HomeMy WebLinkAbout1991-004099 - temp sign , PERMIT
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� CITY OF ORONO PERMIT TYPE: �=1�-3��;`�'�
1335 Brown Rd. South • P.O. Box 66 Permit Number: �`�' ��=`•����'-
Cry�ta! Bay, Minnesota 55323 Date Issued: I
(612) 473-7357
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OW : . �` :_;yt���;E:L�I NE ;;�;
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APPLICANT PERMITEE SIGNATU ISSUED BY:SIGNATURE
. - � C$ECR OFF���SOFFI�C�'IUSII p�yOF PSRliITS
ADDRESS OR LEGAL: �`I�'I -Sf"fUILC�Z..1Nt� _PID:
DESCRIPTION OF WORR: T��'►'�tJ 51(�N
-------------------------------------------
ZONING REVIEW BY:�� DATE APPBOVED: /Z-13-�11
BIII?�DING FtEVIEW BY: /i./I/rI DAZ'E APPROPED:
-------------------------------------------
F'EES TO BE C�RG�• Misc. F�es Calculated By:
p�IT Yes � No
PI+AN REVIEW Yes No� SEWER CONNECTION
STATE SIIRC3ARGE Yes No � WAT�R CONNECTION
INVESTIGATION FEE Yes No ✓ PARK FEE
g�,� Yes No -� SITE INSPECTION
Ni:mber c f SAC IInits OT�R (speci=y)
---------------------------------------------
ZONING C�?ECK LIST Zoning Dist=�c�:
Fire De�a���ent: Pos� OF=ice: Sczoo? Dis�=ict:
Lot Area: Wi th: D pth:
Survev Submi��ed: Yes N Da� o� Su�ve��:
ProDosed Set�acks �
Fron� (Lake )� : Ri.�nt Side :
,.
Rear ( St�e� ) ; Le�t Side : ' —
�
Adjacen� S,�ructu es : Wet�aTd:
3uilding Heian�: De=. Hgt. ��zk fig�.
r
Avg. Setback: Lot Covera�i '
Exi ting P=qP� �
i �
I
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Hardcover: 0-7� ' �
—� /'
75-2;�0 ' ',
� �
,'
250-�00 ' �
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500-1�00 ' �_ ;
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Hardcover Va�riance Required: Yes �o Date of Council Approval:
I
Grading: St�zf Ap�roval Date: By: Council Approval Date:
Seatic: Staff Anproval Date: BY=
Zoning File: * Resolution �- Reso?ution Date:__
�RMARK$ (in house) :
-� - -....�_ - -�_._ . . � : '—,-,
BIIII.DING RESTIEW I�IST ,
�C: ONSTRIICTION TYPE:
SQ Footage $ �r Sq F�g
Base�e^_t x =
lst Floor X _
2nd Floor X
Garage � _
x
,
`\ —
TOTAI�
$stssnated Constrnction Value: $
Work R r g Separa P ts:
Inspectioas Required: pi� ing rad'ng/FiZling
Si e � ni al ir
Fo ting Mec..
Sep�ic t r Connection
r^r in� Se r Connection
Tns 1 ticn �'ir�p ace
( a nry) 0 1 e_ .
Wal.l Board ig. -ei 1 tate Pe=-mi�
Fin�l - E1 ct�ical (State Permit)
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�_MAR$S (II�7 HaIISE) :
-----------------------------------
gEVIEW BY OTHF�tS- DATF.':
Access : Exis�_nQ New
Access Apnrova'_. Date Bv---------------------------- --
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�2F.MARK$ (TO BS N01'� ON PERMIT) : �1� W'N L O
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, CITY OF ORONO - BIIILDING PF•R1KIT APPLICATION
Total Fee: $ Date Received: /� � �I - �1 �
Da`te �Approved:
Entered By:
Permit�:
ALL INFORMATION 1KOST B$ SIIBMITTED IN FIILL BBFORE PT�AN REVIEW WILL BE STARZ�D -- -
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T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: �L��� 5�3�-�'����' ZIP: ���/ �
� �v�� 5�.�� ��� 8c�
(work) y7� �
N�ME OF OWNER: ,�C�" `�1- �'Qv�k • PHONE: (home) 77C�" � SZ-C�
1KAILING ADDRESS: �l L� ��►�. 1 d�' CITY: I `�C�.1�a.V�� ZIP: S� 3� �
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY� ZIP'
TYPE OF WORR: New Addition Accessory Structure� Move
Demo Remodel/Alteration Renovate Land lteration
Y I _
PROPOSED WORIC (describe in detail) : �6 � '
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BBDROOMS: GARAG$ STALLS: ATT. DET.
