HomeMy WebLinkAboutRe: bldg permit application �
C ITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipsl Officee
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; � - � � On the North Shore of Lake Minnetonka
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April 26, 1989
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; Richard O. Norum
; 1675 Shadywood Road
Wayzata, MN 55391
Dear Mr. Norum:
The Building & Zoning Department is in receipt of your application for
a building germit, which was received by this office on April 14, 1989. A
� review of the application finds that the following information needed for
; review is missing:
.! 1. Site Imgrovement Plan (driveways/landscaping/sidewalks/decks
' etc.). (ShQw location of shed on attached survey.)
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� 2. Specific building plans (2 sets) :
Exterior elevations
� Details and sections
! Energy calculations (only if it is to be heated)
� Review of your application will not continue until the noted items are
�j received. Failure to submit required items immediately may result in
� delays in issuance of permits.
Please contact the Building & Zoning Department at 473-7357 if you
have any questions.
Sincerely,
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, Michael P. Gaffr n,
Asst Planning & Zoning Administrator
; MPG/tln
�; Enclosure - Survey
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BUILDING dc ZONING—473-7357 • ADMINISTRATION dE FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
CITY OF ORONO - BIIII,DING PERMIT APPLICATION
r- 1 Fee: $ Date Received:
. Date Approved:
Entered By:
Permit�:
A7,L ZNFORMATION MDST B$ SIIBMITTED IN FIILL BBFORE PLAN RSVIEW WILI� BB STARTED
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T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: �C.F ��d ,�� % ZIP: ti �_ 3 �E �,
(work)
P� G � �� '� t � PHONE: (home)'�?( 7`r c: �
NAME OF OWI�TSR: f c �� + c-���
MAILING ADDR$SS: ��"�S� SG]�d-�-�c• �� c� i d. CITY: C1���y�a� �/>st ZIP: ,��3��
/
CONTRACTOR: r�� -�`� f���l�` fC--- PHONE: `���- ���� )' 7
MAILING ADDRESS: CITY: ZIP'
TYPS OF WORIC: New �� Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : /�,''<< 4 � S ����� T ��`�c�
STORIES: � SQ. FEBT OF EACH FI,OOR: /���
NO. OF B$DROOIKS: GARAG$ STAI.LS: ATT. DET.
/n ! � � , _ �
ESTIMATED COFSTRIICTION VALIIATIOP (eaclnding land) : $
I hereby apply for a building permit and I acknowledge that the informatic
above is complete and accurate; that the work will be in conformance with tr
ordinances and codes of the City and with the State Building Code; that
understand this is not a Fermit and work is not to start without a permit; ar_
that the work will be in accordance with the agproved plan.
" ��' �� _����-.��
APPLICAIQT'S SIGNATURE: r ������"� DATE:
(Please fi 1 out the reverse side of this form)
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CITY o� OR�NO
dl Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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On the North Shore of Lake Minnetonka
DATA_PRNACY 1�DVI_SORY
In accordance with M.S. 15.165, "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 information.
You are notified that:
l. The information you furnish will be used to determine your
qualification for the permit or Iicense 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 perrnit or
Iicense.
4. If your requested permit or license reguires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
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City �`J State Zip
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Phone
I understand my rights as stated above.
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Signat e
BUILDING&ZONING-473-7357 • ADMINISTRATION�t FINANCE-473-7358 � PUBLIC WORKS-473-7359
ASSESSING
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CHECR OFP' LIST FOR ISSIIANCS OF PERMITS
FOR OFFICE USE ONLY
�DDRESS OR ?�EGAL DESCRIPTION: �C/�� � f"f��I� ��'�
PID:
DESQtIPTIOH OF WORR: �'� � X/�a � S��
------------------------ -------------------------------------------------------
ZONING REVIEW BY: I��� DATE APPROVBD:
BOII.DING REVIEW BY: .DATS APPROVED:
PERMIT ISSII� BY: DATE:
FEES TO B$ CBARG�: Misc. Fees Calculated By:
PERMIT Yes V No SEWER UNIT $ -
PLAN REVIEW Yes ? No SEWER CONNECTION -
STATE SURCHARGE Yes ✓ No WATER CONNECTION ""
PENALTY Yes No PARK FEE -
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SAC Yes No SITE INSPECTION
OTHER (specify) `
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ZONING CHECIC LIST Zoning District: �/�: � �
Fire Department: /'�I�OLt,N� Post Office: fN�� School District: /'�l0*�-N�
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Lot Area: �.7 7 �4-� + Width: ��p S � Depth: �C7
Survey Submitted: Yes� No Date of Survey: �r Z2� 8 �
Proposed Setbacks:
Front (Lake) ; Right Side:
Rear (Street) : Left Side:
Adjacent Structures: Wetland:
Existinq Proposed
Hardcover: 0-75'
75-250 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Dates �"'� BY: � '
Zoning File:# Resolution #: Resolution Date:
RBIrlARRS (in house) :
.,.�
B�ILDING REVIL�fii CHECK LIST
pgC: CONSTRIICTION TYPE: �
BLDG SIZE: H. L. W.
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage X =
x =
TOTAL
$stimated Construction Value: $
Inspections Required: Work Reqnirinq Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framinq Well water Connection
Insulation Septic Sewer Connection
Wall Board Fireplace Other
Final (Masonry)
Other (Manufactured)
REMARRS (IN HOIISE) :
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REVI$W BY OTHBRS: DATS:
Access: Existing New
Access Approval: Date BY=
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REMARRS (TO B$ 1�OTSD ON PSRMIT) :
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