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HomeMy WebLinkAbout1995-007342 - master suite remodel P��RMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 -,;; - -- - Crystal Bay, Minnesota 55323 Permit Number: �� �_=�.''-:�`���� �'{;;;� _;:x,; (612) 473-7357 Date Issued: _ `` ..�:� SITE ADDRESS: ._....__.. .. ._.'.t.�'�_.. ..��4�_� �. . . . _. . i�ii . . _... .. _ . _... _ — ... . _i�_% .__ DESCRIPTION: - ,.:;,�._:_.- _ - - t_ri- . : : .; : . _ r. �''�o--�:-: , r. .;�.r,: ; s � .F ;i i�- , �. ..:��., ""t . ,. .... � ..... . _ t. � ..... ,�.� , :� � ,._. . , , . ... . . ....... ._. _.,...... •ri.-.:-. ��3.:? ._�:I=.i°�� . .?��'.:'s �: , :r; ._ _.' .:-1i�'=.,'.'�`.:�f t�_1� .;,r._ __ _?3. _ ��1 �' .� �=`' s.. � V'-�r- :.:.r','_,�ty':�' i r. %i-;.�`.f '�_�L.F�'.;. i�`_ 't �f..•t..�"i i - . . ._ � ... _ _ _ j''; .. _,i j',•i . %.1�..t _'..�t�! . r�•.�__ y'�v'_ 2:�s.... . -�__ '_. . ......... �� 1...'� i�Rt�;�:. .._�.. '. . .. ... �l I � �,. . ��-•. .....�'..'c' .L�......._.... ... ... � ..�" _� � L•I.'LLl1 -' '-���� � .__...�.....__ .... . _ ; ,. . � � .:. :.�.::r ._ . •..' � ..::1 , �� : ....��.. :".. .� REMARKS: - _ ..�... :_. . _- - - - FEE SUMMARY: _.-:--.: .: .� . _ �..: ��'��-�5�- __ . :Y.� �� . - CONTRACTOR: - : , _ .. _._. -.-_ -- OWNER: , _ . , . �,. „ ;: ,: : .- ;- -- - . „ , , . ,: :..,;;:_,., _ . _.. _. . .. � .. _ .. :. : :___ _ . ' . _ : ' '._�- �_�:'.. ;: : ;.. -�. -: _ . E F . ��'�- -'i4��' ., . � _ _ _ . ------ _._ --- — --� . �,> _ ,. i . - -,,,- - . . . y '#^ y . -°. la;:,:��E.Ft��I�� � . ._. :t:�.�=Y s _. . - �.�`` �'�r�'€*�� . ��.f ����'� Li� ,�.. ._ _ � {�{�t � , , . ._. ., 1.�.��M � 2 S.4 t'�'� k�� ...... . .,......_ _ r �_.�, . :�>�'��:�.�i�L� r���lt� ���:�.�°_. T��t �,r ;.____ _�;��F�.: ��� :=;�'�_:����' c .�€��='�.,.I F���i�.E W� , . ,��._� i v . �g� �" � c;.:I �..���'t�`�#�..� d..;�t�3�'�3-�t4{..��i' s�-?�uLj �� ` ::�`.. !t,� � i t-; �'i_��!_i_ �s.._ f #t�}� E1+,�,.i�`.`. . . . '., . �.... . . , . . � � .� . �I ..,... ... , ' � � ��C��� APPLIC /PE TEE SIGNATUFE ' ISSUED BY:SIGNATURE � � . � _ s �. � �t � d, �,Q�„ �,a� 4 � �i��� O� ���1�� .�%�` k. '{ r�.. ; Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices � � _ � 0 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 wil.I be used to determine your qualif ication f or the permit or I.icense requested. 2 . You may refuse to supply data, but refusal ina� require that the City deny the perr,iit or Iicense. 3. The in�ormation may be shared with other local , state or federal agencies to the extent necessary to process the permit or license. a_, If your reauested permit or 3.icense requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review prica�� data on yourself. E. Yaur fu'_I r.ame is required to process this applica�icn o� permit. � �,_ ,� ,j � .�) � ` ��.4�i First Middle La t �vj �� !`�<��.����� ��., Address � • �%���� l �;"� �r--- ity State Zip ��� �� ' �l`�i�' / :� / Phone I under n my rights as ted ab e. , ,,- . _ _ � � ,/" Signat e BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAYCE —473-7358 • PUBLIC WORKS—473-7359 ASSES3ING s _ CITY OF ORONO - BC}�DT'.'� pg�2M.IT APPLICATION ' /, �,� � Date Received: ;�(�%S iotdl. r��: $ (L? l..F DdtA AD�Z'CVEG� : ���e=ed B� � ,� ��` Permit tt : �`� r AT.T• INFORMATION MIIST BS SIIBMSTTSD IN FL�I' B��� p�'N ��I�"� �� B$ STARTF.D (See Check-ef� List Enclosed) ------------------- --------------- .