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HomeMy WebLinkAbout1994-006135 - garage PERMIT , CITY OF ORONO PERMIT TYPE: ��_i_,; F;: ::;r 2750 Kelley Parkway • P.O. Box 815 Permit Number: `-' �`-i �'�` Orono, Minnesota 55356-0815 Date Issued: ="`��-�1�`j� (612) 473-7357 ���.?i��>:�u. SITE ADDRESS: %�r,:�,�_� v�r L�Y`#�r: �1 I E�,� L�h t:N . . _ . . . . . _ . -�. ��_- _ - ,__. _ �. DESCRIPTION: _„'z'i.�_:=_t !il-�tk:f�E�� E=t�� 1 t�i�-��� �='����ri�i t� _.f`��� s��W i:����E;r����°�; �:��i 1 ri�,t-�� €�<i���:: �"Y�« t�ri����E.--�.�ET�;�':FIECj i_�i��r� I�r r��{����-�r y j•j—i f;t_itYti'�.i'fil�;'�.'{crsj"'� � V��i� i��4 ;._f{#1?!l'� �:�';—i!=� �• t't% t r�' �f t r r�'Je� Is 1 1 VI y1�V(FV l•i/tl7/tLL ur/�14L REMARKS: ����I,',"'V3LyV \��1VLt� �I�ViVY '"""L ;•" "'i_� ���� ' _ ' ' z. _" r _ } i_ '� ' 1 r}9fi�VifV ' 'L., ;:,?�":i-' i � i �_.`-�� ... . . ._... _.. ._ �..Z . ...'f��� ........ ._. � �`. . ... ' ..._ . .. . f"��f i.._. .ltJ`lV1 V• ,_._._ . . _ �'� � ' i'.�..r� � i i �_�L.i �. � .' _, . . � . .;: . � r=.. , . .� ; , � . , . , ._,.... . . . .: : .,. .. � J��a rr•; -r� r.n b'Y tlCl��-py��- . .......y tf}ili��} FEE SUMMARY. AtLiL��,�.L.,, jr, `rE-iLt��-i��l,,l1�.� �,'—` t_�:1i_e L'1 V{�� Ta�7i =+ f�i.�Ci•k' 3"I i c.'+•% �% . L•!lL41t tL 1Li.�yL 1„Li'L f i:t_Fl..fl���j( �(�!!1 lIL4L1! ! !7!!!F!!-i• !L'V C` t ' . E�'��� #-3='= ':�'y t��- , ��t_' ni�v,.zii i�ir ti v3i iivi i{%i�+ir �-'�=;�� �`r�4't�}�;t �i i_f, ,=t f isi:'is�ri v�:rv r� `._;t�t;'=_�s=i]'���' _._�_�._ '����.=� ��tF.t�. �_ � _..._ , �.;� _ CONTRACTOR: OWNER: — H�:���1 i r-�:c?—i�. — �=�='�r=���:: THF W3�h;i� G'�-I!1E=:��;� . . �:. `_:; _�E�;:�;E 5' �!t,�E '�;�_i �►tL("i�t�� {��t!_L�� t��a ��;�1.s't�, r ._. r�.� . Y --— - - n .._ . i Ln�-' i.��.�..`��i�_ ; �_,•. `"�i 4' _ :_;z�F.' s ` t � �'i!�' .,. i ::;,•; {; ....i, -h�i� : . .:- .-,• r , �::�. . . . � .�.•��<; �':��'s'.`.`��: :'.�.`•-.:,_..,_�,..t ,:_ } �._. . ._. » _ _�_�`�i �•.s ��I�ii•.� i t"!...._ .ti�_:.-t�._ ., 1.g_ �,.. ! .._ _. ; �:` • �- ����k '�;�t�? r-,_ . .__�_ . .. _ . . . ..._ _ . .. . _.���? _ �'. .�� �:�_�4� _.�. . .� .. �:'. .. �. . . Fi�,_t f �y' Y :_ .� . ,- ; � � . . _ r .��i ' . . . . , : � : ,- ,.; :- _ S- _��" �..._ �. .�_._. _ _�� � _. . _. .- -- - - _ _ . _ _. _ _ .._ . :. I .. ',z'=�':i;�,:.�C•:€:,: -� - } `.i �i s t�} � + E• 2 ; � _ at�; I`��'_3 ?_I ,:. . . . ` _. . ._. ...�. . . .. . _. ._ _ . . . _�::`• c"... _ i . . ._._ . . . _. .. ....__ _ . . . ._ _�_�. . ..._ _ .,.__.._ . . . . � � � APPLICA /P ITEE SIGNATURE ISSUED BY:SIGNATURE ; �. � CITY OF ORONO - BDILDING PERMIT APPLICATION Total Fee• $ ,,�,� 5'L Date Received: � � o�U ' � Date Approved: Entered By: � � Permit#: �'/�S AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) -------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRBSS:��D���LUE1Z !�/F�✓Cl� ZI�'= �.�-�S� (wo rk),���—/�Od NAI�? OF OWNER: �i���/�i�G !j✓D�ZS ��Gf�G'�/ �►�o�' �<��: (home)�7S-�D 3'� MAIZ,ING ADDRESS:.j�.S�Gi�f1yP�(/• �v CITY��O�G� �/Q��y ZIP: ..5'S�y�j . CONTRACTOR: PH��= MAILING ADDRESS: CITY: ZIP: STATE LICENSE: '� ARCHITECT/ENGINEER: PHO�= MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION � TYPE OF WORR: New Addition Accessory Structure � biove Demo Remodel/Alteration Renovate Land Alteration . � / / PROPOSED WORR (describe in detail) : Q ��',�.2� � e.