HomeMy WebLinkAbout2000-P02430 - retaining wall � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P02430
Crystal Bay, Minnesota 55323 P@C'll'llt Type: Addition/Remodel/Repa�r
(612) 249-4600 Date Issued: s�s�oo
SITE ADDRESS: 1260 Spruce Pl
MOUND,MN 55364
P I D: 08-117-23-32-0012
DESCRIPTION:
Proposed Use:
Buildin Census Code 434
Permit Class: g
Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Retaining Wall
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
PATT(1 R� RFTATNTN(;�JVAI.T C
FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,600.00
Plan Review Fee: $ 72.28
State Surcharge Fee: $ 230
TOTAL FEE: $ 185.83
APPLICANT: EVAN ANDERSON OWNER: E A ANDERSON ET AL TRUSTEES
1260 SPRUCE PL 1260 SPRUCE PL
MOUND, MN 55364 MOLIND MN 55364
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.
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APPLICANT PER 1TEE [ NATURE ISSUED BY SIGNATi.JRE
Copies: City,Applicant,Assessor,Finance Page 1
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� �'otal Fee: $ 1�'S�- d�"� Date Received:
Entered By: ,Cl, Permit#: ���,;��F 3 �'
CITY OF ORONO - BUII�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) Oti�NER OR CONTRACTOR
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JOB SITE ADDRESS: ��� �,�``�`������ � ZIP: � ,--� .,�-��
�F` � �► J /�'� / C6��
NAME OF OtiVNER: �//� 'V J7"" ,L�.�S U�� PHONE: (home
(work) �-/;�" ��'�`
1VIAILING ADDRESS: .�--�'�'„� �'�� � CITY: `- ZIP: �--
C0�ITRACTOR: �L j= PHONE: �
CON'TACT PERSON: — MOBILE/PAGER: -
MAILING ADDRESS: - CITY: - ZIP:
STATE LICENSE: # --
A.RCHITECT/ENGINEER: ��Z� PHOi�TE: �
;VI�II�I�i 1G ADDRESS: . �� CITY: _- ZIP: w..-__�
NAME: �--.�-.. REGISTRA.TION# .
TYPE OF tiVOR�i: New Addition Accessory Structure
Move � Remodel/Alteration Land Alteration
PROPOSED`VORK(describe in detain: �L-f��,,���' ��K/�'?/�� ��'�'� �'C�`�"�`�''�"�
/!l�?f���"�.� v��1/Y�4(�' �1-t�11 /��v�'`_�. Gs��� K'�t�
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STORIES: I �Z. SQ. FEET OF EACH FLOOR: �
NO. OF BEDROOiI�IS: ��" GARAGE STALLS: ATT. DET.
ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a buildino pemut and I acknowledge that the information above is complete and
accurate; that the work will be in conformance wi e ordinances and codes of the City and with
the State BuildinJ Code; that I unders th.is i n t a perm.it and work is not to start without a
permit; and that the work will be ' rdanc� ith the approved plan.
APPLICANT'S SIGNATURE: '� '� DATE: L�`°� �'��:�" f�;��'
NOTE! Parade o Flomes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permilted events will not be allowed.
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Sec.13.04 RIGHTS OF SUBJECTS OF D?,TA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be swred shall be as set forsh in this secdon.
Subd.2. Information reqirired to be givea indiridual. An individual uked to supply privare or confidendal data concerning himself shall
be informed of: (a)the purpose and incended use of the rzquesred daa wichia ehe collecang suce agency,polidcal subdivision,o�stacewide rysrem;
(b)whecher he may refuse or is legally czquired to supply[he requesud da[a:(c)any]rnown coasequence arising from his supplying or refusing to supply
privace or eonfidendal dara;and(d)the ideaary of o�her persoas or enddes auchorized by state or federal(aw to t�ceive che data. 7his requiremenc shali
noc apply when an individual is asked to supply invesrigarive dara,pucsuanc to secdon 13.82,subdivision 5, to a!aw enforeement ofFcer. -
The commissioner of revenue mav olace the noace r-auired under this subdivision in the individual income tax or orooertv taz cafund
instrucaans instead of on chose forms.
