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HomeMy WebLinkAbout2002-05692 - land alteration PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05692 Crystal Bay, Minnesota 55323 Permit Type: user Defined (952) 249-4600 Date Issued: 10/22/2002 SITE ADDRESS: 3850 Watertown Rd MAPLE PLAIN,MN 55359 PID: 32-118-23-32-0005 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: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: S M&C A HARRIS OWNER: S M&C A HARRIS 3850 WATERTOWN RD 3850 WATERTOWN RD MAPLE PLAIN MN 55359 MAPLE PLAIN MN 55359 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. l zaz' APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Sienitures Required), 1-Applicant,1-Monthly Reports, 1-Assessine, 1-Finance Page 1 Total Fee: $ TDO 00 Date Received: —Qa Entered By: Permit#: U5 CITY OF ORONO - BUILDING 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: \-�!, Q ZIP: NAME OF OWNER: PHONE: (home) (work) SZ_ 4\ —SZ C,"l 6 MAILING ADDRESS: CITY: ©y-e, , ZIP: CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: r z PHONE: X15 Z. — MAILING ADDRESS: V Y: NAME; REGISTRATIO # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration X, PROPOSED WORK(describe in detail): �a�� �fj-� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding 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 be in ccordance 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. 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 required 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 completeness 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 rights as stated above. C Signature y CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSOR LEGAL: 3(8S-0 PID: DESCRIPTION OF WORK: onj� ZONING REVIEW BY: DATE APPROVED: t n-i z BUILDING REVIEW BY: DATEAPPROVED: FEES TO BE CHARGED: �'�MO1 J P�"' sc. ees Calct d By: PERMIT Yes No PLAN REVIEW Yes .5K No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION 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 - No Date of Survey: 10-9-o Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: D A. (J 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: RE (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: $ — /f jrp�n/ j0ed ,, 11-1ko C-V P 1jW 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) Final Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): ---------- --------------------- -- ----------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: --- --------------------------------- - RFMARKS (TO BE NOTED ON PERMIT): 8 ' t D11111aVI1lfi1111 V11)v rtaa.atova k1aavu trauu. ■vu rImproving Quality of Water, Quality of Life R01,10 uu"1 Y' Gray Freshwater Center Pursuant to Minnesota Statutes Chapter 1030, and on the basis of statements Nwys.15&19,Navarre and information contained in the permit application, correspondence, plans, maps, and all other supporting data submitted by the applicant, all of which are Maa: made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek 2500 Shadywood Road Watershed District. Excelsior,MN 55331.9578 Phone:{952)471-Q480 Issued to teven M Harris Permit No: 01-169 Fax:(9W4711-OW Location: _385)WgWrtown Road. Orono EmaN. Erosion Control/ Wetla Protection Purpose;. Rules 810• Rid — admin4 rninnehahaaeek.org Web Sae: Date of Issuance- 10/26/01 Date of Expiration: 10/26102 www.rninnehahac reek.org By Order of the Board of Managers Michael Wyatt District Technician Board of Managers Pamela G.Blixt This permit is not transferable, and is valid to the date of expiration. No activity is James Calkins authorized beyond the expiration date. If the permittee requires more time to complete the project, an application for renewal of the permit is required. Lance Fisher Monica Gross The applicant is responsible for compliance with all District Rules and for the Scott Thomas action of their representatives, contractors, and employees. Richard Miller Conditions: Project to be completed as described in plans submitted to the Robert Schroeder MCWD office on May 24, 2001 and according to the provisions of this permit. • Properly install and maintain all required MCWD Rule B, erosion control measures until the disturbed areas are restabilized • Silt fence must be orange in color • When the site is restablilized and the MCWD staff has performed a final inspection, all silt fences must be removed (Statement concerning fees for inspections, violations, etc.., on reverse) ®Pwad w roycYe pyu wnµ.+rq ••YI 10%iap mM.wMf IwM9.