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2014-permit applications
City of Orono Zoning Permit Application Q� Permit number: cO/6-k-0/56 UW Mailing Address: Btal By, MN 55323-0066Date received: ll— 6 —and StreetAddress: ��I0� � (Imount:2750 Kelley Parkway Permit Fee: /Orono, MN 55356 ` � �� Approved by: 1SHpaFax: 952-249-4 41,7 �� Notes: Main: 952-249-4600 www.ci.orono.mn.us / Ill//-5V rel. Kla ,564- t lit(Qa 0_071-- This i h— This application form must be completed in full a all req �� in`fform tion must be sul3nniitted. (Please priVit.) I Job Site Address: 1 a'a5 Octo,Jo 0/ck DZtvL= Q Z JO M04 S-S3S j, CONTRACTOR/APPLICANT INFORMATION: Name: C: kr; s Eriksson Phone: (o t'a.-3 Vo - 50 9`1 Fax: Address: 0o1.5 0a-two 6 Aries bite f/1) City:©/Lo7VC ZIP: S5-3 S Contact Person: Gh r;S Contact's phone number ro/,t -3?6, -Sof 9 Email 6.t eF iC. ci ee ri,,,/,cm,Applicant is: Contractor Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: Ch"-I'S ooNA S' 11-Iii✓1.0-- ect` SS1v\- Phone (day): &la- '38(0- 5011 Mailing Address: l�l1S Oft o pprIGS NZI/e_, DYloWD M,./. ZIP: Ss-3S--y Email and/or Fax Overall Project Description: c CAcidt‘hK F'\l in 1/2.-tK S;cies c C dr \te way prel ev►.-t foarS w Ffal 6V(4:Ali 6Ef 4c v ,lay / Check TYPE OF PERMIT COST* Dock, Residential- Permanent dock on any lake or initial seasonal dock not on $50 + 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 _ Hardcover Permit: Driveway, Patio, Sidewalk, Etc. (New or Replacement) No charge 4 Also required is a Minor or Major Land Alteration Permit Land Alteration, Major(grading, filling, or excavating) more 500 cubic yards or $50 more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and engineering review costs As determined by CUP Land Alteration, Minor(grading, filling or excavating) -500 or less cubic yards $50+engineering review costs )C 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 other vegetation removal in 0 to 75 foot zone No charge. Temporary Construction Office/Trailer(associated with building permit) $30 (over) *Permit fee will be collected when the permit is issued. Updated: November 30,2012 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 information supplied true and correct to the best of their knowledge. Applicant's Signature: Date: ///S /y Property Owner's Signature: .......----Cr Date: II / /// 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(if applicable) Dock, Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations, existing and proposed 3. 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. Survey/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. 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 or copy of MCWD Erosion Control Permit Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cutting, buckthorn or other intensive vegetation removal. Updated: November 30,2012 ZONING PERMIT ESCROW AGREEMENT Permit#2014-01308 AGREEMENT made this day of , 20_, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Chris&Stephanie Eriksson ("Owners"). Recitals 1. A zoning permit application has been filed for a property located at 1225 Orono Oaks Drive the ("Subject Property"), legally described as Lot 7, Block 1, Orono Oaks, Hennepin County, Minnesota. 