HomeMy WebLinkAbout1998-010297 (land alteration) PERMIT
, CITrY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �zr'_�=:h; i�r��.1 t����
Crystal Bay, Minnesota 55323 Permit Number: �;;t_;�:.�;�'�
(612)473-7357 Date Issued: ;_}�.�•�;��':N:_;
SITE ADDRESS:
_�i i =�f-3 Y�_�i L'� ii`.s i
t:�
f'. % .��. . i7L,—i j,!—`�;`'_:—t��—•iit71:�
DESCRIPTION:
?�.r�J�{[�'.#t�
���:�r i=`���rii�i• T���+� Lsat+li? f��.T��°��Tls�t�•s
REMARKS:
FEE SUMMARY:
�=,n�� ��:�, -----__ ��}•�f=�tA`.'
f E�i�.ri,i �'F_�F= 5,.��I . II{i
CONTRACTOR: - =�?����i i�_:�-�;. - '=�T . s I{: . OWNER:
f::i��Ts�=',t�v ;�: '�;tY�_f t,:�:.; T fvi� �si;'`:t��:y�� �`°���' �.E ii�fL;�1 i _T;i1
�,��.�R 1(s ��i-}`Y..�£-i��-1 `��_�'L,° _.r::.L i `�f-��i'`•�=i Lt` h'.�.J
�F;`��:�i��-� ��;r,,� �,c=;�:�� iwi�i.=1�;;<<i t�it;{ �,�'�:G,r,
S•`'- -—• 4 f`"i ';",y'.��
r,.-��—s; . " . .. _ _ :a.a._ .._ . _ t'k"s_
4!-iF !_i;v_:�=�;°_�I i;;;ii��,i i s�.r.:,.-�� i�:��_i,��,_=r'w�j:_ ;='`_:;;`1;°:;:�; t <<;i,j �:1 e;;,�;;;_ ".�-:�. F:`.�=;1._ i;4:i='�'I��`�:�l�:�;;w f ._
=�t'�`�1� � �_' ''rv _ =1_ ` I �, ' a v �;�T;,. _'t`-`,-,���__. - '�t� (�s; '...� " _:� j '4 _fF=
_'t=,f� ;-�l,!. �=::.i::,e�=- j�t 1 f :--i�_�._ .� �� .1'•�. t# . . . I:�:( _I� � f ;a;••s;_c._ :s I =. s ,�? 1
1_1�`:_IIy{_: 1_l� _1 y�`St���'v;.�`_� w.�.i_� t<�Fi��". 1_I�— �: d ,I'ur;#�,`._.f_E : f—i �;!_�{_ '.�f{`.�:W {.I_t�_1� �.�1.�:_:�j-�::,;'tl-:' � . I
� � 7 J
f 1 �
/ / 1 /
� � / y
APPLIC NT% ERMITEE SI NATURE ISSUED BY:SIGNATURE
�
To'tal Fee: $ Date Received:
Entered By: Permit#: �p,Lt�7
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
_,.
-------------------------------------------------------------- z�_----------------------=�,-
-- ,------------------
THE APPLICANI' IS: (circle one) OVVN�OR CONTRACTOR %
JOB SITE ADDRESS: �� '? f 1 �SCL�`'�;��c.�` 1�-����1� ZIP:
��l��
NAME OF O`�VNER: �� ��t'������ PHO�IE: (home)
' (work)
��
MAIIrING A.DDRESS: �_� 1 r )�ec�,I;�C�� �4 - cI'1`Y: C,►-r,t c z�:
CONTRACTOR: 1�C�'li1'.+ ¢ S��°i vc'r i`,�L _ PHONE: `�7��yl�:�%
CON'TACT PERSON: (�t'� ��� �r't'��r��� OBIL£/PAGER: rfE�s �Y6��
MAILING A.DDRESS: �5�- 7�,��:��� �:��,E.,'�?,,�� CITY: ��'.�r�-�� ZIP: ��.3 /
STATE LICENSE: # l��'G'(J ���'����� j�'�11':
ARCHITECT/ENGINEER: ��t��f'���,,., t S��i�r',,, .�,,� � PHONE: �/'9S - /�.���
MAILING ADDRESS: � ��,--� — CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteratio '�ti Land Alteration
PROPOSED WORK(describe in detai�: ���°�����'�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTNi IATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a buildin�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 Buildin� Code; that I understand this is not a permit and work is not to start without a
peml.it; and that the work will be in ac rdance with e approved plan.
