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1995-007105 - pool
, a P�MIT CITY OF ORONO � PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - --- = C stal Ba , Minnesota 55323 Permit Number: -'_r:�-_=` � -- rY Y ;.,t�.r (612)473-7357 Date Issued: � _ ��=�=� 4;r:,. __;.`��:�., SITE ADDRESS: ;: : �-:.:�—� - - _ -,; _ - : . _ ,. , . : ; ._... . ,_..; .;:: � DESCRIPTION: - ?E E��_s� _ �_i'•_11'_; . _�'i'?ci s�. ��v�,�.? -,i . ,_..i_. � � .`,'_:3.. , %�"•:= - rs j s�:-* ��it-, -'• T�_:-: —_�_ - . _ . .:.'i: , , _ i~��- --- .._..... ,�... i:f.l?hr!! L•.L t !. L'i t'�lUlT�.� ..i.'4 :...��� � � !�i'7ltL'L L'!�t 1t�L 1�'l.�'1 i%�i�,}\l1;4 � .. . a`i;ii -` ; -r V1 L�Ltt Li..Ysiat j ''':'�-'^ Y'�t���t � 1+:..ti�4'4�L+1•V ' ; "gt f i: l�! 1:'� i7L1T 1'71.:a V �f--- ::�'��'•r?r1 �+ i L�«�!�i.�=%i'vv n . . r.:�i — �r1 . 4'�. L7T 1l�iJV . .�{ i L i L'a t7 REMARKS: � ���;.-� �:::-_ _�;�:�:�-'�,::�;` ,�L_�:�1: � ;,���i� ,t.� _ ..: _ _ _. _.,-,.. .. _. _.._ . _. _. _ n L ti t ti.t._ n ��_;;_ -.���i -- '�< : �. . , ; �_- - _ . :_ . ��. .. . ..... ... . .� _.. ... •� ' . ' , ... .. _ ��. �.�.. r.. 4i t� 'u. :' ,.:�. . :.:1: ' 'S%1 i tJ•.tl . _,; -:; :-, �.__. .. . ... .... . .. . . . t . _. _ - FEE SUMMARY: , ___:�;_���-;:_�:�, �F 3= , _:_� __..�._ ;�'.-_ �;:._ - . . � � �` i n�i �.__,:�i:._ .. . : :�.:� , :_l�� �I ._.... _1 f;:..� ._ .�..�«�...�__ .'j ' ' II , �-3'{.�1 1-____ �'� �' . _.'! I CONTRACTOR: ._ "�:=:�..�:. :� ;_ :::.;:�: _.. OWNER: - - -. - � i _-�: ( :_ '.�, — , ',�' ��i . .. .... _ _. - ... . _ (�-.'_ _ . . ._ .. _ .. . . .� .. .._. . _ ":�'_`'j.' � E � f—i ... _. ... .. _.. .. .. . . . . _. .... .». _ _. _ . ._... '" �..."' `;:�:_i?t_!..5�!� . � . ... _. ._ ._ _ _. ...., ._ i.ie:.� Id'' _ _ '" _ ' = " _ - - i t :`i_..":r'� � , � � � ....� �,.�z„ �_ _ .�-- : ';. �:,,_� ' : ",��, . I S j'G;; F'{'�_ �?-�� ?'=�ti.�'�ti;�I�t��.� �-'EF�;E��Y �,�..;.�',�.��.._,�',s {���t�j�x._=I�.�� �`�_# �"''i�i��:E T�fE � .�_;�'._ :F.i°�. t .�:��_?....t�3 ::��`�.�.�I�'I��� �`���� ���iE��� �'t':{ Ci��� ��..�., �t;��4: I1� �:'_€�;I�:�' ��.-���F'���t��`:�: �I 1 f� �-:i..!_ �:��'`� �.}� ;�€�°�.���}�..� __�:�:�t��.�.€�':��_ �`����� :=�3�TF' +�a� �?��a,�#�:�����TA �.t�I�..C�I i��� i������ �����.�1��.�i�.���� ` � L ,� �� � a `"�� — � G'/j'I�l�ii7 ..-Q-d�c� APPLICANT;PERMITEE SIGNATURE ISSUED BY:SIGNATURE r � • CITY OF ORONO''- BUILDING PERMIT APPLICATION Total Fee• $ J /u • ��' I Date Received: C' ' �-� " �� Date P.pproved: Entered By: '~'�� , - , Permit�:_ff�' � AT.T• INFORMATION MIIST BE SIIBMITTED IN �'IILI� BEF�RE P�N �vIEW WILL B$ STARTED (See Check-off List Enclosed) ----------------------------------------------- ------------------------------- �, 'y'HE APPLICANT IS: ( circle one} OWNER CONTRACTOR ' �___- -- r / JOB SITE ADDR$SS: �`7�'lG� �-.�Cy�� ,S �-T� L�+ ZIP: �.�.�J �/ (work) NAME OF OWNER: (��{�<C.. 1�!/Z�l�d� PHONE: (home) �L'1�f�-� ��'�� �AILING ADDRESS: ��l�I� CITY: i�C%r(f�� _ ZIP: SS SS� Psorr$: �� ;��-ll.S� CONTRACTOR: ��'ic=c. C:c�(G��1� - �+fATLING ADDR.ESS: � � ( G L Iti�'�`YYZ�`tl`� /'�-i//¢ITY: L�f-�%�tf !� ZIP: �.���1f STATS LICENSE: � ARCIIITECT/ENGINLII2: PHONE: MAILING ADDR.$SS: CITY: ZIP: N�: RBGISTRATION ° TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : S�v..