HomeMy WebLinkAbout2000-P02597 - stairwa to lake/retaining wall CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P02597
Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair
(612) 249-4600 Date Issued: 7/5/00
SITE ADDRESS: 4705 North Shore Dr
MOUND,MN 55364
PID: 07-117-23-32-0058
DESCRIPTION:
Proposed Use:
Permit Class: Building
Permit Sub-type(s): Stairway to Lake
Permit Type: Addition/Remodel/Repair Retaining Wall
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Valuation: $ 0.00
TOTAL FEE: $ 75.00
APPLICANT: JEREMY BANKEN OWNER: A H&T K RASCHER
PO BOX 711 4705 NORTH SHORE DR
WAYZATA,MN MOUND 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.
P I T ERMI`l=EE SIGNATURE
ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
` CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESSOR LEGAL: L47D5 bri u&
PID: 07- 1iq -a3- fh�;L -0 5
DESCRIPTION OF WORK: R f tj(a ;
ZONING REVIEW BY: ti DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: i''" A`'' c F es Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CHECK LIST Zoning District: 6
Fire Department: M,( U(ld Post Office: M Q Lk(L School District: �1VJiS
Lot Area: Sq.ft. -j0,0(0',) Acres -I Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks!
Front(Lake): Right Side:
Rear(Street): Left Side:
Adjacent Structures: _ Wetland: v
Building Height: Def. Hgt. — Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: —' By: Council Approval Date:
Septic: Staff Approval D,ate: By:
Zoning File: # 9 l
S� � Resolution: # Resolution Date: (l la(" to 0
Shoreland District:
Avg. Setback: — Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUELDING REVIEW CHECK LIST
UBC: CONSTRUCTION TYPE: <'
Sq Footage $Per Sq Ftg
Basement x =
1st Floor a _
2nd Floor R
Garage R =
R
TOTAL
Estimated Construction Value: $ C 4rr*9 /$CmAor�71 d n/ W/C- U. t
InspectionsRequired: Work Requiring Separate Permits: t
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footi ig Septic Sewer Connection
Fram ng Fireplace Lawn Irrigation
Insuh tion (Masonry) Other
Wall Board (Mfg.) Well(State Permit)
OC Final Grading/Filling Electrical(State Permit)
Other
RE (IN HOUSE):
REVIEW BY.OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REN (TO BE NOTED ON PERM M: v
C
L,-/.AO, ti ellro S I n v
I
i
8
Total Fee: $ Date Received: It, U _
Entered By: _ Permit#: A C,;ffF
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) O CONTRACT
JOB SITE ADDRESS: 1/�(J /�; � o D Ono,,,, ZIP: '5 6-3,6y
NAME OF OWNER: �it ��+c� � c; PHONE: (home)y(Z q Z `fZ66
(work)
MAILING ADDRESS: � o��ld S�a�,� CITY: Olf o,V0 ZIP:
CONTRACTOR: PHONE: 1617-- R3 3'4'Z 5-3-
CONTACT PERSON: 7e c�. a �,, „�. MOBILE/PAGER: C'2 36"3 E///
MAILING ADDRESS: FD g�X CITY: ZIP: 5-53ql
STATE LICENSE: #
ARCHITECT/ENGINEER: 7 � i3��y�� PHONE: `Z 3 6-Z5
`TAILING ADDRESS: pp CITY: tx ZIP: 55391
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in d/etail): 9Zp/Q C� eH- s{,'
✓e on r� �✓��Q Si>�,T�y � nP1n., �O�tS�. ✓t�/a-CA
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 accordance with the approved plan.
APPLICANT'S SIGNATURE: ly -,� DATE: 61 4100
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.
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Sec.13.04 RIGHTS F SUBJECTS OF DATA
Subd. 1. of data. The rights of individual on whom the data is stoned or to be stored shall be as set forth in this section.
Subd.2. ormation required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)th purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)
whether he may rein or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential ata;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall
not apply when an in ividual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The co ' inner of revenue may lace the notice reauired under this subdivision in the individual income tax or property tax refund instructions
instead of on those fo
Subd.3. cces to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of
stoned data on' ,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 n 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 individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months
thereafter unless a or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible
authority shall provid copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the
requesting person to ay the actual costs of making,certifying,and compiling the copies.
The respo le authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the
date of the n�uest,ex lading Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within
that time,he shall so' rm 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
concenting himself o exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The
responsible authority within 30 days either. (a)coned dre data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate
or incomplete data,' ludmg 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 dete on of the responsible authority may be appealed pursuant to the provisions of the administrative 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 City of Orono or any of its departments may require you to furnish certain private or
confidential inf rmation.
You are n tified that:
1. a information you fti nish will be used to determine your qualification for the permit or license requested.
2. ou may refuse to supply data, but refusal may require that the City deny the permit or license.
3. a information may be shared with other local, state or federal agencies to the extent necessary to process
the permit or license.
4. your requested permit or license requires Council action to approve, some information may become public.
5. Xou have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. our full name is required to process this application or permit.
i
First Middle Last
Address
City State Zip Phone
I understand y rights as stated above.
Signature
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