ESTI1r1ATSD CONSTRIICTION VALDATION (exclnding 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 Fermit and work is not to start without a germit; and
that the work will be in accordance with the a��roved plan.
APPLICANT'S SIGNATORE: � DATE:
(Please fi 1 o the reverse s ' e of this form)
i
�• � . .. �
CITY of ORON
Post Office Box 66•Cryetal BaY,Minnesota 55323•Municipal Offices
•.
o - • • � On. the North Shore of Lake Minrcetonka
DAT�_�R�VACY AD�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:
1. 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 Iicense.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
�icense.
4. If your requested permit or license requires 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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First Middle
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City State Zip
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Phone
I understand my rights as stated above.
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Signaturey
BUILIIING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESS2ti G
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CERTIFICATE OF SURVEY
Prepared for : S��N L�]VOX
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- -�-50.00•�- -
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� �-�' �'-� CITY OF 0�� 0 �
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___ SITE PLAN �,R, ING PLAN
� ' �' _: APPROVED
'�--�-- i=1 „PPROVED WlTH RE��';"� ���
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LEGAL DESCRIPTION:
`,��(,�� Lot 22 , Block 6 , NARVARRE
HEIGHTS , according to the
� ?j�' recorded plat thereof, Hennepin
ti'� 30 ` - County, Minnesota.
Cenc.bloc�c " . .,...... • .. ,�� i>
.., �{I..,.;: . .- . ..?..
rctai n�n9 wall ::'i��?.� �."^'=n•.t~ :;' '•
'rt;," '��:+i`.S:�A1=:;ic:;':::,'. :�:'. •
.1.;.���� -•'•:,,:a�.Cs�::[".:'�.;..�. . .. j
I .�5;•i'4�:r`:�Q�J�� '. . a' 90e i �.j�
w00d�Cf41(1i119 WO��i �i !..:J;:i; :� K;;:;^:�'�' � M�O I ^ � - � �
.. .`..� ''�M,'1.. : ". .-��_��� I
S'�=+; �--' � �t gOn 1
.. ,i, •�'1�^f'' _ i•f.l" �i�. � A �l- \
�OOR�.tl�'•WO{{�:, � 4'�_!pf��j y��` . ' :p�,�.�.�_. 'i.�.•l.-N J'-�
:�;,v;�: _ :,;i� ti a' ,� ttbl�,StXlrts:��.Y1}qlK �
S. -r. r. xrs�.. � .�..;,,�, �
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m � �'` X �`1`-
m m ����� '"
SHORE�LINE DR1VE `�'' . ����=
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COU NTY ROAD _ N0. 15 , ` , ,�,
�t71 -���� ,
GENERAL NOTES
o Denotes iron monument Proposed top of foundation elevation =
++�� Denotes cross chiseled in concrete Proposed basement floor elevation =
x 939.7 Denotes existing spot elevation Proposed gorage floor elevation =
939 Denotes proposed spot elevation
�- Denotes surface dralnage BENCHMARK:
Dashed contour lines denotes proposed features
Solid contour lines denotes existing features
ALL -METRO LAND I hereby certify thot this survey, plan or reporf SCALE
was prepared by me or under my direct supervision I �� y �O'
" SURVEYORS and that I am a duly Reqi�tered Land Surveyor
Z _ under the lawa of the State of Minnesota. BOOK PAOE
� 2340 Daniels Street • ����Qd� $ 7°I
g Long Lake, Minnesota 55356 FILE wo.
Ph: 475- 1433 dATE �� Zp/$9 RE�. N0. �1�Z�J
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