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HomeMy WebLinkAbout2001-P04220 - land alteration ` 4 ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P04220 Crystal Bay, Minnesota 55323 Permit Type: UserDefined (952) 249-4600 Date Issued: 8/23/2001 SITE ADDRESS: 640 Tonkawa Rd LONG LAKE,MN 55356 PID: 05-117-23-33-0017 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 permits required: NOTICESIREMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Owner/Self OWNER: M A&S M CLEMENTS MN 640 TONKAWA RD LONG LAKE MN 55356 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. 1 7 v PLIC EE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Sienitures Reauired). 1-ADnlicant. 1-Monthlv Reports, l-Assessing. 1-Finance Page 1 J Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO I 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 PR CONTRACTOR -53 JOB SITE ADDRESS: .(O`T o ZIP: 5 NAME OF OWNER: ( G��(,tA C l(=4111(/t/d—, PHONE: (home) l7 - 7 7 (work) 15 - 3 f-77 A MAILING ADDRESS: �5ct/yk-k— CITY: ZIP: CONTRACTOR: Jc PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): L1�� �Tait" -h°�sy�a l r (� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Gvi n o ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( O 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 be i cco anc�e with the approved plan. APPLICANT'S SIGNATURE: \ DATE: NOTE! Parade of Homes events require separate permit approval 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 confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political 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 identity 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 may place the notice reauired under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall 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 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 action 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 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 legal 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, excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or complcteness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority 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 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 disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative 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 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 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 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. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature < 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSOR LEGAL: 46Lt 0 -1—o ri lc-4 L..,rA PID: DESCRIPTION OF WORK: L—R Lrz.-7t*n� ZONING REVIEW BY: DATE APPROVED: A- LZ -ol BUILDING REVIEW BY: DATE APPROVED: ----- ------------------------------------------------- ------------------------------ FEES TO BE CHARGED: " M`isc°d. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION 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: (-2.16 Fire Department: Lt N W Post Office: Lag� School District: p/Len/b Lot Area: Sq.ft. wo C ff?kg Acres Width Depth Survey Submitted: Yes_oc No Date of Survey: oM Fi t.(; 2_I-ly Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. oe Lot Coverage: u Grading: Staff Approval Date: By: Council Approval Date: 1_+ Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated 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 (Mfg.) Well (State Permit) C 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 PERMIT): 8 ORONO COPY Michael Clements and Lynda Wilson 640 Tonkawa Road Orono, MN 55356 (952) 471-0177 sz- 3 r - August 15, 2001 Mr. Marc Davis City of Orono 2750 Kelley Parkway Orono, MN 55356 Dear Mr. Davis: In response to my telephone conversation with Lyle this morning, and in response to the inspection notice you posted at our home on August 14, 2001, enclosed please find a copy of the survey, and an enlarged copy of the survey on which the berm is highlighted. We tore down a 6 foot tall fence along the property line and started the grading up from that line. The measurements of the be South of Driveway: Length 81' CITY OF ORONO Width 22' SITE PLAN GRADING PLAN Height 3.5' Fe APPROVED - C3Gltft\ ❑ APPROVED WITH REVISIONS North of Driveway: Length 57' ❑ DISAPP F E D Width 18' BY Height 2.5' DATE_ o We are scheduled to install 30 evergreen trees on the top of the berm the week of August 25th. The trees will be shipped in from a tree farm in Wisconsin some time that week. In addition, we have plans to build between 6 and 8 brick columns along the front of the berm along the property line. Please advise as to what, if any, additional permits we need to apply for. We were not aware that we were required to apply for a grading permit when landscaping the yard. We look forward to your response, and if you need any additional information or you would like to discuss this matter further, please do not hesitate to call me at (952) 471-0177 or (952) 831-7776. Thank you in advance for your cooperation. %inceely, ents and Lynda Wilson /lw Enclosures ioo7.Y5 � •. ¢ �. r8o,00 .� • �NKat... 456.42- ...� .. b d�v�di�line �� •;� , `�\ �� ti 1�6•-ac.,y�"9h ground I-33-1 �. �•�,,•• '>/.1 �\ 2A 1.61 NN 1 /� 'r 1l7.9J � '9•• •„ 25.00 M - �,_ '�.� - � �.•� ��fj ••�•` 5ured 545.0' par d Fir t �J� on ri r• � �- .n:� - .,rte• `�!� 4� •� .�' CITY OF OROS •8 — KH,,.q ,- . ;� _ ,. ', -�s .�.`��,� `":: Q o.90 Irv,ftJ.00 \ id a --4,Z SITE PLAN ee GRADING PLAN ,ktAPPROVED WITH REVISIONS ❑ DISAPP E \ BY ryw� 'I� r�r G'''""rY DATE % - e4i90 400• s4 +. 2�5(, oe= way o/t �Nevt/LD 4.`y7'- acre3 AA- n n 4- ►( t representation of a sirvey of the roundaries of Lot 1, Parten's Point First lished by judicial deer 'e found in Book 129 of k-iseellaneous Records, page 379, nnepin County and mar',w by a judicial monument placed at the Northwest corner 10.5 feet Fast along ea d line from the first mentioned monument, according to fire of the County Recorder in and for said County, and the location of all eon. It does not puroort to show other improvements or encroachments. GO f � fiDOh R. COFFIN CO. , INC. don R. -Coffin Re . Mb. iA 2 4 Mark S. Gronberg Reg. No.12755 OF Lend Surveyors and Planners Long Lake, Minnesota l .t, 7 /v B9 to3a"E 1007.25' / IM A;VJ; Jlint ms \ � ,'•��4 y £�� IovJgrovnd�,J.t 9t.laolsgfl � \A •, k 2a9'acre* Wol ' �.�� -� jar •8,..I�I.n9 se�ba �,� ♦' s<,- 24!j <..2G5 00 JFK,'wry, 54691' measured 545.0' Par Tfa,nf Fir 17 t ivv=lsf.sYVV: 8 MH 7-9ao0� 1 \ To+ol lof area 190 400! s +. 4.'37 I hereby certify that this is a true and rorr:!rt represent-6ti,,n of a s•.?rveey of the rcundaries of Lot 1, Parten's Point First Divisior-, the North line of wh'_rh lot was e t�tblished by judicial decree found in Book 129 of ljseellaneous Records, page 379 in the office of the County Rocordor of sai-- Hennepin County and mr'ced by a judicial monument placed at the Northwest corner of said lot and by another ,judicial mor.umert 1010.5 feet Fast alone eaid line !Toru tae first mentioned monument, according to the plat thereof on file or of record in the office of the County Recorder in }and for said County, and the location of all existing buildings, a road, and a driveway thereon. It does not aurnort to show other improvements or encroachments. GORDON R. COFFIN CO. , INC. Scale: 1 inch = 100 feet G rdon R. -Coffin Re ff. No.�� Date : 2-9=84 Mark S. Gronberg Reg. No.12755 • : YAnhole 2Land Surveyors and Planners o : Judicial landmark Long Lake, Minnesota 0 : Iron marker DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS Td,0 a,"/ZU OWNER CONTR. TELEPHONE NO. DESCRIPTION 01 FOOTING 11 MECHANICAL RI EXCAV/G Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS LI03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO MMENTS: cc 0 a a LU cc Q z W Z W QC j d LU ❑WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ,CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: t� Inspector. d k!, ez 22x, ' White Copyllnspectoes File Canary Copy/Site Notice