Loading...
HomeMy WebLinkAbout1991-003677 - land alteration � I'ERMIT CITY OF ORONO PERMIT TYPE: �'335 Brown Rd. South • P.O. Box 66 ��' '�`� ���j���C� _, Permit Number: {��j;;i�,7; • rystal Bay, Minnesota 55323 Date Issued: tx�/13��i:.�f ( 2) 473-7357 SITE ADDRESS: ���`�{i °:;ILVEFi VIE��3 Gi�i , .j� . �'. � . �. , L _—�. i���—�.�_`�;—�.;—{_3i 7i l� DESCRIPTION: 11�ei� F'�i�ri�it. i�y;��c L�t�lI3 ►�TEFir�TI����t�i �e -� '� ( �uti �;�.!��r xwv�q��; �� :�"'�d�c � � ' "�°�� ,�'� 1, � �' ��, �� � av - .� �.�. �` �n r �p s � �i���»w!� � � � y'� r�a f 7�N1�, ���"'t�l��r,� c ia��y. d� ly���.. ��r� ���t�,�w��.*.����,�y� k» Y� �� xx�l`..�� .. s�x r �� � � �,� ", a� , � �m ,�� "x� ,n�� � � A H � ��,���ti✓�l�' � b x"��" � ; /�. �4 ��'�' � ����� -4 ) y���.. � �3J'�* 5��g� �iu �F�,� ud l � �uY� pll����y� � ' �M1r r 3� Fr , ,��� �r� � �,��li.�=, � C''''Y �F C��"t�t3 � � ��`"�� ������ ir �� �p�x� i� +�i, : i i i u , ,� �,��������� , ��� � � ,. � � fa;1RJ�'�� �'FF�GF � �� i J� J/ f � 4 � x k�y�.��i��r��. ��s..�� ��� w�+ � " jJl��l?��1/ h %* a'/bw �+� �� `��4 � �1 LTLI-f JV�t/V -'�° �^. f,� b '1q �''�M � ,,� �Md 7 °�' '���� �^� (�( ( �}p y�,��''��, i��N'�' .. ���.,t^'' �,�� W�LislS �L JVai(V ,�-`� ����d�`.����ati�,r��������„+�`� ;;E'��t.t��T-1H��'��' YJU ; #�1t;i.��' Cvr71 t��� T��:�3 ���43/9.i REMARKS: FEE SUMMARY: 'dAL_i!�T I+f�! �i , �?�;:_; Gt+�e F�� i�',t") . i it i --------�=i—a— T,�t.�I Fc� �;{� .�;i� CONTR �C T�R: _ -- H����1 �c��it. -- OWNF�R: LA�j�i�I :T�i�-i�V i�.7��i 7�;� �-t I� ��::I t1E;EF:L_Y 1-'.l_i. C:it� .�i.! t'?`=;�7 _����1��� v?GW L+{"i �i li 1��1� t��'� ;�:;[��. i i_i�`��.i �H��:.� �� .-r_,!�,_;�i�� t.t���.,= i L{.i•-�—,�jilF. 1�L�.�—{3tl�i� _��_ .. �._ - -- — ._ ___� __ . _ --— ----— -- — ------- �r:-• r-�•� �, ,t� ���( --r r� r �� i' i s _ t ' i j- i,a ,-.r_ �i ,_. ri�-�:-� : � - ! .- S�{.�'i=c�_ .ti���(t_�1 �t�ir=.�:��!_ z i`��.�,1C•:'�4 _ �'�:e,i . _ _ �.+.�i . _i {-i�'.t_ i�'t-_ #�`�.��[__ t i'!!-;'•,�_d`d�E'iL_i'i i�=+ '" r.r'.F"'r�.qf--tr�r. � 't`�i..'�'�-.. .,y.,:.: " f•.; . ._ .. T _..f... .Z" T i?'r.i".r^ ! T� ! F � 3 f _�i-c.�..�,: �ri� r-l��f�i ;�tt_i�;r_r_� f �_� s1�_� r•fL_�_ i�:�j_�rit, a�u :� i;-;lt: a �.t_i�•Fr�L_ar�:u���= w�� i�� N:�_L_ L�� f `s� t_Zi- +� �! nr-:.� > ,-., Iii"t{_it�1�_'- E_�'t;��!.{`�`?1`�l:C��� t-11`•�li..� _� I a-�t ,'t�.`. �_�:�' �"i s�`�ii`•#;:����_��1 1_=•_?1 i.0 S.i`�1:;3 i.�t?i.1ti_ P'Er+t.:�!_!1?'•.�;��t����__ . � � C/� ��� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE r CITY OF ORONO - BDILDING PERMIT APPLICATION To�al Fee : $ Date Received: Date Approved: Entered By: Permit#: AT•7• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED (See Check-off List Enclosed ) ------------------------------------ ----------------------------------------- THE APPLIGANT IS: (circle one ) N�� or CONTRACTOR Jos szT$ AnDx�ss: ;�7 �! � S ; ! ��� L� � � �� (� �' _ ziP: S` S 3s.6 (work) � PHONE: (home) y 4 � -�'"�� r� oF owrT�x: -�� �v� �e�` <<; -.3 : I-1 �� MAILING ADDRESS: � � �1 L ✓i �VC(� U l F w � CITY: �� i �' (1� ZIP: S �3 S � CONTRACTOR: -� �Y1� Lc�...