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Home My WebLink About2002-P05066 - land alteration . �1TY OF OR N PERMIT O � Permit Number: 2750 Kelley Parkway- PO Box 66 P05066 Crys#al Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: 4/24/2002 SITE ADDRESS: 2760 Shadywood Rd Excelsior,MN55331 PID: 21-117-23-24-0040 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: User Defined Permit Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Owner/Self OWNER: MT•&Mrs.Lindley M� 2760 Shadywood Rd Excelsior MN 55331 THE UNDERSIGNED 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 REQUIREMENTS. . �� APPLICANT PERMITEE SIGNATURE SUED SIGNATURE Conies: 1-File(SiQnitures Reouired), 1-Anplicant 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 , � � Total Fee: $ �j"c"�� `�`" /'; Date Received: �/ 11 c` 1 Entered By: �Fyrk_ P�/,Y�X Permit#: �� -- -� `(,�(�(�% ��-� \ CITY OF ORONO - DING PERMIT APPLICATION ��:,��, � All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR JOB SITE ADDRESS: ��7� c`� �H�D S-'r.r�� /�J� ZIP: `�Sp3 �3 / NAME OF OWNER ��L�'�-,iIJC Y ��.T�/�� /�1.��;' PHONE: (home)�/.Sz -�7/- 3/�% � � (work)Cr�z,�,��'n�� -�7�>3 �-�3`�-�0 7� MAILING ADDRESS:��`�/(r�� ff!4/�i G�f�OD K?� CITY: ��'�>>N v ZIP: J� 3 3 I ��, CONTRACTOR:= Sj�,�;� �'4�'��S PHONE: ��S Z ��'�'�'�" .,��,5 / CONTACT PE RSON: — M 'I f�t i�K��c'_ MOBILE/PAGER �i z - � �'� - 3 r 7 0 MAILING ADDRESS: ��C� ��' S �D CITY:�k�� c.,5io,�'_ ZIP: 5�S 3 _� % STATE LICENSE: # �- � > v ��' � ARC�IITECT/ENGINEER: �� PHONE: �C� MAILING ADDRESS: CITY: ZIP: �� ,�NAME: REGISTRATION# � TYPE OF WORK: N�w Addition Accessory Structure Move Remodel/Alteration Land Alteration_�;,v J.��Pi NC� PROPOSED WORK(describe in detai�: �,q,�vvS�':4t'� r/iL-� �'.�J ti`�� Siv f a� i)�'�r/��cJrgy _�x r��ti,� ��E', �'��'�✓ `rr �-��.�r �,�'�S�S ��'��t�c�; �c ,9.�vr�SC'��,,�v�T STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � ��r�. �-c� 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 Ciry and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. ! l APPLICANT'S SIGNATUR�r�� DATE: �,�� `��c z� t.:.rl�- j� �✓�'c-�.��? �. NOTE! Parade of Homes events require separate pernzit c� roval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 : _ , Sec.13.04 RIGHTS OF SUBJECTS 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. Information required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and inte�ed use of the requesred data within the collecting state agency,polirical subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry 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 revenue mav olace the notice required under this subdivision in the individual income tax or prooertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. 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 classified as public,private or co�dential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires,shall 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 acuon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesring person to pay the actual cosu of making,certifying,and compiling the copies. The responsible authority 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,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that ame, he shall 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 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 notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the respo�vsible authoriry may be appealed pursuant to the provisions of the administrative procedure act reladng 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 �ity 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. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shazed 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 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 permit. r�`� ��Z/Y�E' Ct.,,, - i-C'�-`.-�- First Middle Last Address C�ty State Zip Phone I understand my rights as stated above. �� Signature 6 . , ; , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Zl�O S H ADY W O O� �Zo�A�o - PID: DESCRIPTION OF WORK: (,�iv✓� p-��-�.n n.,.