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HomeMy WebLinkAbout1991-003728 - temp sign 1'FIZMIT CITY OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 � 4 �_'���� �Cr stal Ba , Minnesota 55323 Permit Number: ;;r�_,7�;; Y Y Date Issued: (612) 473-7357 �"j�•��}�r'��' SITE ADDRESS: � � 4 �°��ti _.Hi yhE�ItdE C��; ��4���' ��° � .�.� �����,��w� .�� F`. I . ��i. ; 1 e r-1 i 7—:��c-4:�—i:zi:�1� a..•\ DESCRIPTION: �:i�1E �`e�'ti�i.#. �'����� TLI"'Et='�_tnilfi'i ;i��n r,��_����:: Ty�� ��if�;�� � � �: . , �yp� �� ����� � �. � (�����0.� �'i���� � �`� �� lY� � � � 9� � fw�� �. ��y . '�` z' i��"'��"��� . �t� � � . ,�'�` .� e .,s k�� e �. �§���� � ���� ����;*�^r� � � �� R � , �s� � � ���w�� � f '��>r �� � �� ��� � � � ��� j,�,� ������...�'�Y $, ��; l� s � �r � t�T�,�a����x" ����°�� r x ,� �a � �' s� � x � � � � � rt / b � �� �� � � �W � F� �� Af u .�,s`�r:�'• '* � '.,.r. '�'�'�', REMARKS: FEE SUMMARY: E�a�� ��� --------����?���� Ti:�t•�+I �ec �=:�:�_Cti) , .. ; j�'j 41l-� L'1 4'i�Vk{LI �1 =ii'2rfni`3t��i ��i�l�f..� 3�1rirlViV�VV � � jj i%i vieRir ,3iia vil Lr/7Ltt1�• 3•L i.�'w�VY + ���'Ll117._.?�11�0�' Vf�f� �y l�LL•L1! ) t t t111�t1 !L11 tYi.�lr7'TV�' i.C%i3i !\V1 �1���V ::;r f�..3'.� ;.:�.. f�. CONTRACTOR: OWNER: __ ,��,��� ����,t. -- WAvEPI�Fi i�i :T 1_��; '_:HE=�C;EL I P�IE C1F; �i�;'r�AT►� M�J ��=;_�1 . ! .r .� — r- t"'* ;..• ' � r:r:-�.i ir:_�_� �—>>�,? _i+;��i Tj s i'�ty;�:,;Y i i`I�'.".. !"C�.v;'i.... i4°ii'1'l�i;JGi"it'���i i_ ` 'f { '� � — � i° }•�,r:y�._ri=.= ��Giiill•- —"� r n. .s 4 F�T1�._ S„!{"�.iF._k'.��1�.j��{�tf/r i ' !y _, ' ' 'i ? } ' t •"i'�:F —�' h�5i lF F f•. r.P_ f { f"' _ ! _ �Tt t.'� _ .{� � �:' c�' �i_I! ii"!_�E���:_� ta�: s !^L--- '`J. { _��r_-.z �r•. . r r �; t:� ii�t�ir•._ �I'y _. i� . —;'r�•L L.i.�' i L: }-i:y s e r�ir,i�Y;` r._: S +_� L?•_i !-Yi!i_ Y:_ _ j t-- r,r—-:� '�•-`� _ . f i.e3 i - . + i t 1�;�!(`;',7 C.-[_i��� t;C; .: .l i���:ri .C._f�E I `.- , e•a�' ��"• �i;z'1 i i;, �1 t i°�i_I «��_'�t�:_ F�'�" !�i i:`;!'�s:='-=�i�4;-i-1 r�e_ . ti',_I;'_„ _� . . ..f:l _ .. � I ` ��1�-c.e�-�� APPLICANT/PERMITEE SIGNATUR ISSUED BY:StGNATURE (.--�"� CITY OF ORONO - � PERMIT APPLICATION Total Fee : $ ���'. �=�' Date Received: Date Approved: Entered By: ��� -� u Permit#: � /�� � ALI� INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED (See Check-off List Enclosed) ________��_____�_______�___________r.-_�________________�__-___----_-___________- THE APPLICANT IS: (circle one ) �WNER or CONTRACTOR � � _ JOB SITE ADDRESS:��� .S :�I��*>�t (: :�,� <� L�(-- L�'�uy "li'�IY"iiI . ZIP: �; t�3 �/ (work) NAME OF OWNER: ���, ,r. L�����„2 ff'aE'� PHONE: (home) MAILING ADDRESS: /�� FJ �rl�.j' � CITY: /i 2��fL�1 ZIP: �.S .�'�9� CONTRACTOR: PHONE: MAILING ADDRESS: CITY: ZIP: TYPE OF WORR: New Addition Accessory Structure Move Demo Remode�/Alteration Renovate Land Alteration PROPOSED WORR (describe in detail) : � -c.c� �� STORIES: SQ. FEET OF EACH FLOORs NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (escludinq 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. ...._..._ � . �� DATE: � - - � APPI�I CANT S SIGNATIIRE: ,1--�-C� �� �� � CHECK OFF �IST��OR ISSIIANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: l�!SS .SI�O�I.