HomeMy WebLinkAbout1992-004464 - above ground pool PERMIT
�;ITY OF ORONO PERMIT TYPE: E:UILDIhIG
133�Brown Rd. South • P.O. Box 66 Permit Number: ��i}'���'�
� Cr stal Ba , Minnesota 55323 i37��'I/'��
Y Y Date issued:
(612) 473-7357
SITE ADDRESS: �17 r :=�HADY��t�Ml�D �iD
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FEE SUMMARY: VAL��ATI4�hl ��, t�t�t�
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CONTRACTOFi: _------- — I .���D ���IA�iI�'r� ---------
� �17? =,HADYWt��i:iL� F,D
i:��t3�N�� MN 4�:��31
471-7c�t��
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APPUCA PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
. i
� Total Fee: $ '7��)`� Date Received: � ' ;1 �v " y Z-
Date Approved:
Entered By: ,(°��
Permit�: ��(��.L
AT•T. INFORMATION MDST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDR$SS: "Z[ �T �" �S'�{f3•��'- C�-�E'�'6"`7� ��� ZIP: V v �� P
(work)
NAME OF OWNER: r-L l���t� ��"f�^��E"'�f�'/`Z� PHONE: (home) �.'r(� ��j�
MAILING ADDRESS: �t'?'7 �S tH r,r�wGc��� CITY: �^-3 t��-�rl i r� ZIP: S���`� �
CONTRACTOR: "-- _ PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PH��=
MAILING ADDRESS: CITY: ZIP:
NAME: R.EGISTRATION �
TYPE OF WORR: New x Addition Accessory Structure Move
Demo Remoc�el%Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : �1`�'�.'� �1��Li��f1 1����
t
��� 1� [�
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIIKATED CONSTRIICTION VALIIATION (egcluding land) : $ c���x�``�> t�{�
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 wil 1 be in accordance with the approved plan. �
APPZ,ICANT'S SIGNATORE:��-�.-��j � DATE: ��� -- �C�-�-- � �
t �
C ITY of ORONO .
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� - � � On the North Shore of Lake Minnetonka
DATA PRNACY 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
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or license 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or I.icense requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to.process this application or
permit.
+` 1�t� f��lV�C� J�'' �`f C=�t�--�F1 f2 �
First Middle Last
z t 7 7 �S�-f��`� �c�c� � KL c.7
Address
�w��-2,.�;-� � �� ���' 3�� �
City State Zip
-�7 [� 7�� �
Phone
I understand my rights �as stated above.
�
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBL[C WORKS-473-7359
ASSESSING
€
, �
�.04 RIGHTS OF SIIBJEC'IS OF DATA � �
gubdivision L Type oi dete- The rights of individuals on whom the data is
stored or io be stored shall be as set forth in this section.
gubd. Z, Information �d to � ��� ����' An.individuel asked to
(a) the
� ' supply private or confidentiel data �u�t a d amwithin the collecting state agency,
purpose and intended use of the req tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys �oWn consequence arising from his
required to supply the requested date; (�) �Y
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by steaueolr'��se�ke �o supplyeinvest gat ve data
requirement shall not apply when an mdrvi
pursuant to section 13.B2, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma oleTt tax re�und instructio unsteadhos
subdivision in the individuel income tax �r r
on those orms. . - --- -- �
Subd. 3. Access to data bY in�vi��- UP°n request to a responsible "
authority, an individuel shall be informed whether h��gteeor confident a1-e Pon �
individuels; and wfiether it is classified es public, p � ublic data on
further request, an individual who is Lhe subjecc�g� to himrlande if he desires, shall
indiviciuels shall be shown the data witho of�hat data. After an individual has been
�e informed of the content and meaning t� �� need not be �sclosed to
shown the private data and informed of Its meaning� uM�t to this section is
him for six months thereafter unless a disPute or action p
, � pending or additional data on the individ�h h�ateeor Q bl etdatarupongrequest by
responsible authority shall provide copies of P require the
the individuel subject oftfie actual�costs of making,icert fyingyand compiling the
requesting person tc pay _
copies. 1mmediately, if p�ssible, with any request
The responsible authority shall comply '
made pursuant to this subdivision, or within five �f Simmediateat ompliance eisun°t
excluding Saturdays, Sundays and legal holidays,
possible. If he eannot comply with the request within that time, he shall so inform the
individual, and may heve er► additionel five da315 within which to comply with the
request, excluding Saturdays, 3ur►daYS and legal holidays•
Subd. 4. P��'e when data is not acc+�ate or complete. An individuel maY
himself. To
contest the accuracy or completeness�of public o inri�t� the�respo�nsible authority
exercise this right, an indiv�dual shall notify �ible authority shall within 30
describing the nature of the disagreemen� The respe
days either. (a) eerrect the data found to be inae a�e�°�udingpee�ipi��namedtby
notifp past recipients of inaccuraxe or incomP
the individual; or (b) notify the individual that he believes the data to be correct.
