HomeMy WebLinkAbout1996-008228 - drain tile/land alt . � �
�
. PERMIT
_ �ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Cr stal Ba , Minnesota 55323 Permit Number: i_}'_;��i E}����1.;��_�}
y y Date Issued: R'�?���'.�:����
(612) 473-7357 - - - - -
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICAN ERMITEE SIGNATURE ISSUED BY:SIGNATURE
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' Total Fee: $ Date Received:
Entered By: Permit#: ��. "- --
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information) , . . - �
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_________________________________________________________ __G ✓ I/� r _
____________________________________________�_
THE APPLICANT IS: (circle one) OWNER OR CONT CTOR
JOB SITE ADDRESS: ZIP: ���t� (0
�U{s ;� �45' 8/ocl� Z
NAME OF OWNER;�d / L lg O GG� PHONE: (home) �
� C"fi y�' ,�}/ i� o-,., (work)
MAILING ADDRESS: / / CITY: ZIP:
.
CONTRACTOR �'n `-'� d�'' p� PHONE: S�9'O 2S�
CONTACT PERSON: ;' MOBILE/PA
MAILING ADDRESS: CITY: ZIP: �•��'
STATE LICENSE: # 3,�,��
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROP ED WO (d cribe in de ai�: �
.
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 ac r ce wit t e proved plan.
APPLICANT'S SIGNAT DATE: ����
NOTE! Parade of Homes events re e 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 SLIBJECTS OF D�TA
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 secrion.
Subd.2. Information required to be given individual. P.n individual asked to supply private or co�denaal data concerning himself shall
be informed of: (a)the purpose and incended use of the requesred data wi[hin the collecting'state ageocy, polidcal 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[o suppty
priva[e or confidendal data;and(d)the identicy of other persons or entiaes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesaeadve dara, pursuant to section 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of re�enue mav place the nodce reauired under this subdivision in the individual income tax or propercv tax refund
instructions insread of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, private or confidendal. Upon his further request, an individua( who is the subjec[
of stored private or public data on individuals shall be shown the data without any charge to hun and, if he desires, shall be informed of the content
and meaning of that data. After an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to hun for
six months thereafrer unless a dispute or acrion pursuant to this section is pending or additional data on the individual has been coflected or created.
The responsible authoriry shall providz copies of the private or public data upon request by the individual subjecc of[he data. The responsible authoriry
may require the requesring person to pay the actual cosu of makin¢, certifying, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to[his 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[he individual,and may have an additional five days wi[hin which to comply wi[h 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 pm�ate
data conceming himself. To exercise chis right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correc[the data found ro be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, includine recipients named by the individual; or(b) notify the individual that he believes the data ro 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 authoriry may be appealed pursuant[o 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 pernut or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license.
3. The information may be shared with o[her 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 informa[ion 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.
�on �iQ't Cor» a/2
First�o � dl Last
��n�S�i//''c n e
Addres ��
City State Zip Phone
I understand my, ��hts stated abov .
Signatu e
B4P�ESTR00 AND ASSOCIATES � 612 6361311 08/06/96 14:04 �1 :01 /d� N0:042
/in,i�,,:(i'p��. 1•'r�tirn�� .ir��lr��h� .1i�J.9��,•,,.r'�� �u< r..rn,4! �rni.�ir�r,i�t�..� fq�.���_�,,p�;lt�uufC tn7l��.,�
B���J���� �r ����ir>>f�,:Ott�i i� turn.ctr�-. I'! . 1.��.r��,�i'. An.7ciiik PF • Merv - L. ,,iv,ai.�. i'f •
.�1 uJ F lu ncr (� Irn� „A I�I • ih irri�s E Nuy . PE • f' Yc�t lr Y.� _nt. �'.E •
Roseneirr� � H�irclOn I E f�f n Ll f t,y �r Pf +�J .�,nn P U :ilu FA S�ou r l�n;�I?rmC'.
� Q 4��0�r (e l rvn�iN A Hc nr.ri 1 L�rii ii�l. PF . K iVi A (_ � 1�it ('f I.nh�-rt I. NfFPtFrlr. Fh •
A��l,.���k & i'�cY•arU�.L' Fos[er PE . D.n i 1�� ��.., h��t.� ^C I'ntr�rt �. I .rk A I A . MirF A H.�n.tin FE •
NLa Y�acl T.Ra�n�n:mn.P,F . Trrf K F���1d. PG . V,�nn�;!h P Ar��J.��sun PE . M.ar�R Rott�: PF .