�-� ,.� �.o�-e�� � ° -P� .,, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALIIATION (ezcluding I.and) : $ 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 ac rdance with the approved plan. � APPLZCANT'S SIGNAZ'ORE: , DATE:,��p '"�/ � � � CITY of ORONO Post Office Box 66•Crystal Bay,Minaesota 55323•Municipal Offices • . � . � � 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 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. You are notified that: l. The information you furnish wiZl 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 Iicense. 3. The inf ormation may be shared with other local, s�ate or federal agencies to the extent necessary to process the permit or Iicense. 4. If your requested permit or Iicense requires Council act�on 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. �iS/d>) G�'�D,���S a.�/ First Middl.e Last ���� ��v�� t/'/c� /.�� Address Gv/� i- /�� S'SS.�'�� City State Zip �T /,Sr�D�� Phone I unde a my rights as stated above. � Signature BUILDING 8c ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING 513.04 8IGH15 OF SIIBJ'EC1�OF DATA � � gubdivision L Type of data- The rights e tion.viduals on whom the data is stored or to be stored shall be es set forth in �� 5 An.individuel asked to Subd, 2. Information required to be given indivi�uel- - ' 1 rivate or confidential data concerning $mwithin the collect ng state agency, supp y p uested da purpose and intended use cf the req tem; (b) whether he may refuse or is legally p�litical subdivision, or statewide sys �C� any �own consequence arising from his required to supply the requested date; �d (d) the identity of supplying or refusing to supply private or confidentiel data, er ersons or entities authorized by state or federal law to receive the data. This_ oth P 1 when an individuel is asked to supply investigative data, requirement shall not app Y to a law enforcement officer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lece the notice re uired under this subdivision in the individuel income tax or ro ert tax re und instructions instead o on those orms. � - � --- � - � . Subd. 3. Access to data bY in�v��• Upon request to a responsible authorit , an individual shall be informed Wh ublic h r vateeor ccnfide t al•e UP°n tus y ublic da.ta on individuels; and whether it is classified as p � P e to him and, if he desires, shall further request, an indiv�du e �ta w t out any chargtored private or�du� � been individuels shall be shown th of that data. After an mdi �e informed of the content and meaning the data need not be disclosed to shown the private data and informed of its u���action puc'suant to this section is him for six months thereafter unless a �P n request by � ndin or additionel data on the individuel h�ateQor p blic dataruQoeated. The � Pe g require the responsible authority shall provide copies of the p �in the The resQonsible authority may the individuel subject of the data• certifying, and comp g requesting person to pay the actual costs cf m�ng� copies. immediatelY, if possible, with any request The responsible authority shall comply of the date cf the request, made pursuant to this subdivision, or within five ��immediate compliance is not excluding Saturdays, Sundays and legal holidsys, ossible. If