HomeMy WebLinkAbout2002-P05326 - land alteration .
PERMIT
l;i�"YMOF ORONO
�7:i0 Kelley Parkway - PO Box 66 Permit Number: Pos326
Crystal Bay, Minnesota 55323 Per'mit Type: User Defined
(952) 249-4600 Date Issued: 9�i6�2oo2
SITE ADDRESS: 445 Brown Rd S
Long Lake,MN 55356
PID: 03-117-23-31-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Pernut Sub-type(s): Land Alteration(0-500 cu yc
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00
Valuation: $ 0.00
TOTAL FEE: $ 50.00
APPLICANT: Owner/Self OWNER: Eric&Ivanette Smith
� 445 Brown Rd S
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.
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APPLIC NT PERMITEE SIGNATURE ISSUED B GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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Total Fee: $ � � �, � --� ate Received: �� C� __ ���
' Entered By: YJ Cc ��' `�- Permit#: i„ � � -�
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/ �� CITY OF ORONO - B ING PERMIT APPLICATION
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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: ��� �o�� ,�j�o r,�,� ,�l ZIP: �_S>.-S��
f'yi,�s �',-, � l� S�, �-l.
NAME OF OWNER: .�.�C���e Sf�,T� PHONE: (home) y5;,1 - � 7�-�Y��-�
(work) � �5��,�1_c�//
MAILING ADDRESS: Lf�1s��'� Qi�e c�,• �� CITY: a v��i � v �11,�/ ZIP: S'S �.56
�,�/�?�1��i'�7 ��sa-y76 �
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�s 74�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: � REGISTRATION#
i�
TYPE OF WORK: New Addition Accessory Structure ,
Move Remodel/Alteration Land Alteration
`"� ���
PROPOSED WORK(describe in detain: �,,v��'' .�c, s �v.'e C,���/ l��a���. ��v� � ,
�'�'ti��f>r� '�� �o ���� �.��yU s� � � S� � � � �
. l 7 U�� S �r 4 i'k- ./�/"I G✓` ��li� f/� �� 1 J
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��•� /����/� �cs �i 10
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED 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 accordance with the approved plan.
APPLICANT'S SIGNATURE: �,.��Q�� �--- DATE: � " l�- ��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
5
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Sea 13.04 RIGHTS OF SUBJECTS OF DATA �
Subd. 1. Type of data. The righu of individual on whom the data is stored ot 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 conceming 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 identiry of other persons or endries 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 ro section 13.82, subdivision 5, ro a law
enforcement officer.
The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or oro�ertv 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. Afrer 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 uriless 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 authoriry 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 shal(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 authoriry 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[o 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 disagreemen[is included with the disclosed data.
The determina[ion of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act reladng
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 �ity 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 pernut 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
Ciry State Zip Phone
I understand my rights as stated above.
c��� ��� ������
Signature
6
� . ' CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: y�-1 S so�r�� �/1,c��,,r,v �/�/>
PID:
DESCRIPTION OF WORK: F',��
ZOrTi tG REVIEW BY: DATE APPROVED: 9- r 3 -a2.
BUILD�tG REV�W BY: — DATE APPROVED;
--_----- -------- ----------------------------------------- --
,,,o G.v,p.'o.c �� ,..e�� �=Ptf
FEES TO BE CHARGED: ��,�o�„� Misc. Fees Catculated B�y:
PER11�1IT Yes ✓ No
PLAl�t REVIEW Yes No SEWER CONNECI'ION
STATE SURCHARGE Yes No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC Units OTHER (specify)
ZONING CH�CK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
(`�� Building Height: Def. Hgt. Pea�:Hgt.
��� L.o[Coveraae:
��i Grading: Staff Approval Date: By: Council Approval Date:
� �t"
S � 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
BUII,DING REVIEW CI�CK LIST
�C� CONSTRUCTION TYPE:
� Sq Footage $Per Sq Ftg
Basement x _ --
lst Floor x _
2nd Floor x =
Garage x _
z =
TOTAL
Estimated Construction Value: $
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
FO°��g i Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) O[her
Wall Board (Mfg.) Well (State Permit)
�Final Grading/Filling Electrical(State Permit)
Other
REt1'IAR��,S(ni T HOUSE):
---_ --------------------------------------------------------
REVIEW BY OTHERS: F DATE:
Access: Ezisting New
Access Approval: Date gy:
--- ------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT�:
8
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CITY OF ORONO
�C SITE PLAN � GRADING PLAN
0 APPROVED
�APPRC�VED WITH REVISIONS
❑ DISAP OV
BY ,
DATE q- c 3•��--
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Minn"ota Best Management Practices
Pollut�on
Agen y for Minnesota's Old Dumps
Cleanup,February 2001
Slte This Minnesota Pollution Control Agency streams, lakes or wetlands.
Remediation (MPCA)fact sheet provides an overview of Development taking place on or near an old
DivlSlOn a recent Dump Assessment Study of old, dump can increase the risks to public health
non-pernutted,municipal dumps,and and the environment and create a problem
describes Best Management Practices for �,here none existed before. In addition,
these sites. The Best Management Practices dealing with dump impacts can significantly
are based upon these study findings and increase the cost of redevelopment.
agency experience in assessing and
managing dumps through MPCA's Most former municipal dumps were closed
Superfund, Closed Landfill Program,and in the 1970s,as pernutted landfills with
Voluntary Investigation and Cleanup (VIC) larger capacity and better environmental
Program. protections began to accept most municipal
The Dump Assessment Study,released in �'aste. Closure measures taken by owners
early February 2001, involved the screening or operators at some dumps were better than
(including a site visit)of 1,800 dumps in at others.