� ;: � �;
APPLICANT'S SIGNAT'URE: %�'ti � � ✓�- DAT'E: � �
�
NOTE! P�rade 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.13.0.1 RIGHTS OF SUBJECTS OF D:�TA
Subd. 1. Type of daca. "Ihe riehrs of individual on whom[he data is stored or to be scored shall be as set fonh in this secrion.
Subd.2. Information reqirired to be given indi�idual. An individual asked to supply privace or confideodal dara coacerning himself shall
bz informed of: (a)the purpose and incended use of che requesred dara within the collecdng"stat�ageacy, polidcal subdivisioa, or sracewide rystem;
(b)whether he may refuse or is legally required to supply the requested data;(c)any�own consequence arising from his supplying or refusing to supply
� priva[e or confidenrial data;and(d)the idendry of orher persoas or enriries aurhorized by state or fzderal law ro receive the data. This requirement shali
noc apply when an individual is asked to supply invesrigadve dam, pursuan�to secdon 13.82, subdivision 5, to a law enforcemenc ofricer. -
The commissioner of revenue mav lace tha nodce reauired under this subdivision in the individual ir.come tax or orooem tax refund
insrrucdons inscead of on chose forms.
Subd. 3. Access to data by indi�idual. lipon reques[to a responsible auchoriry,an individual shall be informed whe[her he is the subject
of scored data on individuals,and whe�her it is classified as public, privace or confedendal. Upon his further request, an individual who is the subjecc
of stored privace or public dam 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 rhac data. Aher an individual has been shown[he priva�data and informed oE iu meaning, the data need not be disclosed to him for
six mon�hs thereafter unless a dispute or acaon pucsuant co [his secaon is pending or addidonal data on the individual has beea coflecced or creaced.
The responsible aurhoriry shall provide copies of che privace or public data upon request by rhe individual subjec�of[he data. The responsible auchoriry
may require[he requesring person to pay the accual costs of making, cerufying, and compiling the copies.
The responsible authoriry shall comply immediacely, if possible, with any reques�madz pursuant co this subdivision, or wi�hin five days of
the dace of the requesc,exciuding Sanirdays,Sundays and legal holidays,if immediace compliance is no�possible. If he cannot comp(y wich the requesc
wi[hin that time,he shall so inform the individual,and may have an addirionai Five days within which to comply with[he request,excluding Sacurdays,
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 chis riehc,an individual shall nodfy in wriang rhe responsible authoriry describing the nacure of che disagreement.
The responsible authoriry shall within 30 days either: (a)correcc[he da�a found to be inaccurate or incomplete and attempt to noafy pasc recipients of
inaccurate or incomplete data, including recipien�s named by che individual; or(b)noriFy the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individual's statzmene of disa�reement is included wi[h the disclosed data.
The decerminarion of thz rzsponsibte authoriry may be appzaled pursuanc to the provisions of the administrarive procedure act reladng to
contesced cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you tha[your request
for a pernut or license from the Ciry 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, buc refusal may require that the City deny the perm.it or license.
3. The information may be shared wich 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 cercain riohts 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.
--�
l���. ,J���� t`��„t-t
�
First Middle Last
�S� T�l'�:� �?��f� C`���.— �s-sa�� ���z���� �'�li��.
Address
� z �
�����%z���. 6��'�L' �-;�3 �( Y?S�-r
Ciry State Ztp Phone
I understand my �hts as stated above. ,�
c, ,� �
� J
� /� � /
�
Signamre
.' , `' ��
, ��� C
aP�
✓ keenan & sveiven inc.
756 Twelve Oaks Center
1�500 Wayzata Blvd.
��OOOS�D d�fl/�(� �G'l�"'V• Wayzata,MN 55391 .
..
.
