HomeMy WebLinkAbout1993-004846 - change garage to mudroom PEI�MIT
CITY OF ORONO ; 1 PE�RMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 ���j I LCy I�f�=
Permit Number: {i�y�;_:��
Orono, Minnesota 55356-0815 r Date Issued:
(612) 473-7357 � 3��I'��=��'�:�:
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — �����1 i c�t�t. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��1)
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CITY OF ORONO - B7ILDI�IG PERMIT APPLICATION
Total ?`ee: $ �� • ':> O Date Received:
Date Approved:
Entered By: ' `� � � ��/
� Permit�: Y'
ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL BB STARTED
(See Check-off List Enclosed)
T� A.PPLICANT IS: (circle one) OWNE_�r CONTRACTOR
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Jos Sz� Annx�ss: ��`� -�-ic�.�l�; ��t; 14� lL� � zzp: �� � 3 > C� -
. (work) �-73 5�3 J �
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NAML OF OWNER: � ; L � `° , l4 " c / ! PHONE: (home) �t�F�� 7[:�:5.�
MAILING ADDR.ESS: �:�`-� �"�j���-�): f`j�{:5 C�s� CITY: ��r Z,-yL.i�� ZIP: � "_��>
CONTRACTOR: /� �l�-- PHONS:
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MATZING ADDRESS: CITY: ZIP:
STATS LICENSE: �
ARCHI TECT�ENGIiJEER: /��/�- PHONE:
MAILING ADDRSSS: CITY: ZIP:
NAME: R$GISTRI�TION �
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration�_ Renovate Land Alteration
PROPOSED WORR (describe in detail) : /'' �7�»��)��' ftt:�? !�� � /�LCf/J /�(:;c���'� _
l�L�����1 �i�u�L ,�71�Y ��� �
STORIES: i SQ. FEBT OF EACH FLOOR:
NO. �F B�DROOMS: GARAGE STAI.LS: ATT. DET. ��--,z�.�.� Z�.Z'%��, C`-Z>
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �>L-(i � �iZ-�
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. . •
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APPLICANT'S SIGNATURE• ��. �'�-�l,(..�� �� �� � � DATE s � �� ��
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Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
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� - � � 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 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:
l. 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 license.
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 CounciZ 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 applicatian or
permit.
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Firs Middle Last
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City State Zip
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n r�stand my rights as stated above.
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BUILDING&ZONING—473-7357 • ADMINISTRAT[OIV&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
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�.04 RIGHTS OF SIIBJECTS OF DATA � �
Subdivision L Type of date- The rights of individu8ls on whom the data is
stored or to be stored shall be as set forth in this section.
'ven individusl. An.individuel asked to
-- Subd. 2. Informaticn required to be gi
� ' supply private or confidentiel data concerning himself shall be informe�a�e aaenche
purpose and intended use of the Teq tem•d (b) whether hee maye efuse or is egauY
political subdivision, or statewide sys . � �oy� consequence arising from tus
required to supply the requested date, (�) any
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by state or federal law to receive the data. This_
when an individuel is esked 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 lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und uLstructions instead o
on those orms. . - ----- -� -- - _
Subd. 3. �
Access to data by �n���• �P°n request to a responsible
authority, an individual sha]1 be informed�wheub�c'hPrieateeoruconfidential.e IIPcn his
individuaLs; and whether it is classified p ublic data on
turther request, an individuel whc is the subject of se to himrlande if he desires, shall
individuels shall be shown the data witho of�hat da a• After an individuel has been
�e informed of the content and meaning the data nesd not be disclosed Lo
shown the private date and informed of its meaninB� �n�t to this section is
him for six months thereafter unless e disPute or action p
� pending or additional data on the individuh h� 8te or public daatarupon request by
responsible euthority sha]1 provide cop1esThe res nsible authority may require the
the individual subject of the data. p°• ��rtif 'n and comp�ing the
requesting person to pay the actual costs of malang, Yl g�
copies. ' immediately, if possible, with any request
The responsible authority she]1 comQly of the date of the request,
made pursuant to this subdivision, or within five �Ys,mmediate compliance is not
excluding Saturdays, SundaYs and legal holidays,
possible. If he cannot comply with the request within that time, he shall so in�or h Lhe
have an additional five daYS Within which to comply
individuel, and m S t���, S��� �d legal holidays.
