HomeMy WebLinkAbout2001-P03832 - retaining wall ,
PERMIT
C�TY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3s32
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: s�2a�2ooi
SITE ADDRESS: 4190 Highwood Rd
MOLJND,MN 55364
P I D: 07-117-23-44-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Retaining Wall
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 2,500.00
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TOTAL FEE: $ 83.25 ����'��� �� . ��
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APPLICANT: Penn Bowen OWNER: B P BOWEN& S M DOWNS
Suzanne Downs 4190 HIGHWOOD RD
4190 I-Iighwood Rd. MOUND MN 55364
Orono,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERNIISSION 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 REQUTREMENTS.
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APP CANT PERMITEE SIGNATURE ISSU BY SIGNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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T,otal Fee: $ ��� Date Received:
Entered By: r,;, ' Permit#: _ ���2.
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CITY OF ORONO - B�N PERMIT 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) WNER�OR CONTRACTOR
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JOB SITE ADDRESS: `_` � �,G� hV�J L D�I ��i� ZIP: � � ��'�"
NAME OF OWNER: ''�':;�� �=',;vtii'h `� �i�l�.��p1�1���''��%��'HONE: (home) � �,�� +�;Z�'��
,
(work)
MAILING ADDRESS: �'�����;, �� ,,:,��,r v;;� �j ��r( CITY: � � ;,, ZIP: {;t� �,t_,I
CONTRACTOR: i�-� PHONE:
CONTACT PERSON: 1'�'r141 ��D�1 t��� MOBILE/PAGER:
MAILING ADDRESS: �����v��C. CITY: ZIP:
STATE LICEN5E: #
ARCHITECT/ENGINEER: J��� PHONE:
MAILI�i iG ADDRESS: CITY: ZIP:
NAIVIE: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: ���I�t�� ���;t����(�YGc�ir'"�,�� j''��}(�iVl��'1U ��'�I�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L� �� � �%
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 th' is not a permit and work is not to start without a
permit; and that the work will be i "a�cor nc with the approved plan.
APPLICANT'S SIGNATURE: - DAT'E: �� ' �v f
NOTE! Parade of Homes events r quire s parate perntit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF S[JBJECTS OF DATA
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 secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning 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 Irnown consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the identiry of other persons or enades 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 to section 13.82, subdivision 5, to a law
enforcement o�cer..
The commissioner of revernie mav olace the notice rewired under this subdivision in the individual income taz or oronertv tax refund
instrucaons instead 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 i�ividuals,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. After an individual has been shown the private data and informed of iu meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or addirionai data on the individual has been
collected or created. The responsible authority shall provide copies of the privaoe or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to Uus subdivision,or within five days
of the date of the request,excluding Saturdays,Su�ays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so infortn the individual,a�ul 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 pubiic or
private data conceming 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 inaccurdte or incomplete and attempt to notify
past recipients of inaccurate or incomplete daha,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 disagreement is included with the disclosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive 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 �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 shazed with 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 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. ���� gQ�e�
�Vt?.a� ,�- l� �vW►�S
First Middle Last
Address
���no M� ���� �/5�'�-�2-g� �
�i�y State Zip Phone
W o�'k �OSI—62g—7R�
I understand my rights as stated above.
Signature
6
, CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �--( � (�g /� /bF(-�,JUJ�D /!�
PID: ��U
DESCRIPTION OF WORK: (l.�s'p�q c.e (l.t,��-,q.,,.r„v� �,v�t-c�
�
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ZONING REVIEW BY: DATE APPROVED: S-Z/-v)
BUILDING REVIEW BY: r✓//�- DATE APPROVED:
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes No ✓ SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: (_2-I a
Fire Department: �'V�o�,v�,�,p Post Office: �rL�.�„r/� School District: (���'i�nf/cil
Lot Area: Sq.ft. �vo C(�.y�Acres Width — Depth --
—�
Survey Submitted: Yes No� Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
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Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peal:Hgt.
Lot Coverage:
Grading: Staff Approval Date: S`� 21 - 4 t By: � Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: I.ot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250' � ! � `
250-500' I v
500-1000' /
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
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BUILDING REVIEW CHECK LIST
UBC: --� CONSTRUCTION TYPE: ""
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gazage x = �
R =
TOTAL
Estimated Construction Value: $ � 5 0 � �u
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 Boazd (Mfg.) Well(State Permit)
_Zc Final Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE): �
--------------------------------------___----------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIZ�:
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PERMIT
C l,TY �F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03832
Crystal Bay, Minnesota 55323 Permit Type: User Defined
(952) 249-4600 Date Issued: si2ai2ooi
SITE ADDRESS: 4190 Highwood Rd
Mound,MN 55364
P I D: 07-117-23-44-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: User Defined Permit Sub-type(s): Retaining Wall
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83•25 Valuation: � 2,500.00
State Surcharge Fee: $ 1.25
TOTAL FEE: $ 84.50
APPLICANT: Penn Bowen OWNER: B Bowen&S Downs
Suzanne Downs 4190 Highwood Rd
4190 Highwood Rd. Mound MN 55364
Orono,MN 55364
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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APPLI ANT PERMITEE SI NATURE �� ISSUEDBY SIGNATCJRE
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Copies: City,Applicant,Assessor,Finance Page 1
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City of 0�"�m''° -
CrY5��g���3
t95t12 �p:03:46
p610i141
� Custa�'� PO'.�
pERN11S5 -���" O.OQ 0.00
Base F�� � 0.00 O.a1
Aevie�+ 0.00
Plan 1 � 0.�
in f� 0.44
M►ail 0.�
1 �arge �.� �.25
State 5u1 g
r,p� Char9e� 0.04 0.00
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Investi9��Fee�.QO 0.00
rI55m��I� IN�Y
p.4
�gTOTRL �.25
TflX � 1.�
�����ved 4.�
� � j� 15402
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✓ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTL E SCHEDULED � `3
PERMIT NO.� ��� COMPLETED �~�!-'�"� z'r r .�C�
ADDRESS ��9D �/4�iu/Ua� /� •
OWNER J�e� -,C�,va S CONTR. �t� o'J�-�-�-c
TELEPHONENO. gS� �I7�- �.5����
� DESCRIPTION Y�T�t,i/�/lt,Fi `<,/
� 01 FOOTING 11 MECHA AL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Cail forthe next inspection 24 hours in advance. �952� 249-Q6Q�
OwnedContra t r on site:
Inspector. -�
White Copylinspector's Ffle Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN 8-��-0/
INSPECTION IC SCHEDULED ` '�� L/0_3 n
PERMIT NO. ��� COMPLETED "'v� ��'�
ADDRESS_���� l�-�t-G,/.u�� �aLJ
OWNER � ��� � CONTR.
TELEPHONE NO. �S �' �7� 8�`��
� DESCRIPTION
� 01 FOOTING 11 MECHANI I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANI L FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNEWFIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��ORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W
�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContra �.on site:
Inspector. _!�" ��'��' Gf/�-
White Copyflnspector's File Canary CopylSite Notice