HomeMy WebLinkAbout2009-00286 - land alteration .
CITY OF ORONO PERMIT NO.: 200�-oo2g6
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/12/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3200 NORTH SHORE DR
PIN : 08-117-23-41-0001
LEGAL DESC : LJNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTE:
LAND ALTERATION PERMIT-0-500 CUBIC YARDS
ALSO INCLUDES RELOCATING A 8'X 12'SHED
APPLICANT LAND ALTERATION 50.00
RANDY'S LANDSCAPE PLUS
5050 COLJNTY RD 140 TOTAL 50.00
CHASKA,MN 55318-
(952)448-1814
OWNER
HALPER,BARBARA
3200 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed acwrding to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
sha(1 be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
��i(a���a� 1 / l (o� / l D
Applicant Permitee Sign e Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�
4��` City of Orono FOR CI Y USE ONLY
O `YO P.O.Box 66 �j �
Date Received: Vermit# " Q�
ay,t 2750 Kelley Parkway ��
� �It���< ,E' Crystal Bay,MN 55323 Amount: $ C.U.P Filed:
���+��,�` (952)249-4600
-- °$ Approved By: Site Plan: _�_
Recommends: A roval ❑ Denial ❑
CITY OF ORONO - USER DEFINED/GENERAL PERMIT
(All permits must be approved by the Building Official and/or Zoning Department)
Job Site/Owner Information:
'�`G , ` ; �� :
Site Address: -�� C' 1`�� .: _-�¢`'�;e,�C�F �, �;/'.�7'LO, �I.� S�J v�`��
,-�
,,
Owner: �°� C� Mailing Address: ��I�
City: Zip:
Home Phone: Alternate Phone:
Co�ntractor/Applicant Information:
Contractor/App.:���Y�f�.�� Contact Person: " �,,•�y 6e%""n�
Address: SD�J L'a /2cl l`�C� State License #:
City: ���, Zip: Y� Expiration Date:
Phone: �(�2'��,� -���y Alternate Phone: y,5�Zg���7�3
�(5 Z - yv& - i�/�
` "''' '�` � TYPES OF USER DEFINED PERN��T�
❑ Stairwav to Lake ❑ Retaining Walls ❑ Temporarv Trailer
General—User Defined Surcharge General—User Defined Surcharge General—User Defined
* (Per UBC) *(Per UBC) *$30.00
*Estimated Cost: $ *Estimated Cost: $
❑ Docks—One Time �No„-�ke Mtka� � Land Alteration ❑ Zoning Review
General—User Defined Surcharge General—User Defined General—User Defined
❑ Commercial—(Per UBC) []'0-500 Cubic Yards *For 0-75'Zone-$30.00
*EStlmated COSt: $ $50.00(Needs Site Plan)
General-User Defined ❑ 501+CubiC Ya[ds
❑ Residential- $30.00 $50.00(tveeds C.U.P.)
❑ Tree Removal a�SO 1 Vl C���-Q-S 1^Q-��Cr�h� �3 � �2.J y�
General—User Defined
*Within 0-75' -$30.00
I herby apply for a User Defined 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 accordance with the approved plan.
Applicant Date
(User De6ned Pentrit OS/08/09)
��r�y� ����t
� , .
� /i
Address: ,`�,�(��% ,�.� -��"2,f��' d�,? , �' �C�'7'� Date: G�l�" c �
,�
Prepared by: ��-�Cl��l C' �, �-�•
HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING HARDCOVER IN ZONE ;�� ���{'c;e/'�;:c�' ��, t�L
A. House x = �' S.F.
��-�;1�;�, Length Width
i� � X = S.F.
'� X = S.F.
B. Garage x = S.F.
C. Driveway x = ����,�_S.F.
X = S.F.
D. Sidewalk �'-� x = S.F.
X = S.F.
E. Patio/Deck � x ;�' _ ,��'j S.F.
� x = S.F.
F. Weed control ,3�A x = — S.F. L"`�`���'
weed barrier x = S.F. �?<�%
of any kind ,?' x V' = g.F. .[�`�'t�f�c
.il�;<(.�..� vy'c�tE'(� Y-��..�L�/
G. Retaining Wails ��� x = S.F.
H. Other ��1y1[����;tu�C�� � ��� � X � G = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A = B x 100 = %
PROPOSED HARDCOVER IN ZONE (inciuding existing hardcover to be retained) /� � j
A. House x = --� S.F.
'�' ,�i���<<� Length Width _
�) x S.F.
X = S.F.
B. .,�e x = S.F.
C. Driveway x = ,�.�� yy S.F.
x Cc: �c rri l��'> Slrer! _ — !�• S.F.
D. Sidewalk x = S.F.
x = S.F.
E. Patio/Deck x = � J S
� S.F.
x = S.F.
F. Weed control x = S.F.
weed barrier x = S.F. �'���
of any kin�i h�' x `r� = S.F,�"���7��-�
:af;�e�( �,1���` �.
G. Retaining Walls x = S.F.
H. Other ���,� X °� }�'L�-- _ ��- S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - � � "/�; S.F. B
A = B x100 = � ` %
Last Updated: 5/21/2009
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CITY OF ORONO
2750 KELLEY PARKWAY * � 0 � 9 - 0 0 2 8 6 *
DATE ISSUED: 06/12/2009
ORONO, MN 55356-
952) 249-4600 FAX: 952) 249-4616
ADDRESS : 3200 NORTH SHORE DR I
PIN : 08-117-23-41-0001
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : USER DEFINED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LAND ALTERATION(0-500 CU YDS)
NOTE:
LAND ALTERATION PERMIT-0-500 CUBIC YARDS
ALSO INCLUDES RELOCATING A 8'X 12'SHED
APPLICANT LAND ALTERATION(DON'T USE) 50.00
�� ! > �
DATE TIME
CITi'C3F ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � I S � ��14v�h
PERMIT NO�-t�`�-���OMPLETED
ADDRESS �� �� �`�� �1��'E' ��
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �---�`� ���`�� �� ��--�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC I TALL
2 OWNERICONTRACTOR T¢.�IAEET YOU:_YES�NO r
c�.� COMMENTS: ��'� �I� — �'i"
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
W
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caii for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac e:
Inspector.
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White Copylinspector's File Canary CopylSite Notiee