HomeMy WebLinkAbout2018-00429 - tree removal CITY OF ORONO III II I''I
*
2750 KELLEY PARKWAY * 2 1 8 - 0 0 2 9
DATE ISSUED: 04/11 U2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 350 NORTH ARM LA
PIN : 06-117-23-24-0014
LEGAL DESC : MARKOE ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : ZONING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
APPLICANT TREE REMOVAL 0.00
LARSON,BARRETT TOTAL 0.00
350 NORTH ARM LA
MOUND,MN 55364-
OWNER
LARSON,BARRETT
350 NORTH ARM LA
MOUND,MN 55364-
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
suspended for a period of 180 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.
muded_j °(, ll , /8�
Applicant Permitee Signature Date Issued By ature Date
Apr/09/2018 12:40:14 PM Ridgeview Pulmonary 9524428016 1/10
City of Orono
Zoning Permit Application //� c
Mailing Address: Permit n mber, 0110/I"9-9-16r
.34\,0
PO Box Ived: `
�t►.3 °4\,0Crystal Bay,MN 56323-0068 Date ` j L�`
Escrow and
Street Address: amount
2750 Kelley Parkway Permit :
1- C. Orono,MN 55356
�' C' Approved y:
kEsmoi- Fax: 952-249-4816
Main: 952-249-4800 Notes:
www.ci.orond.mn.us
This application form must
/�
be co np/ietedin full and all requires information must be submitted. (Please print.)
Job Site Address; 3J° • vr41k Al',.^ LUC,,, r Orvho r eiA./ 3"S36,q
CONTRACTOR i APPLICANT INFORMATION:
Name:
Phone:
Fax:
Address: City_: ZIP:
Contact Person: Contact's phone number
Email Applicant is: Contractor Homeowner (Circle One)
PROPERTY OWNER INF RMAT�IQN:I
Name: daree,TT' s-otr IA + ,
Phone(day): In 7'•o i
Mailing Address: 35 M+r A am. ._ Cord i Mdif ZIP: S'.�
Email and/or Fax ve.e e. JorJv1 1D-y cc/. La,t4
Overall Project Description: a reVot, ad tot"' tete**
CheckYYPE OF PERMIT FEE
Sox collected when permit is issued
Dock,Commercial $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Dock, Residential — Permanent'dock on any lake or initial seasonal dock not.on Lake $50+engineering review costs
Minnetonkajpermanent dock requires CUP)
Hardcover Permit:Driveway,Patio,Sidewalk,etc.(New or Replacement) No charge
Also requires is a Minor or Malor Land Alteration Permit
Land Alteration,Major(grading,filling,or excavating)of more than 500 cubic yards beyond $50
the Lakeshore setback OR more than 50 cubic yards within the'lakeshore setback (also
requires Conditional Use Permit)
(R.f*r nc.:. City Cods B.at/onu Mar.P5.1247 and za- ,
Escrow for erosion control and engineering review costs As determined by CUP
Land Alteration,III inor(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 lakesho setback
Ptifecediav City Code Sections 78x.987.78.1247 and 78.12861
Escrow for erosion control and engineering review costs $2,000
Retaining Walls which exceed two feet In height above exist) grade; or result In more $50+engineering review costs
than 20 cubic yards of imported fill;or are located less than five from the property line.
Escrow for erosion control and engineering review costs $2,500
Retaining Walls which measure more than four feet(from bottom of footings to top of wall)
require a building permit.Tiered retaining walls are considered or a wall unless the walls are
separated by twice the height of the lower wall.
Stairway or Lifts to Lake(New or Replacement) mefsregc8: s fry Code Sections 78-128aj $50+engineering review costs
Escrow for erosion control and engineering review costs $2,000
Structure Permit for other structures 200 sf or less not requ ring a building permit but $50+engineering review costs
regulated by the zoning code flte ce: city Cpc(L$eceon 1J4l
Escrow for erosion control and engineering review costs $2,500
✓ Tree Removal or other vegetation removal within 76 feet of la -s No charge.
is ,c�..1 �,• I. ,- .=_ti - c Pre.ina•action re•uired.
