HomeMy WebLinkAbout1995-007476 (driveway Alteration) �P�RMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date issued: _- �- �
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: - ���i. ::.=.._;�. -
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AP CANT%PERMI E SIGNATURE ISSUED BY:SIGNATURE
DateReceived:
DateApproved:
L —
Permit�: r7 �l��
CITY Or' URONO - BUII..D�TG PER�tiIIT APPLICATION
AI.L livFOR1tiIATIOr'IILTST BE SLB��TT'I'ED �T�L�L BEFORE PL��1 REV�`i'�'ILL
BE ST�RTED
- - -----
- ----------------------------------------
-------------___------------------------------------ --
THE APPLIC:�1vT IS: (circle one) O�V�tER OR CONTRACTOR
JOB SITE �DDRESS: '�`�� �C ��-�`�����'
' ZIP: ��c���� L.o
N���IE OF O`�NER: ����cti�c � �c�.1.`� �c�c���o��PHO��: (home) �k��a - �����o
c�;c�� (work) �'10 - �'�'� �`�
MAILINGADDRESS: °���� c� c.�����CITY: Ll— ZIP:��I�,
o'�o� ��-�v�=�2�L� �� ,
CONTRACTOR � �,.�,_ � c� �,�� � ' PHO�tE:
l IpB pH ,�TE/PAGER:
vIAILING ADDRESS: CITY: Z��
' STATE LICENSE: #
ARCHTTECT/ENGINEER: PHO�1E:
v1AILPtGaDDRESS: CITY' ZIP'
NAi�IE: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure__
Move Remodel/Alteration �---.I.�A_ltera�o�T
PROPOSED�ti ORK(describe indetail): ����r���=�- 6'�-���ti e-c� r_"`}' ��"`
� �c���c�v�, �''� 'l � �� _ �
STORIES: _ SQ• �ET OF EACH FLOOR:
NO. OF BEDROONIS: GAR.�GE ST�LLS: ATT. DET.
�ST�'1�TED CONSTRti CTION VALU�TION(eYcluding land): � (p c'� C G U ` �7 C>�v�=� �
I hereby apply for a buildin� permit and I acknowled�e that the inforrnation above is complete
and accurate; that the work will be in conrormance with the ordinances and codes of the Ciry
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 accordance with the approved p�lan. � � ��
�� y� DATE:
APPLIC��T'S SIG�1ATiTRE: ��
NOTE.' 1'arade of Homes events requi _ separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
CHECK 0�.� LIST FOR ISSU��iCE OF PERNITTS
FOR OFFICE USE ONLY
�1DDRESS OR LEGAL: 3S�c� �3A�1 s � /.ZP
PID:
DESCRIPTION OF WORK: LAyv�D .�1-Z"�R,�'���`' -
------------- � .
ZONING REVIEW BY: DATE APPROVID: � ��-�-�s s
BUII�DING REVIE`� BY: DATE APPROVED: N/i4
-----------------------------
FEES TO BE CHARGED: ����isc. Fees Calculated By:
PERMIT Yes � No
pL�J ��W Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STI'E INSPECITON
Number of SAC Units OTHER (specify) _
----------------------------
ZONING CHECK LIST Zoning District: Shoreland District :
Fire Department: Post Office: School District:
Lot Area: Sq.ft.
Acres Width Depth
Survey Submitted: Yes No Date of ey:
Proposed Setbacks
Front ( e): Right S de:
Rear (S r t): Len S� e:
Adja nt tructures: Wetl d:
Building H ght: ef. Hgt. Pe �
Ave. Setb ck:
Bluff Setba : t Coverage:
Existing oposed
Hardco er: 0- 5'
75 250'
25 -5 '
�00
H cover Variance Required: Yes :vo Dace of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By'
Zoni.ng File: # Resolution: � Resolution Date:
17;EMARIKS (in house):
BUII.DPi 1G REVIEW CHECK LIST
usc: ��� co�vs�ruucTTo�v �-�rE: /✓//^�
Sq Foota�e � Per Sq Ftg
Basement � —
lst Floor X —
2nd Floor � _ ��`./T�`��� �1 1
Garage � —
C -
TOTAL
Estimated Construction Value: �
Inspectioas Required: �Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal �fechanical Water Connec[ion
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
p< Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
- --------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY�
----------------
RENIARKS (TO BE NOTED ON PER���IIT):
27
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,)i �::�. ,�.,, �iunkipa►offices
� - �'y Post Offic�e Box 66
'� ta 55323-a06G
�,� , ;,�S; - :� �`�' Cr��stal Bay,�linneso
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DAT� PRIVACY ADVI.SORY
In accordance with �S.S. 13.0-�> Subdor lic nsetiroms the Cicyrot LOrono or�anylot�i�
inform ��ou that vour request ror a p�rmit
departments may require �rou �o i�srnisn c�rtain pri��ate or contidential intormation.
