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HomeMy WebLinkAbout2016-00113 - zoning permit - tree removal ' ~ CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 1 1 3 * DATE ISSUED: 02/03/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 507 PARK LA PIN : 06-117-23-41-0093 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 006 PERMIT TYPE : Zon���] P�-n'�'�i J- PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75 NOTE: TREE REMOVAL WITHIN 75'OF LAKESHORE APPLICANT TREE REMOVAL 0.00 AMBERWOOD TREE SERVICE TOTAL 0.00 P O BOX 603 MOiJND,MN 55364- (612)597-4360 OWNER SMITH,MR.&MRS. 507 PARK LA 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 Ciry 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 goveming this type of work shall be compied with whether or not specified hereia This permit will expire and become null and void if constrvction 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. , . � cQ �' 7��1� i `� l / Applicant Permitee Signature Date Issu B Signature Date ` � -� City of Orono 1� r - , Zoning Permit A lication Mailing Address: Permit number: ��D������ �Q�O PO Box 66 Date received: OJ�� '� ��(p Crystal Bay, MN 55323-0066 Escrow#and Street Address: amount: � 2750 Kelley Parkway permit Fee: y � Orono, MN 55356 G t9kESH0��' Fax: 952-249-4616 Approved by: Main: 952-249-4600 Notes: www.ci.orono.mn.us This appfication form must be completed in full and all required information must be submitted. (Please print.) Job Site Address: �Q 7 1"a/' � �n Q/'d�p CONTRACTOR/APPLI�(AN INFORM TION;, 1 / / / Name: N�n�erw� p ec $'e�✓ice ��aft V adef�lOO � Phone: !2- S' 7 - Y3 `6 Fax: Address: 6 Ci : /f� d ZIP: ,S':S3 Contact Person: Seon t�� e�n ContacYs phon� 6 l2-S97- y3 O Email Applicant is: ac Homeowner (Circle One) PROPERTY OWNER INFORMATION: � Name: /I�o��Gn C ° �r✓ sr� i f�, Phone(day): Mailing Address: SD 7 0� n Orona ZIP: Email and/or Fax Overall Project Description: CBoXk TYPE OF PERMIT collected whenE ermit is issued Dock,Commercial $50+engineering review costs Escrow for erosion control and en ineerin review costs $2,000 Dock, Residential - Permanent dock on any lake or initial seasonal dock not on Lake $50+engineering review costs Minnetonka ermanent dock re uires CUP Hardcover Permit: Driveway, Patio,Sidewalk,etc.(New or Replacement) No charge Also re uires is a Minor or Ma or Land Alteration Permit Land Alteration, Major (grading, filling, or excavating) of more than 500 cubic yards $50 beyond the lakeshore setback OR more than 50 cubic yards within the lakeshore setback (also requires Conditional Use Permit) lReference: Ciri Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs As determined b CUP Land Alteration, Minor(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 lakeshore setback lReference: Citv Code Sections 78-967. 78-1247 and 78-12861 Escrow for erosion control and engineering review costs $2,000 Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs than 20 cubic yards of imported fill;or are located less than five feet from the property line. Escrow for erosion control and engineering review costs $2,500 lReference: Citv Code Section 78-1405(5.111 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 one wall unless the walls are se arated b twice the hei ht of the lower wall. Stairway or Lifts to Lake(New or Replacement) lReference: Citv Code Sections 78-12821 $50+engineering review costs Escrow for erosion control and engineering review costs $2,000 Structure Permit for other structures 200 sf or less not requiring a building permit but $50+engineering review costs regulated by the zoning code lReference: Citv Code Section 86-661 Escrow for erosion control and en ineerin review costs $2,500 Tree Removal or other vegetation removal within 75 feet of lakes No charge. R ference: Ci Code Section 78-1285 Pre-ins ection re uired. Tem ora Construction Office/Trailer associated with buildin ermit $30 Updated: May 2015 APPLICANT/OWNER ACKNOWLEDGEMENT: ,,. , • ApplicanUOwner 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; • ApplicanUOwner 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/or 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 ou refuse to su I the information,the a lication ma not be issued. The undersigned certify that the infor ion supplie�d i�true and rre�t to the best of their knowledge. Applicant's Signature: (j � Date: 2— � �/ � � 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 each,where applicable, plans, landscape plans,grading plans,surveys or site plans. Dock,Commercial 1. Structural plans for the dock 2. Survey/site plan 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 Alte�ation, 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 buildin rmit without information from the MCWD. Land Alteration, Mlno� 1. Survey/grading plan including existing and proposed 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. 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 buildin ermit without information ftom the MCWD. Retaini�g 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 buildin ermit without information from the MCWD. Stairway or Lifts to 1. Construction plans for stairvvay 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 Vigger any of their permitting requirements. Please note,the City will not issue a buildin ermit without infortnation from the MCWD. Structure Permit 1. Construction plans. 2. Survey/site plan 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 buildin ermit without information from the MCWD. Tree Removal Call: 952-249-4600 to schedule an inspection for removal of an individual tree(s). A re-planting plan/erosion control/ mana ement lan ma be r uired for clear cuttin ,buckthorn or other intensive ve etation removal. Updated: May 2015 s , . � Ia r �e �v � � C o k/ y r � re cked `- �o ��D�✓ � -� � � � X � � G� --, 0 � � � � �. � C � � � 5 ,/ ATE TIME CITY OF ORONO CALLED IN – –�/�, INSPECTION OTICE SCHEDULED —�J�'—��.l� PERMIT NO. ��� COMPLETED ADDRESS � �-r�- OWNER ✓� �� LEPHONE NO.���-5�7 3�` CONTRACTOR /��'e– � DESCRIPTION � �P— ��Uv � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ CAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE I PECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O , � O � " W � Q � 2 W � W � j * d W ❑ RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CO CT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. ` Call forthe next inspecti 24 n . (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� y � J �'�`� DATE TIM CITY OF ORONO CALLED IN ` INSPECTION NOTICE scHe�u�E� [ �� PERMIT NO. ,�T� l l a'����� coMP��� ADDRESS JC� �7 /' C��z,l� L--/'� OWNER TELEPHONE NO. CG(z -�c�-���,�,v CONTRACTOR ��'-�-�-�J� �J ����� � DESCRIPTION I�-��--' '�C�.�Y-�r�� 6�a-� � ly ❑ FOOTING ❑ DEMO-FINAL�`��� ❑ SEP C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ CAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ S E INSPECTION Q ❑ FRAMING ❑ MECHANICAI FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC I $TALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES NO c�.� COMMENTS: � � ��'�-�" � /g�� , a �Y� � �!f p : �d f ��GU�-Q >> ��� j ��C/ � ��h—� (.c..?'� 0 � 0 � � � Q � � z W � W � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. s� Caii for the next inspection 24 hours in adva . 9 � 249-46�� OwnerlContractor on site: -�`� r Inspector: White Copyllnspector's File — Canary CopylSite Notice