HomeMy WebLinkAbout2008-00327 - land alteration CITY OF ORONO PERMIT NO.: 2008-00327
' � 2750 KELLEY PARKWAY
� : � ORONO, MN 55356- �ATE �SSUED: 1UO3/2008
,
952 249-4600 FAX: 952 249-4616
ADDRESS : 3 45 SUSSEX RD
PIN . -117-23-32-0024
LEGAL DESC . OX BEND 2ND ADDITION
. OT 002 BLOCK 001
PERMIT TYPE . SER DEFINED
PROPERTY TYPE . ESIDENTIAL
CONSTRUCTION TYPE . AND ALTERATION (0-500 CU YDS)
NOTE: LAND ALTERATION PE IT: 0-500 CUBIC YARDS
APPLIC T LAND ALTERATION 50.00
ANDERSON DESIGN SERVICE TOTAL 50.00
PO BOX 2564
MINNETONKA, MN 55345-
(952)473-8387
OWNE
BRUDERER,ROBERT& YVO NE
3045 SUSSEX RD
LONG LAKE, 55356-
AGREEME1vT AND SW RN STATEMENT
The work for which this permit is issued hall be performed according to
the approved plans and specifications,ap licable City approvals,and the
State Building Code. This permit is for nly the work described and does
not grant permission for additional or rel ted work which requires sepazate
permits. All provisions of laws and ordi ances governing this type of work
shall be compied with whether or no[sp cified herein.This permit will
expire and become null and void if cons uction authorized is not
commenced within 180 days of the date f issuance,or if construction is
suspended for a period of 180 days at an time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State uilding Code.This permit may be
revokedtaY�ny time for ue cause.
���</'/'��� l i � C)`� � C��� . �
iti l l
Applicant Permitee Signature Date Issued By ' nature Date
SEPARA E PERMITS REQUIRED FOR WORK OTHER THAN DESC ABOVE.
4 Q�;� Ci �of Orono FOR CITY U5E ONLY
` P. .Box 66 � g � �
�, � DateReceived: (0 Permit# DO t
y�t.�, 27 D Kelley Parkway
• � ��ly;��;� � C stal Bay,MIV 553'_3
� �' "�ttl�,�v�y�. (95 )249-4600 fJ.Q
O ���o� Amountt $ � �C.U.P Filed:
��� Approved By: ��v, Site Plan:
�O� I
Recommends: A roval Demal :❑
ITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All penniu must be approved by the Buil ding Official and/or Zoning Deparpnent)
Job S�ite./Owner formation. �.:
Site Address: ��fi � ��G�
Owner: �f �G7 ��''�� ��r�f�C'�� Mailing Address: ���'� ���t,�i,�,X �,�
City: �vl� Zip: � � � � � � �
Home Phone: �� `� � ��� D� � Alternate Phone: �52��-��'-T�`� �7
>Contractor/..App ca�t Irifo.rrnation �� � - � ;;
Contractor/A �
PP•� � �� Contact Person: /�� �yt�t�(,�e=�y�
Address; / ) /3p�c �� �lfi State License#: /� ,�(' _
City: u; zip; �`�� 3�� Expiration Date: !�l - u -
Phone: 6� .Z. - � z � '- �6 �� Alternate Phone: ��SZ " ��� � �j�g�
'^` ` ` ` �'TYPES QF USERDEFIN �PERIYLITS
�;+. ,:' h _kp.:.si, ..1� .. -
- i,'�i,d
❑ Stairwav to La e ❑ Retainin� Walls ❑ Temporarv Trailer
General—User Defi d 5 urcharge General—User Defined Surchazge General—User Defined
* (Per UBC) * (Per UBC) *$30.00
*Estimated Co t: $ *Esfimated Cost: S
❑ Docks—42"or reater �Land Alteration ❑ Zonin�Review
General—User Defin d S urcha�ge • en I—User Defined Gcneral—liser Defined
❑ Commercial (Per UBC) �-500 Cubic Yards *ForO-75'Zone-$30.00
* Estimated Cos : $ $50.00(Needs Site Plan)
General—UserDefin d ❑ 501+ CubicYardS
❑ Residential - �30.00 $50.00(Needs C.U.P.)
❑ Tree Removal
General—User Def n d
* Within 0-75' - 30.00
I herby apply for a ?ser Derined Permit and I acl;nowledge that tlle infonnation above is complete and
accurate;that the wo k will be in conformance with the Ordinances and Codes of the City and with the State
Building Code; that understand this is not z permit and work is not to start without a pennit; and that the
���ork �i�ill be in acco dance with the appro��ed plan.
� �C� ����� /d �
Applicant , _. .. Date
� � eSEI�FO�IT�I . (UserDeFmedFcnnit;;l3iUJ1
I �I
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WATER RESOLIRCE RMIT APPLICATION —COMBINED JOINT NOTIFICATION FORM
Use this form to notify/apply to th Minnehaha Creek Watershed District(MCWD),their engineering consultants,and the DNR of a
proposed project or work which m y fall within their jurisdiction. These agencies should advise you of their jurisdiction or permit
requirements within ]0 days. Fill o t this form completely and mail with your site plan,maps, etc...to the MCWD, 18202 Minnetonka
Boulevard,Deephaven,MN 5539 . Keep a copy for your records.
YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK.
1. Property Owner Name (Fir t, Last): Erhard Bruderer (Private Residence)
Mailing Address: 3045 S ssex Road City: Long Lake State: MN Zip: 55356
Email Address: Phone: 952-470-4004 Fax:
2. Location of proposed proj t(Attach map with directions to site):
Project Address: 3045 Su sex Road City: City of Orono
Counry: Henne in Qtr Section(s): Section(s): Township(s): Range(s):
Lot: Block: Subdivision: FOX BEND PID: 04-117-2'�-�2-002d
3. Size of site:4.86 acres 11 702 sf)Area of disturbance: 11,500 square feet, or .27 acres
Volume of excavation (or ill): 100 cubic yards Length of shoreline affected: feet
Area of existing impervio surface: Area of proposed impervious surface:
4. Type of permit being appli d for(Check all that apply):
❑ EROSION CONTROL � WETLAND ALTERATION
0 STORMWATER MANAG MEI�TT �WATERBODY CROSSING
� FLOODPLAIN ALTERA ION � SHORELINE/STREAMBANK IMPROVEMENTS
� DREDGING LA DSCAPE GRADING PRIVATE RESIDENCE
� OTHER DESCRIBE ; Re ontouring a tennis court area, that has been removed.
� ) Nat' ralized contours for rairie restoration.
5 Project Purpose (Check all'that apply):
� SINGLE FAMILY HOME 0 MULTI FAMILY RESIDENTIAL HOUSING (apartments, etc.)
❑ COMMERCIAL CONSTR CTION �INSTITiJTIONAL CONSTRUCTION (churches, schools, etc.)
❑ ROAD CONSTRUCTION 0 SUBDNISIONS (include number of lots)
� UTILITIES �LANDSCAPING (pools, berms, etc.)
0 DREDGING �SHORELINE STABILIZATION (lakescaping,bioengineering)
❑ OTHER(DESCRIBE):
6. NPDES/SDS General Sto water Permit number (if applicable):
7. Alternatives (Describe any other sites or methods that could be used to avoid or minimize impacts to water
bodies to achieve the project urposed. Attach additional sheet if needed.)
� 8. Project Timeline: Start D e: OCt 28, 2008 Completion Date:
9. Applicants Representative Licensed contractor, engineer, etc...)
Business Name: Representative Name:
Business Address: City: State: Zip:
Email Address: Phone: Fax:
10. Names and addresses of joining property owners (Attach list if necessary):
Permits have been applied: C ty� County � MN Pollution Control Agency_�DNR_�COE� �
Permits have been received: ity County ❑ MN Pollution Control Agency ❑ DNR ❑ COE�
I hereby notify the recipients of thi form of the project proposed herein and request I be advised of any permits or other
determinations concerning this pro ect that I must obtain. I understand that proceeding with work before all required authorizations
are obtained may be subject to Fed ral, State and/or local administrative,civil and/or criminal penalties.
Signature of Property Owner Date
�Page 1 of 2
� � � �
/ D D� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED �� -���—
PERMIT NO ��"�3 � COMPLEfED
ADDRESS �^ �S� �'�`�
OWNER _ CONTR. �'l �(.
TELErHONE NO. .��IO - �sa--� � -�3 �o
� DESCRIPTION ����— ��11� •
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q��INAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Fil ❑ SEPTIC FINAL ❑ HARO COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� �WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑COftRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (952) 249-4600
Owner/ConVactor on site:
Inspector. � . ��-'/r '�
I
White Cbpyllnspector's Ffle Canary CopylSite Notice
i
l`t�'� : ��I�,j �Ld �- '�'�f7 7���-�U I�4 ��-Gy-� /`�1�� � � ,
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OWNER: N
,�/ Erhard Bruderer � � �°'•
�"l`� ��1�1� ��-� �I/�/� � � �`�-�7 ��' ��I�s�I� g � ��
'�� 3045 Sussex Road v �' �.
�z�'fG 5 ��IL�� Long Lake, MN 55356 Oy �
:'� ' �' -- ` o � ;�� (City of Orono) � - -- N � �
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Re-Canto�r This Area r ;-
. � � ��+..� _L y �, ��� �t . / i
Tennis �ourt � �:,� / S C A L E I N F E E T
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Has Been Remo,u�d � F �
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Approx. Grad�ng Limits "` � , , !
1_ � ::�: �, 3045 �ussex Road / ;
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� -°� ; -r� � LOTS 3,5,6 BLOCK 2 � ��
� FOX BEND �
� �� 4 � HENNEPIN CC)UNTY � �
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=� 0 SITE: �$ �
� �: � :: 4.86 acres (2�11,702 Sq. Ft.) ���
Lot 3 ��<
',._� :,� _ TOTAL AREA�4.8a+-ACRES
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CONSTRUCTIA�N AREA: �T�DAREA■0.51a-ACRE3 ���
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__._ °� � ��,_ Approx. 11,50N� Sq. Ft. (.27 acres) _ , ; :�� ' _ ��
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