2. Owner requests the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,000.00 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a zoning permit application. The escrow will also guarantee reimbursement to the City for all out-of- pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with permit#2014-01308 if compliance with the approved zoning permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when all requirements related to the project are complete. City Staff shall review the terms of this escrow agreement two times per year to determine whether the requirements of the project have been successfully completed and whether it is appropriate to return the funds. Owner may also request the release of the funds, and such funds shall be released upon City Staff receiving the appropriate verification that all requirements of the project have been successfully completed. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: CITY OF ORONO OWNER: By: Its: �,y, r A a 3- inrnat t�.in1y . .. •.. ! 0. .. s°,'. , W.... ,s,� `. ,2. ..:. 'M.... F _.. Plan Review Checklist for Zoning Permit Applications Address: (L2.5 Orono 00.1C.1N br. Description of work: r kU'\ Y . Alkila t Type of permit: Zoning review by: VV, l Mt. With Date Approved: I (' IU Z-0I¢' Grading review by.: Date Approved: Other Review, Reviewed by: Date Approved: Zoning: Zoning File#: Resolution#: Resolution Date: Lot Area: SF/AC Width: Depth: Survey Submitted? 0 Yes qfcro' 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 0 No 0 N/A / 0 Yes 0 No 0 Yes 0 No D Yes 0 No / N/A - Permit Number: Setback: Hardcover Zones Existing Proposed Variance Required CUP Required 0-75' 0 Yes 0 No 0 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? ? ❑ Yes ❑ No Explain haul route in detail: Fees to be Charged Amount Orono Inspections Required Permit Amount lrjb wit{- RA_ , $,x X11=' ❑ Site Escrow Amount ❑ Hardcover Removal ZOQO 0 Footing Signed escrow received? ❑ Poured Wall 0 As-Built Survey 0 Yes 0 No 0 Planting Plan 0 Wetland Escrow amount received? Final I3 Yes 13 No IfOther(specify) Engineering review needed? Yes 0 No REMARKS (in-house): Other Review: Reviewed by: Date Approved: V� 1 o (TO BE NOTED to ,0No f COWAND K nBYPERSONPULLING-tr CaPERMIT) ik c ,- 244— /Nu) -i-o ch scc a muck_ r ch'4r— C 1Wkt - i l �� f d Created: March 29,2011 z:\forms\plan review checklist for zoning permit applications.docx ' 11-06-H4 11 : 42 FRU- Foxlire Community 2396436282 T-154 P0001/0003 F-153 City of Orono ' Zoning Permit Application ,•.,:•: o+;? 'yCS4 xR�F4:ilata';° s :;.,5ioP'n ,, =-,4w �; ., ;;i�j7:- :T�Bt' b 4.e `7" ' ga"*�!<e`a. a?dvr`s3.ro.. �s'i .a m acro , !1 A _ Mailing Address: �E 1 + �, &>� 3 l Vd�/{/1/ PO Box 66 �3�[<�a� r 4 or Dea.e+ciao aV ray w r E f -C.7!,:$-ts � 'r?:;. -" .ESQ2r.��'y k.. a icier>ai: , i 7�. ;1?: `r. w .. x - Crysta!Say,MN 55323 0066 'Q�' �` e'� '='> '-';';',•:;"t: .."13-° iV-r�' w.,$`Eh >,errr R r .,erey Caa r wr3y° e f i ii i-�C. 1 �7j �ld�'.Y%` !�-• ' e"ES`B Y,r'�aew"�c! e r "S"'gr'E""�w7ix3o7b1r r k-y w a xa,, ,.,k z.w >� }6 a : w Ciz;5.see-.:; �n a .a.7,,_, V Street Address: d o�1{y;i ::-W, dy>k3!_u.$aEcgiorea i T�ue: t. :1; i 1 gar ,,, �.: w V `.�T�"r� -ou P'•*'fa9�'a- �w..'�'in.. �S •.,t. I ra `i. 2750 Kelley Parkway �jp74i'—�i1.5irr:nis,,:•x :`✓„ti"`-'":Bz:' l;:;a d f44*-. G �? i�`::o-4�"'.''c%a° :, 27C µ:' M1 iE:$1 l Q.� rYe3 e r . . . Orono,MN 55356 `w.l ^3'^'111 'a'�')"c ..;i" "�g�S7 i ,. : .:.. ----Er£s ,4 d ror + , ,txt y. 4.G .,,,,,,,-•••-:.0,1.,zpprov b ....1 ;y �r y is r�eS*,CyYy a:'R'w.l rd. ' E J •\ $ ��" �o*; ka S+ti,, a'4wuanery f 'L tt' y" d r?r.,:�, 7;x e`.?od ..'r ° 1;: I kt Fax 052-249-461B 1 "i ��"uore�•t S r �99��dit;-1�4' FP$7 ? 1'1 E�:.25ae'"��4r.�" .•.ei:,•.-Is+' q, I'';'7517 Ci.Ororto. •i::r e t'iF4?neN 1ri;6 en>xrr:r p..a �i`pf...M6`47,t"jrc Main: 952-249-A600 www. rpn.us ,e,�;;iiv°�, +:"y '+� �,r< ;��•.'