�:G G�l�,� PHONE: y 7 Z- 7 7 c6 MAILING ADDRESS : ;�, (.j, �� a � � CITY: �ll��� ��� ( ZIP: S S3� � TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration� /� � r PhOPOSED WORR (describe in detail) : (�-Y'�.Q ��c�.�(�- v'C�- Cte.wc,� �J � � b� �� � �t��-c a: �z�w U�� � � � �( � a'4-� I � , STORIES: SQ. FEET OF EACH FLOOR: AIO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRIICTION VAI�IIATION (ezcluding 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. � � � APPLICANT'S SIGNATORE�,i �'�' /' /� � �� DATE: L�- Z 5 c// � � ''� CHECR OFF LIST FOR ISSIIANCE OF PERMITS FOR OFFICE USE ONLY ADDR$SS OR I.EGAL: PID:��3 - /I�'o'�3 � 02 ���, DESCRIPTION OF WORR: G� ���. ------------------------------------------------------------------------------ ZONING REVIEW BY: ��e,� _y►.�� _ DATE APPROVED: S-6 •c1I BIIII,DING REVIEW BY: /�J I I'� DATE APPROVED: ------------------------------------------------------------------------------ FEES TO BE CHARGBD: Misc. Fees Calculated By: PERMIT Yes r/ No PLAN REVIEW Yes No ✓' SEWER CONNECTION STATE SURCHARGE Yes �'! No WATER CONNECTION INVESTIGATION FEE Yes No�� PARR FEE SAC Yes No � SITE INSPECTION Number of SAC IInits OTHER (specify) ----------------------------------------------------------------------------- ZONING CHECR LIST Zoning District: Fire Department: Post Offic�: � Schoo1�D istrict: � --? � � Lot Area: Width: i' Depth: ! f Survey Submitted: Y s� No Date of Suxfbey: �/ ' �' Proposed Setbacks:,� '� � Front (Lake),� `/ Right Si�e: ' _ Rear (Stre�t) : ;; %/ Left S�:de: ' , � Adjacent Structures : � �"� Wetland: � � Building Hei,z�ht: Def. ; Hgt.% Peak Hgt. N , _-- Avg. Setba,ck: % �� Lot���ierage: � Ex�.st ng ��Proposed l' � _ Hardcover: 0-75 ' ' ;'t , ' / ;: , �." �" 75-250 ' � ,' / %' � � 250-500 ' �'� '� � � 500-1000 ' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval Date: S"6 -G � BY�.�F�"_ouncil Approval Date: Septic: Staff Approval Date: BY: Zoning File:# Resolution #: Resolution Date: RBMARRS (in honse) : - BIIII.DING REVIEW Ct3BCR LIST � . � . IIgC� CONSTRIICTION TYPE: •, Sq Footage $ Per Sq Ftg Basement X - lst Floor X - 2nd Floor X - Garage X - x = TOTAL - Estimated Construction Value: $ Inspections Required: Work Requirinq 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) RBMARRS (IN HOOS$) : ---------------------------------------------------------- REVIEW BY OTHERS: DATS: Access: Existing New Access Approval: Date BY= ------------------------------------------------ R$MARRS (TO B$ NOTSD ON PERL�IIT) : ! • .�:'�'n"'"`�.,. ,. i "�"`,9: �\ ��'F5� .�il. w. W� � , b.���. �. - ��'��' �� ����'�T� ,F�z'S`. 3 ,�',' S.,.i�:e.� -= £�}4'� � � Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices :�"` - 3'" � s � � ,�; 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 Iike 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.l 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 iocal , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or I.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. 