�l`1lI`�--'�/� �✓G E-- STORIES: SQ. FEST OF EACH FLOOR: �70. OF B$DROOMS: GARAGS STAI.LS: ATT. DET. '?STIMATED CONSTRIICTION VAI,IIATION (eacluding la.nd) : $ I_� G�UC%= �G- � hereby appl-y for a building permit and I acknowledge that tte information above is compl.ete and accurate; that the work will be in conformance with the ardinances and codes of the City and with the State Building Code; that I understand this is not a perrnit and work is not to start without a permit; and �hat the work wil 1 be in accordance with the approved plan. .,�:,-- �^�.;z. APPI,ICANT'S SIGNATURE: �i`y—��'-�' - DATE: i � iy � , `�� � � � z �� �i �� 8.. � y� �i��Y O� ����� �`� _�; ��,TN �:�t "q „ y,:'" �"'`� ��'��' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices .� �. � �i r #�#,;:� ��������,. y�,,� ,y� � , 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 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 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 Iocal , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii. action to approve, some information may become public. 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 apt�lica�ica or permit. j�C S < �3'�t.�,wiV C�I?�Z IGSG�(1' First Middle Last r 3 r� � ���-y��-i�� �c- �_�/"� Address ��--,�Y z�-T-zt �`y�r �5��>/ City State Zlp �f 7�-i/S� Phone I understand my rights as stated above. �— _ �_ ___-- -----�- —��- Signature BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 ASSESSING �_.---�--- " .,' �•�''a �.04 RIGH15 OF SIIBJECTS �F DATA . gubdivision L Type cf date- The righ section�vidusls on whom the data is stored or to be stored shell be es set forth in thLs gubd, Z, Information required to be given u►����' An.individuel asked to � su ly private or confidentiel data concernina �amWi�in the collect g state agency, pP uested purpose and intended use of the req tem; (b) whether he ma� refuse or is legally political subdivision, or statewide sys �own consequence arising from his required to supply the requested dat8; (c) any su 1 ing or refusing to supply private or confidentiel data; and (d) the identity of PP Y state or federal law to receive the data. This. other perso�s or entities autWhen anbndividusl is asked to supply investigative data, requirement shall not apply to a law enforcement officer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lert t8X re°und instructions�nsteadh°5 subdivision in the individual income tax or r• on those orms. . --- - � . Subd. 3. Access tc �ata by individusl- UPon request to e responsible authority, an individusl shall be informed�whe b�c'pr vateeor confidential.e Upon his individuaLs, and whether it is classified p ublic data on further request, an individuel whe is the subject of se to�mri�ae if he desires, shall individuels shall be shown the data withou0 anh ��ta, �,fter an individual has been �e informed of the content and meaning the data need not be �isclosed to shown the private data and informed of its meanin$� u�uant to this section is him for six months thereafter unless a dispute or action p ending or additional data on the individuh h�8te or p blie dataruponarequest by ' p require the responsible authority shall provide copies o t p the individual subject oftrie actuel�costs of makinB,i aert fYi�gy 8�d �ompiling the requesting person to pay - copies. lmmediately, if