� Appr,=�7� I5: ( circle one) G��L� or CONTRACTOR 3'CB SITE ADDRSSS- I� ��� ���l��/1� L-16�� ���- ZIP: (work) �'�=�/t���� ,�. C PHONE: (home? *7P.ML C� O�lNER: � l / � �. � !' CITY• ��=-�-�rL.7� ZIP: �5�� � ?�.�II,ING ADDRESS: � Z Z� S�`�..��-�Lc1� �.,� `,-..,--� ���� PHaNS: ��'-�z ...._'����,-�" CONT?.ACTOKs ��v�'� L � - , ti '. �� �"�CSG'���tc �'�t�c�: C�1fL�c..�� zzP: �� � , ,s�IZING �iDDRESS: �C _ ;TATE LI,..:�NSE: T ( � ��'� �� �, �---�,a � �-�� PHoxF::_�7`7-� �Z � I 'r?2�HSTEC�'/ENGIrTEI'.R: �� — �s DP.ESS: � � �C�i � �7�� ��' ,�__�ITY: 'L'[(,� -�Z� ZT�': �S�F� � �L�NG � `` RBGIS�RATION A N�: �pE OF WOR�: New Addition Acc�ssorJ Struc�ure Move �e�;o ReTnodel./Alteratio� Rer,ov�te Land Alteration L� �(� `�=�-�S PROPOSED WORR (describe in detail) : � ��y ����� �L-'L�-� �''�l-^� ?� ��Z'� ��-'i'\ FE4T OF �CH FI�QOR: �C-�_.,f ��- �— STOR�:ES:�-_ S�• (r i �i0. OF BEDROOM.S: � C�R1�� STALI,S: ATT. DET. .-�� � C�` - �STIMATED CONS3�ZIICTIQN VALIIATION (eacluding Ia.nd) : $ � hereby apply for a building permit and I acknowledge that the infor.nation �cove is co:.iplete and accurate; that the work wi11 be in c�niormance wi��na�h� ordinances and codes of the City and with the State Building CD erm;_t; and understand this is not a permit and work is nat to start without a p t�at the work will be in acc� ce wit e ap�oved pl.an. �. � � �._ppZZCANT' S SSGNATURE: DATE:� � CHECK OFF LIS'I` FVR ISSSE ONL 4F PERtiIITS FOR OFFICE U �DDRESS OR LEG:3L: i L2 S sl�'��`'�� `�2 PID DESCRIPTIO\ OF j�'OR�: �72��'? �"r�°'� —�'Z'� s�, r�' ------------ --------- N(/,� DATE APPROVED: ZO�Zti G RE«j`' B� : DATE APPROVED: S - i Z � 5�S' BLILDL�G REj�tiy BY: FEES TO BE C�L�RGED: l�fisc. Fees Calculated By: Yes �' No PERti1IT SEtiVER CO��CTIOi�t PLAN RE`ZE�V Yes �' �ro ST:�TE SURCH:�RGE Yes I No WATIIZ CO�.�Ni ECI'ION �o pARK FEE IVVESTIG:�TIOv FEE Z'zS S� �SPECTION S�C Yes �to OTHER (specify) tiumber of S�C linits ____ ----------------------------- ZO\�G CHEC�i LIST Zoning District: Shorel District : Fire Deoart nt. Posc O�ce: School istric : Let Area: .n- Acres � Width Depth r � f �io Date of Surv�y: Survey Su' �tted: Yes � � Proposed e ac!:s: J /` ,' � I ! Ri�flt Side� � F on �Lai:ej: �— � �` ! err ( cree:): �' Left Side�� j Wdjaceai\Structures: � I�,Vetland: � , �I 1 Buildin� Height: be�. Hgt. � Peak H,t. a i �� Bluff Secback' Loc Covera�e. � Avg. S��back: � � i, � Existin� ;� Pro -- '� Hardcpver: 0-75�' I` 75-Z� 0' �� 250- 00' � � �00-1 QO' E', i ' Har�lcover Variance Re uired: Yes No Date oi Council Approval: ____ ! gv; Council �pproval D te: Gr�ding: Staif �pproval Dat : - Se tic: Staif �pproval Da By: Zo ' o Fi?e: ;�— Resol ion: ' Resoiution Date: RE�LARKS (in house): 26 ' � BL'II.,DL\G RE�`���' CHEC� LIST L�c: �L - 3 covsrxucTTov �E: vN Sq Foocase 5 Per Sq Ftg Basement � lst Floor � 2nd Floar c Gara�e c C - TOT.�L � Estimated Construciion Value: � �� �6 Inspections Required: �Vorl: Requiring Separate Permits: Si�e �_ Piumbin; Fire Hardcover Removal � �fechanical �Vacer Connection Foo�ins Sepcic Sewer Connection �n� Framing Fireplace Lawn Irrigation _e� Insulacion (�iasonry) Other _� Wali Board (Mfg.) Well (Stace Permit) � Final Grading/Filling � Electrical (State Permit) Other REI�IARKS (L�i HOL'SE): - ----------------------- REVIEW BY OTHERS: DATE: Access: Existing �e`h' Access Approval: Date By: _ ---------------- RE��IARKS (TO BE NOTED ON PER1tiIIT): 27