request, exeluding
Subd. 4. Procefiae when data is not acciaste or complete. An individuel maY
himself. To
contest the accuracy or completeness�of public or private � the�nresponsible authority
exercise this right, an individuel shall not�e���e authoritq shall within 30
describing the nature of the disagreement.
days either: (a) correct the data f ound_toom lete datae including peee pients namedt by
notify past recipients of inaccurate or ina P
the individuel; or (b� notify the individuel i��dual'�S statementof disagreement is
Data in dispute shall be disclosed only if
• included with the disclosed date. ealed purs�8T1t to the
" The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
' � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR CrFICE USE ONLY
ADDRESS OR LEGAL: =r���'� ��f ��'"� �t`��%1,�1 �� ,r' J'.'� PID: . - ' ,�� �� '� � T _. ��� _ ," �a
DESCRIPTION OF WORR: ' � �" fl / v'� � ' � ; , %- '/ . /
-------- ---------- - ----------=---------------------------------------
ZONING REVIEW BY: DATE APPROVED: 1 Z-�{- �C Z
BIIILDING REVIEW BY: DATE APPROVED: I 2- �( -`/ Z-
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓'� No
PLAN REVIEW Yes ✓ NoT SEWER CONNECTION
STATE SURCHARGE Yes� No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC � Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------g---------_-----`�----
ZONING CHECR LIST Zonin District /Z� �
Fire Department: � Post Of f ice: L L. Schoo� Di strict: lU��
Lot Area: a �,;;� i.8� c� Width: Z.�c� Depth: 3� �
Survey Submitted: Yes�_ No Date of Survey: �-/- 7b
SATrt_�T �'I�SH
Proposed Setbacks: �
Front f�a� : (�0 r � Right Side: N !0 -�-
Rear 'c����) : l 37� �' Lef t Side: �2�fU � �
Adjacent Structures : (6U �'h Wetland: /�l�
Building Height: Def. Hgt. eak Hgt.
Avg. Setback: Lot C ver ge:
Exist'ng Pr pos d
Hardcover: 0-75 '
75-250 '
,
250-500 '
500-1000 ' --' -�—
_--��....��_
Hardcover Variance Required Yes N Da�e of Counci , Approval:
d �
Grading: Staff Ap�roval. Dat : :� By:�_ CounciJ. A�pproval. Date:
�
�'
Septi c: Staf f Ap roval. Dat : � BY� �4��
s �
Zoning File:# R s ution #�': ResoJ�u�ion Date:
t �f
RF.MARiCS (in ho se) : �
1
( �
1 i
I
, / !
✓ '
BIIILDING REVIEW CHECR LIST � � '
IIgC: X� /Z-3 CONSTRIICTION TYPE: y-
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X -
2nd Floor X =
Garage x -
x =
TOTAL
�
$stimated Construction Value: $ �., -'DD `'
Inspections Required: Work Requiring Separate Permi.ts:
Site � Pl.umbing Grading/Filling
Footing Mechanical Fire
_�Framing Septic Water Connection
1� Insulation Fireplace Sewer Connection
�WaJ�I Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Well (State Permit)
� Electrica� (State Permit)
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REMARRS (IN HOOSE) : ��,A�S 5 �'�107' p(LO u�d1.�C� S.Iv s P2 c..-r-i v iv (tx�i v�/1�61�
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approva�: Date BY=
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REMARRS (TO BE NOTED ON PERMIT) :