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HomeMy WebLinkAbout1991-003534 - sign ` PERMIT ,; ,. ` �ITY OF ORONO PERMIT TYPE: �.:��;�v 1335 Brown Rd. South • P.O. Box 66 Permit Number: t?t):::;:�1{. Crystal Bay, Minnesota 55323 Date Issued: i y�.��:i�/:,=;�, (612) 473-7357 SITE ADDRESS: _.�.��tz =�N=�hE�I hJE �r�: _�B �'. I . f�. � 17—l i 7—:�_;—:�_:—t�i y�att DESCRIPTION: ��i3tE �'�)'�i�if• T���c F'cFi . ;'�=F;cc ��iraNC�G _1�ll �+�1'�:: !�s=�,= ���t��'� r�s��� k�"�a�,���,��` y a » � E � w�,,, � �r���� ° � ��'re 4n?�"� � �anip��r���h�i lry��.� -� ���:'' ,�;� �,r�,,,�„�-'�+�-'�. � � ;�d eA a�, b �� �'�'' �`� _� ��"�'u �r`� � ! M"�J� � �' �� �&"� ,S*.�"�� � �` � . � � , :a �w,w ' � � x�' - ���'��� � �'� a� �-��'�� `�-�����s��'��,, a � �,�"��V�yl �y'��N i" ' � J � � . ��� '� .- ,�"��"� �� � � � .� 1 r ''�� "�+'h ' � �`�� `������5��'��/ a,,, � ����" �� �,�'• '�� r�� �'/i n'�� =�' �;���'�' � �� �� � ti �p ��o� � � ,���,+ �'f� �� � � �� a uW"'��I ���4w�y�� �� � �r � =� �����'�, �.;:. x �'�� �� + �m s � ��,�1 �' ,�k'�y�, -�:�. �.%� �� :-��&�t* . !� f�t� fl� ill- k�-T-rr�Vf i REMARKS: z�'J"!�{h��'��� �;fI'��. -;_���:�;�,r,� � 1 J 10.'._�Y:'V Ii��'EF;Ii.i�; LIGHTIi�G i::iF �=;I�i`•� 4.i�°1�k�E:Cr 1"�:� :=� cc;;�..�,:_; - :�:�;��_���:T Ti�E C��i��JGE I�'YjF��E�LE�.�� _ _ , , .., ;��; r, :� FEE Y: ' - - � . ��r�c,r�r__���;-����� ��r !)Ll•Li/ 1 lld77t 1 rrr:�v�v.ci u w+�%i i ni%i tT�vp�V�� i.%i r':�L:J�i ��i.i'-µ�rC �►:.'�-'' --^---�,�m�'.�i�l� Tr�t•�1 F e� '.�F,:��.t�y�:a CONTRACTOR: __ ��,fi� i�;��;t. __ OWNER: riTTii�C:It'� �=�IGI`d IN�.: 1'�::c:��ii::�i7 D'vlh�C:I ' ti� 74'��� WE:�T LA��::� :�T =�4'�i� :_t-i���:El�i 1�1� C�h ;T �_�_�t;;�:, ;��G��}�:: I"fN 5��.:�'�. WA4'�.�TA _ t°1Cd ��:=:��1 ,"f=,1•��= ?;:t--1=�Ti �.i i-iyi°�r, ____ , _.. � __ ----- ---- - - -- --- _ _____— `� ---- -___ CC� -•�-r• �j�r� p - ,;r.::�- y-s � r� �'"r`nl # h.r-r i-r, �` i I�-i�;, S,_�{vy jy_�:r�!li�4L:.L3 rit_�4;�-.�:�:� I'iC_t_�%i�`._.; .� r�F'.�11 !1.�_ _ .f.�.f�'y ��_I !If-4t�-.C. 3 C":� F1�►'Pl_ 1'1. _.��F"�C�}4 i •.. � �`., � r+ ~•'r�• i_i{i°'si-`=_i r�t!dr:c �.�I Ti'� i=��_� i_i T i' s_!'s= �� :��(='C�=:i�'s�G t=�:�li:t �i�t�; � "i i�i i�f i r-��_:_ �;�l�� � �:�� =� � r�.I t=:'T j' � e vi� 4, i r s_t=.. . , i .� .i ����E P S-'I S;':l_i t'•.Ta'�' L � f �+ a!';a�.:.•FS{-'_, ; T h �'.;-,-. r p !� T . . _� i�i�ii_:�'�ii_I i.i}�!�1 f��1uL•."�•_� i=i}��..s l��l 3 C". � f'i�i'.) t" �1 L_V l.:�17 .�_it S tiF=t��_ f}'iG_i'. n� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , ' � '� CITY OF ORONO - BQILDING PERMIT APPLICATION , . Date Received: /— ��— � � �otal Fee: $ Date Approved: ;ntnred By: Permit#: �LL INPORMATION MIIST BE SIIBMI7.'TED IN FIILL BEFORE PLAN REVI�W' i�IILL BE STARTED (See Check-off List Enclosed) ----------------------------------------------------------------------------- L'SB APPLICANT IS: (circle one) OWNER or CONTRACTOR ;os s2� Annx�ss: ��\lv 5���.�,�v� �. �CZ�vL ziP: � 3�� � (work) �-1� C�1�i 6 i� OF OWNER: ����-'� �\`�.� �L � PHONE: (home)�tS S` � I�� �AILING ADDRESS: � �:. 1,�� CITY: V�►W��.�2Z1��''`' ;�.v-yZIP: �> > .� 5 ?f' ��('� ���' 11� c`� �l ��� �l�' � , �-�-'' — ? 7:' C :ONTRACTOR: �-�.,�-k -- S�-'c�i-._.... . ..