HomeMy WebLinkAbout2015-01054 - tree removal CITY OF ORONO * z 0 1 5 - 0 1 0 S 4 *
2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015
- ORONO, MN 55356-
. (952 249-4600 FAX: 952) 249-4616
ADDRESS : 543 PARK LA
PIN : 06-117-23-41-0043
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 008 BLOCK 006
PERMIT TYPE : TREE REMOVAL WITHIN 0-75'
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TREE REMOVAL WITHIN 0-75
NOTE: A MAPLE&AND OK ON EITHER SIDE OF STEPS TO LAKE,BOTH APPEAR AND ARE VISIBLY HOLLOW. OK'D ON 08/19/15
TO REMOVE BY CITY INSPECTOR.
APPLICANT TREE REMOVAL 0.00
TOTAL 0.00
RAINBOW TREE CARE
11571 K-TEL DRIVE
MINNETONKA,MN 55343-
OWNER
JOHNSON,TERRY
543 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 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 requices 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 �y/�
revoked at any time for due cause. ,
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Applicant Permitee ignature Date Issued Signa e Date
� � ` City of �rono
. Zoning Pe�r�nit A �ication
� Mr:uling Address; Permlt number; — Ol S �
�O^r� PO Bax 66 Date recoived: �`l /`l
` y Crystal Bay, MN 55323-0068
Escrow#�and _�
Sfreef Address: amount'
� 2 i 50 Kelley Parkway Permit�ee: .
,�, �' Orono, MN 55356 ,nA�
F G Approvod by, 1 v"
���fiS�p�`` F�x; 952-249-4616 Notes;
M,�in', 952-249-4600 f
yv,vw,C�,..orono, ,I1,L15
This application form must be completed in full end all required inform2tlan must be submitted. (Ple�sa print.)
Job Site Addross: �:�a3 Park L.ane, Orono, MN, 55356
CON7RACTOR!APpLICAN'�' INFORMATION:
Namo: ��i11110�N_IIH�.� .
Phone: 952�922 3810 Fax;
Adclress; Cit : {Y�N{ 1 ZIP'
�.T �vp
Cantact f'erson; �. _ Contact's phone nu �p��' �
Email olundstrnm cGOrainbowtreeCare.com qpplicant is: ontractor Homeowner (Gircla On��
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I�ROPERTY OWNER IN��RIMATIDN:
Name� Suzann�_�Johnson ..
Phona (day); Fi17-41f;-�1:z47 Z1P;
Mailing Address; 543 �'ark Lane Orona MN
Emai1 and/or Fax �,,,�,,,,�,a'�;g�a_. •
Overall Project Descriptian Removal of storrn dama ed White 08k& Haz2rdous Ma le on shoreline.
PEE
Check TYNE OF PERMlT collecfed whan ermit is issued
Box
Dock,Col'nmercial $50+engineoring revfew costs
Escrow for erosion Control and en ineerin review costs $�0�0
Dock, Residential -- Permenen# dock on ��y lake or initial seasonal dock not on Lako $50+enginoering revi�w co9ts
Minnotonka ermanent dock re uires CUI�
HardCover Permit:D�fvew�y, Patio,Sidewaik,etc.�New or Replacement) Na charge
Also ret uires ls a Mlinor or Ma'or L.and Alteratfon Petmit
Land Alteratfon, AAa]or (grading, filling, ar axcavating) of more than 500 cubic yards $50
beyond the lakeshnre setback OR more th�n 50 cubic yards within the lak�shore setback
(also requires Conoitional Use Pmrmit)
lRcf�rprrce:_Ctt�cofre Socdo 78-987 -1247 and 7 - 2a6
Escrow for erosion control and englneoring revfew costs As determined b CUP
Land Alteration,Niinor(grading, fillfng or excavating)of 51 ro 50o cubic yards �eyond the $50�englneering review cos#s
lakeshore setb�ck r,)�50 cubic yards or loss withln th�lakeshore setback
fReferenca:_C(fl�cie Secxlons 78-967 78-?247 and 78�
Escrow for erosion control and engfneering review costs $2 000
Retaining Walls which exceed two feet in height above existing grade; or result in more $50+engineering review costs
than 2Q cubic yards of imported flll; or are located IEss than flve foot from the property Ilne,
Escrow for erosior control�nd enginoering review costs $2,500