6. Your full name is required to process this application or permit. ` ' ���e�� _ � � I � ( �e First Middle Last . oZ�1 � � �,� � ve � Vi �w .b ✓' - Address � f0 ��v � � 5�35G City State Zip �.�y y -d v � /r Phone I understand my rights as stated above. , , � �.� ><�; ` Sign ture BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBL[C WORKS—473-7359 ASSESSING . � �.� �Gg� �g y�g�7ECTS OF DATA Subdivision L Type of data- The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. Subd 2. Information required to be given in�v��' An.individual asked to su 1 private or confidential data concernina �$mWi hin the collect g state agencY, PP Y purpose and intended use of the requested from his tem; (b) whether he may refuse or is legally political subdivision�he request d da; (c) any known consequence arising required to supp y rivate or confidentiel data; and (d) the identity of supplying or refusing to supply p other persons or entities authorized by statu��e�kedlto supplyenvest gat ve da a requirement shall not apply when en individ pursuant to section 13.82, subdivision 5, to a law enforcement officer. under this The commissioner of reven��or ropert tax re�und instructions instead o subdivision in the individual incom� on those orms. . --- - . Subd. 3. Access to �ata bp in�ivid�81- UPon request to a responsible authority, an individuel shall be informed whether h=�gteeor confident al.e Upon his individuels, and whether it is classified es public, p ublic data on e to him and, if he desires, shell further request, an individuel Who is the subject of stored private or��u� has been individuels shall be shown the date witho of�hat da a• After an indi �e informed of the content and meaning the data need not be �sclosed to shown the private dats and informed of its meaning, u�uant to this section is him for six months thereafter unless a dispute or action p rivate or public data upon request by ending or additional data on the individ�h hes been collected or created. e � p rovide copies of P uire the responsible authority shall p �d compiling the the individual subject of the c��'cos h of making,l cert fyingy may re requesting person to pay the a _ copies. y if ssible, with any request The responsible authority shall comply immediatel , Po made pursuant to this subdivision, or withinlaa e �f Simmediateatcompliance e��.su not excluding Saturdsys, Sundays and legal hol ys, ossible. If he cannot comply with the request within that time, he shall so inf�orth t�e P haye sn additionel fi�e da}'S Within which to comply individual, and may 5��� �d Iegal holidays. request, excluding Saturdays, te or complete. An individugl may Subd. 4. Procediu'e when �ata is not accura �mself. To contest the accuracy or completeness of public or private �tthe�responsible authority exercise this right, e.n individual shall notify in writing describing the nature of the disagreement. The responsible authoi t �a at pt to days either: (a) correct inaccurate ordincomplete datae including recipients named by notify past recipients of the individual; or (b) notify the individual that he believes the data to beement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the �isclosed data• � BQPe�ied pursuant to the ' The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. ��---� e _ � ' ,;�� � . . .. �� . . . "y � { j �7 �1; . 