��...:� �-Oa�rv��v���=� PHONE: � ��I iAILING ADDRESS : CITY: ZIP: 'YPE OF WORR: New Addition Accessary Structure� Move Demo Remodel/Alteration Renovate Land Alteration �ROPOSED WORK (describe in detail) : ��� >> �.�� CA ���V�'^-�C,��C� �.1 4�� r, W v�-rL�L� k��- L�� Sl��'�5 i�L�+J �r_� �� va-� �l.�V\��L� � ��� �N'�h.1�c.��rZ L �TORIES- SQ. FEET OF EACH FZ�OOR: f0. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ��� ��1 :STIMATED CONSTRUCTION VALIIATION (ezclnding land) : $ � -= �--� � ` � \- � hereby apply for a building permit and I acknowledge that the information bove is complete and accurate; that the work will be in conformance with the rdinances and codes of the City and with the State Building Code; that I nderstand this is not a permit and work is not to start without a permit; and hat the work will be in accordance with the approved plan. � � - ll � ( PPLICANT'S SIGNAZ'QRE: DATE: , � I A ,. ,,t. �• � CITY of ORONO Poat Office Box 66•Cryatal Bay,Minneeota 55323•Municipal Offices • _ � - � � On the North Shore of Lake Minnetonka - - DATA PRIVACY ADVISOBY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would Iike 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. ;. .y�. - , _ ._ _ 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 local, 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 pub3.ic. 5. You have certain rights under M.S. 13.04 to review pri�a�� data on yourself. 6. Your full name is required to process this apFl.ication or permit. �v-�,� ,� � ��,� L�C First Middle Last 3� � �` c.� �-o�c� S� Address ���'� W v�- � 1J S S 3 � City State Zip �,SS-- � �6 � - Phone � I understand my rights as stated above. - -.- : _ _ � _ _ , � - �- � � Signature `: '. __ ... BUILDING&ZONING—473-7357 • ADMIIYISTRATION 6t FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING , . � . r,.� , � . �.04 RIGSTS OF SIIB.TECTS OF DATA � _ � of dats. The rights of individuels on whom the data is Subdivision L T51Pe � � - stored or to be stored shall be es set forth in tlzis section. . . S�d. 2. Informatioa required to be giv� ����1" An.individusl esked to himself sha]1 be informed of: (a) the � ' supply private or confidentiel data c un�e�a8� Wi� �e collecting state 8gency, . . purpose and intended use of the req tem; (b) whether he ma� refuse or is legally political subdivision, or statewide sys �oy� consequence arising from his _ _ required to supply the requested dat8; ;-(�� �Y . _ d (d) the identity of�: supplying or refusing to supply private or confidentiel data, � 8� tities authorized by state or federal law to receive the data- This- other persons or en 1 investigative data, requirement shall not apply when an indt�via�w en orcementofficer. pursuant to section 13.82, subdivision 5, , The cemmissioner of revenue ma la�t taX re°und�nstructio uinsteadhos subdivision in the individusl income tax or ro er on those orms. . - � --- - � . Ac� � �� � ����. Upon request to a responsible Subd. 3. authority, an individusl shall be informed whe��ec hP �ateeor confidential.e IIPen his individusls, and whether it is clessified as p � ublic data on further request, en individual who is tbe subject of e to�mrl�v�sae if he desires, shall individuels shall be shown the �� Wi�O of�hat da a• After an individuel � been �e informed of the content and meaning � �� n�� not be disclesed to shown the private data end informed of Its mtean�BBC�on p��nt to this section is him for six months thereafter unless 8 �P - � ending or additional data on the individuel h�8 eeor public datarupongrequest by � responsible authority shall Qrovide eopies of the p require the the individual subject of the data.. The respensible authority maY �in the requesting person to pay the actual costs of making, aertifying, and comP g copies. immediately, if pessible, with any reQuest The respensibls authority sha1T comply � of the date of the request, made pursuant to this subdivis�a legs�th uaBY�, ��immediate compliance is not excluding Saturdays, Sur►daYs ossible. If he cannot comply with the request wit�i��n w�ch toh mply wfth the individuel, and mey have �Sundays acid Iegal holi�Ys• request, excluding Saturdsys, Subd. 4. Proced�ae when data �s not accsa'ate or comQlete. An individuel maY ublie or private data concerning himself• To contest the eccuracy or completeness�ef P �e �ponsibie authority exercise this right, 8� individual st�all�notify in writi�e authority shall within 30 describing the nature of the disagreemenL"� The resP° 1 days either. (a) correct the data found to be in�e�t8ei°clu�ng reec p enLs namedt by ; notify past recipients of inaccurate or incomPle � � the individu8l+ ar �b) notify the indiviaual �t�ausl�s statemer►t of�saS�eement is � Deta in dispute sheIl be disclosed only if the indi ; • included with the �selosed data• � BpP�sled pursuant to the � ! ' The determination.of the responsible authority to contested cases. provisions of the administrative procedure act relatinB - . , , ; . _ _ - � . � • „ �� �= � CHECR OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR L.EGAI.: � r � � ' PID: r: i_: �,.�.. DESCRIPTION OF WORR: ------------------------------------------------------------------------------• ZONING REVIEW BY� '� 6 � DATE APPROVED: ' - `,' BQILDING REVIEW BY: ' _— DATE APPROVED: ------------------------------------------------------------------------------� FEES TO BE CHARGSD: 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 CHECR LIST Zoning District: ,� - � _ Fire Department: ` Post Office: -- - School District: �ot Area: ' Width: Depth: ; �urvey Submitted: Yes No Date of Survey: f�� _C� % , � . �, ,��, . — � ?roposed Setbacks : , • Front (Lake) : � Right Side: 1 - - Rear ( Street) : Left Side: Adjacent Structures : � Wetland: :auilding height: Def. Hgt. Peak Hgt. :�vg. Setback: Lot Coverage: Existing Proposed 3ardcover: 0-75 ' � 75-250 ' 250-500 ' 500-1000 ' �ardcover Variance Required: Yes ^ No Date of Council Approval: � Y �rading: Staff Approval Date: By: Council Approval Date: � ; Septic: Staff Approval Date: By: � a �oning File:# Resolution #: Resolution Date: + �EMARKS (in house) 1 . , . . r _ 4 . . 3 � . , , - { ! � 1 .. _ ___._ _ _ --- - __ _ - - - - - -_;"_� . . _ ..__ _. . _._ _ _ --� i� .� BIIILDING REVIEW CHECR LIST IIBC: CONSTRIICTION TYPE: Sq Footage $ Per Sq Ftg Basement X = lst Floor x = 2nd Floor x = ` Garage x = x = TOTAL Sstimated Construction Value: $ _ - - �. _r ;: - _ ,� -.