��"-Ps'� <....a�Q: �:•....:t��?d?���,.,��e� r.�-�r,5,�.�;s.::� I{ .-,. '� - iTa ':<"r•P: ,V2R7.IRJ:. 'a v:i;'7iV:rx Zi ;cro i1 ,,,, ,, .,,,*,.i ,;7:.?.:,,/,,:4,4,,.. ,a '!` E .,per r.. e a .-r 9��.eor.; ...e .,s!p'e ..,•,•, . r:..•__••-•S `r *. t -'any 14,;41-{ . .� ' _. °IQ I e hi, �� __ °, it',`, • .... , ,i , 1.0 'Q ,;I g lit ,,° , ,g+3v.� b�•,� 0..1•,�''�.® '�:il'�6 11���9 °,YI�� �?h� , �r s�'S �1 AFr�S y0 Y�3 i Job Site Address: J 5 � o C�. M off& J m! S CONTRACTOR I APPLICANT INFORMATION: i Name: h rt S Cr,'Ksc Phone: col 4x"3v,,,-s"C)ci? Fax: _ Address: /ra{ SS O Z tp t?,q�CS ivy-- �_ Cit Contact Person: t` Y ____ ,_,,,,,•„ zIP: `.3 � 1~.. s 4 _._.. Contact's phone number Email . . - r"i - �,�� Applicant is: Contractor .meown-r circioOne) . . PROPERTY OWNER INFORMION: • Name: � 'iA,m T"1. .` .•_ni r . Phone(day): 1 —1s"1-- -(5, Mailing Address: 1335 .0 r-- .Q I. c,r a ZIP S- S` Email and/or Fax 4,A,,, ` - er 3' r»w Overall Projo c pescription: cis*yr ti S o Jr,'4 i> - 'e.►..` " I ar5 5 1 erh o - s;v im Check TYPE OP PERMIT I _Box COST* Dock,Residential--Permanent dock on any lake or initial seasonal dock not on $50+engineering review costs Lake Minnetonka(permanent dock re vires GUP Dock,Commercial $50+engineering review costs • Escrow for erosion control and engineering review costs $2,000 Hardcover Permit:'Driveway, Patio, Sidewalk,Etc.(New or Replacement) No charge Also required is a Minor or Ma'or Land Alteration Permit Land Alteration,Major(grading,filling,or excavating) more 500 cubic yards or $50 • more than 10 cubic yards in lakeshore setback (also requires CUP) Escrow for erosion control and ens ineeri.nq 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 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 other vegetation removal in 0 to 75 foot zone r No charge. Temporary9onstruction Office/Trailer associated with building permit - $30 (over) - • `Permit fee will be collected when the permit is,issued. Updated; November 30,2012 l • 1 11-06-' 14 11 :42 FROM- Farr ire Community 2396436282 T-154 P0002/0003 F-153 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. I[ • 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 I of the data. Our purpose and intended use of this information is to annually update our records and records of other - f governmental agencies required by law. If ou refuse to su••I the information the a•.Haitian ma not be issued. The undersigned certify that the'• •rmation suppl�,;;,!r e : •a• correct to the best of their knowledge. Applicant's Signature: _; / {�11, Date: 1'i , i' OIL1 Property owners Signatureii / r'r ' 1, ir, r j�,4 Date 1 r 6 .-14 — TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits 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 pock,Residential Seasonal Dock—survey showing proposed dock. Permanent Dock plans as approved by CUP and copy of LMCD permit(if applicable) Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit - Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate . 2. Hardcover calculations,existing and proposed . 3. 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. Survey/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 Wail 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 s . 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 or copy of MCWO Erosion Control Permit Tree Removal . Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cuffing,buckthorn or other intensive vegetation removal. i Updated: November 30,2012