4.,, � , , i ; , �i. , ,. ;�, �. , . '`. r . ,.���, � . � . . , � � . . . � . ; . .i� . '•� � ' , � . . . . � . �. . . � , . . ' . . ::I . . . ' . . , � . . . ��. . � . �.,i� . . � . .. . • ._ .. . i , . . ' . , . . � . . . �:' ; ii °i; y�� ' i. � � � . � � � � � i, � � . � . . . . . . � -. � .. . � � � ' . . . . . � . � . . ' � ' 'Y . . . � - . . . �I �. . . � � f�, �. ., � ' � - 41 , ' � .. .. ' . � ' � ' � . f . ` � �� �• ;. , .. • ��.1' � ' � Tr.� �� �. . . � ' I ' � .�'R� . . . . . . � � . ' _.„�`'_ . . .' 1�1' " ' �.. . ' � �,�:� + �'V i Y Y ,, • � � r , . � - . , , , " d; : �- 't �i Y � i' '+ « :F ir� y ' �� , al� ; �,, � ,. � 4 �• .. . � �,�� ... . , ' ' i� t P { �.�'i � 4' �{ ' ♦ . � . � .. . , . ..,. , t �,t ,� . ` �. N '� , � ,.wV."^/ �1:.�iNu. � ' ��, � � �. �. • s�� . . . k��_"t �� .� ���` �y�� . � �t �� � � � �'�� .�� iE� � �M �,r� . . ...,_""__ '.� ._. __ . _ i . .. _i� ._; . ..�t_ .. .. ._ ._..' ' '.. . ...._ . __'_ — .u_ .yla. �` . . � � � � . - � .. . � . . � . , , . . _` T , . �;'. �� , . . . � � . � � � ❑ � . '•, I . � � ��vl� ' ! rr' cn -a � tn i Y -n :z -� ;� ! � � � ��n C� , � nrcrnrst � � . ♦F� � � Dy i� � 1 � � -z � I j . ;��� v, ..r I � ii i .1-� � � �"~�'� r fT� ��'t� ;,<, I ;'� `'= I . i U� Y � � ry '"�,� � � � ��.� � � � N o c� � , :'�•,�: G � l��• C!) �",� (�'„'r � � ! �' � ' r I � t � i r; =YY f j � ' � I #f•' '� � Z � � ..�i I : � � ''� � •, � � � �� � fs�, � ' 1r t .}� i Ij �,,,;d Jl 1 , , ��c� , f� � � � �_� �, �1 .,I ; .�:,. � � , j� � �� �� � ��� � �. � :. � . _ . _ ��. �� 1mw . � � ��. � ; ; � I � , . : � � :� :,_ : ..�, � � - , :' 4j ,�: b . { � �� ; � t�.�� 4 �� � � �, � i. f ' ( "� � ,. ::� �;�:�x ` x S� ( ,... � i � �' I ��`��� ��ta � � � � � I ' �.. �'. u•,i i f �� �� r;- ' ��.`� '7,e,y�.r. I/ I S ��F A:�1��"u°d�} � �.., � i � ��� ., �� � ;.-, � "`I N � � � , 3 v+ _� �' '��� r"'�`�= � 1'7 "'� � ,� � j� , �` �� � � ! �_=_.�-- — ---- � ��� ,�, s � i �� �.�� ��,';� � � .��' ' � �.�� •���.r w:„ � � " " ( i � ' ' � n � :�'� ��_ ��' �� � 6 �' 'I _� ��,� ;� �. �-Y I � i ���,�...� �� ; � � .� u'.' , 4 � 4� `. { �� 1 � �, - �� �,. . �t � ��� � � j ! � ' � ! I � ' ,�°' � , ,,, , sc T, '61�s.x�'�' � i � " ��"�,�,y� � ,, , �_ �� � 1 , I , � ��'�"���' — , � � o, ' ��. M , � � �i.,,.,��� � '� � � �� � �� - z '� . ,;� � � � �, '"""" - :��,+��` ���, � ' � � t� �- �� ,' � �'��i�� ��` J � ; ! � � ) 1 I ! � '�' �l�'�;.., l,. � � + � � � � � � � - -� ��,.....� � -,� �� �� ; j , ,. � �r � , 1 ___.� _��__�,._..� _ ;,:=J �_ �'�1; , `: i� i � -'��--�j y� � '�:. , � — �• ; �=� ������ . � .� ^ , o �, � ` I r ~/ Q� � �y� �r �`y ��� � � t� u�1 ; ' � 4 " � k� --:.�" . ---- _ __ -_ ___;.- -:- � �� _,� :: i ,,, ; -c `c - X fi . � , , ! ; � � .. � � � �,-�_ � � �n r � �' � I !� % ` � r� �� G� ;�- ;.� � :i� . �: