HomeMy WebLinkAbout1996-007904 - land alteration � PERMIT
# CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 4 i°=;�; ��w�"j�,3,F;;
Crystal Bay, Minnesota 55323 Permit Number: '_._
t it}?'�i.��
(612) 473-7357 Date Issued:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS: � -- — --- ---
FEE �UM[V����!: T
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CONTRACTOR: � OWNER: — �����1 i c��}�t. -
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PPLICANT/PERM EE SIGNATURE ISSUED BY:SIGNATURE �`�`��
j Total Fee: ���.��.�' DateReceived: �<�=�; /'��-
Date Approved:
Entered By: ^,�`-, Permit#: ��%C ��
CITY OF ORONO - BUII.DING PERMIT APPLICATION
ALL Pi tFORiviATION`�TJST BE SUB��TTTED IN FULL BEFORE PLAN REVIEW WII..L
BE STARTED
- -- ----------------- --�----
THE APPLICAN'T IS: (circle one OWi�tER R CONTRACTOR
�
---_._-��' ,
JOB SITE �iDDRESS: � � / � ;� � � ZIP: �� � :� `r' /
�-�-s�-� ���
/ / L ri� �
NAME OF O�in1ER: � �`�, �-t � �C��_____-- PHONE: (home) � (� � �
� � (work)
MAILING ADDRESS:���"�,, .,�> � CITY: c.C/c.,x.� ZIP: -
,
CONTRACTOR: � a,-, ��c� >� � PHONE: � �� S ��
NIOBILE PHONE/PAGER:
iVIAILING ADDRESS:(�� �������,<-�- ���_CITY: �-c_% ot � -, .` � ZIP:_�.�,
STATE LICENSE: #
ARCHITECT/ENGINEER: (� .� �, ��-:S�c. Gt PHOi�tE:
MAILING ADDRESS: CITY: Z�'�
���,�: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move RemodeUAlteration Land Alteration �-----�
PI�4POSEDWORK(describeinde ' ); .. t � � '~ �
, � � �
(���� � - ; J
Uc2 x. .-f='� _ _ -�, � .
� " Cz 1 � � f,{4"�t�-`"�
. � T OF EACH FLOOR: `� —^
STORIES. — SQ• �
NO. OF BEDROOl�1S: — GARAGE STALLS: ATT. ---- DET.
� � �yy✓
ESTIMATED CONSTRUCTION VAi.UATION(escluding 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 permit and work is not to start
without a permit; and that the work will'b� ' acc dan with t�ie approved plan.
� DATE• �;�-' �� � �
APrLICANT'S SIGNATURE: , ' -9� , • , ���{ � . _� �
NOTE! Parade of Homes events require separate permit approval by Polace Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
�
Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA
Subd. 1. Type of data. The righu 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 individuai asked to supply private or confiden[ial data conceming hicnself shall
be informed of: (a)the purpose and intended use of the requested data within the collecdng'state agency, polidcal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the idendry of other persons or enddes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigadve data, pursuant ro section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav piace the norice required under this subdivision in the individual income tax or propem tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shail be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject
of stored private or public data on individuals shall be shown the data wichout 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 iu meaning, the data need not be disciosed to him for
six months thereafter unless a dispute or action pursuant to this secaon 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 requesting person to pay the actual costs 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 lega]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 additional five days within which to comply with the request,exciuding Saturdays,
Sundays a�d 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 hirnself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomp(ete and attempt to notify 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 disdosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRNACY 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 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 pernut 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 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.
, �`, -�
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First Middle Last
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ddress — . •� � � �
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C�ty' _ State Zip Phone
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I understac�d�my�s as,?tated aba}�. j
:
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stgna
� CHECK OFF LIST FOR ISSU�iCE OF PERl�iITS
FOR OFFICE USE ONLY
�DDRESS OR LEGAL: 12 lo`� ��-�c.::,��L,�v c�=- �-�+=
PID:
DESCRIPTTION OF WORK: �j�'+'�'��+�v L
------------- -------- .,
ZO�tPi tG REVIEW BY: -�. � C.��-��--� DATE APPROVED: +� . ; � `-��
BUII.DING REVIEW BY-� N �rt-- DATE APPROVID:
-----------------------------
FEES TO BE CHARGED: �.,�":���'�"5 Misc. Fees Calculated By:
PERrv1IT Yes ✓ No
PL�.N REVIE`�I Yes No --�'� SEWER CONNECTION
STATE SLRCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------
ZO��PtG CHECK LIST Zoning District: �('� ' i e� Shoreland District : ti�r`�
Fire Depar[ment: �j ' ' Po Off/ce , r � School Distnct:
�' � d,_� r <.