Date in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the �isclosed data. � 8 esied pursuant to the
' The determination of the responsible authority may PP
provisions of the administrative procedure act relating to contested cases.
' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: % �7 �� PID: /7-�/ 7- �3 y.3 U/3�
DESCRIPTION OF WORK: /�(��v� G,2a� ��
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ZONING REVIEW BY: � � �Q�._ DATE APPROVED: � ';3� -S Z
��
BIIILDING REVIEW BY: DATE APPROVED: G 'j � � 2--
FEES TO BE CHARGED: Misc. Fees Cal.culated By:
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)
-------------------------------------------------------------------------------
ZONING CHECR LIST Z oning Di stri ct: L. !Z-l L
Fire Department: /{2�✓n� Post Office: w��� School District: �►/�C
Lot Area: /i/�L Width: N�� Depth: ^//c
Survey Submitted: Yes� No Date of Survey: �- Z6-��
Proposed Setbacks:
Front (Lake) : 2ti� �-t Right Side: /S�
Rear (Street) : / �10� � Lef t Side: Zv'
Adjacent Structures : �D � Wetland: /Uf/-1
Bui�ding Height: Def . Hgt. �/�/a Peak Hgt.
Avg. Setback: /✓lj�J Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
soo—l000 � � 3 . (� i 5.5
Hardcover Variance Required: Yes No� Date of Council Approval:
Grading: Staff Approval� ate: By: o ncil Approval Date:
Septic: Staff Approva ate: By:
Zoning File: # Re olution � : ,`� Resolution Date:
, --T
f /
REMARKS (in house� � +
BDILDING REVIEW CHECR LIST •
DBC: �� (XI - I CONSTRIICTION TYPE: ,K� '/✓�A� � ,
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor x =
2nd Floor x =
Garage x =
x =
TOTAL
Sstimated Construction Value: $ Z,poo '-
Inspections Required: Work Requiring Separate Permits:
Site PJ.umbing Grading/Fi�.�ing
Footing Mechanica]. Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�Fina� (Mf g.) Other
Other Wel 1 (State Permit)
Electrical (State Permit)
-------------------------------------------------------------------------------
REMARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approva�: Date By:
-------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
• � , vc / / / cy r ����� ���� 1��+
� i , „
� CERTIFICATE OF SURV��Y � .
.
������, . MARK A, SNEPNARD
�*,��-�., Prepared tor • �RQ��
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A�A= 28,453 59.FT. � p� � 1�r-c K' I 2 X )-*, • 2 `(v
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, -----_______ __-------------- :� , ,� �%
� LEGAL DESCRIPTION:
� That part of Lot 8, Block 2, WILEY' S PARK,
� which is northwesterly of a line drawn through
� j the center of said Lot 8, which is northwest-
erly 1 /2 of said Lot 8, ar,cording to the
� , � recorded thereof, Hennepin County, Minnesota.
�
C�A��('�5���' � S �.
� �
^' �(�, O I� ZZ •C� ►'vt£�, ,�-T D�� ' �I L�� S_ , � ,
�r �r •�R
� � CITY OF ORON 3 � U�
� 0 � y�_
. � SITE PLAN GRADING p�AN' S`I
J�APPRQVED 3 S �2 Z�o v
0 '�P�'ROVE[� L�/ITH RcVISIONS �
�� i , ❑ D1SAF'�`; � �s.b °
: BY '
DATE 6�sr _q z
GENERAL NOTES•
( o Denotes iron monument •Proposed top of foundation elev. _
��x'� Denotes cross chiseled in concrete Proposed basement floor elev. _
x931.3 Denotes existing spot elevation Proposed garage floor elev. _
i
987 Denotes proposed spot elevation
-•- Denotes surface drainage HENCHMARK:
Dashed contour lines denote proposed features
. � .
Solid contour lines denote existing features
i
i
A7- I hereby certify-t this survey, plan or report w•�s SCALE
�i.�.IL- IVIETRO LA11TD prepared by me or under my direct supervision and that I "= � 1
SURVEYORS I am a duly Registered Land Surveyor under the laws of
i the S� o Minneso a. Boo►c PAGE
2340 Da�iels Street � � � 61
,
Lony Lake, M(nnesota 55356 I7 F��g�v45'g
Ph: 475-1433 DATE � Z�° 8� REG. NUMBER / !Q Z