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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 �eS Q C'A�C v��1�t�is' ��eC1� �/Jij - 11 - �i o s e o� f'j'1�/le G A-�� � 1Mr�✓lC G�--cti►h�q I�z� Ze�vt�vrq�i Ce �Z�� , 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" W ,,,�� ���� � a «-Y� ��h�! I�—('� L�C�_���s��' j f O � � O � W � Q � 2 W � W � � � d 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. � White Copylinspector's File Canary CopylSite Notiee