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HomeMy WebLinkAbout2001-P03431 - land alteration � PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3431 Crystal Bay, Minnesota 55323 Pet'mit Type: UserDefined (952) 249-4600 Date Issued: iiio�2ooi SITE ADDRESS: 2601 Rainey Rd WAYZATA,MN 55391 PID: 04-117-23-44-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Land Alteration(SOl+cu yds DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: i FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 I TOTAL FEE: $ 50.00 APPLICANT: BOLLi�& sorrs, irrc OW NER: K M&P M suxTorr 11401 COLINTY ROAD 3 38 ADDRESS LJNASSIGNED HOPKINS,MN MN 00000 THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQULREMENTS. y � "'� / �Ct ti �- L� f.� � �C. c.f.� Ctj''"�lai' <'�i' APPLI AN PERMITEE SIGNATURE ISSUE BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 a , �� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: .��=(�-�C'1 '�`.`�-�E' � � f``lC'C�C� PID: ("�_�� — ( 1`-1 - -�=3 �- L-I�i -�C:,;�%�; `�. DESCRIPTION OF WORK: (" � ,��d, ��C'-�1t�'����_ �"� � (��� <<;�;Z��r 1� ------------------------------------------------------------------------------------------------------------------------ ZONIi�1G REVIEW BY: �'...r ���� -- DATE APPROVED: t-���`>�� C; BUILDING REVIEW BY: � ` ��;1, �,,�__ DATE APPROVED: ------------------------------------------------------------------------------------------------------------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes 7� No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: I��� -l \`� ` Fire Department: �UV' �-��-�-� Post Office: �,�� �,� ��"�`��-- School District: �,%�"�" �`\C. Lot Area: Sq.ft. �� �-<`�� �;� A�res Width Depth Survey Submitted: Yes� No Date of Survey: ;� �z:�-C'C Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. " Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: I �-�' � �L C7 Septic: Staff Approval Date: By: � Zoning File: # � �'�- .�`� Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000" Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house)� ' `' ���(.;�1 � � � � '^ `J "<<` ��� ��-�'�-� ��� � ��� /"L�' i�'���`CL:.� f�n��"�.�ec� � t� (" C'. �l-_�� t�C�. _ ,. 27 .�� BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ In�ctions Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) Final Grading/Filling Electrical (State Permit) Other -------------------------------------------------------------------------------------------------------------------------------------------- REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: -------------------------------------------------------------------------------------------------------------�---------- RENIARKS (TO BE NOT'ED ON PERMIT): 28 � � op . Total Fee: $ �O• Date Received: j � -� - �'C-� Entered By: _� Permit#: � :���.�> ' �. aY :7� ,� � CITY OF ORONO - BUILDING PERMIT APPLICATION � ��'� � All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------�====-f='---------------------------------------------------- THE APPLICANT IS: (circle one) .!OWNER OR CONTRACTOR � . ,��� � JOB siTE AnnxEss: �0 i ��1�-�� I�'� zir: ���� � � ;����-� , . , � ,�� �� r ��; � NAME OF OWNER: ���- '����C��'���-I�}-�HONE: (home) �3 y Z/- UU�� (work) ���,� � y���—1 y,60 MAILING ADDRESS: �/ �,� �',�U i�';<J �✓��t(� CITY:S hu��t� 1�-};��� ZIP:� CONTRACTOR: r��l'�--�C%� `�� ��'"�—� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: �� ,( tt�_ ,���, .� � CITY: ZIP: �1��� STATE LICENSE: # � ARCHITECT/ENGINEER: 't��Z�� I�a�'1���1�� PHONE: �.-���� �Z-'-�Z��C? MAILING ADDRESS: � 1 :%'�� '�,�; I `' � �,-� CITY: ;�!�?���� ZIP: �S?�_,"7� NAME: REGISTRATION# c='[2��S 1 TYPE OF WORK: New i� Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detain: ���-%��Zf����=� �'(� c''�y h�C�/�'�ti��'' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a pertnit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: IZ V� NOT�! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 � Sec.13.04 RIGHTS OF S[JBJECTS OF DATA • Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Informatioa reqaired to be given individual. An individual asked to supply private or confidential data conceming himself shall be infocmed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) whether he may refuse or is legally required to suppiy the requested data;(c)any known consequence arising from his supplying or refusing to supply private or wnfidential data; and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5,to a law enforcement officer. The commissioner of revernie mav place the notice rewired under this subdivision in the individual income t�or nmpertv tax refund instructions instead of on those forms. Subd.3. Access to data by mdividual. Upon request to a responsible authoriry, an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classifiefl as public,private or confidential. Upon his further request,an individual who is the subject of stored privaoe or public data on individuals shall be shown the data without any charge to him and, if he desires, shal!be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or created. T6e responsible auihoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies. The tesponsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision, or within five days of the date of the request,excluding Saturdays,Stiu�days and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing the nature of the disagreement. The �esponsible authoriry shall within 30 days either: (a)cor�ect the data found to be inaccurate or incomplete and attempt to noafy past recipienu of inaccurate or ic�omplete dara,including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's staument of disagreement is included with the disclosed data. The determination of the cesponsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The inforn�ation you fumish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the pemut or license. 4. If your requested pemut or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or pemut. First Middle Last Address C��y State Zip Phone I understand my rights as stated above. Signamre � 10 �- � Mi�neh�,ha Creek - � W�,tershed District � � Improving Quality of Water, Quality of Life , November 29, 2000 Gray Freshwater Center , Mr. Patrick Burton Hwys.15&19,Navarre � 2601 �i�,ainey Road Orono,MN 55331 Mail: �; MCWD Permit Application No. 00-363 2500 Shadywood Road Excelsior,MN 55331-9578 Dear Mr. Burton: Phone:(952)471-0590 'I'he Minnehaha Creek Watershed District Board of Managers reviewed the above Fax:(952)471-0682 mentioned permit application at their Board meeting on November 28, 2000. It was the action of the Board to approve this application with the iollowing conditions: Email: . Reimbursement of mailing costs in the amount of$21.75 admin�minnehahacreek.org ' • Reimbursement of Rule J fees in the amount of$272.40 Web Site: • Submit a surety for erosion control in the amount of$1,500 � Submit a surety for wetland alteration in the amount of$5,000 www.minnehahacreekorg . Submit a declaration for the preservation of the 35-foot and 16.5-foot buffers which must be recorded Due to the size and complexity of certain projects,the Board, by Rule J,requires that site ; inspections be conducted.In these cases,the applicant is required to pay to the District, a Board of Managers � fee equal to the actual costs of analysis of the project, field inspection, engineering Pamela G.Blixt ' services,legal services, and any subsequent monitoring of the work. These costs are refened to as Rule J fees. James Calkins Lance Fsher Once the above mentioned fees have been paid and the other conditions have been met Monica Gross staff will issue the permit. You are reminded that work on the project cannot begin until the permit has been issued. This permit expires one year from the date of this letter. If ScottThomas final municipal approval of the project results in changes to the project you must submit Malcolm Reid revised plans to the MCWD for review. Robert Schroeder please call me at 471-0590 with any questions. , Si cerely, B r�a J �oel el� District Technician c: Herb Baldwin Paul Weinberger,City of Orono Lisa Tillman, Wenck Associates � � � �a�x.a m�cya.a o.ox c�+:.q a I�t 3ox voet canuner wesa. 4 ;� i