� ZONING REVIEW BY: DATE APPROVED: c� y- z Y-o z BUII..DING REVIEW BY: DATE APPROVED: ---------------- ------------ ------------------------ ------------------ FEES TO BE CHARGED: �''��"� A'��1VIi�c.F s Calc ated�By:��WN PERMIT Yes ✓ No PLAN REVIEW ��s--r— No SEWER CONNECI�ON STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes �To� Date of Survey: Proposed Setbacks: Front(Lake): Right Side: s�-,6,�f o�e Rear(Street): Left Side: Adjacent Structures: Wedand: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: �/- z y-v L By: o-U . Council Approval Date: — Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: y-C 5 Avg. Setback Bluff Setback: Lot Coverage: Existing Proposed 0•�� Hazdcover: 0-75' �►'r 75-250' a� 250-500' ��, 500-1000' - Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 ; _ BUII.DING REVIEW CHECK LIST UBC: � CONSTRUCTION TYPE: � , �" Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = R = TOTAL Fstimated Construction Value: $ L/�s�N� RG4� ,� �2r�,�,,,^ �cr� e � ' fo` Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover 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: REMARKS (TO BE NOTED ON PERMII�: 8 � Proposal Date Proposal# • 3/13/400Y 13Z0 Geative landscape planning and e�ert installation!! 952-474-1951 7200 Kings Road Eacxlsioy Mn 55331 Today's Date Rep Clarona and Jeaa Lindler 3/13/2004 TAH 4760 Shadywood Road Excelslor,MN 55331 (954)471-H189 Terms Pro}ect P.O. No. Warranty SO%down SO%on wmpletion D�irew�ry Boulde... Y�s Wa hereby propose to deliver and install the following materials as per the agreed upon plan with the quantifies as foilows... Qty Size Description MobilizaHoo apd site prep including drivewar profestion with 4-6 psices of piywood. b Hrs Machine and hand exa�vation for the new walis. 4 Loads Hauling away t6e excavated soil to an approp�iah dumping aroa. S70 FtZ Install bonlder�rulis according b the plan using boulders roaging fros 18"ro 36"in site. 4 4' Techor ArborviMe 4'BB S 18" DMrorf Koroan Lilac 10 1 Gal. Stella Dd Oro Deryliilr 1 Gal. 3 15" Blue SMr Juaiper S Gal. 3 18" Aedorra tompa�t Juniper S Gal. 1 S' Pagoda Dogwood 5' 6 Yds Shredded hardwood muld�/yd 6 Hrs Miscalidneos Labor b install the p1aM moterial. S Hrs Site Cleaaup and detail work We will take precautions to proted tbe dri�wrar with plpwood when dowpisg tbe boulders but do ro ladc of work space we con ��,�� ,i not be rosponsible for damge done b the d�iwway due b oonstrudion. �V� All conshvdion is warroMied for fire yenrs against aetHing .r0�' haning or poor worlaaanship Signature� � r Page 1 . _ Proposal Date Proposal# � 3/13/400Z 13Z0 Creative landscape planning and e�ert insta)lation!! 952-474-i951 7200 Kings Road Eacelaior,Mn 55331 TOC�ay's D�e Rep Clarence and Jsaa Lixdley 3/1 S/4002 TAH 4760 Shadywood Road Excelsior,MN SSHS1 (954) 471•3189 Terms Project P.O. No. Warranty 50%down SO%on complation D�ivewar Boulde... Yes We heroby propose b deliver and install fhe fotlowing materials as per the agreed upon plan with the quantities as follows... Qty Size Description Plant materials are warranHed for 8 years past the ampletion of the proiect. All constrndion is warraMied for fi�e years against setHing hea�ing or poor worlcmanshlp TOtd� �14,600.00 Signature ----�� P�e2 , . ! „ �`��\l��l f�; '� ; , ��4t�f�l!(1j�' o �:_ Z-T - /�,2� �T�� _ � � /��%'r - ' � P � �� ,� ( + � 0-- I o � _ 1 � ci . o _ �'J�^,-ll'K �o ' � . � . 0 � C— — f.l�t'- � 'J L!�1'� � _ ' � �o► . - RS 1 I � a �_L� S�'t..1..1� �(-�'�� I C.� - - � �.yl S�i,�i{� �21��t=_��1it� � �' � � ��t�r �- � � � ',-� �\�\�ttt( � �; c J � Q , - �- o � � � � .:-�'`��''�/, % � ' � � F��cv �� cII �� , �� . � N � 3 � ``��1�,'��, �-�� ` /`-��` � �' � � - " 3 v�.Q �c�-�uNo � � - � �: ; �, �` � U� � =f � 1 i� �` ; �..�,.� C��t2_ �„�A LLS �- �'�\�t Q W � � � � � U � — A � �z� � --�� . � �- ..�, ��i�t�' - �� S,►�./1 t�,�a� T�, r=xi sfiir�lL.r = !'';. % �.�, + :- i . � �Q � ,-- �� r'- . � y�.. .,, ; � �1��.Y�^f � ;.^ /��i�° •�'. . , - �a r 1 � � - � x . � { J�_^� .. � j�� j . r \ � " �- ^. . � � � . i -�F( � � :� r ! l ; j ( .# � T Y r � , . _ � . �� . �� [l, . � , , .. ..... ' � .sLc f'�IlA I �� 1 4 '� '�� . .. ---- -,��_ a � �� ` �=�� ' _ � �� s = ,,_ , . . . � � � .i r 4 ;i ^ � - j� � 3Y _ .. •.� . . � R .. . � ��s �z ,} � . � _ ,r:. '�-.-.� , � J ..,\ �� 1� r' � J . / ln 1� ,�\3' L ` �, Z :;:c - _ "�\ � , � � � ,EX!5 t"t�LCs �E_t.iC� ��c t S 7'rN Ls F"Fl.1LC_ -4 O � J W . U x W . ovo c r�� ,� . C1TY OF ORO'�O - � � � SITE PLAN � GRpDING PLAN � � Q/L� V�P w+'�7 S� � `. �'i-APPRa�1EG z . � ��P� G APPRuV�G �;;,'i��irl REVISIONS P� I� DiSA�Pr G',•'L o " BY N �' DATE �• z�-�z �