possible, with any request The responsible authority sha]1 comply ' uest, made pursuant to this subdivision, or within five �f Slmmediateatcomp�Ce e� the excluding Saturdays, SundaYs and legal holideys, possible. If he cannot comply with the req�et �� it�n w��h tohcomPlY fw h the individuel, and meY 1'►8�e an 8dd�tiona1 request, exeluding SaturdaYS� Sundays and legel holidays• Subd. 4. Procedu�'e ahen data is not ecc�ate or complete. An individuel To himself. contest the accuracy or completeness�of public or private data conce�lble authority exercise this right, an indiv�dusl s� notify in writing the resp describing the nature of the disagreement. The responsible euthority shall within 30 days either. (a) correct the data f ound to be iT�e detae including pee�Pl�� namedt by notify psst recipients of inaceurate or incomp the individual; or (b) notify the individual that he believes the data to �ement is Data in dispute shall be dis�La d o�Y � the individual's statement of disagr • ineluded with the dise1osed ealed pursuar►t to the ' The determinetion of the responsible authority may be aPP provisions of the administrative procedure act relating to contested cases• CHECR O�R LIST FOR ISSIIANCE OF PERMITS - ' - FOR OFFICE USE ONLY ADDRESS OR LEGAL: �q �G �G✓ PID:�`�����' a 3 .2/ c� o // DESGRIPTION OF WORR: �z-�'� ----------- --- -------- ---------------- ZONING REVIEW BY� � � DATE APPROVED: $ L6 `SS� . � BIIILDING REVIEW BY: C��� DAZ'$ APPROVED: !� .Z6 . 5 s ---------------------- --------- FEES TO BE CHARGED� Misc. Fees Ca�culated By: PERMIT Yes ��No PLAN REVIEW Yes-���o SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No J' PARK FEE SAC Yes No .�� SITE INSPECTION Number of SAC Units OTHER ( specify) ----------------------------- ZONING CHECR LIST Zoning District: Fire Department: P st fic o��istrict: Lot Area: ' dth: e :� Survey Submitted: Yes � No Date of Survey: �`J ��"'�� Proposed Setbacks: � b Front (Lake) : j�C���- Right Side: �t� r Rear (Street) : i i C� Lef t Side: �?� W Adjacent Structures : t5 � Wetland: BuiJ�ding Height: f . Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing roposed Hardcover: 0-7 ' 75-2 0 ' 250 500 ' 500 1000 ' � Hardcove Variance Regui d: Yes No Date of Coun ' 1 Approval : Gradin : Staff App ova Date: y: Council pproval. Date: Septi : Staff Appr va Date: BY= Zon' g File:# Res utio # : Resol.ut� on Date: S (in house : BIIILDING REVIEW CHECR LIST ' .� UgC: /�//� CONSTRIICTION TYPE: ��� Sq Footage $ Per Sq Ftg Basement x - lst Fl.00r X - 2nd Fl.00r X - Garage X - x = TOTAI� o� Esti_mated Construction Value: $ �' S, � `�`' Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Fi�.ling �Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wa�J� Board (Masonry) Lawn Irrigation �F'inal (Mfg.) Other Other Wel� (State Permit) �.�ectricaJ. ( State Permit) ------------------------------------------------------------ REMARRS (IN HOIISE) : ------------------------------------------------------------ REVIEW BY OTHEFtS: DATE: Access : Existing New Access Approval: Date BY� ------------------------------------------------------- REMARRS (TO BE NOTED ON PERMIT) : �i a/ ' '� . .. � / � I 10 Do /'� I _ ,bs � �. X l.'�^ y OO � � ;, o I N � 330• �' G%, Q� ro .s�`��,� ���� � � ��'q°r ( .p � y M � ���� � / _-•. _ i .