HomeMy WebLinkAbout1992-004370 - duck pond PERMIT
• CITY OF ORONO PERMIT TYPE:
t 1 : " ' DEF I NEED
1335 Brown Rd. South • P.O. Box 66 Permit Number: z ir.`; -3,
Crystal Bay, Minnesota 55323 Date Issued: Of./05;
(612) 473-7357
SITE ADDRESS: ----------.--- __
C) 6TH AVE N
LSV
P. I .N. . 2'c8-11,_:—i:::—:_: —i it iC-)7
DESCRIPTION:
DUC-*K FOND ;
User Pei-reit• Type LANG ALTEFtaTION
" ,
r
r�
X,95
�i r
CITY LV, 01RONO
-F &FF49E
uu f9 M Y / wj' a' x rw qui _
r r
REMARKS: rM# ; n 1;�13 #��1 #
f � 01 GEN 510 00
fi µ Ct1E''k r �}VL t 06'
Nll l
FEE SUMMARY:
Ease Fey'
Total Fee $50. ii>i
CONTRACTOR: OWNER: - Applicant -
Y1 IUNG BEN
310-5 i5 6TH AVE N
0R 0Ni' MN 553SIS
(r••.1'�)47: —r 8*21i i
THE UNDERSIGNED HEREBY REQUE'=JS PERM I E S 13 N TO MAKE THE REAL IMPROVEMENTS
T
SPECIFIED AND AGREE'_. TO [.iO ALL WORK IN STI~:I C:T C:0MPL I ANC:E WITH ALL t:I TY OF,% ;t
LRi--N ORDINANCES AND :;TATE CIF M I NNE!::. TA BUILDINGREQUIREMENTS.
APPLICANT/PERMITEE IGNATURE ISSUED BY:SIGNATURE C.,L1
w
i.+.
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ d Date Received: "7/- `7 7
Date Approved:
Entered By:
Permit#: y3 70
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 3/G j_ 6 tX Ave Imo'' ZIP: 5-3 ia,
(work) 4/73 -
NAME OF OWNER: », .�/,>u'� c�PHONE: (home)
MAILING ADDRESS: GN ZIP:
CONTRACTOR: »N f�� I/m a rL PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration 1�
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ J `
&Y)
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 SIGNATURE: DATE:
CITY of ORONO
CIT
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
O 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:
1. The information you furnish will 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 license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
license.
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. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
First Middle Last
Address
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
OFLIST
FOR ISSUANCE OF PEH2TS
CSEGFOR : pNY
ADDRESS, OR LE aL: ►0 5 C�'�'� t N D PID:
DESCRIpT2OR OF WORK: RJaoi
^' j"Q 5
(130 -VA441
--- - -------
----------------------
ZONING REVIEW BY: DATE APPROVED: y
DATE APPROVED: 2 �7
BU=ING REVIEW BY: ---------------- -------
-------- ---------------------
FEES TO BE CHARGM- Misc. Feeis Calculated Bv:
PMRMIT Yes No
PLAN REVIEW Yes--7 No SEWER CONNECTION
WATER CONNECTION
STATE SURC-ARGE Yeses No
PARK FEE
INVESTIGATION FEE Yes_ No_/ SITE INSPECTION
SAC
Yes No
Number Of SAC Units O---- (specify)
------------------------
-----------------
Zonin?
ZONING C�
LIST Dist_ict• 2- IB
post Ofice: Cschool Dist_ict: ako.-O
Fire Departzment: GC
/
Lot Area:
eV/(- Width: N�G Deptz:
Survey Submitted= Yes_C No Date of Survey:
y JO
?=eposed Se-backs: a '
Front (bei) � 15-0 Richt Side : 2�
Rear
�t:eet) �1 Le Side: Z- �S`-b
( .. / 7 `
Adjacent St=uctures : C!v Wet-land: W/04
Building Ee4 gl1t: De-f- Eqt. �/'� Peak Eat.
Lot Co eraae: ---
Avg. Setback: Prop sed
Exis min
Hardcover: 0-75 '
75-250 '
250-300 ' -
500-1000 `
Hardcover Variance equir d Yes N°
Date of Council Aaproval:__
Grading: Staff Ap_ oval a e:
B
C cil Approval Date:
Sen_tic: Staff p roval D e:—
Resolution�. Resolution
Zoning
pile:r Resolu- ion
REMARKS (in use)
3UII,DING R.�TTIEW CHE= LIST
TBC:
CONSTRUCT-TON TYPE:
Sa Footage $ Per Sq Ftg
casement' - X
.St Floor x _
nd Floor ------------
x
;arage x------------
=
x
'OTAL
Estimated Constrac*..ion Value: $ (e,(2 Nt i
Work Requiring Separate Permits:
asaec+r�.ons Required: Grading/Filling
Site
Plumbing
Mechanical F===
Footing Water Connection
—".Footing
Sep�ic
^� -enlace Sewer Connection
_nsulat_cn --- (Mascnrv) Other .
wall Board Well ( State Pere
1Final -lectrical (State Permit)
0zeT ------------------------------------------------------
- -----------------
MIARRS (IN HOUSE) :
---------------------------------
;TI--w BY OTHERS: DAT''.
Access : Exist=^Q New
Access Approval: Date Bv:
-------------------
- - --
------------------- S
;.v-ARKS (TO BE NOT=) ON PERM=T) : GRA IN' 0 v Cv�S e
�-0rs VCv.ansC G� Or w�.�w.vD. Q� PI��v2 —(r
W
� � fD O rh ti�^� C1"N:U31.� (D � rt 'J c•t' 'j
O I a �p o a ro ;Z, r,
G O (t (b rst sn'' 0 �0• .W 1
En (D (a (D i 1-1 '�i� .7:..1.Ul •;nl
.:(roEn ct En M ll EQ ct.1 j `L]. C�t'2T tit' � 1 'a., (D.�:m
*i n cr ft :).LQ,- (Dt 0 ro oct`pi a
ct cr t•s- O• (Dti... ul • (D rt G (n r {
7�C G' (D �' .�1 • , G' ct ct cr ct CL
t i b
t,-,::rQ, fir. } ..::]r.
;(D ct �.cr cr
H.
240.88 MEAS.- -- _ ,4.ZA , (] o ro a c+ cr (� (o � n n (D
M En (D (t' ►�. lt, 14,18 F n ((D O ct
0 `� :p t-r r ►i 4P a O tD cr s( r-
,q
( P ' in n 0 N O w• w' �. ct3
( � K Cil' '
r O N. rw u! tD c*. r � a ti.
® ( N N O tU N O Oh, : c0ct (D
rl b b I w• ri ro 1+ W 14 '• y
= ha 1w °, r ti o
4 Ste' r Cf°►S I
11(a ------- - �3Mp �
'Nl1 p ti 1
a-05 O
c L7
P � •
tJ ..
b
n f �O
-7j,0,04, 3 d
n D S
(,
Q
rn
0 z z
Cl
C.
I ,
(� •, M z . ,
fTl U -u Cf) arnD ;
rd C-> p
b
(DC7 -n Ol
f`j O f 10,
11
1 .
w .
f r r r r r r r w .... r.r+ar:,r r rrrr r .._.r. r r.r r r r rr r r r ..r r. r . r r e r r .• .i t rir dill 1.
1 I
N ' •.
o
I
� 1
rt I
m
� t> f•- 04
a F m -4