C1TY 0� OR�O
A� _� SiTE PLAN �c GRAaNG PLAN
�.�paNc� l���ay � �AP�t�QVED
_ 2$ ❑ A�P�bVED WITH REVISIflNS
� ���P� V
�Y _._
� � � C1,AT��-- c�•� • ��b
�
� ,/ . .._ � . .�.�._ ._. .---._..__.Q-_.._.......__.._._....._._.—...q ..._.._....--�--.�.. \ s..e� Cp.,�Y-e' �J�-v�-��T5
�-z s � ��
:�c:_ S '` 5" E " 173 . b-�i —_ \� �l�y\�
, , . • Q `
' ,- ---- ------��,-.�------I �-----i -----�- -- - - --�, ����'�p , \'`�
� � a�� h• 4�� a � •�
>� .�¢� �,�. P� � �.:� � �o, ,i �1`{
� `�``� .� =/ . W., in erl � �5,. CMC :.
._,. . -_ � � ; 97},5 -_�____-=_--__'°
��� ;� A�6' - f� �� ,\ \,� i
�� �i G��, �._, i 'Y �r J a n�� � � � r1
; �Q� ` \ �LBj � ' � i / �'� / i ;� ! �
:;, �� L , � rt�� 1 ` � � I �
�/L �"� w�� N �.ir f � 66 ,
' e,� ti ._ . . .� � � �
,ri � - � � '�`,�. .._ � 4 ,
,r. , , - ,-� .b t/ '� i �
i / ' ��`'��, / a'� A -� i
' ' ' �_t � '''� , • z
! r .... ��
,1 �l ' �
. ,
., . . .. ; .. � '"�• �'1 � �
�1� _ ~ I � � � �
� � ;
� O
* "� ...J
y,. �t�.P,� T^ ; . �..✓ i ; /1/
�� , i I LL
� ` � ' "�S �
I _�'V _\/��� � I� '' � I �
� '�, ' .'\ GOr }100f � � � I
' . ` {.10�l1 ORtrQ1C0 O�OV�75.�I ' � �
; i }foa' dev. 978.80 ; �� � �
EXISTING HOUSE � � -�- 1 ! �
_ . c; �'�`� � �s ,� , q-�.c.�� i � Q
, r �a /. �. � U
� r� � � � �-� , , � ' q�l
�'�l�--� � �� ,
; 5 . DECK ,.� � � � \'� `
� � , I''� y`eµ �_� i
-� w� , �"`
�� rJ � � wlld � � O�aa
� ;� , '• � � � ' � �
�: : . _,�- � , ,�pq� � f �a�,��,,,��,,.
p �( . _�.� ��� PS'{��.-PSN �
�
w �� � � �
��. � ' ' �
� �
� a���� � � � N � �z
1,l'' � � . ... .. . _ ��._� /� AS �i+►
����sn,c`. ,;. 6" �.''3 .9��
�'�..a�,�'. �.� ��` - ' .. � +�' �o ��
. . . . ,
. , . ,
✓ ...... . , �
- _.... , ' L_1__)
, g�b ' ,• �� W
.�,.-� � � o �� � : �
� G��� ` _ •, � �~ � �
,
, -{7(a ,7�8^- - � � � V /
�
, �� � ,
. � � ' '
� � ,�� . .lvo�e � � °���. ' , ., �
o , �� /� ./� .ha�� N' ' \ � � . Q
-; - . : ,c�.���i��a-L —r, . `l""r . ' ►�J
� ' �
� 'cS'o1��t.' 1'/�0,0�1. /l�a�t'l cro/l�� �°"�t.' ` �
,� �-
� t / r�� (QQ� S-�O �yo•' �
' ��/ r-i���c� � �v�► � ,
� � � �.
� ' � � $;
. • / `�-.-:'_ ; ;
. ; 9�- , .
; . � . . ^
- �
! , 66
� -• -----.. ...---- ---------- --------- - --------•--------_ �
. �
. . . . - • -- • -- - - - ---------- � ,, �,.
N 89°42' 15" W 240.00 PpWER..'�
���lP�
- � HENNEPIN COUNTY PUBLIC WORKS
' 320 Washington Avenue South 4 1 S 3
' Permit No. i
Hopkins,Minnesota 55343
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
eld inspected by Dave Zetterstrom Date 5/1/98 �
cation #$4 3211 BaySi de sPeed zone 30 82p
A.D.T.
