HomeMy WebLinkAbout2001-P03865 (Stairs to Lake) � � PERMIT
CITY OF ORONO
Permit Number: �
2750 Kelley Parkway - PO Box 66 P03865 0 � �j( �
Crystal Bay, Minnesota 55323 Permit Type: User Defned 1�,�.�`
(952) 249-4600 Date Issued: 6iai2ool
SITE ADDRESS: 1425 Bay Ridge Rd
WAYZATA,MN 55391
P I D: 10-117-23-34-0017
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Stairway to Lake
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 2,500.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 137.83
APPLICANT: Landscaping Plus(See Comments) OWNER: Kent Whitworth
P.O. Box 508 1425 Bay Ridge Rd
Long Lake,MN 55356 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVF.MENTS 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 PERMITEE I NATURE ' ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor, F'inance Page 1
� �� � PERMIT .
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po sg� ,,�" ! j'�(��
Crystal Bay, Minnesota 55323 Permit Type: a� ess scru�cures /
(952) 249-4600 Date Issued: 6i4 0l
SITE ADDRESS: 1425 Bay Ridge Rd
WAYZATA,MN 55391
PID: 10-]17-23-34-0017
DESCRIPTION: UBC Occupancy x3
Proposed Use: ttesidentiai .
Permit Class: Building
Permit Type: Accessory Structures Pennit Sub-type(s): Stairway to Lake
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83•25 Valuation: $ 2,500.00
Plan Review Fee: $ 54.08
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 138.58
APPLICANT: Landscaping Plus(See Comments) OWNER: Kent Whitworth
P.O. Box 508 1425 Bay Ridge Rd
Long Lake, MN 55356 Wayzata, MN 55391
TI�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 NIINNESOTA BUILDING CODE REQUIREMENTS.
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[C NTP RMITEE NATURE � ISSUEDBYSIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
. .
i oi�l Fee: $ Date Received:
Ent�red By: Permit#: �7 , � - ��
��t`"/l,�,k%�%C -, c �-�°c-.?� -
CITY OF ORONO - ' PERMIT APPLICATION
All information must be submitted in full before plan review will be started. �
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: / Y Z `_� �s l9�/�l/' 6 C_' �v� ZIP:
NAME OF OWNER: �P �_;� �,f-�,_��- ,.7<,1,t •�, PHOiVE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: nZ ti.,<, ��u.� PHOivE: yS�.;z- ����' ��(f�
CONTACT PERSON:��A-� �A�F ��vI�L�/PAGER: �!", �-_
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MAILING ADDRESS: �_ x SO�s � CITY: �,.�G��. �� ZIP: �S�S�
STATE LICENSE: # — /�J� i2�.t
ARCHITECT/ENGINEER: PHONE:
1�IAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK (describe in detai�: �c��.�c_� — .�5 \v �fak� t,< t� -�
`�����f`�. f..., � n,.... ,+� - ' � �• 4 I'��a��..,_. r.....�� �'C_.1 4.. �4� - �r.,..-1
t
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
cz-�
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 unde this is not a ermit and work is not to start ithout a
permit; and that the work wil e in accor w' h the a proved plan.
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APPLICANT'S SIGNAT . �iF�A�: ,-� ��
NOTE! Parade of Homes events r quire eparate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLTBJECTS 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 individua!asked to supply private or co�dential data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecdng 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 confidendal data; and(d)the identity of other persons or entities authorized by srate or federal law ro receive the data. This requirement shall
not apply when an individual is asked to supply investigative data, pursuant to section 13.8?, subdivision 5, to a►aw enforcement officer.
The commissioner of cEvenue may place the noUce required under this subdivision in the individual income tax or propertv tax refund instructions
instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriri, 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. Afrer an individual has been shown the private data and informed of its mzaning, the data need not be disclosed to him for six months
thereafter unless a dispute or action pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsible
authoriry 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 authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision, or within five days of the
date of the request,excluding Satuniays,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 comp(y with the request, excluding Saturdays, Sundays
and legal holidays.