Subd.3. Access to data by individual. Upon requesc to a responsible aurhority,an individual shall be informed whether he is the subject
of scored dac�on individuals,and whechac it is dassified as pubiic,privace or conFidenaal. Upon his fur�her request,an individual who is[he subject
of scored privace or public daca on individuals shall be shown che dara wichout any charge to him and;if he desires, shall be informed of the content
and meaning of chat data. Aher an individual has been shown the priva�e data and informed of ics meaaing,the dara need not be disclosed m him for
siz monchs�hereafur uriless a dispute or acaon pursuanc to�his secdon is ponding or addidonal daca oa the individual has been collected or creared.
The responsible authoriry shall provide copies of the priva[e or public data upon cequest by the individual subjecc of[he daca. The responsible auchoriry
may require the requadng pecson to pay�he actual costs of making,cerdfying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to chis subdivision,or wichin five days of !
the dace of che request,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply with the requesc
i
within chac time,he shall so inform the individual,and may have an addidonat five days wi[hin which to comply wi[h the request,excluding Saturdays, ,
Sundays and lega!holidays. '
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
dara concerning tiimself. To exercise chis right,an individual shatl noafy in wridng ehe responsibie aurt►oriry describing ehe nature of the disagreemenc.
The responsible authoriry shall within 30 days eicher: (a)correct ehe data found to be inaccurate or incomplece and attempc to nodfy past recipients of
inaccurate oc incomplece data, including recipienrs named by[he individual;or(b)notify the individual that he believes the data to be coaect Data
in dispute shall be disclosed oniy if the individual's scacement of disagreement is includzd with che disclosed data.
The de�erminadon of the responsible au�horiry may be appealed pursuant to the provisions of[he adminisaarive procedure act relaang to
contested cases.
DATA PRTVACY 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 Ciry of Orono or any of its departments may require you to furnish certain private or
confidential information.
You aze 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 perm.it or license.
3. The information may be shared with ocher local, state or federal a;encies to the ex[ent necessary to process j
� 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 onyouurself.
6. Your full name is required to process this application or permic.
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Firsc /�� ����
Addl:;� �
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City State Zip Phone
I understand my stated above.
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Signature
� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY �
ADDRESS OR LEGAL: � 2, �n SP2+�c:� �c�c�=
PID:
DESCRIPTION OF WORK: p�q�,� y- /ZCY-Aiwi.,.� wa-/ls
ZO�TIl\'G RE'VIEW BY: DATE APPROVED: y-�3 �a0
BUILDING REVIEW BY: DATE APPROVED: K-►'� -�o
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes _� No
PLAN REVIEW Yes _� No SEWER CONNECTION
STATE SURCHARGE Yes f/ No WATER CONNEG"TION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STI'EINSPECT'ION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning Districr. C,2•�B
Fire Department: /I�t,��,�✓► Post Office: ��,,,,.,�J School District: �:,r�re nflc.4-
. -
Lot Area: Sq.ft. 1 I�")3 b Acres �2^7 Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Frvnt(Lake): (,O� Right Side: 3-7�
`
Roar(Street): � Z 5 Left Side: S
Adjacent Structures: !��c.W� Wedand: � i I4 .
Building Height: Def. Hgt. /V /(�t- Peal:Hgt. /�/i4
Lot Coverage: t 6•�
Grading: Staff Approval Date: -- By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # '�3 5 Resolution: #�� Resolution Date: �"Z K-4 g
Shoreland Disuict: u�5
Avg. Setback: ���i Bluff Setback: n/(r9- Lot Coverage: 1 b •a
Existing Proposed
Hardcover: 0-75' /�•5
75-250' � �
250-500'
500-1000'
Hardcover Variance Required: Yes�_ No Date of Council Approval:
REMARKS(in house):
7
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BUII..DING REVIEW CHECK LIST
�C� '— CONSTRUCTION TYPE: —'
Sq Footage $Per Sq Ftg
Basament x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ i�� ��v �
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)
_�C Final Grading/Filling Electrical(State Permit)
Other
REMARI�S(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By:
REII�IARI�,S (TO BE NOTED ON PERMII�:
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