Refar+ence• Ci Co+ie SecRion 78-9405(S.i)1
Retaining Waps wliich measure moro than four feot(frnm bottom of footings to top of wa11)
require a bullding I-�ermit. Tiered ret�ining wans are considored one wall unless the wa11s �
are so arated b tv�iice the heiqht of the lower wall. _
St�itway or Llfts t�i I�ake (Nsw or Replaceme+nt) lRefprencs: Cttv Code Secrlons�8- zsz $50+enginaoring review costs
Esct'ow for erosior� co��trol and eng{neering review costs ' $2,000
StrucCure Pel'mlt for other structures 200 sf or less not requiring 8 buliding permit buk $50+Cngineering review costs
regulated by the ZGning code RsPe ce: Cit Code ct;on 88-66
Escrow for eroslor� control and en inearin �eview costs 2 5d0
_/ Tree Removal or c�the�vegetatlon rornoval within 75 feet of lakes No charge.
`� � Rofv c � Crt Cade 5e 8-1285 PI'e-ins oction fe uiN'ed,
�Tem ora Construccion OfficelTraller(associated wlth buildingTpermit $30
U�dated; May 201,
, , APPLICAN710WNER ACKNC)WI��DGEMENT:
• ApplfcanUOwner agrees to pravide all informatlon requfred or requostEd by the Plsnning Departrnent;
,,,
•� Owner agrees to pay the Cpty of Orono for englneeNng consultant review aosts where appllcable;
. ApplicanvOwner ceRifies that the informatlon supplied is true and ooneCt to the best of his/her knowledge. 'fhe appliCant I'eCognizes
that they are soleiy responsitrle for submitting a complete appiication 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;
• Appllcant/Owner underst�nds their project may require an initial er►d/or as-built Survey per C9ty Code Section 86-B8.
• Some or all of the information that you are &sked to provide on this application is classified by State law as �ither private or
confidential, Private data is information which generally cannot be given to the pubiic but can be given to 4he subjeet of the data.
Confidential data is informaiion which generally c�nnot be given to either the publlc or the subjed of the data. Our pwrpose and
intended use of this information is to annually update aur racords and records of other govemmental agencias required by law. 1f
ou refuse to su I the info�mation the a lica�on ma not be issued.
7he undersignad certlfy that t��e inf ation supplied is e and correct#o the best of thei�knowledge,
Applicant's S[gnature: � Date: , ��! ��� � _ __
Property Owner's Signature: D�te;
SUBI411SS.ION RE.QUIR�M�1V_LS: Exoept for tre� removal permits, all pertnits requlre a completed
TYPE OF P�RMIT: appiication form, escrov,►agreement(signed by the property ownor) and escrow check irom owner,
two c:opies of each,where rtppliaable,plans,landscape plans,grading plans,surveys or site plans.
DoGk,Cpmmercfal �. Strudural plans Par tho dock
2. Survoy/slte plan showing the proposed Ioca6on of tne tlock
3. Copy of LMCD permit
DOCk,ReSidBntldl Seasunal Dock—survey showing proposetl tloek
Permar�ent Dock� lans as a rovecl b CUP and co of I.MCf� ermit rf a licable
HardCover Pe�'mlt 1. .NI Minor or Major Land ANeratlon Pertnii requlrementa apply�s appropriate
2. ��lardcover calculations,existiny and propo�etl
3, �urvey
I_and Alteratlon,Apajor 1. ;iurvey/gradfng plan inGuding existing sntl proposetl contours as approved by Condl�onal Use Permtt
2. L'•raslon control plan,
3, <+copy ot Minnenana Creek watershod Dlstrlct(MCWD)permfts or documentatlon from the MCwD ste6ng tne
proposod proJect does not Vigger any of their pertnitting requirementa, Plaage nots,tne City wu�not issuo a
bulldln ormlt without fnfonnation from tFie MCWG.