Subd.4. Procedure when data is not accurate or complete. M individual may contest the accuracy or completeness of public or private data
conceming himseif. To exercise this right, an individual shall notify in writing the responsible authoriry describing the nature of[he 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 daha,including recipients named by the individual; or(b)notify the individua]that he believes the data to be correct. Data in dispute shall
be disclosed only if the individual's statement of disagreement is induded with the disclosed data.
The determinadon of the responsible authority may be appealed pursuant to the pm�isions 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 a�encies to the extent necessary to process
the permit or license.
4. If your requested pemut 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 n e is required to process this application or permit.
N��
.�---
First Middle Last
Address
C��y State Zip Phone
I understand my rights as stated above.
;�'
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Signa re
10
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: I ti 2 S Q,q�2 i �GLS t��
PID:
DESCRIPTION OF WORK: (,4�(�; 1'�G c�ss s r�4 t 2
------------------------------------- - --- - ---------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: �- �(- p�
BUILDING REVIEW BY: DA'I�E APPROVED: (�- �-(-o �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: �(L- ��
Fire Department: C.vNc.�lMw' Post Office: �� (Jk�lt,� School District: p(i.0 rv�
Lot Area: Sq.ft./v a G����c,�Acres — Width — Depth —
-a—
Survey Submitted: Yes No � Date of Survey:
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:
Zoning File: # Resolution: # Resolution Date:
u
Shoreland District:
Avg. Setback: Bluff Setback: L.ot 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 =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ Z, 5�d°"
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):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
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Hf;5133(9/O6� • � Permit
PERMIT FEES � �� ���p �, No. ��q?_3
MUNICIPALITY = $50.00 Transportation Department ` (,`
Operations Dlvision - Permit Office �pl� County ��
ALL OTHERS = $75.Q0 1600 Prairie Drive-Medina, Minnesota 55340-5421 Road No.
PhOne: (763)745-7600 FAX: (763)478-4002 �MUNlCIPALITY
PERMIT APPLICAT/DN FOR UTILITY CONSTRUCTION I OROI�a
LOCATION AND/OR DESCRIPTION OF WOqK:Applicatfon is hereby made for permis n to piace,construct and thereafter mainta(n a
J c }etL �E tc,� �2 l.J C�� " � '�d
along or across Counry Road No. � (from,at) N J
to
Applicant `— C�L� s`► E. , �,r .Tt�.�c+R.
Address � � � 1�l ��
Phone (�1�.1 Ll��� ���l�l � �''131. 61�`�4I- Gl�� 24 HR. Emergency Phone � ) �$
FAX No. � �
SUBMIT A CHECK PAYABLE TO "HENNEPlN COUNTY TREASURER".
SUBMIT TWO (2} COPIES OF ENGINEERING DRAWINGS FOLDED TO 8 1/2" x 11".
1. TYPE OF CONSTRUCTION
❑ Underground O Aerial �her
2. TYPE OF UNDERGROUND CONDUIT —
Size Depth Size Depth �
❑ Multiduct ❑ Iron
� Piastic ❑ Copper
� Concrete � ❑ Cable
❑ Steet ❑
3. METHOD OF INSTALLING UNDER ROADBEDS �other)
❑ Boring-Jacking-Pneumagopher(48"minimum depth)
❑ Casing-Carrier Pipe required for all installations exceeding 4 inches in diameter.
❑ Open Cut-Call PERMIT OFFICE prior to making application.
4. AREA TO BE DISTURBED
'` TRAVELED SURFACE SHOULDER BOULEVARD
� Concrete ❑ Curb&Gutter ❑ Bituminous O Culverts ❑ Sod ❑ Trees/Shrubs
❑ Bituminous ❑ Sidewalk ❑ Gravel �Field Grass O Other
5. AI work done under this permit, including restoration,will be completed on or before __—______.___Ul�S_�� (Z�_ _
oace
If work ,r`ar�hot be completed within dates specified, a written request for permission of extension must be made fo Hennepin County
Transportation Department. If a request for extension is not made prior to the expiration of the Permit as noted in Line 5 above, the
Permit shall become nuil and void on the expiration date.