You are notiiied that:
1. The info:�nation ��ou rsrni�h will be used to determine �'our quaiification for the
permit or license requested.
?. You may refuse to suppl}� data, but rerusal may require that the Ciry der.y the
pernit or 'icense.
3. The L�tormation may be shared with other local, sta�e or federal aaencies to t?:e
exter,t necessary to p.'J��ss «j� Pz:��t or iicer.se.
?, If ��our requested pe:mit or license requires Council action to approve, sorrie
information mav beccm� puolic.
�.
You ha��e ce;�ain ri�hts under ;��I.S. 13.0? (see fo�lo���in� p3a�j to revie�v priv�te
data on yourszlf.
(. Your fu11 name is :eauired to process this application or permit-
PLE��SE PRL\''r
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`�� ��liddle Last
First -
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.-�ddress -
,�-� � � �"-,j"������� -, /��� — ��l-�'�
��'`"�'� '`�� Zip Phone
City State
I understand m}� riQhts as staced above.
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� TEI.EPHO?YE-�373-7357• EAX-�173-0510
—------ -- - • '� ,
513.04 RIGHZS OF SIIBJECTS OF DATA
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be 8s set forth in this section.
Subd, 2. Information required
to be given in�v��L An.individual asked to
su ply private or confidential data concernin a gmw hin the collect ng state agen y�
P
purpose and intended use of the requested
(b) whether he ma� refuse or lfromhis
political subdivision, or statewide system; �oWn consequence arising
required to supply the requested dat$; (c) any
su 1 in or refusing to supply private or confidential data; and (d) the identity of
PP Y g state or federal law to receive the data. This.
other persons or entities authorized by 1 �nvestigative data,
requirement shall not apply when an individual is asked to supp y
pursusnt to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav ple�� taX re°und instQuctionsunsteadhos
subdivision in the individual income tax or pr�� v
on those orms. . ---- .
Subd. 3.
Access t� �ata by indivi�ual• UPon request to e responsible
authority, an individuel shall be informed�h utbh�c hP �g eeoc confiaent al.e Upon his
individuals, and whether it is classified p � ublic data on
e to him and, if he desires, shell
further request, an individusl who is the subject of stored private or
individuals shall be shown the data withou�fan�y ��tg. �ter an individual has been
�e informed of the content end meaning the data need not be �isclosed to
shown the private data snd informed of its u��o�action pursuant to this section is
him for six months thereafter unless a disQ
ending or additional data on the individu e h� gte or p blic datarupon request by
� p reauire the
responsible authority shall provide copl�The responsible authority may
the individuel subject of the ��• certif n and compiling the
requesting person to pay the actuel costs of making, Yi g►
copies. y if ssible, with any re9uest
The responsible authority shall comQly immediatel , pa
made pursuant to this subdivision, or with lide e,�f Simmed�atea complianes ei�.su not
excluding Saturdays, Sundays snd legal Y5
've da within which to comply with the
ossible. If he cannot comply with the reqflest wi�in that time, he shall so inform t e
P have an additional
individuel, and may 5��� �d legal holidays.
request, excluding Saturdays,
Subd. 4. Proce�u'e �'►hen �ata is not accurate or complete. An individuel may
contest the accuracY or completeness of public or private data concerning
himseLf. To
ht an individuel shall notify in writing the responsible authority
exercise this rig �
describing the nature of the disagreementbe nac ura e oren omQlete and att pt to
days either: (a) correct the data f ound to
notify past recipients of inaccurate or inuamP�t he believesdthe rdatalto be correct
the individusl; or (b) notify the individ
Data in dispute shall be disclosed only if the individual's statement of disagreernent is
• included with the disclosed data• e�1ed ursuant to the
� The determination of the responsible authority may be apP P
provisions of the administrative procedure act relating to contested cases.
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Hcss:�ocsiss> HENNEPIN COUNTY PUBLIC WORKS
320 Washington Avenue South _ �
Permit No. - --�
Hopkins,Minnesota 55343
DRIVEWAY OR STREET ENTRANCE PERMIT AND SPECIAL PROVISIONS
Field inspected by Date
Location Speed zone A.D.T.