�arest Cross Street(if rural)
3ht distance: Actual-Left 35�+ Right 26�+
Minimum-Left 350 Right 26�
rb to be removed to: ❑ Construction Joint O Sawed Joint
commended drainage: ❑ Surface Ll�Culvert Culvert length Culvert diameter
�ONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BA� SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type Type CR Rock Type Type Type Topsoil_ X
u
Depth Depth M1 n Design Depth Depth Depth 3"
+ seed or sod
rRAFFIC CONTROL REQUIREMENTS
Plate #2, #3, or 'Trucks Hauling ' as needed
�PECIAL PROVISIONS
One 20' ± wide temporary construction entrance permitted as sketched.
Applicant to provide culvert as needed; profile to be similar to
diagram 'B ' below. Permanent enhancement to existing entrance also
permitted. Appl . to call for culvert delivery.
DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL 930-2548.
Diagram A I Diagram B I
w IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM.
PREVENT WATER FROM RUNNING DOWN C�� SHOULDER. R�
DRIVE. I
�h••
2"Gutter _
6"Swale
••privewaY prjVewaY
..a .. .�.......: . . , . .� . •.�c, v_ee. .� . �::r�.w..�.. :•!,�..,
��'t Existing Roadway �"'"`��'''
}.��•
Shoulder Shoulder
}
Place culvert in existing ditch
inspection date
�way was found to be ❑ Satisfactory
APPROVEDF�ErifEB�
❑ Unsatisfactory HENN ) fl11 PUB W KS
�cted by - --
gy .
Date ,� —' �'�'�
, �8 04 : 13P Henn . Cty. D . P .W. Permits 612 930 2727 P . 04
�Iv�EPIN C'UL�NTY t�t-:P�1RTI��TFN"I' UF PT_IkiLIC Vt�C)1Zi�S
ansport��tion Divisic�n — Permits nfticc
_'(I 1�4'��SIUtl,klun ,lvenue ti��uth Hupkins, i�fi�i i>i;13 Phr�ne; (fil�j 9;0-25iU I ���: (Cil2)93{)_?7�^
1�lGHT-C)F-1�1 •1Y C'01�•ST1tUt'"I�ION PF.1Z��11�1'
� II'tl�e cc�ncretc p.`�vcment re��l�c�tn�nl iti withir� thrcc le�t c�f a cansiructic�n joint, tl�c remo��Z! shall include
all pavcmen� �c� t)�e joiut.
� A mitiimum i�1�72 hours ct�rit�� time i� requircd pri<�r tc� �,laceincni o!'traFfic oti patch.
• Referenee shall bi macie Io �`►letul�.pin C;c►untt� (_:otleritc'. Pel�air E'1:�tc A" rrc�uirements I�n-�rc�per r�b�r
placcm��nt. '
Ft F.S'TU1��171(1,'1':
• 't�lic ri�ht-c�f=«-a}� s11;�I1 E?c ]clt in c>ri�i1}aI oi� 1i�ttcr c��nditi�ri. ,
• Rcstoralii�n shall be cot�titiuous �.vilh,jc�i�I,r�o�ress.
• Urban h��ulevards sl�all bc sod��ccl �ncl rural ditch �tr�.ati shall be se�dc.d. cc�nli�r�nitl� to 1�1nDC)T
�pecitication 2�75 w�letis �-�rher«�isc dir��t•tcci hv T lenr�cpzn Co��nlv.
• a ���i«inuun ot���� cle�,th c�f'tc�psail tiieetin� Ytnl7(7T Spee. '�Jo. 3877 �hall }�e pl�ced in citl,er ��plication.
• The percniticc tiltall he �-e�pc�n5i�le for�iaintenance crf'anv failures dt�i� t� settleil�ent, �rosion, l�ick c>!�
vegelalicm �row-th, ruttin�., or oth�,r jc�h related probletns 1't�r a �eric�d c�f tl�ree }'e�iCs �ll�.r �emil�l�li<fn pf
pra_jcet anci Hennepin Coi�t�ty I��s r�e�.i���ci 1�'e�tice e�f'�`o►'l: C'ott�pIc�iicin.
