The URL can be used to link to this page

Home My WebLink About1994-006368 - land alteration CIIN OF ORONO PERMIT PERMIT TYPE: 2750 Kelley Parkway - PO. Box 66F L; Permit Number: 0 Crystal Bay, Minnesota 55323 Date Issued: f f:, -DA (612)473-7357 SITE ADDRESS: '4 NUIRT, [Ij C H P . T DESCRIPTION: GRAD 1 NG T LAND ALTERA !-IN REMARKS: lY1'ei Ole vV Z 011VV"I rr t1M I'll 4 r.Ai Z7.1 'IV 0,11 . ... .. V.1 VI-11 ov "L 501.vivi LIE' CT Y'�jAiik* ' FEE SUMMARY: ,1nfT1% 0&1 01 rVil TAO:AO 11V L.-%X.L 1%Vj. IVI V11 v;w 7'i T, f CONTRACTOR: OWNER: S TO I T E F1 H INI N D T�j FR W 0R0;N01 MN 5 5:3 6 4 LL U [f N E R-:3 1 G 1\1 i7*'--0 D-JN T0 M" % -ff! N) ij, I N ':,TRIC:-- 'J-` AIND T fj;-�Lf' NANCLE-S V,4131 TIA F /APPLICANTIERIVIITEE SIGNATURE ISSUED BY SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Date Received: Total Fee: Date Approved: Entered By: Permit 4 ATT INFORMATION MUST BE SUBMITTED IN F= BEFORE PLAN REVIEW WILL BE STAR (See Check-off List Enclosed) ----------------------- --- - THE APPLICANT IS: (circle one) .ONNER 'or CONTRACTOR ZIP: el) `f JOB SITE ADDRESS: S)V5 (work) � � 7 PHONE: (home) 7 72 �: NAME OF O CITY: ZIP MAILING ADDRESS- CONTRACTOR:- CITY: ZIP: MAILING ADDRESS: STATE LICENSE: PHONE: ARCHITECT/ENGINEER: CITY: ZIP' M,p,ILING ADDRESS: (f REGISTRATION NAME: Accessory Structure Move TYPE OF WORK: New Addition Land Alteration Demo Remodel/Alteration Renovate PROPOSED WORK (describe in detail) : - _ SCJ/C -�$Lc�i9 tE Aon r STORIES: SQ. FEET OF F.BCH 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 that the work will be in conform w±th above is complete and accurate; permit; and '-h the State Building ordinances and codes of ermitiand and not to start without a p understand this is not a p that the work will be in acc dance wi the approved plan- DATE: TURE: �. APPLICANT'S SIGNA CITY ®f ORONO Post Office Box 66•Crystal Bay,Minnesota 55=•Municipal Offices On the North Shore of Lake Minnetonka DATA PRIVACY ADVISORY Subd. 2, "Rights of subjects of ou that your request for a permit we woul Indnlike to i formOro3y0 or require O data", f no or any of its departments may license from the City private or confidential information. you to furnish certain p You are notified that: - 1. The information you furnish will be uuested, determine your qualification for the permit or .license req - data, but refusal may require that 2. You may refuse emit ozllicense. the City deny the p be shared with other local, state or 3. The information may to process the permit or federal agencies to the extent necessary license. a If our requested permit or license requires Council action Y become public. to approve, some information maY S. You have certain rig hts under M.S. 13.04 to nevi ew private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last �7 Address City State Zip Phone I understand my rights as stated above. Si u BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473 7359 ASSESSING CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 900 NO. 5N0(u- DESCRIPTION OF WORK: R�Oro 1t_-3-6_ ZONING REVIEW BY: ---` ^� --_ DATE APPROVED: BUILDING REVIEW DATE APPROVED: ---------------------------------------------- ------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: 6RAo►Qc, PERMIT Yes �No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER ( specify) -------------------//T---� -------------- ZONING CHECK LIST Pee District: Fire Department: / j PostSchool�Di trict: Lot Area: Width: Depth: Survey Submitted: Y s No y: ' I IProposed Setback Front (Lake �;' Rear (Strut) : I Adjacent 1*, ructu es : lafd: t � Peak H t. Building Heigh: Def. l` Hgt. g 1 Avg. Setback: / 1 L t Cov¢rage: Exi ting Prop/sed Hardcover: 0- 75 ' s 75J250 ' 250/-500 ' I 5001000 ' 1 { i Hardcover /Variance Requirhl: Yes No Date of Council Approval : Grading: Staff Approval Date: �'-Z=3-�1�( By:p��(,, Council Approval Date : k1,4 Septic: Staff Approval Date: By: Zoning File• # Resolution # : Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST . / UBC: /116 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x - x = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation =Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) ----------------------------------------------------------------------------- REMARKS (IN HOUSE) : ------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: --------------------------------------------------------------------- R_EMARKS (TO BE NOTED ON PERMIT) : HC 5136 HENNEPIN COUNTY v, DEPARTMENT OF TRANSPORTATION 320 Washington Avenue South Hopkins,Minnesota 55343 APPLICATION FOR INSTALLATION OF UTILITIES County Road Nold Permit No. 22671 Municipality LOCATION AND/OR DESCRIPTION OF WORK Application is hereby made for permission to place, construct and thereafter maintain a /c/Z_e- along efeeross County Highway No. 19 (from,at) X00 5_v e,7,01' Or G Aff to NAME of applicant �� -�Ofi /�� Phone 0/7L-80017 Address o?VO A44?2f S /�•�' D,C.pivD l/llit/ S::'J'6y city state zip co e Party or organization performing work Address city state zip code Phone (Business) Phone(Emergency) �17Z —$00 7 1. TYPE OF CONSTRUCTION—Submit five copies of detailed print showing type and location of installation. ❑ Underground ❑ Aerial Other 2. TYPE OF UNDERGROUND CONDUIT Size Depth Size Depth ❑ Multiduct ❑ Iron ❑ Plastic ❑ Copper ❑ Concrete ❑ Cable ❑ Steel ❑ other 3. METHOD OF INSTALLING UNDER ROADBEDS ❑ Boring—Jacking—Pneumagopher ,( )/� ❑ Casing—Required for all conduit exceeding 4 inches in diameter l V ❑ Open Cut—Explain why necessary 4. AREA TO BE DISTURBED TRAVELED SURFACE SHOULDER BOULEVARD ❑ Concrete ❑ Bituminous �❑( Sod 11 Bituminous E3 Gravel J1 Field Grass STRUCTURES ❑ Curb&Gutter ❑ Culverts ❑ Trees ❑ Sidewalk ❑ Road Signs ❑ Shrubs ❑ Signals ❑ Other 5. All work under this permit will be completed on or before 9-1— 9 11 Date (PERMIT IS VOID AFTER THIS DATE) If work cannot be completed within dates specified,a written request for permission of extension must be made to the Hennepin County Department of Transportation. Except for the negligent acts of the County, its agents and its employees,the Utility or Permittee shall assume all liability for and save the County, its agents and its employees,harmless from any and all claims for damages,actions or causes of action arising out of the work to be done herein and the continuing uses by the Permittee,including but not limited to the placing,constructing,reconstructing,maintaining and using of said utility under this application and Permit for construction. (I,We) the undersigned,herewith accept the terms and conditions of the regulations as laid down by the County.of Hennepin and agree to fully comply therewith to the satisfaction of the Hennepin County Department of Transportation. Organization By Date �� HC 5137(4093) HENNEPIN COUNTY 226. 1 7 DEPARTMENT OF PUBLIC WORKS 320 Washington Avenue South Hopkins,Minnesota 55343 (612)930-2550 UTILITY PERMIT&SPECIAL PROVISIONS SPECIAL PROVISIONS 1. RESTORATION BASE SURFACE SHOULDER BOULEVARD-Ditch Type Type Type Topsoil 311 Depth Depth Depth Sod As required. Prime Joint Width Seed As required. Tack Cure 2.TRAFFIC DIRECTION AS PER ATTACHE?D PLATE NO. 2 if traveled roadway is NOT obstructed. 4 if traveled roadway IS obstructed. 3. REMARKS NO WORK PERMITTED WITHIN ROADWAY SURFACE DURING WINTER (NOVEMBER 15th thru APRIL 15th), UNLESS "SPECIAL PERMISSION' IS OBTAINED. NO WORK WILL BE PERMITTED ON SATURDAYS, SUNDAYS OR HOLIDAYS, UNLESS "SPECIAL PERMISSION' IS OBTAINED FROM THIS OFFICE. IT IS EXPRESSLY UNDERSTOOD THAT THIS PERMIT IS CONDITIONED UPON REPLACEMENT OR RESTORATION OF THE ROADWAY TO ITS ORIGINAL OR BETTER CONDITION. ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ATTACHED "SPECIAL PROVISIONS" TO BE COMPLIED WITH. THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO HENNEPIN COUNTY DEPARTMENT OF PUBLIC WORKS PERMIT SECTION.TELEPHONE: 925&M 930 2550. LIMITATIONS If the County shall make any improvement or change on all or any part of its right of way upon, over, under or along a county road, and such change or improvement requires the moving or changing of public utility facilities in such right of way, then, in that event, the applicant herein shall, after notice in writing by the Coynty, alter, change, vacate or remove from the county road that part of its facilities necessary to conform to the improvement at its own cost and without any cost to the County. �+ Prior to Startin APPROVED- HENNEPIN COUNTY„DEPARTMENT OF PUBLIC WORKS. CALL Construction g BY 930-2550 Dat - NOTICE OF COMPLETION OF THE WORK HENNEPIN COUNTY DEPARTMENT OF PUBLIC WORKS DATE OPERATIONS DIVISION-PERMIT SECTION 320 WASHINGTON AVENUE SOUTH HOPKINS, MINNESOTA 55343 Be advised that all work including restoration authorized under Permit No. issued to for work in the Municipality of on County Road# at was completed on and is ready for inspection By(Print Name) (Signature) (THIS FORM MUST BE COMPLETED AND RETURNED WITHIN 24 HOURS OF COMPLETION OF THE WORK) - - _ -- -- - -- ti--- - ,�-�, -- - _-� �- - - ------ Aw- Cl- Z s It 040 o• - Z. Cjf A Ot to0 — N i5T/ 6 CITY QF ORO Q Tv P501 Ccs F' ` SITE PLAN GR I PLAN i RAPPROVED 70 ❑ APPROVED WITH REVIS ONS s us ► -a CFO ' ❑ DISAP ROVED SL o �C - BY DATE �' 2.3 -5 ,F 40 y YJ-7 rVV�1 Daytime 200-20 Fight 240-20 o • ! N f �O 5 Cones (Daytime) Min. # /i 5 400 Type II Barricades (Night) Min. 108 + I a WORK - AR u- AREA N �I r� / Y r %I r Daytime 200-20 V Night 240-20 Approved EXCAVATION IN SHOULDER (2 OR 4 LANE) Plate No. (DAY OR NIMT) N% � N 0 210-20 200-3 0 ^it I 200-1 of Flagman j WORK 13 Cones lARFIA � c\I sl C---�'-- Fla 'm,an • i f of 0 200-1 , �l 200-3 �. 2LO-20 rl A .,roved ONE LANE CLOSURE (2 LANE ROADWAIY) Plate No. �r�r-f' SPEED LO-55 MPH (DAYTDIE QJLY) 4