�, /
Lot�rea: Sq.ft. Acres Width Depth
Survev Submitted: Yes No tx Date of Survey: ;��-�-�" ;�}::�r��
Proposed Se[backs: t ;-� '
F�eat (Lake): 7 '"' + Right Side: �-
-}�ear (Street): Z-�=��`� �� Left Side: i�"1U��
1 Wetland: �
?.dj 'c nt Structures:
Building Hei t: Def. Hgt. Peak Hgt.
Av;. Setback: Bluff Setback: Coverage:
i
Ezisting j Prop sed
Hardcover: 0-75
75-250' �_
250-500'
500-1000' �
�_
Hardcover Vari ce Required: es i No r Date of Council Ap oval:
Gradin�: Staff A proval Date: ,l gy: Council Appr val Date:
, 1
�
oval Date: C �Y�
Septic: Staff App �
�
Zoning File: ,��
Resol tiqn: f# � Resolution Date:
�
R:���l[ARKS (ui hOuse):
� �
BUII..DING REVIEW CHECK LIST
usc: /� '�� co�vs�ucTTo� �E: ��''��
Sq Foota�e S Per Sq Ft�
Basement � —
lst Floor X —
2nd Floor R —
Garage c —
C -
TOTAL
Estimated Construction Value: � f� (f�
Inspections Required: Work Requiring Separate Permits:
Sice Plumbing Fire
Hardcover Removal :�iecbanical Water Conneccion
Foo[ing Sep�ic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (ivlasonry) Other
Wall Board (Mfg.) Well (State Permit)
_� Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
------------
REVIEW BY OTHERS: DATE:
Access: Ezisting NeW
Access Approval: Date BY�
REl�1ARKS (TO BE NOTED ON PERl'�IIT):
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BLEND �_ '� �-_' '� -
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SEGTION A-A ��� �y////,
8 � Y
PROPO�ELZ N`` �,� f�� �,/�-P S�((.-T �c.,�-v�/a�
�'WA z; �.''� ;� ��j�r wv��t,� f�e�l/�S
�*r{eya� � , ..s � .:'�,
i i .; � °�` '�
y..t s.,1'Ep".�r c 4 �
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i i i i •a:": �r t..�,___,T� i
;,':. � �r'ta •''. .. .?m..dyys_, :. �c.. .: ::
, ; ; ; ;�' , PROP05ED FILL:-�REA : ' ; � . Q-
, , , , , , �:�� `.=�_� , ;.� �
, , , , , , , , ,� ;� , , , �;Q
i i i i i i i i i i i i i i i i i i i i i i i i �� _1 : ..: i.
i . �RRFN i i i i i i i i i i i J
� � � � � � � . � � � � � � � � � � � � � � � � . I.t. �i,
i
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,,,. � ;_� i: - r,,
125' A �� A
f �
, `� '�.
;:�i
� HOUSE
b �
�-;ti;:i?w..,.:�y:�;'.�
�.�'u
LEN & MARGE '� �
HOUSE � �7� '
-; .15' {
, ,
�. -_ :��
� -R:.
��� ��, �
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F3LEND TO LAWN ""�v�` j
�
25' y �
_ 58' r
I OP�f2TY I 1�1E (about 1' from wall)
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8 ' J�T� t'�!^,i't `^ ..,;jir;�:rl:t:. ,�+_Ji�k f
'a-A�i�?v4��U �
'� rhF"�s`��,;�::J lti� -i-�. i: _ > vi"�,ir +
•' i_.�'. ;:_'i'I�
t7r�; �,:-.-j� '
'� niS�``, i�� �� ! NAME: LEN & MARGE BUS�H �
$Y i DATE: 4-17-92
�i�ifE c{'3b'Cfb '
j f'i�OJECT: FILL ('LAN BY HOUSE
I DI�AWN BY: GHR
j SGALE: � 1" � 20'
�
LAKE �
------ --i--_ ------------_ �
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RECISTEREO L1FD SL'RVEY i:0. � � p[WS�:Fti�nx_1..Ct:�._�.;E�12s?..-
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Itc:2t:tEYltt COU�riY, lRtlttE50'CA ..