• Tl�e aJ�plicant. sii:�ll bc r�spun5ibl� fi�r iinn,ediate r�placc.cticnt c�fc�ny dan,a�ed si�n ���itllin c�>�u��y ri�;ht-o�-
�����'.
(.'l)�-fPT.IA,�'(�'I�': f'ailt�re tu comply with xny pertnit provision sh:�ll nullif� tt�is l�ermit.
�11111�.�TI��:V���'- If rlac' }'OCY[�lb'Cl)�.stu�C7<�('. `TClJ' f?f'E'l) C'E'))jCICC'C�li:lt`tlr) I�1C:�1J`E'VtUl.LS f1VC'j�C'CC!'�)Ci'lUi.�, Ij1e' CJJ)f)jlCCITPI
.��hull m>> di.��tz�rh tlzi,s' �le���5'urfcrcE�. rrlclr.�clirts '�1���Ilao1«��>"Jc.�r ri�njlie�in,��zuilitic�s, l��r.�rthc�•�t�r.u�E�, lf HC'1711C�)fl1
('n�.«�ty shcrll mukc� c�rry irr�J�f•n1'G771L'i?l Oi' ('lac�s�,�rc un c�ll u�•u,rl�1�p�•t n��it,s r�i,��hl c�f�i�try�za1�nn, ni�<��•, i,rn�lcrr ur ulur�,��
rr cr�cnrly r��ucl ctrlcl.ct.�c'{t chun�>e ur int1�rnl�c�rnc�nt r•i�qaii����_r 1hc� i�r��urn,��nr chur��irg c�f�1t�hlir rilrlil}'.�acilitre.c iit
,ct.ICft �'��dtd UJ��c'cry, ll�en, irt !ha! ��ve�rlt, tjri� c7/�pllc�cr�r! hc���c�i�t .chc:xll, ufte�' �totic�E� r�t �a'i'J1171.f�� hl� fle�����t'pirt C'uz�irtt�.
ulte��, chcxn�c�, vt�ccrtE', ur� re�ni��ve ff•��n� 1he c�u�����'�'vc.��d lhcal pur•l ��f il.��.f[7C(IJflC.0 f1i.'CErs�sury li� cnnfi�rr�� tr� Idte
lCYI)'1!'UVE')7)E'Y1l UI 11.0 Ojvsa cost c�i�c� �ti�ilhvul un�.�f'�l�'�''Y,117(.'p117�Lrtly. .
!'LKMI"1','1PPR(�VF.T? R• .� � ��`?'�i9R
Hcnne�itt <'oulliv Ferttlils Oilicc Su�e�visot•
C.�LL 93f1-2S,S(J PRIOR T�� C'f�N�STRUCTIUIV!
� —- --
i �YliC'IAL PF(�VTS1ONS
-- _ ...
- _.
'I'N1� PER�IIT CnVER'� GK�.DING WITHIN `I'H1�. K.U.W. A 4:1 �LQF'� UR
FLATTTR SHALL BE 17A1NTAIhT',D UFF THE �' C�12AV�L SHOLJLU�:it. N() �
�L TREES SHALL Bl: I.UCATED O:�' Cnt1NTY PRUPERTI'. '�
�(:) l 1C:L Ui� 1�'C�RK C(�'1iPI.F.TT()N
N�KMI'I' C'S;�II f,fx��� I �ciN (�IUT�ICIPi1LITY C'I.1F.N"CS
� N[:'�_t F1 F R
! 26171 �� � 3=11 --- � ORONCi�- � 11�1 'f'RACI' Lti'�C�ELL �I
-� . ... _ . -- �
I;e advised th<<t all work includine restor�tiotl authurizcd undcrthis J�er•nlit w�s Ci�tt�plctcd un _ anc! is t'z�clr� 1��r
(inal inspection, ;l�plica�rt R�J�rc�sc�f��nrivc:
(Print�ame) -_ (Si�nsture.)
This /�cr,�c� n�u�t bc�.faxec�r�s• rfzailec�lv lhc� 1'c;�y�rrtit.s Uf�`icE� titi�itlrin ?4 hvi�rs c�f'�vof�k c��»yapl��tiny7