HomeMy WebLinkAbout2001-P04123 - retaining wall PERMIT
CITY JF QRONO Permit Number:
275U Kelley Parkway - PO Box 66 Po4i23
Crystal Bay, Minnesota 55323 Permit Type: User Defined Surc Building
(952) 249-4600 Date Issued: �i31i2oo1
SITE ADDRESS: 4080 Dahl Rd
Mound,MN 55364
PID: o�-i i�-23-t i-oois
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Retaining Wall
Permit Type: User Defined Surc Building
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 209.63
APPLICANT: Landscaping Inc.(Don't issues any more pei OWNER: Mandeep& Leisa Sodhi
11355 Hwy 7 4080 Dahl Rd
Waconia, MN 55387 Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICA :� SIGNATURE --_ ISSU:DI3YSIGNATURE
Copies: 1-File(SiQnitures Required). 1-Aoplicant, 1-Monthlv Reoorts, I-Assessine. 1-Finance Page 1
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Total Fee: $ �- �f� �J ' Date Received: ' �'
En:ered By: "% �/ .,�� � Pernut#: �' �;1� ;
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CITY OF ORONO - B �G PERIVIIT 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 SIT'E ADDRESS: �(��j� ,.4-N1 /��. ZIP:
l�A�'�IE OF O`VNER: ������` PHOi�tE: (home)
. (work) �q -3 d v�
NIAILING ADDRESS: �� c�� .,¢����CITY: t��.� ZIP:
:l
';'" CO��'RACTOR , �� ar�o a �- PHONE: 4S L- ��i� �7n�
�i"�L ,�� COr�TACTPERSON: ���� ��.�,�,��,� NIOBILE/PAGER: 4s"z l.�u�--r'c7o�
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" � NI.AII..I�i 1G ADDRESS: l!3 5 S' I�-i,v�"7 CITY: (,,,��,,,-;� ZIP: s 5 3� 7
' ST�iTE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
��IAII.,L�,'G ADDRESS: CITY: ZIP:
�T�ti1E: REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration�_ � ��t
(�(d'�c u `r��g,y
PROPOSED WORK(describe in detai�: -7 g�,-1$',� S �S"s��s
� � Zs =
5� _
STORIES: SQ. FEET OF EACH F'LOOR:
1�T0. OF BEDROO�iS: GARAGE STALLS: ATT. DET.
o.,
ESTLI�IATED CONSTRUCTION VALUATION (eYcluding land): $, J�,��l��—
I hereby apply for a buildinJ permit and I acknowled�e that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Buildin� Code; that I understand this is not a permit and work is not to start without a
perm.it; and that the work wiII b ac rda, with � appro d plan.
,
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APPLICA:�T'S SIGNATURE: i ATE: � f�
NOTE! Parade of Homes events require separate p it 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 SUBJECTS OF DATA �
Subd. 1. Type oF data. The righu of individual on whom the data is stored or to be stored shall be as set forrh in this secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidencial data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency, poti�cal subdivision,or statewide
rystem;(b)whether he may refuse or is legally required to supp(y the requested data;(c)any tmown consequence arising from his supplying or
reiusing to supply private or confidenaal dara;and(d)the idendty of other persons or enaries authorized by smte or federal law to receive[he data.
This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to secaon 13.82, subdivision 5, to a law
enforcement officer.
'Ihe commissioner of revenue mav�lace the norice reouired under this subdivision in the individual income taz or orooertv tax refund
insttucrions mstead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsibie authoriry,an individual shall be informed whether he is the
subject of stered data on individuals,and whether it is c(assified as public,private or confidenrial. 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 char�e to him and, if he desires, shall be informed
of the contenc and meanin�of that data. After an individual has been shown the private data and informed of its meaning, the data need not be
disclosed to him for six months thereafrer unless a dispute or acdon pursuant to this secaon is pending or addirional 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 au[hority may require the requesdng person to pay the actual costs of making,certifying, and compiling the copies.
The responsibie authoriry shall comply immediately,if possible,with any request made pursuant[o this subdivision, or wirhin five days
of the da[e of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comp(y with
the request within that dme, he shall 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 dara concerning himself. To execcise this right,an individuai shall notify in writing the responsiblz 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 to noafy
past recipiencs of inaccurate or incomplete daCa,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shali be disclosed only if the individual's stacement of disagreement is included with the disclosed data.
The determinadon of rhe respoasible authoriry may be appealed pursuant to the provisions of the adminis�aave procedure act reladng
to contested cases.
DATA PRIVACY ADVISORY
In accordance with Nf.S. 13.04, Subd. 2, "Righ[s 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 Ciry 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 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) ro review private data on yourself.
