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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 -— 1 S� `'�Cs��� � d'�o� , �. — �,C�� ��ld`'� � r������ �,��� R �, ; ��� � TOTAL FEE: $ 83.25 ����'��� �� . �� E �, 1 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. �,/ ,��, - �� �lr"�"�-^-- � ' � ' �`c��.. ,�j��'� APP CANT PERMITEE SIGNATURE ISSU BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 ' 1�\ . T,otal Fee: $ ��� Date Received: Entered By: r,;, ' Permit#: _ ���2. - � / Y ; / ti.� / ` ' /''' `-/�. � .. ` ! CITY OF ORONO - B�N PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) -------------------------------------------------------- --.-- ---------------------------------------------------- THE APPLICANT IS: (circle one) WNER�OR CONTRACTOR ,- .� ,, , �_.� � 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. 5 � i 1 � • � ♦ 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� � ------------------------------------------------ --------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: S-Z/-v) BUILDING REVIEW BY: r✓//�- DATE APPROVED: ------------------------------------------------------------------------------------------------------------------------ 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) ------------------------------------------------------------------------------------------------------------------------ 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: � — c�J (,,�i r C.�n�0 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 � � 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: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIZ�: 8 . , � � w � �1 � . � '�1 -- a , � O :� _ � � � � � '\ ) t�.. � �� �� � �`N� � �, � N q �..� � ` .. � /� o T' "�''i1 l � � -� �+� u� !� .°r�' �'�'g V ` � � N � . '� � p � L.NrF- 1 ` � � � � � � w = N c� ` � � ` V , � > a � o��Q � � z � � W-- o tn � 7 r" � Z � � � �� Z r p �¢� �W � � � � ~ U � 7 Vr � � � ` � c � v �-' -���`n � 1 N u W w � E1, a2 .� Q � � �- K � o � ��o I � F V1 � � ` O U no~ � fl rq � . � �� �� � �� w �'' '= c� T,��=z I � .) J d ' ¢ � '� a � `g �� � ^1 Q =-'.3vp. f � � 1� Z `- � � � t� V�U(n p � \ ('�,_� \ � � > > c t.'--' a. \`� U � � �, � p ¢ C � �� � V• �M � a �- �' o � t=s- � � � W () n-�O D U C_ � \1 a w 4 � 7 Q� \ � " Z Q � � � c '' '� 0 � � Q 1 � s �' � � 1 � � �' 1 j� J � J � I � Z � - 3 o c.� I � Q � � � � � � V � }� ► L1 � cc � � � ? � � � � i � � � � .� ' � .� o J J � � � � J � � �� �. � � �lj � �'o � � , 3 � � � N � � � t w ~ � � �, 0 3 t ! � �O.- � �, ' i � � ` o J > > � � � � � � � � , � � �t � � � � � �. 1b t� � � � � �► _ , .__._ �-- �,.~-------.�I 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. � �� n � � APPLI ANT PERMITEE SI NATURE �� ISSUEDBY SIGNATCJRE .� Copies: City,Applicant,Assessor,Finance Page 1 . ^ � 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 1 , Investi9��Fee�.QO 0.00 rI55m��I� IN�Y p.4 �gTOTRL �.25 TflX � 1.� �����ved 4.� � � j� 15402 � 4 ✓ 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: � W � ' � � O �. � O � W � Q � Z W � W � � � �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: � W a � J O �. � O � 4� � Q � Z W � W � � � ��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