he cannot comply with the request within that time, he shall so inforth the P have an additional five days within which to comply individual, and may 5��� �d legal holidays. request, excluding Saturdays, Subd. 4. Proced�a'e when data is not accurate or complete. An individuel m8Y himself. To in writing the respcnsible authority contest the accuracy or completeness�of public or private data concerning� Within 30 exercise this right� an in��� S� notify nsible authority sh describing the nature of the disagreement. The respo da either: (a) correct the data f ound to be inac a�ae���ng pee�ipi��namedt by � notify pest recipien t s o f i n e c c u r a t e o r i n c o m p l e t e � the individual3 or (b) notify the individuel that h�u�sis�atement Of d SB�eement is Data in dispute shall be disclosed only if the indivi u�t to the • included with the disclosed data• � appealed purs " The determination of the responsible authority to contested cases. provisions of the administrative procedure act relating . �, CHECR OFF LIST FOR ISSDANCE OF PERMITS FOR OFFICE USE ONLY ADDRSSS OR LEGAL: -�: (O�C,� ,,,�(,�,��c�� V,Cr�cc% �,%L PID: j> � /I� `-�� y�Z GGC:� DSSCRIPTION OF WORR: �<=�T �R 2Pc��" -------------------- --------------------------------------------------------- ZONING REVIEW BY: �w.. DAT'E APPROVED: (� - �- 9 �( BIIILDING REVIEW BY: � DAT$ APPROVED: (9 ��—`� � FEES TO BE CHARG�: Misc. Fees CaJ.culated By: PERMIT Yes l 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 I,IST Zoning District: ���6 Fire Department: s Offi / S � o� District: Lot Area: / i h: Depth: Survey Submitted: Yes �' No Date of Survey: t� O� ��l.� Proposed Setbacks : , Front (Lake) : Right Side: �� �� i � Rear (Street) : 32� Lef t Side: �� Adjacent Structures: � �� Wetland: �(� Bui7.ding Height: Def. Hgt. U •�� ak Hgt. Avg. Setback: Lot Cove age: Existing j Propos d Hardcover: 0-75 ' 75-250 ' � 250-500 ' � i 500-1000 ' Hardcover Vari ce equired Yes No_� D te of Council pprovaJ�: Grading: Staff�' Apprqval Da e: B : Council Ap rova� Date: ; i � Septic: Staff� Appro�al Da e: y: Zoning File�'�# i Resolution # : Resoluti n Date: ! RffiN�RRS (i�i house) : ! 1 BIIILDING REVIEW CHECR LIST .., . CONSTRIICTION TYPE: -�� IIBC: �" � " Sq Footage $ Per Sq Ftg Basement X - lst Floor X - 2nd Floor X - Garage '-7�0 X /L-�� - x = TOTAL Estimated Construction Value: $ �� �'`{� v� Inspections Required: Work Requiring Separate Permits: Site P�umbing Grading/FiJ�].ing �Footing Mechanica� Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation �Final (Mfg.) Other Other We1J� (State Permit) �Electrical (State Permit) --------------------------------------------------------- REMARKS (IN HOUSE) : ----------------------------------------------------------- REVI$FI BY OTHERS: DATE: Access: Existing New Access Approval.: Date BY� ------------------------------------------------------- �F.MARKS (TO BE NOTSD ON PERMIT) : ' � y �. �- Y • 1 •' •• � k `� m��. •1�" • � �• � - �/ / / , � � � - •• � •' � - I � � � i / • � � i � � � {� . �i � � � � � � � � � � • ' � � _ • . � � • 1 I /l+as� ��e��ri��'m�aar'�s��0��?�j�� �� �i.�iiOs�. r � auv �`yo � � i,��ifay�-�rh��t��.ri�t� � w v�; � i�5f' ,-_!. �/i�� =�—; �_�_,jf� � �,_��_ � � ��ti. %=�a� �t.-. 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