ASSD����L.J �i�in�_y P Will�lrrl�O�1 f'L ! '. . R��fe�i F N��i����itn
i�Ir,�rr. St P.iUI_fY)�.ha'C!�'r Wrtiin.�r.mil ;t (Inud ^a:P.l. Ad�s���..i� �l;l
Engineers & Architects
�� � �/f,I�
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�� ��!'L��l�-r + �
Ms. Jeanne A. Mabusth r �""' " <
Building an�l Loning Administrator ��+�, � ' ,e��
City of Orono ` �-1 '
Post Office Box 66
Crystai Bay, Minnesota SS323
Re: Tc�ny Eiden
File N�. 139-2{)(17
Dear Jean�e,
We have reviewed the proposal to install a 6-inch draintile line north from lhe existing pond within Olci Crystal
Bay Road Adciition; across Lots 1,2 and 3, Blcx.k 3; under Countryside Drive West; and across Lots l, 2 and
3, Block 2 to improve the subsurface drainage in this area. Silt fence should be installed at the downstream
limiks pric�r to commcncing with the work. The draintile line must be installecl at a ►ninimum grade of 0.6
percent to prevent siltatiun within the pipe. Clean�uts shouId be iltstalled at all angle points in the line, �paced
no more than 400 feet ap�trt. At least six cleanc�uts will be needed Liased on the submitted lay��ut skttch.
Dr<unage e�.+sements will neec�to be provided ten feet wide centered on the draintile line across Lots 1 and 2,
Bl�xk 3 and Locs I and?,Blcxk 2. As-built pl��s sho��id be submitted with the actual draintite line locations
shown within one month of completing the work.
Countryside Drive West must be rep�ured W its original cross-section or to a minimum of geotextile fabric,
eight inches of Class 5 aggregate base, 1(X?%n crushed quarry rock,ar�d 3,5 inches af bituminou� mixture{Type
41 j whichever is gre�tter. '[7�e rontractor must take care to cut the existing geotextile fabric at the center of the
trench and pull the fabric aside while instaliing the draintilc, ancl thc lay the f3bric back over the compacted
trench. A new pie.ce of fabric shal� then he installed over the cut fabric to form a suitable overlapped joint.
The bituminous mlist be placed in [wo lifts. Ail backfill below the Class 5 aggregate must be granular borrow
matenal meeting MnDOT Specificatian No. 3149. Access along Countryside Drive West rnust t� maintained
at all times, keeping one lane of traffic open, Traffic control must be installed and rnaintaineci in accordance
with the MMU"T'CD. 'The City should be notified for inspection a[[east 24 hours prior to re�i�oving the surface
uf Countryside Drive West. We would recommend a$tU,Oi)0 letter of cretiit t�e ��rovided to the City to insure
that t�e work is done satisfactorily.
Please cont3ct me at this oCfice if you have any question5 regarding this matter.
Yours very tnily,
BONESTROO, ROSENE, ANDERLIK & ASS(�IAT'ES, INC.
i�JQ' ,�� �' � -
I�li
Shawn D. Gustafsan, P.E.
cc: Greg & Jewel Vitas, 2800 Countryside Dnve West,(}rono, MN 55356
Tony Eiden NAX _5_59-6423
Russ Olson, Clover Hi11 Company Inc., Box 354, Lc�retto, MN 55357
2335 West HigF�way 3G • St. Pauf, MN 551i3-3898 ■ G12-63�-4600
06/30/1996 13:44 6124665525 WICKENHAUSEP. EXC PAGE 01
WICKENHAUSER EXCAVATING, INC.
3S0 Vllla Drivo
Colo�n�, MN 363Z2
►no�.e�:re��ess
FAX�1ljN�8020
PRQPOSAL :� 3
July 1, 1996
Tony Efden ConaVuction
4100 Berkshire Lana
Plymo�th, Mn 55441
Fax 555-6423
We He�eby submit specs and estimates for Drainage work at Thoroughbred Meadows:
Instai) 863 ft 6`tubing-8 ft daep �b2.50 per ft �2157.50
1 Instalt 850 ft 6"tubing-3 h ft deep (�S2.2Qper ft $1870.00
Close trenches $500.00
Haul out�dditlonal flll � 500.00
Diq & make connections at houses S 500.170
Rock 8►tnaCkin� S2000.00
Repai�pipea &wires to septic systems S 500.00
Total $8,027.50
We Propose hereby to tumish material and labor in accordance with above specificationa, for the aum
of;
�14ht Thouaand TwentY Seven and�0l100 doEla�a S 8,027.50
Respectf�ub itted
��
Paul Wickenhauser
Wickenhauser 6ccavating, Inc.
Thls p�aposel may be wkhdravm H nol accspled wflhin 30 d�ys.
THE ABOVE pRICES, SPECIFICATIONS, ANd CONDITIONS ARE 8ATI3FACTORY AND ARE HEREBY ACCEPTED. YOU ARE
AUTHORIZED t0 DO TH�WORK AS SPECIFIED.
Authorized acceptance signafure:
T�Y�E pATE OF ACCEPTANCE
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