� ;.; Inspections Required: Work Requiring Separate Permi.ts: �"�'� � 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) ------------------------------------------------------------------------------- REMARRS (IN HOIISE) : ------------------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: ------------------------------------------------------------------------------- RF.MARKS (TO BS NOTED ON PERMIT) : �-1' - � ' — . •`; � �c ' ! . `� �, ,' ' / _ � c.. , �� , � , � � � j t � f i _ _ . . � � ! ... . . - ._. . _ . . . _ . �._ :, ., f __. _ _.._.___.... _ __ _. . � t � . ,.,.n _ I �._... , � _ � Y� � _ ! 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L . � � � � � ��.,� �i'�-��-����.� ��? � ' r'�� � ' ) CQ COPYRIGHT 1990 BY ATTRACTA SIGN, INC. G�� / 'eh�s• plan• (or draving�, •p�ciiica!lon�, �ch�satic• or dlaqr�wt) �/" are tha exclusiv property ot !►l'TMCTA SIGN INC. They are tha r��ult of !he ortqinal work o[ i!• otEicer�, ag�nts or employees. Thsy ac• tubwitted to you tor tha �ole aurpo�• o! your considuretlon o[ wh�th�r / �. to purcha�s them oc whether !o purcha�s [to� 11TTMCTA StCN, INC. a •!qn �� v � n 1 l S � A T T R A��� eanutaeturad eccordinq !o th��. Di�tribulion or exibltion o[ the�• �. I C�'' matarial• to anyon• othee than ot[icar• or awployees o! your co�npany, or the use ot tha�• �nat�risl• to con�truet a •ign •!n�llat to th� on• CUSiOMER A►►ROVAI / rep�es�nted !n thew i• expr���ly Iosbiddan. In the avent that you . •hould violate thi• pcovieion (or agre�wantl, you ayr�• to r�in�bur�• '� � ATTIUC7A SIGN, INC. in tha �mount oI = le co�pen�atlon [oc ' . th• tie� and •t[ort enlail�d !n crue nq ��• ma �iial�. �T-=�_q' s3��� , QR� 7420 W. LAKE ST. 612 933-7730 �. ATs ST. LOUIS PARK, MN 55426 � t/S/`�-�/d' . n x � y � � � 0 �� LI I _.._.________�______._ � � _.._.._ ,� r ; � -- _ t� t D � n �, 'Y' i I � � = � G� a � �� �� � H � �L� I � �� U � - .� �_ , `� _ . � � � _ � �. �� . � . �JU ___.-.--- � � � C� � � � C ` �;-J � � � � r� - �. U r`-a �-_� L; �J n � �=J �� (?� � �L � �� [��� ��� .� � ��'-� �-` � 0•q �"��� - �r_� [, V --1 ( ��� r__� � � � � U � � �c � � �� � �� � � �� � � I � � � i I � � �?�, -n � . � 9 9 ., � 3 �-���i� , ., 0 G 8- L � � /�u r � � ; � � � � ��J � ' � -�, , � � � ���, i � ' o :.- ° �,� , 4 i -�,. - � � � � CO COPYRIGHT 1990 BY ATTRACTA SIGN, INC. Th�s• plan• (or draving�, •pacillcations, sch�matics or dieqras�l are tha exclusive property of ATTiUCTA SICN INC. They are the Ys�ult of tha original work of its offlcers, agents or amployees. They are submitted to you for the eole aurpoae of your consideration of wh�ther � 1 / ' � � A T T����� to purcha�e them or whether to purchase fzom ATTMCTA SIGN, INC. a sLgn (�� v I /��' manu[actured accordinq to them. Diittibution or exibition of thete .. i 1 -� materiale to anyone other than olficer• or employaea ot your company, or the uee of ihesa materiel• to conatruCt a sign eimilar to tha ona CUSiOMER APYROVAL represented in them is axprassly torbiddan. In the event that you ' � � ehould violate chl• proviaion (or agreament), you agre• to relwbur�• ATTRACTA SIGN, INC. in the amount of S in cospansa[1on tor . [h• time and aLtort antaSl�d Sn czast nq�i—m��qilal�. . � OATE SCALE � 7420 W. LAKE ST. 612 933-7730 !-2�l-91 3/.�� -'pTs ST. LOUIS PARK, MN 55426