance Required gVP Required 0-75' 0 Yes 0 No Yes 0 No 75-250' Type(s): Type(s): 250-500' Zoning File#: Zoning File#: 500-1000' Resolution#: Resolution Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx Planning Review Checklist for Zoning Permit Applications Page 2 of2 Cubic Yards In Out Total Haul Route? ? 0 Yes 0 No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Amount 0 Site Escrow Amount 0 Hardcover Removal 0 Footing Signed escrow received? 0 Poured Wall 0 As-Built Survey .)3"'Yes 0 No 0 Planting Plan etland Escrow amount received? oe Xyes Final 0 No 0 Other(specify) Engineering review needed? 0 Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: REMARKS (TO BE NOTED ON PER IT AND INITIAL ED BY PERSON PULLING PERMIT) cA � _ Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx MINNEHAHA CREEKE= WATERSHED DISTRICT QUALITY OF WATER � .w QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, The Minnehaha Creek maps, and all other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant Watershed District is named below for use and development of land in the Minnehaha Creek Watershed District. committed to a leadership role in protecting, Issued to: City of Orono Permit No: 11-373 improving and managing the surface waters ana Location: Orono High School 685 & 795 Old Crystal Bay Rd N affiliated groundwater Purpose: Erosion Control — Site Improvements resources within the Date of Issuance: 12/20/2011 Date of Expiration: 12/20/2012 District,including their By Order of the Board of Managers relationships to the _!�4_&__� ecosystems of which §We Christopher they are an integral part. District Technician We achieve our mission This permit is not transferable without District approval, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee through regulation, requires more time to complete the project, an application for renewal of the capital projects, permit must be received by the District at least 30 days before expiration. education, cooperative The applicant is responsible for compliance with all District Rules and for the action of their representatives, contractors, and employees. endeavors,and other programs based on Conditions: Project to be completed as described in plans submitted to the MCWD office on December 19, 2011 according to the provisions sound science, of this permit. • Properly install and maintain all required erosion control innovative thinking,an measures until the disturbed areas are re-stabilized informed and engaged • When the site is re-stabilized and the MCWD staff has performed a final inspection, all silt fences must be removed constituency,and the cost effective use of public funds. (Statement concerning fees for inspections, violations, etc... on following page) 18202 Minnetonka Boulevard, Deephaven, MN 55391 • Office: (952)471-0590 9 Fax: (952)471-0682 •www.minnehahacreek.org • MINNEHAHA CREEKWATERSHED DISTRICT QUALITY OF WATER@ QUALITY OF LIFE Inspection/Analysis/Monitoring Fees The Minnehaha Creek A site inspection and monitoring by District staff will be performed where the activity involves: Watershed District is • a commercial/industrial/multi-family residential development committed to a leadership . a single family residential development greater than 5 acres or of any size if role in protecting, within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland improving and managing . dredging within the beds, banks or shores of any protected water or wetland the surface waters and ' a violation • any project which in the judgment of the District staff should be inspected due affiliated groundwater to project location, scope, or construction techniques resources within the District,including their In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area affected relationships to the by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at least $35. ecosystems of which they are an integral part. We achieve our mission Standard Fee Schedule through regulation, District professional staff $ 55.79* capital projects, District interns $ 34.24* District clerical staff $ 50.40* education,cooperative Consulting Senior Engineer $ contracted rate Consulting Engineer/Technician $ contracted rate endeavors,and other District Counsel $ contracted rate programs based on Application fee $ 10.00 Copy costs $ .25 + actual staff time sound science, Color copy costs $ 1.00 + actual staff time innovative thinking,an informed and engaged * Hourly constituency,and the cost effective use of public funds. 18202 Minnetonka Boulevard, Deephaven, MN 55391 • Office: (952) 471-0590 • Fax: (952)471-0682 • www.minnehahacreek.org -41 L RECEIVED MAY p g 2011 CITY OF OpdNO' ANDERSON-JOIINSONASSOCIATES,INC-VALLEYSQUARE OFFICE CENTER-SUITE 200-7575 GOLDEN VALLEY ROAD-MINNEAPOLLS,MINNESOTA-(763)544-7129-(763)544-0531 FAX I _ FF,�lq�2 701 0 `GG7J 1007 i 4* 1 2 q Tm! 000.0 ■1 / \011 1 77 4 1 7 D 0 d , ,I! /r 11116.4 % qo. % G r p e ! 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