Nearest Cross Street(if rural)
Sight distance: Actual-Left Right
Minimum-Left Right
Curb to be removed to: ❑ Construction Joint ❑Sawed Joint
Recommended drainage: ❑ Surface � Culvert Culvert length Culvert diameter
1.CONSTRUCTION SPECIFICATIONS(Within Right-of-Way)
BASE SURFACE CURB SIDEWALK SHOULDER BLVD-DITCH
Type Type Type Type Type Topsoil
Depth Depth Design Depth Depth Depth
2.TRAFFIC CONTROL REQUIREMENTS _ _ ,
3.SPECIAL PROVISIONS :°'Tf' ;�r ± t,1T�j'x;ZA'(; P},'�?"j'i"j"Fj` 1�� ���'��?*;J)�
DO NOT PLACE CONCRETE ON COUNTY RIGHT-OF-WAY WITHOUT WRITTEN
PERMISSION. IF YOU HAVE ANY QUESTIONS, CALL 930-2548.
IDiagram A I Diagram B i
IMPORTANT: TYPE"a"CONSTRUCT ROUNDED BERM TO IMPORTANT: CONSTRUCT SWALE TO DIVERT WATER FROM
R� PREVENT WATER FROM RUNNING DOWN C�� SHOULDER. R�
DRI VE. I
�h••
2"Gutter 6"Swale
,.a•p�ivewaY + , , ....- . ..e� •.,_:,. � . ..�. ww. ... :•t.... ��ivev+aY
��;' '�`r f Existing Roadway f. �'"� �""
�/ �/�
Shou�der�� � Shoulder }
"�"" �'' l�\ � Place culvert in existing ditch
M� _---
Final inspection date
Driveway was found to be ❑ Satisfactory
APPROVED/DENIED:
❑ Unsatisfactory HENNEPIN COUNTY PUBLIC WORKS
Inspected by By
Date
--r� �.. ..�.:-�,.,_.._.e._�.-�,-a,..-- -.r-_��:,�- ,-
,.. .�....�.._-_�_ -_ _ -_ _..-.,... --., �. ��
Curb Gutter
� DR I V E WAY �/;'E xpansion Jt.—�—._
1/2•,
Ex ansion � , Expansion Joints at 60'(Approx) ,��•'•
%i'Expansion Jt.� Jo nu - � � �maximum interval.
i
, } . �. � ,
W ' t - - i.
J
4"Walk� a 1/2", � --6 Walk� \ '�"Expansion Jt
0 Expansion � '
w Joints Square Panels 4��Walk Contraction Jts.
>
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a Private Walk�:::`� -.':�'•
, `::`::'..:'�:'.': ►
Curb and Gutter
8" Pav't. 6" Pav't.
, ivate �
� Driveway �
�.�• ' � �~. '
Psved A I ley
4"Walk 4"Walk 4"Walk ��� �
Contraction Joincs
Prov ide intermed iate jo int at
�/4" R. — 1/4" per ft. slope tovrard roadway squared end in sidewalk, v.hen � •� ,� r
1 sidewalk Is adJacent to curb � ; '
_1 and gutter. E ' �
:e.;:.:•. ;.: .. �. ;.:: .:.a:• -•. •:.' : o C` co
V
I � 4"/6"
�• Variable Rlidth -..�
SECTION THRU WALK
COW�RETE WALK 4""''"` �
�� ,'
.�. ,
�v- ' ,'�r, ,'' �'�� ,,�� �
a ��� . i
�`a�1o`�� ,' ',� ,�i
�a� �0 45� A
�
C & G �'�: ...,.�;.,.,.- .
` ���
60° to 90�
. y�a
+ . . ,a
. . . _ µ -, �
. . S�O,oe
3� �
� -:.:1/4" R. Orive�y Pavement 1/4"R.
Variable � � ` Length rks
SIQRE "Q �Q. a: �'V' 'p•s.'a a..
A�� ;
s-iox e�:�rre,
ist��.x. d��.
HC 5330 badc(3/93)
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, Hcss2g s,9s HENNEPIN COUNTY PUBLIC WORKS Permit No. �' '
ENTRANCE 320 Washington Avenue South
PERMIT FEES Hopkins, Minnesota 55343
PRIVATE $50.
TEMPORARY �50. APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT
COMMERCIAL $100.