� / �-Q�.� I / � [ `/ �i�7 .•, ...-.II / `'3Q�V / � /� ','r , �'�"1 i '� / N 6 � -� / � I � � � �' � -- � / � � � �,� / � �. � i � � �; � � �� � � � � . � � , ,�, � : . �,,�� � � �.--� . % �� � � se,�^ ���� � / � � �a /a � .._._ �/�"�1`' � /y'' _ • I 10' �,� / � , ,, _' I / � / '�_;,p � , , . �����"(�lY N�Q GRADINGi � . o ��, � � �� ����,,�� ��t�J�i���1�3�� AL�O�ED � ���% / / ��\o^a5 / / / � � � � �'»�lIN D�AIN�IEi.Q SiTE! � ��� ; � � � R � ! r/ :� � OD � '7 j. � Z ,�► �'ap. � � . ^ � '\ � �� ✓ ` � � 1'C ' �� ../ �` ' �.� ,�� �.� � / \ \ o` � i �� _ �� t� � I �/ t, � �g / ti'' /C �. �'�,� "� .,N \ W� I ^o a�' � � -�- � . � ,� � �` o \�s 1� � CK� � ,�' qq9 `��qs h000�� r /y� � P K � � ,..� ° �--d` ,,� r G Rh '/p F- •�' �L :,�''. �. i��� �'� ', ��`'p 2 I -` � ,' ��e ,1fi � O �1�' � � d o� � ; , � � \ ��� ,,s QoSe � �" � ,� � r;;� � �.... \ Q � i ,.., \ o �� �i �`o D 4 �s ��I�I.N �d / � / � 1 .. � � � � � N�� , �� � , � � ,e�' •'"v �' �. �''�-• 1 O000.i� '' f j / '�R¢ 1 / "'- _ � \ w��t � .�y',' � `' _ � .?_. � �00 .t,`��' � / _ I b/ 'C7/� pu; � , / Z� � uq0� '(r000,q� � � � � � � 0p/ e(.t '• / �� � � !OSL� ' / , , ` I t � 1 y�/, � , ��� \ � � y/ � t�°ra5 S o . I ' � .. �e 1�sE : � N ; ��� � ��t / , /�'' ��� 00 � � - ' - � `� ;�� W � �� N \ \ \ 1 �� � � ....�r..�o�Rr.t!f� \ .+'�'`^\ � /� � � " � � s � �n� � / /n V�� �� ���0 , \ \ \ ; ``��� IS � AN — GR>�,DING PLAN � � � I � S!T E PL 4 � .�---�-- --� ���'���VED �°" I � s �� — — —— — � ; �, �,�'PROVED WITH REVi�;�NS ` b� ���:b4m R>.�� � ° - , � �}�A�� p �'�- N89 W 58.21 -- �1 . .J �� . �S_—_----- ' CATE � DUfijO t i ` (/OAC•4, � )ESCRIPTION OF PREMISES SURVEYEO : Block 3 , OLD CRYSTAL BAY ROAD 2NU lIUD1TIOtJ . �utes ir�n marker . �utes existin� sput elevatiun , mean sea level datum .f�l /�io/�Je� f�P✓if.in � s sh��vn are based upun an asSumE�c1 daturn . � !r�VPy inteiids to sh�w the buundaries of the above described property , and the d locatioii of a pr�oposed h�use thereon . It dues not purpurt tr� show any other i ments or encroachments , �� , E[F✓.�rie✓J ... �/ ?�U = 4 9 t. o � 'r''i=/vof. 8 , � - �t = /ov4.3 , � � `l ____._ �. ^ f'' GL � Ud �ri aL S � Ct IOPI__— / � _':a � - ` c'" � . � • . ' � � C !� �� . t�, .. ' . � `• ��1 {��. �.{ •� �` � ` • . . � � � . . ♦ a\� � ♦ . . _� - .�� .��.� �t��+�: �� �� r,�,.� R t,.� ��. � _ � � �� - t ° = � - _ �_`� - _ E�u �� � zar � � - ,. L . ` t • � i� r.. , . �gy _ ��, Y �� �� �I����� � . . � . . .. . � .. { . .. _'_- s� �� _ :-��i � ' '. ^ . �. _� '�9LL3i 1� F� PL�A N � . '� - ,� . . ----�- ;��pe�c-roR c��� ��i'f� . _ `, ` ` _ - _ , - � �= _- . +' � - �s � � `.. �� a�r£ _ l� � t - � -" '� _ �D._..�.....�.,._.. -�•:�: �M� 2, 1 .�.� ,� , �r .�PS����L}�',�.. �_i ���'t Jl��= .. . � .. M ` �� � �� �' . • � 'K �.:,.� f'� �����u`�1 ,-��7H �, � �..: � -; � a � d ra � � �.�� _=�/ � NOT e4F�'f?OV�D `-`� �� _ , �r . 8; t<t��U:s Pri i'�' . � ti . ��3ese co!»�nenis are tn;y�ti ;�, ;• ��. 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' � � _ . . . . . . _ " � . . . .. . . � . � i � .. . .� . ;� .. , . . - ..: . . � ' .� � . -- r ' . . . . . ... f _. . ". . . . . . . . . . _ , . . .' . . .- . ' . ` ._ . . . . � . . . . . . . .. . . _ � � .. �. _" " � . � .. . �- ' . � � � . . 4'.. . . .. . . . . ' .. . . . . � :�' ' .