The Permittee agrees to defend, indemnify, and hold harmless the County, its otficials, offlcers, employees, and agents from any
liability, claims, causes of action, judgements, or expenses, including reasonable attomeys' fees, resulting directly or indirectfy from
any act or omission ot the Permittee, its subcontractors, anyone directly or indirectly employed by them, and/or anyone for whose acts
and/or omissions they may be liable, aris(ng out of the work to be done under this Permlt, and against all loss by reason of the failure
of the Permittee to perform fully, in any respect, alf obligations under this Permit. Permittee herewith accepts the terms and conditlons
of the regulations as laid down by the Counry and agrees to fully comply therewith to he satisfaction ot the Hennepin County
Transportation Department.
Organization • ���
PR/OR TO STARTING BY(Print Name) � Date
CONSTRUCTION, CALL Signature
/7r+'�1 7d�i_7ri/)n APPLICA N L R CTED!F NOT SIGNED BY REPRESENTATIVE AIJTHORIZE�'
HENNEPIN COUNTY TRANSPORTATION DEPARTMENT
Operations Division—Permits Office
1600 Prairie Drive Medina,MN 55340.5421 Phone: (612)7'45-7600 Fax: (612)478-4002
RIGHT-OF-WAY C4NSTRUCTION PERMIT
• If the concrete pavement replacement is within three feet of a construction joint,the removal shall include
all pavement to the joint.
• A minimum of 72 hours curing time is required prior to placement of traffic on patch.
• Reference shall be made to"Hennepin County Concrete Repair Piate A"requirements for proper rebar
placement.
RESTORATION .
• The right-of-way shall be left in original or better condition.
• Restoration shall be continuous with job progress.
• Urban boulevards shall be sodded and rural ditch areas shall be seeded,conforming to MnDOT
Specificarion 2575 unless otherwise d.irected by Hennepin County.
• A minimum of 3"depth of topsoil meeting MnDOT Spec. No. 3877 shall be placed in either application. --
• The permittee shall be responsible for maintenance of any failures due to settlement, erosion, lack of
vegetadon growth,rutting,or other job related problems for a period of three years after completion of
project and Hennepin County has received Notice of Work Completion. ,.
• The applicant shall be responsible for immediate rep�acement of any damaged sign within county right-of-
way. __
COMPLIANCE: Failure to compty with any permit prnvision shall nullify this permi�. ''
LIMTlATI011TS.• If the roadway surface has been replaced within the previaus five year period, the applicant
shall not disturb this newsurface, including `potholing"for conflicting utilities. Furthermore, ifHennepin
County shall make any improvement or change on all or any part of its righi of way upon, over, under or along
a county road, and such change or improvement requires the moving or changing ofpublic utility facilities in
such right of way, then, in that event, the applicant herein shall, after notice in writing by Hennepin County,
alter, change, vacate, or remove from the county road that part of its facilities necessary to conform t e
improvement at its own cost and without any cost to Hennepin Coun �
. �.�e A �'�� �
PERMIT APPROVED BY. � 10/ 7/2000
Paul A. Tobkin
f� Henn in Coun Permits En neer
CALL 745-7600 PRIOR TO CONSTRUCTION!
Retain existing bonlevard grade-match into eaisting grade to the wes�t. Call Steve Hansen at
SPECIAL PROVlSI�NS ZZI-7163 24 hours prior to work.
. :w,,
■ ■ ■ ■�a � ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ � ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■
VERBAL
PERMtT NUMBER CSAH: LOCATtON: MUNICIPALITY: CLIENTS:
28923 1$ 1425 BAY RIDGE RD ORONO MATT LAUE LANDSCAPING-PO BOX
ORONO MN 55391 508 LONG LAKE MN 55356
NOTICE OF WORK COMPLETION
Be advised that all work including restoration authorized under this pemait was completcd on and is ready for
final inspection. Applicant Representative:
(Print Name) (Signature)
This page must be faxed or mailed to the Permits O�ce within 24 hours of work completion
,�,
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j, �RONO COP
(612) 473-6649 Tel. Custorn Desig�a U � P.O. Box 508
(612) 473•6661 Fax & Installalion � S ,,,, Long Lake,MN 5�356
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� Long Lake,MN 553�6
_(612) 473-6661 FaK . & Installation , S �
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