Minnesota. The study concluded that most The Study concluded that many dumps
old dumps,under current land use do need more closure work to reduce
conditions,are a lower risk to public health nuisance conditions and owner liability.
and environment than many other The MPCA recommends that owners
environmental issues of concern to the implement the following Best Management
MPCA.The MPCA did discover potential practices, along with any appropriate local
problems at many dumps that should be ordinances.
addressed by site owners. These problems
may include:
• Unrestricted access to old dumps attracts Best Management Practices for
illega�dumping. Dumps on Unused Property:
• Physical hazards,such as scrap metal ' • Leave the dump and adjacent land as
and junk,can injure wildlife and people undeveloped,open space.Changing
who use the site (whether they are the land use on or near a dump can
trespassing or not). change the risk to public health and the
environment.
• Surface soils may be contaminated with Development on or around the dump
hazardous materials and may pose a risk
to those in direct contact with these should generally be discouraged.Intrusive
soils. activities, such as excavating,create
potential contaminant exposure pathways
• Ground water may be contaminated near and uncover wastes that may contain
the site. hazardous constituents. Also,
• Storm water runoff from dumps near
water bodies can pollute nearby rivers,
Minnesota Poilution Control Agency,520 Lafayette Road North,St. Paul, Minnesota 55155-4194
(651)296-6300,toll-free(800)657-3864,TTY(651)282-5332 or(800)657-3864
This material can be made available in alternative formats for people with disabilities.
� Printed on recycled paper containing at least 20 percent fibers from paper recycled by consumers.
�
� Minnesota Pollution Control Agency
"'� Site Remediation
many old dumps still generate landfill gas that can migrate . Record a notarized affidavit with a detailed
into enclosed buildings too close to a dump and build up description of the dump with the county recorder
to explosive and possibly toxic levels. of deeds.This document should include a legal
description of the boundaries of the filled area,the
• Close or limit access to the site and prohibit refuse size of the filled area in acres,the depth of fill and
disposal.This can be accomplished by blocking �ything that is known about the types of waste
access roads with a gate, fencing or earth berms.This buried.The affidavit should also reference any
will discourage future dumping as well as reduce
potential risk to the public in terms of contact with investigation reports.
contaminated soils or physical hazards on site. • Contact your county solid waste officer or the
Signage, such as"no trespassing", and "no dumping" MPCA for additional guidance in implementing
may also help in discouraging unwanted activity at a these Best Management Practices. At the MPCA,
site. contact John Curry,(651)296-9435 or toll-free/TDD
• Remove dangerous physical hazards and surface (g00) 657-3864. Also, seek guidance if you plan to
debris.Reduce the chance of injury by removing conduct any excavation or change the slope and water
scrap metal,barrels or other containers (full or empty), �off at the dump.
asbestos-containing materials and appliances from the
site. Proposed Development or Land-Use
• Ensure that whenever workers are at the dump site Change at or Near Old Dump Sites
they use personal protective equipment If the dump is near developed land or may undergo
appropriate to the activity that they are development in the future, the developer should contact
undertaking. Particular caution should be taken,as local zoning authorities and the MPCA and retain the
workers may be exposed to hazardous substances, expertise of an environmental consultant. Assistance from
contaminated soil or unexpected chemical and the MPCA Voluntary Investigation and Cleanup(VIC)
� physical hazards. Program is available to dump owners or operators who
• The entire surface of the dump should be covered �'ish to receive project oversight and formal liability
with clean fill that supports vegetation. In areas of assurances from the MPCA for site closure or
the dump that have not been previously covered,or redevelopment.
show bare soil,add two feet of clean fill. Local and To leam more about the VIC Program and investigation
county public works departments may be good and cleanup of dumps, see VIC Guidance Document#19:
resources for finding appropriate sources of cover Approach to Investigating and Remediating Abandoned
material. Cover soil will minimize surface contact Dumps, at http://www.pca.state.mn.us/cleanup/vic.html or
with possible hazardous materials in the dump and contact Jerry Stahnke of the VIC program at(651)297-
reduce surface water seepage into the dump materials 1459 for more information.
and groundwater. The soil must be able to support
vegetation.
Old Dumps with Agricultural Chemical
• Vegetate the surface soil. Vegetation reduces runoff Containers
and erosion,provides habitat, and improves the
appearance of the property. Seed mixtures for For information on dumps that may contain large
vegetating sites are commonly available from local quantities of pesticide containers,contact the Minnesota
nurseries or agricultural outlets. Using native prairie Department of Agriculture(MDA)at(651)297-4981.
grass mixtures or certain Minnesota Deparhnent of To learn more about MDA's Empty Pesticide Container
Transportation mixtures(such as seed mix#5)can Collection and Recvclin�Program,contact Steve Poncin
also improve site aesthetics. at�651)296-5136.
Best Management Practices for Minnesota's Old Dumps Page 2
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