Tem•ore Construction Offic railer associated with buildi • •-mit $30 _
Updated: January 2017
Apr/09/2018 12:40:14 PM Ridgeview Pulmonary 9524428016 2/10
APPLICANTIOWNER ACKNOWLEDGEMENT:
' • ' Applicant/Owner agrees to provide all Information required or request@ by the Planning Department;
• Owner agrees to pay the City of Orono for engineering consultant view costs where applicable;
• Applicant/Owner certifies that the inforr ation supplied is true end co to the best of his/her knowledge. The applicant recognizes
that they are solely responsible for submitting a complete application be ng 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 nd signed by Owner;
• Applicant/Owner understands their project may require an Initial and/or as-built survey per City Cods Section 68-68.
• 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 he given to either the public or tie subject of the data. Our purpose and Intended use of this
Information la 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 n supplied • and correct to the best of their knowledge.
Applicant's Signature: • Date: 'I1 11 ler
Property Owner's Signature: `: Date: yl91 rt
- - - • •UI` ,. ► Except for tree removal permits, all permits require a completed
TYPE OF PERMiTi application f' ,escrow agreement(signed by the property owner)and escrow check from owner,two
copies of each,where applicable,plans,landscape plans,grading plans,surveys or site plans.
Dock,Commercial 1. Structural plans for the dock
2. Survey/sitelan 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 calculetiona,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 Mlnneheha 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
buildlho permit without information from the VCCWD,
Land Alteration,Minor 1. Survey/grading plan Including existing and propoited contours
2. Amount of fill to be Imported and/or exported and:haul route
3. Amount of earth to be moved around on site ,
4. Erosion control plan. l
5. A copy of Mlnnehaha Creek Watershed Districti(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their p gritting requirements. Please note,the City will not Issue a
building p. *without information from theMCWD.
Retaining Wail 1. Plans for wall(s)
2. Unlace repair or exact replacement of existing ll,submit an updated survey with grading plan including existing and
proposed contours
3. ,iardcover Wleulatlon worksheets 7 to shore's dlatrlet
4. Erosion control plan
5. A copy of Mlnnehaha Creek Watershed Dlstrice(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their rmitting requirements. Please note,the City will not issue a
building permit without information from th MCWD.
Stairway or Lifts to 1, Construction plans for stairway or lift,Including dotings
Lake 2. Topographical survey of property with proposed stairs or lift shown
3. Erosion control plan
4. A copy of Mlnnehaha Creek Watershed Dlstricti(MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their ppvetting requirements. Please note,the City will not Issue a
buildingyermit without information from th MCWD,
Structure Permit 1. Construction plans.
2. Survey/siteplan of property with proposed etre re shown and with setbacks to property lines,other structures on
property and the septic system indicated.The eneral location of any sewer and water services should be shown if
applicable.
3. Grading plan if grading le proposed.
4. Hardcover Calculation worksheets
6. Erosion control plan.
6. A copy of Mlnnehaha Creek Watershed Dish' (MCWD)permits or documentation from the MCWD stating the
proposed project does not trigger any of their rifting requirements. Please note,the City will not issue a
bulidits prrrmit without information from MCWD.
Tree Removal w Call: 652-240-SOO to schedule an inspection for vat of an individual tree(s) A re-planting plan/erosion control r
manajement plan may be required for clear outing,buckthorn or other intensive vegetation removai.
Updated: January 2017
Apr/09/2018 12:40:14 PM Ridgeview Pulmonary 9524428016 5/10
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DATE TIME
CRY OPORONO CALLED IN
INSPECTIONpC ,/ SCHEDULED //
PERMITI10. UU`` �W..2_/COMPLETED
ADDRESS J,5-0 /IV
OWNER TELEPHO NO. t•7 °
56 7
CONTRACTOR /( 3
L�/-‘S
i DESCRIPTION Ow ---4A-AA
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
c ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
v 0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
0
Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
LU ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CCW
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owne,Contractor on site:.
Inspector: 9/i'' ' A
White Copy/Inspector's File Canary Copy/Site Notice