6. Your full name is required to process this application or permit.
Firsc Midd(z Last
Address
C��' Srate Zip Phone
I und r and y ights as s ov . -
Signatu
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6
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CHECK OFF LIST FOR ISSU��ICE OF PERNIITS
. • FOR OFFICE USE ONLY
� ADDRESS OR LEGAL: �-I l� g� �f'�Ktr �2o r�-,A
PID:
DESCRIPTION OF WORK: (2�--ry4 i rv�N 6 �,�,�q.�,c,S 4 (�4[�s /�cc� 55 .5 i�4��
ZO��tG REVIEW BY: DATE APPROVED: �- 3r-c�Z
BUII.DING REVIEW BY: APPROVED: -�-3�-v 1
FEES TO BE CHARGED: N1isc. Fees Calculated By:
PERNIIT Yes � No
pL�,N REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes _� No WATER CONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEI�i TSPECTION
Number of SAC Units OTHER (specify)
ZO�T�i TG CHECK LIST Zoning District: /(/'u c 1��4,v�
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: W tland:
Buildin� Hei�ht: Def. Hgt. P ak Hjt.
Lot Covera�e:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zonin; File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Se back: L.ot�overage:
Existing Proposed
Hardcover: 0-75'
75-2�0'
2�0-500'
500-1000'
Hardcover Variance Required: Yes o Da[e of Council Approval:
RE�iARKS (in house):
7
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BUILDING REVIEW CHECK LIST
UBC: � ���' CONSTRUCTION TYPE: /✓�/�
Sq Footage $ Per Sq Ftg
Basement R =
lst Floor R =
2nd Floor x =
Garage R =
R -
TOTAL
Estimated Construction Value: $ � ,c»o `�
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)
�Final GradinJ/Fi11inJ Electrical (State Permi[)
Other
RE�IARKS (IN HOUSE): � ~ �
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REVIEW BY OTHERS: DATE:
Access: Existin� New
Access Approval: Date By:
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REVIARKS (TO BE NOTED ON PERitiII'I�:
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CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poat23
Crystal Bay, Minnesota 55323 P2C'tlllt Type: User Defined Surc Building
(952) 249-4600 Date Issued: �i31i2oo�
SITE ADDRESS: 4080 Dahl Rd
Mound,MN �5364
PID: o�-�i�-r-�1-oo�s
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Surc Building Permit Sub-type(s): Retaining Wall
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.25 Valuation: $ 6,000.00
Plan Review Fee: $ 81.38
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 209.63
APPLICANT: Landscaping [nc.(Don't issues any more pe� OWNER: Mandeep& Leisa Sodhi
11355 Hwy 7 4080 Dahl Rd
Waconia, N1N 55387 Mound, MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQU[REMENTS.
APPL[CANT PERMITEE SIGNATURE [SSUED[3Y SIGNATURE
Copies: 1-File(SiQnitures Reauired). 1-Aoolicant. l-Monthlv Reoorts, 1-Assessine, 1-Finance Page I
' ' •JUL-"_9-200= 11�46 EGHN� F:ELD � NOWAk: 61`�'�4bE�8��� P.�2r`�3
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, • ���' SEx'BACK ZONE: (CIRCLE 4NE} .,p$,�i ��q+ � �•-
� �77�VG NARriCOVER IN ZONL t--� — ���' ���T�.� ��a{��4�`�-�/
A. Hou.re x ----- ' z f �v�7 S.F.
Lcngeh �idrh �
z � S.F.
e W � �S.F.
x --- _ --S.F.
B. Garage x � = S.�.
C. Tlri vew¢�" x _ = Z.+��,CJ S.F.
Y ___._..� � S.F.
A. Sidewctlk � - �� 6 S.F.
z = T 5.F.
E. PartolDeck , - � � S.F.
.< _ ---5.�'.
F, Landscapa _ x — , � � i S.F.
UnderfaEn x = S.F.
8y Plastic - - x � � 5.�.
Or Fabrie �
G. Other x � { �j�j 5.tc.
TOTAL HAXDCOVER I.v ZC1VE - 7 Z Z. S S.F. A
TOT� PROPERTY RR£A IN,ZQ?�'F - c�3, r�t�-� 5..., B
A �1.Z 2 � . b' ��_,,,�,`�r:�7 s�OQ - ! � , ia a
PROPC7SED H.4RDGDVER I.N ZONE
A. Howe x T - - -�-��.�_S.F,
L2Kgrh Si,�;'r
x —...�...,. - S.F,
T ti _____- s S.F.
x _ --- ---S,F,
B. Gcrcge x = 5.1�.
C. Dri ewm' _ x __ T_ _ ��� �'O S,F
_ _ x = S-F
:a, Sidewalh i_� .r _ __ a f� 7..� S F.
� x _—_ _—_ � S..
E. Pario/Dec•j _ x _ ^�._ _ . y � D 5.1�
- — -� — � � _5,�.
F. Lartdsca:e - x ---�._ _ __��_S.F.
Underi�ui x ______�_ - S.F.
By Plusric x __ = c„�_
Or Fahnc
G. Pth�r x �_ - Z�� c F,
�'UTAL.H�RDCO�ER INZOh'c" - � 5�'L� S.� ,3
TOTilL FRDPER�'AREA I1V ZONE F L �jLt��� $_F. L`'
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