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Home My WebLink About2000-P03171 - retaining wall � ' � PERMIT G�TY OF ORONO � `2750 Kelley Parkway- PO Box 66 Permit Number: Po31�1 Crystal Bay, Minnesota 55323 Pe�mit Type: User Defined (612) 249�600 Date Issued: io�2�i2o SITE ADDRESS: 1380 Rest Point Rd MOUND,MN 55364 P I D: 07-117-23-3 3-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Retaining Wall DETAILS: Approved per resolution#: 4552 Sepazate permits required: NOTICES/REMARKS: ZONING FILE#2630 FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 7,000.00 TOTAL FEE: $ 139.25 APPLICANT: GREGG LARSEN OWNER: GREGG LARSEN 229 BENTON AVE 229 BENTON AVE WAYZATA,MN 55391 WAYZATA,MN 55391 TI�UNDERSIGNF�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 BUII,DING CODE REQUIREMENTS. La^'"l v SSUED BY SIGNATURE Copies:City,Applicant,Assessor,Finance Page 1 , �13i�1 '`� Total Fee: $ i 3�f• a S- Date Received: j�/Z � ' Entered By: �.� . Pernut#: �}-Q ,�� / CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all in ormation) THE APPLICANT IS: (circle one) OWNE CONTRACTOR JOB SITE ADDRESS: (3�v �'� p°S'^'�' � ZIP: SS~3 Ca � NAME OF OWNER: �� t"O�"'� PHONE: (home) �5'z--'-�Jv-7.2•.tc� (work) 12- 719-Y�f 7'7 MAILING ADDRESS: 22� E�Gn�f� �Y`��CITY:��!�..� ZIP:�� COti'TRACTOR • PHONE: '8�'-�-' d2-S�v CONTACT PERSON: S�•o'f" �y�✓�iL/ BILE/PAGER: �' MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �-� PHONE: 1�1�II,ING ADDRESS: CITY: ZIP: r;��; REGISTRATION# T�'PE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration� PRQPOSED WORK(describe in detai�: �q,G� �P,_.�� 7A�+Yidi2r- ��5 �'t� ��.�t� wu.l tJ' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '?�l�b�' 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 pernut 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: �S 2' �Z� NOTE! Parade of Homes events requare separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. � , ,,. . • Sec.13.04 RIGHTS OF SLIBJECTS OF DATA Subd. i. Type of data. The rights of individuai on whom the data is stoced or to be sto�ed shall be as set forth in this secdon. Subd.2. Information req�red to be given individual. An individual asked to supply private or confideadal dara concerning himself shall be informed of: (a)the purpose and inrended use of the iequested data wichin the collecting§ta[e agency,poliucal subdivision,or sratewide sysum; (b)whecher he may refuse oY is legally required to.supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply privace or confidendai data;and(d)the idendry of other penons or enrides au[horized by state or federal law to receive the daca. This requirement shall not apply when an individual is asked to suppty invesrigadve dara,pursuant to secdon 13.82,subdivision 5,co a law enforcement o�cer. The commissioner of re�enue mav place the nodce rewired under this subdivision in the individual income tax or provertv tax refund instructions instead of on those forms. ., • , , Subd.3. Access to data by individual. Upon requesc to a responsible authoriry,an individual shall be informed whether he is the subject of stored daCe on individuals,and whether it is class�ed as public,private or confidential. Upon his further request,an individual who is the subject of stored p�ivate or public dara on individuals shall be shown the data without any charge.to him and,-if he desires, shall be informed of the content and me�aing of that dafa. Afrer an individual has been shown the private data azid informed of i�s'me�uing,che data need not be disclosed to him for six months thereafte[unless a disp�or acdon pursuanc w this secdon is pending or additional data on the individuai has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of rhe data. The responsible