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�Q�f�. r ��� SEE AT1i�GNcO �i J.*� •
7�39.s� ���Q� �z�,w�Ne �yof� .
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I hereby certtfy t:�at in aecordance Q :,,.rS
vith the provLsions of Chapter 508, !(inne�ot � ` i:� •• ' . ' . '
Statute� of 1949 as anended� I have aurveyed e���
. the fulloving►deaeribed tract of land in the •3l /
„1�y i
Cou�ty of NennepLn and S:.ate of ltinneaota. to �r���
vit: All that part of Lot 1. Auditor'e Sub- i��� '
di�tsian .:o. 169, }lennepin County, Minne�ota . , '�� �,_
incluJLng accrctions aad relic[Lona thereto ��"� ' `"
' described as foiloas: Coaaaeneing at the Southeaat �
corner oE Lot 7, tlor.:::shore Cottage Acres; [henee
:�or[herly aiong tlie Easterly 11ne of �aid Lot 7 and [he
as=e extended to ita ineeraeetion vith the eenterline oE �.,�
the Count 7oad runnLn• ;Iorehveeterl and Southeasterl - aa.,Rr�ew�+'•►�R �
Y b Y y � w�wK +� e�e..�'a 8�r�
tl+rough Lots 1 anJ 2 of eaid ttocthehore Cottage Acrea• tlienee l.�w[M��r�rs�■�
I:orthvester:� aloog the ceoter2ine of eaid } st dencsibed
�eant �oad to !ts inGersection vith a °"" u+•e
Y l�ine��istant 66 feet
Southeaster:y at right a�glea from the Southeasterly line of the
Great �Iorthern RaLlroad right-of-vay; t6enee Southwea[erly para11e1
�tth satd rignt-of-vay and distant 66 feet therefrom a diatanee of
335.65 feet to the actual point of beginnin,� of the tract of land to
6e deseribed; then:e eontinuing Southvesterly parallel vith thC� South-
easterly llne of said railroad right-of-vay a dintanee of 113 feet; thenee
de:lecting left 84' 43' Go the ordinary lov ve[er marR of Bro.m's Cay;
taence t:ortheasterly along the ordinary lov vater sark of Brovn'a Bay to its
latersectlor. vith a line draan Southeasterly from the aefual poLnt of
be;tnning ar.d vhlch last mentioned line form� an lnterior angle oE 89' 14' with the iJorthvest_rly line oi [t.e trac[ of
be1nE described; thenee tlorthaeaterly to the aetual point oE beginnLng; and ehat Che eurvey eno•.m herein is a corree[ c
of satd auric/.
� „ � � �
..cale: 1 � LCO IItvice R. Kelley =t' • ?e3• t:c
Date : 6-10-64 '
° Iron macker KELLEI G }:ELLEl, Eagineer� 6 Snr�eyors
Zearing> >hor.m ace asa�Ted Long Lake, :tinnesota�
?nta �ezfste�ed Lar.d �urvcy vis appraveJ and accepted by thc VLL1aEc Coancil of the VLIi�;c of Oror.o. :fin�ceota, at
rFe:ing tf�ereof lield thL� /3=~ day of - Ju �•�_ A.D. 1964.
w VILi.,\Cr. ceu:'CLL :F GC^.::0 ' - . _
��?i r r"' �--'� � -"i ^• _
Gedney fi Emily Anne Tuttle L�a„'�`�. ,� ; � �. :;' �w
1225 Shoreline Drive, Orono
�layzata, MN 55391
April 24, 1996
To: City of Orono
From: Gedney & Emily Anne Tuttle
Subject: Len Busch's proposed landscaping
It is our understanding that our neighbor, Len Busch,
desires to do some regrading between our two houses which
are located at 1225 and 1265 Shoreline Drive, respectively.
We have seen the proposed plan for this and are in full agree-
ment with its purpose.
You may accept this letter as our written approval to go
ahead with the regrading as proposed.
,
_ � �L-�.� ���
� -- -' /I Y
Gedney Tuttle Emily Anne Tuttle