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HomeMy WebLinkAbout2002-P05589 - land alteration CITY OF ORONO PERMIT 2750�Kelley Parkway - PO Box 66 Permit Number: Possg9 Crystal Bay, Minnesota 55323 Permit Type: User Defined (952) 249-4600 Date Issued: 9i2oi2oo2 SITE ADDRESS: 790 North Arm Dr Mound,MN 55364 P I D: 06-117-23-44-0001 DESCRIPTION: Proposed Use: Residential Pernut Class: General �7 Permit Sub-type(s): ���� C� ��� � Cj(�lO � �! Pernut Type: User Defined v ,' DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Concept Landscaping OWNER: Christopher&Claudia Engler 3153 Priest Lane 790 North Arm Dr Mound,MN 55364 Mound MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALLWO IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CO REQUIREMENTS. ) .�: / ,�� �� /,. �� "'' C-� L -�:�� �'� �/�� A PERMITEE SIGNATURE ISSUEDBY GNATURE ��%c� �._. .'- Covies: 1-File(Sienitures Reouired), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 U� Total Fee: $ �Q�-'' Date Received: � -f�-�Z— �:���� , Entered By: C�v�- Permit#: (�?� � _L�= ;���r i• � CITY OF ORONO - BUIL�ING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �' �j O '��}� (�j��,r� ����, ZIP: S 5 3 �`� NAME OF OWNER: ehn;s�o p�l �i�i c�.J2.e.R PHONE: (home) (work) MAILING ADDRESS: '�g � ���-� Q�,,,,���, , CITY: m 6,,,,Y,.�� ZIp: �S3� CONTRACTOR: ��Yl �e�� �.a�,rta s�c�J�4y�_ PHONE: ��Sa �y�a �I i I 8 CONTACT PERSON �,r� �--�K MOBILE/PAGER: ��L ��� y3 �•} - c,� MAILING ADDRESS: ��5 3 t��,,,;,� �c�,.,,�.`_ CITY: �ti10..����. ZIP: s S 3 �y STATE LICENSE: # 9 5 a y� a� � �� g ��,,� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# /� �,�"°�/ TYPE OF WORK: N�w Addition Accessory Structure � �� Move Remodel/Alteration Land �n�_ .i" � 1�.�.ata�la� �a►� PROPOSED WORK(describe in detai�: 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 accor ce with th,e proved plan. , � APPLICANT'S SIGNAT �-L- , '�n DATE: _ �j -(o - o i NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SfJBJECTS 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 co�dendal 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 Imown consequence arising from his supplying or refusing m supply private or confidential data;and(d)the idenrity of other persons or entides 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 officer. The commissioner of revenue mav ulace the notice rewired under this subdivision in the individual income Caz or oronertv tax refund instructions 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 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 i�ividuals shall be shown�e data without arry 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 its meaning,the data need not be disclosed to him for six months thereaher unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 maldng,certifying,and compiling the copies. The responsible auihoriry shall comp(y 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 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 data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data foutd to be inaccurate or i�omplete and attempt to notify past recipients of inaccurate or u►complete data,including recipienu 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 administradve 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 aze 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 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. ( ' en G �'1" J�am�1C s C�Aw..� First 3� S 3 �,/� �,p�' � Last Address "YNo�,..� �s3�v y�2y�r_� Ciry State Zip Phone I understand my ri ts as stated above. , � Signature 6 . ' CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: ']9 0 /J�-� (�n„�,1 l�n, PID: DESCRIPTION OF WORK: ,�u. o�,'C ,,J o o �,Q 5� ______________________ �,.,(� C�►n�.._. __-------------------- -------------------------Z---- ZONING REVIEW BY: DATE APPROVED: q t b-o BUII..DING REVIEW BY: DATE APPROVED: ------------___________ 7 --------------------y: w(�_C w p� _�_�������_���������������� . FEES TO BE CHARGED: � ��+-'�'0'l�Iisc. Fees Calculated B PERMIT Yes � No PLAN REVIEW Yes �' No ✓ SEWER COrfNECITON 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: 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: I"�`T, Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: /t Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): P�av !��ew e�9 �v•, ra w. 1�L(�e P _ �,5 co M.r.�,,f s ,e-s�� ,N�:r» cw � /J c�r�.�.- � 7 BUII.DING 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: $ C�l�ro 1ic-�'• w/o V�,�, Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Permit) �Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): . REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI�: 8 �. _ � _ � � ��� ��� C�� �_''".N ���� � � �� � � . � ��� � � Restore Hillside to Natural Woods Ctxlalop�er Enpelar Section ► CITY OF ORON4 Z5� topothll �. SITE PLAN GRADING PLAN � : y � � . LL . y . i . _ . : � . � AFPP01�CDr�ki�ro�r►�.v : � ` LL � LL : y : � � - : � : � ❑ A�'€'�OVED b�iTH REV{SIONS � - : � � � � � i � � - i � � ` - ❑ DISRFP O4'� � : � � � : � : � : � � � : � : � : � BY : � : � � � : � � � : � : � : - : �� � DATE a—�e-u-L ' , �NAjURA6.WbODS'" y RESTORE TO � � NATURAL WOODS� � - " � , ` ` � ' sa rururvu w000s . y , � . . � (\�AAJ'C1� (� �1'1'1 TD w• KsJ�o� . ` � ' . ' . ' � . � � . ` (�ernnw�..ti.#'4 � QGCAW �P(�A.�.�.t Fk�.=14�Y �Oa Ty s,�.T Fe•vc.? I W�t�N lweTMc. �oc TS -M�,.yrJu�n� RemovemuEendtrees UN7'YC. (o/ZA✓� (A�ydq fS �.+51'�«"�s�e� restore yerd 0 Q�nJ �yy„�,f �rt/a/Y� //(�G W 10. /O�s /Zt.'�v�/1.t.� -IWfi<<.��-C �� �rc. � t�ii u.SR P.t.�1.(Z°'ft+41G� /J/L4av-f�l�t3 ��� -�'o `f'I4�e W A T'�/�- m v r 0 c= �l��. _S EC.�a4� A.vco 2 c./�o S�O�✓ (,ur✓�°�. . r,��c,s ---—- --- -- -�.YP�i,e�,�4c- �f-o /u=rvdtN s r,-z: tb �-'"S n.�u� �.�y P�¢.v - Gl+...�ls �' �°�*~ Leke Mfnnetonka ���' ��' (������ (y.i../'C�(/� /�'G�� w�tl JL�4 v�n.�= � r Restore Hiliside to Natural Woods , Christopher Engeler Section _� rain tile C-125 Erosion Control Matting �;. Stapled Clay Fill with,j3�' black top soi Seed Rye 50' Wash out 28.5' , Buried Erosion Control tiers 5x6 CCA green treat . � �� ��+k�r/r�` K�1�,f�i�� ��� � � `� ����j,�.ri � y� �,y . �a.�,.,,�i �, ���,� �t ' �Z+ �r ' �'#'"°� % � �"atb' � .�+t-k� t� ��?�. ,� � � � �' .� �" � �.x� l�, � • '�' , � - ��. . 9, ,_'w'� • iT+'�� 4,�"(+ ��IA�-�r�e�3� K{ m � � . 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