Ldnd Alteratlon,Mlnor �. survey�grading ptan Including exlsting and proposed corttours
2. l�mouni of flll to bo fmported and/or exported and haul route
3. nmownt of earth to be moved arvund on aike
4, Erosion contro�pl�n,
5. A copy of MinnenAna Cresk watsrshed Dlstrlct(MCWD)permtts or documentation from the MCwD staUn9 the
proposed proJect does not trigger any of their permitting requiremants. Ploasa nots,ths Cky wlll not�sue a
bundin annitwitnout information from the MCWD.
Retalning Wall 1. Plans 9or wall(s)
2. Unless repafr or exsd repiacement nf existfng wan,submit an updatea survey with grading plan Including exlstl�g and
proposetl contours
3. Harticovor calculation worksheets If In shoreland district
4. L"roslon cant�ol plan
5, �copy af Minnehaha Creek watersnad DiRtrict(MCWD)permits or documenketien from tne MCWb statlng the
proposed project does nat trlgger any of thelr pormftting requlrements. Pleaso noto,tl�o Clty wlll not Issue a
bulldln ormk wkhaut IrHarmadon from the MCWD.
Stairuvay or l,ifts to 1. c:onatructitln p�ans for atairvvay or lifl,inclutling footings
�ake 2. ropographical survmy of proporty wlth proposed stalrs or Ifft shawn
3. L'•roslon control plan
4. A Copy of Minneh9hA C2ek Water4hed District(MCWD)permits or documentation from the MCWD etating the
proposed proJect dces not trfgger any of their permlttfng requfrements. Ploase note,the City wlll not Issua a
bulldb armit wlthout InfortnaUon from the MCWp.
Structure Permlt 7. C:onstruction plans.
2. Survay/site plan ot propo�ty wlth proposod structura shown and wlth setbacks to property Nnos,other struduras on
F�roperty and the sepSic system indicated,The general locatfon of any sewer and water servlces should be shown N
applicable,
3. i�rarling plan if graeing Is proposea.
4. f4ardcover calculatlan workshoots
5, Eroslan contral plan,
6, �copy of Minnehaha C�eek W�tershed pistrict(MCWD)permits or dvcumentaGon irom the MCWD stating the
proposad proJcact does not trlggar any of thefr perrnfuing raquiremer�ts. Pleasa noce,tna City w111 not iasue a
r.iulldln rmlt without Informatlon from the WICWD.
Tree Remorral Call; 952-249•4600 to�cHodulc an in�podion for romoval of en Indivldufll tree(s). A re-planUng plan/eroaion control/
mana��emerrt plan may be requiretl for clear cutring,buckthom or other intensive ve etatlon removal.
Updated; May 2015
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..D�b DATE T E
cinr oF oRONoa��s ��
INSPECTION NOTICE SCHEDULED
PERMIT NO. OMPLEfED
ADDRESS ��� �L
OWNER LEPHONE N01��Z "L �S�I6�I'�7
CONTRACTOR
� DESCRIPTION ��/ �e � ^ �
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
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
_
v ❑ DEMO-SITE ❑ SEPTIC I TALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES NO /
c�., COMMENTS: � ���`��.
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Ca11 for the next inspection 2a hours in advance. (952) 249-46��
OwnerlContractor on site:
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^--••is�te Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.a��' /0.��{ COMPLETED
ADDRESS Sy3 �a� L.Pile
OWNER �G '��''��''� TELEPHONE NO. ��a' � y�g � ��y?
CONTRACTOR '�"T�� T��e ���@
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� DESCRIPTION T�e� ���v�L ���•�- �~ �
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
��NAL ❑ WATER HOOK-UP FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F UNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: /�c i�"'� 'c 1,o�c�- -�'+ ./�� �' ct���v
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� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORAFiY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector: �/�►^-'��
White Copyllnspector's Ffle Canary CopylSite Notice