�L�N E D�Z PID: DESCRIPTI ON OF WORR: �]'���� �I b� -------------------- --------------------------------- �, 1 --------- ------------- ZONING REVIEW BY: ��,Qo (�it�-- DATE APPROVED: S- I-cl BIIILDING REVIEW BY: DATE APPROVED: ----------------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated 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 CHSCR LIST Zoning District: ��� Fire Department: /�/ L Post Office: C. School District: /U �.. Lot Area: /v(� Width: /'� L Depth: ��L- Survey Submitted: Yes No ' Date of Survey: / ' � `�Z Proposed Setbacks : -- �v; pF �2.� 1�y� c�T cru Front (Lake) : �ght Side: Rear (Street) : Left Side: Adjacent Structur s : Wetlan : Building Height: Def. Hgt. Pea Hgt. Avg. Setback: Lot Cover ge: xi ting Propos d Hardcover: 0-75 ' ' 75-250 ' 250-500 ' 500-100 ' Hardcover Var ance Required• es No Date f Council Approval: Grading: St ff Approval Dat : By: Council A proval Date: Septic: St ff Approval Date: By: / Zoning Fi� e: # Resolution Resoluti n Date: REMARRS (in house) : BDILDING REVIEW CHECK LIST `� - pgC; CONSTRIICTION TYPE: Sq Footage $ Per Sq Ftg Basement X - lst Floor X - 2nd Floor X - Garage X - x = TOTAL $stimated 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) Other Final (Mfg. ) Well State Permit Other Electrical (State Permit) R$MARRS (IN HOOSB) : -------------------------------------------------------------------------- RSVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY� --------------------------------------------------------------- REMARRS (TO B$ NOTSD OI�i PERI�IIT) : . .,�'�av"''�,, � . � 1 I 4'.M1. . l . � i �'��i�.._ , .Wnu�.4xi 1�-. �� . ,Y{e� � VAtY4 � ���� o� ����� v�i n. W x �� .n .'�#«ef�t$�;:.,: r r z�y3 3� 1� •,s+rp.. "°°� '}'.'��'� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices �:.""�� �, �;�a, � - a �;. On the North Shore of Lake Minnetonka DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would 3ike 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: l. The information you furnish will be used to determine your qualification for the permit or I.icense 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 license. 4. If your requested permit or Iicense requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 to review priva�� data on yourself. 6. Your full name is required to process this appl.ication or permit. �F�,� •��� � ��''�-�G�,-�._J First Middle Last . � v�s- .s��.-►..�.�.,..�._. (,2�v- Address -�N �35 � Cit State Zip �7.s":���y.� Phone �derstand my rights as stated above. � ignatu � ; BUILDING&ZOIYIIYG—473-7357 • ADMINISTRATION&FINAfYCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING < � �.p,� RIGS'I5 OF 3IIBJECTS OF DATA . Subdivision L Type of data- The rights of individuals on whom the data is stored or to be stored shall be ss set forth in this section. An.indi�iduel asked to to be given in�vidual. g�d. Z, information req�d himself shell be informed of: (a) the � supply private or confidentiel data concerning urpose and intended use of the requested �b�whether hee ma�er f� °rt� eg�y P tem, from his political su b d ivisio n, o r s t a t e w i d e s y s , �own conseq u e n c e a r i s i n g required to supply the requested dats, (�) �Y �d (d) the identity of n or refusing to supply private or con fidentiel data; supplyi g state or federal lav�► to rece�e�e�ve data other penons or entities authorized by requirement shall not apply when an individuel is esked to supply 6 pursusnt to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue ma lac� taX re°una�tructio uinsteadh°S subdivision in the individuel