STREET �ioo. (Read "General Requirements" reverse side)
,
��, pP .. _i- _?� � tyt#�>t � e_.:a,� '� Phone ��i.� '��,�'� :.;
Nameofa licant _;."•i�:;ycy �,'ti�- i � :_•. ,�
� " j��3 q� w
Address �� � �: ���(.'�1(,��i �1'"i � �...�'Y` �� ` � S^'J . ��, ;
� (city) ��ate) �� (zip co e) ;
f
Name of Property Owner `::� CC,311��1�',, Address ,:.."�UY'�t��i� '
1. Contractor performingwork (IfKnown) ���'� ��'C i�s T,�`i�,1/� �� BC�i�'ikV�,_�`. Phone '�`, '" '����
2. Application is hereby made for permission to construct and thereafter maintain: r Driveway�s) Public Street�s)
3. Building to be constructed: � Yes �No �Residence � Commercial (Specify Type)
�p
4. Driveway or street will be: � Temporary � Permanent Date proposeci entrance wili be needed: � "` s " ��_
(Permit expires one year from date)
5. Is the property: � Platted � Unplatted Number of present driveways or entrances to property: �
i
6. Building Permit acquired: � Yes � No City ��'d"C1Y'1C Permit No. �
7. Type of proposed entrance surface. � Bituminous � Concrete � Rock � Other `
i... �
8. Location� .:��i� �`a.:� �C t�. C� � �`� :��Y°,`���3
(Address) � ` (Co. Road) (City) �
9. Location, if rural: � Miles �� of ��dl9s��:����� �"1
(N.,S.,E.,or W.) (Road or Street)
Dated ��'��:[]ti,3 �+ `s'1#"�! �;^ Applicant's Signature -•tc� s.�'t.�-ytk ` ' '..
` r C
Printed Name �' ° �3%.�r;�`y� ��� , �
TO HELP THE INSPECTOR, PLACE A STAKE WITH A CLOTH ATTACHED IN THE CENTER OF THE PROPOSED ENTRANCE, HIGHER THAN �
ANY SURROUNDING VEGETATION.
APPLICANT'S DIAGRAM - (If plot or construction plan is not submitted)
....- = �,UT u�� ..
, . . : . ..� _ '�r'�V�.�'�y �h�
P,. .� . � ._...�. . ,-�:.
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�+ � ��, _ �'�3�y��d� � w��n � - 4 � �' ��fr
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�E Ur CO��rqC'�"oY q�Vis�°C� � �
wi�deh�'nq duP.. �'� �'��t�'��c�
' (Complete this form and send all copies to: Hennepin '
�;�""(;���,���� County Public Works Permit Office,320 Washington Avenue h
South,Hopkins,Minnesota 55343. Phone:930-2548.
After approval,one copy will be returned to applicant.)
HC 5329 back(3/93)
1. Appiications for commercial and industrial driveways or driveways servicing parking lots or garages with five or
more vehicular parking spaces must be accompanied by two (2) separate layouts, Such layouts must meet the
requirements of the Rules and Regulations Establishing Design Specifications for Driveways along the Highway
Systems of Hennepin County, Minnesota. Copies available at the Hennepin County Public Works, 320
Washington Avenue South, Hapkins,Minnesota 55343.
2. Applications for entrances serving private residence, farm or parking lots of less than five vehicufar
parking spaces need not submit a sita plan, but shall make an appropriate sketch in the space
pravided on the front of this sheet. Such sketch shall generally locate the entrance, indicate its
dimensions,and relate to property lines.
3. No work shall be started untii application is approved and permit issued.
4. If the installation of this driveway makes it necessary to work on the roadway,traffic must be protected;lights,signs
and proper barricades must be in place.
5. It is expressly understood and agreed that this permit is conditioned upon not placing any materials
on traveled portion of the County roadway and that restaretion of all disturbed area becomes the
responsibility of the applicant. The area disturbed must be restored to its original or to a satisfactory
condition.
�• After driveway construction is completed; persons requesting instailation must notify the permit office that such
work has been compieted and ready for final inspection and acceptance by Hennepin County.
7. No changes or alterations in entrances may be made at any time without written permission from the County
Engineer or Representative.
8. Approval of this permit does not deny the County Engineer the future right to revise, relocate or
close any entrance to expedite the movements of vehiculer or pedestrian traffic.The County retains
the right to close said entrance(s) at its discretion, based upon the necessity for traffic regulation and
control.
9. Existing driveways are not automaticaily perpetuated. In the event of a change in land use or a major
change in the traffic pattern of the existing facility, new driveway applications may be required by
the County.