authoriry may`require'the requesdng person to pay the actual costs of making',certifying;and compiling t1?e eopies. The responsible authority shall comply immediately, if possible,with any request made pursuant co this subdivision,or within five days of the date of the request,excluding Santrdays,Sundays and legal holidays,if immediate compliance is not possibte. If he cannot comply with the requesc within thac dme,he shali so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. �, , , , , �' .', Subd.4. Procedure when data is aot accurate or complete. An indiVidua�may contest tlie acCuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing�he nature of the disagreement. The responsible au[hority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data,including rocipients named by the individual;oc(b)nodfy the individual that he believes rhe data to be correct. Data in dispuce shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The decerminarion of the responsible authority may be appealed pursuant to the provisions of the administradve 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 pemut 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 information you furnish will be used to.determine your qualification for the permit or license requested. � �. �ou may Yefuse to'supply data; but rzftisat may �equire 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 permit or license. 4. If your requested permit or license requires Council action to approve, some information may become pubiic. 5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Ypur full mame is required to process this application or permit. ��"�'eTo� � � � -!�.�J First �1�ddle Lasc 2 ��J ''�v`� Address '!hn/ �3 � � /�_a,.,, �7�i�-2 Zt{� 1/v'�-�'z��a-- Ciry State Zip Phone I under's.t my4rights as stated above. Signamr ' ` . CAECK OFF LIST FOR ISSUANCE OF PERII�IITS �,'� ' FOR OFFICE USE ONLY , � . ' ' ADDRESS OR LEGAL: 1'��v 12i�� Ipo�� ,o PID: DFS CRIPTION OF WORK: I?.E rv� �,.� �N � c��c,c..S . ZO�'L\'G REYIEti�BY: DATEAPPROV�D: /�-3.6-0� BUILDING REY��BY: . DATE APPROYED: r�• � •� FEES TO BE CHARGED: Misc. Fees Calculated By: pEg1VIIT Yes _� No :• pI,AN REVIEW Yes �' No SEWER COYi�FECTTON STATE SURCHARGE Yes �/ No WATERCONNECITON INVESTIGATION FEE. Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) ZO`1ti G CH�CS LIST Zonin;Dis�icc: L 2- r(3 . Fire Department: �NI d u N 4 Post Office: In/��o��v✓� School District: w G S'c-�D NI� � Lot Atea: Sq.fr. .� �L9.�Acres . 3 3 � wid�n I oo Depth !b3•S Z s /9vP Surve; Sub�.itted: Yes ( No Date of Survey: � �r�„ t5_.�oo Proposed Setbacks: Froa[(La.ke): Right Side: � Rear(Street): Left Side; _ Adjacent Structures: Wetland: • �� ` Buildin� Hei;ht: Def. H�t. Peal:Hgt. _ Loc Covera�e: Grading: Scaff Approval Date: By: Council Approval Date: Septic: Staff Approval Dace: By: Zoain;File: # Zb3u Resolution: � '-i5 sZ Resolution Dace: � n•_Z3•o� Shoreland District: Av;. Setback. �v[�- Blufi Setback: �! 1/; I.flt Coverage: E��o Proposed Hardcover: 0-75' � , ° 75-250' 4 I.2 Z50-500' 500-1000' -- Hardcover Variance Required: Yes�C.�, No Date af Council Approvai: � D •Z3-�J gE1�L�.RKS (in house): 7 ' ). . , . BUII..DING REVIEW CHECK LIST UBC: N ��' CONSTRUCTTON TYPE: C"'� . Sq Footage $ Per Sq Ftg Sasement ' z = lst Fioor z = 2nd F1oor z = Garage x = x = TOTAL �o Fstimated Construction Value: $ �� Inspections 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 (MfgJ Well (State Permit) . �Final Grading/Filling Electrical(State Permic) REi1�IARKS(IN HOUSE): � REVIEW BY OTHERS: � ' DATE: Access: Ezisting New Access Approval: Date By; — __— -------------------- REVIARKS (TO BE NOTED ON PER�VIIT�: ��2- (Jc{!Pp �'n.o•J � e�~�~_ 17�. s o c...� �,.er-,�c � �i S S'Z- 8