income tax or r• er on those orms. . - --- - - . Subd. 3. Aecess to data bY in���' �Pon request to a responsible authorit , an individuel shall be info med W�uti c h r v t eor confidential-e �7P°n � y ublic data on individuels, and whether it is classified as p � P to him and, if he desires, shell further request, an individuel who is the sublect of stored private orvidual has been individuels shall be shown the data witho of�hat data. After an ind� �e informed of the content snd meaning the data need not be disclosed to shown the private data and informed of its meaning� ��t to this section is him for six months thereafter unless a disPute or action p endin or additional data on Lhe individuel h�ate or public datarupon request by � P g rovide copies of the p require the responsible authority shall p The responsible authority maY �in the the individuel subject of the ��• certif n and comp g requesting person to pay the actusl costs of maldng, Yi g� copies. immediatelY, it pessible, with any request The responsibls authority she]1 comQly ' of the date of the request, made pursuant to this subdivision, or within five ��immediate compliance is not excluding Saturdays, Sundays and legal holidays, . ossible. If he eannot comply with the request within that time, he shall siin�o h t�e P hsve an additional five days within which to comp y individual, and m S turdays, Sundays and legal holidays. request, excluding d�a�e when data is not accurate or complete. An ir►dividuel maY Subd. 4. Proce himself. To contest the accuracy or completeness�of public or private � the�nresponsible authority exercise this right, an ind�v�� s� notify � ��e authority shall within 30 describing the nature of the disagreemenL The resp° � either. (a) correct the data found te be inae��e��u�gPe�ipients namedt by � notify past recipients of inaccurate or incomple � the individusl; or (b) notify the individual t�vi�ual'sistatementofadisagreement is Data in disP if the indi ute shall be disclosed only ' • included with the disclosed data• ealed ursuant to the ' The determination of the responsible authority to c�tes ed cases. provisions oi the administrative procedure act relating � �� ��_�� .,... . . ,,.. .�55:a3 �� j� �.J� � �J� �,'L� ���'�. � i _� J J 'i' ' '••r�t _ , .� � ;5t2) Ssa-:S�J ' � � � 1 � .�� �i���� �QUA�S 20 ���.T � ' ��IARI�TA & ���C�.�i -�L,L;B + �����. : , ; � , . . ��x�-�. .c�obQr �i , 198� . � � { � � : �' '. _ � L— I �•.'Q�ber �, i9fi8. REVIS_p_ Jsru:�ru :; 1 �w� ' ' — , sa3. � __ ��'di���' '^n r�V � / . .;� ua � 2.,. I 9 89. �� 'a _.._: �L F: — �/ O�� � � S = o •� 1vLi%5� { ;� :� — ,.� -- ' co� J , � ^ � _ , rvoy of docl�s at Smith' s B�zy Marina , Orono, 1-tinnesot�-� . ���'� �� `��� `� i ''`��� � �\ . ,� � � � ��SfP�'/ �t 7 i �n.: l�L�u�"� Il.%� , :.��'" � ,•�I .1 P�,� � . re�rrnnt� whlch Lh� r.lirnt Infnrm; � / , • • "• lU�VQ U1 0( O� �.hlCh ,... ti.�rnrn �� �f±C7m., �w.rr p( f.hrCUQ�1 `� f �� •� C/y . � � . 11 �::: Y doe� not rurport tn shov �)1 r.�scTrnt^ ,n�l ;,,r�av,..��.,�.. �`L"%�� t C. l%15G�;I2'I � ' ' S, `r%,y . .. - :•� �-'_ (� ���• a ; r '��: LI30Z,8 71�D CONVENTIdNB` la����s �0• 0 8 2��0���'�o,.�� . � .'�, • ' :,�J�'.F� , i ��vn� � �� � /' � pl�n wllh rin�l1r. pluq br,�rin 39 iy�v� . ;: ,`• � $t�lc I.It-Cn•.� Ifimh�r 105?5 set, 1f �.o.. i- f i llrr) i�, ;•i;<:i ron m�nUmrn�. 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