HomeMy WebLinkAbout1995-007049 - land alteration PERMIT
CITMF ORONO PERMIT TYPE:
2750 Kelley Parkway- PO. Box 66
Permit Number: 7i"I A�-4
...... .. ..
Crystal Bay, Minnesota 55323
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(612) 473-7357 Date Issued: i L
SITE ADDRESS:
DESCRIPTION:
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FEE SUMMARY:
CONTM.GTOFOU
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THF REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY Of-
OR ONO
FORONOORDINANCES AND S*TATE OF MINNESOTA BUILDING CODE REQUIREMENTS,
L
APPLICANV/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
c7 Date Received:
Total Fee: $
Date Approved:
Entered By: permit#: -70 cl
ALL INFORMATION MUST BE SUBCheck IN FULL BEFORE
PLAN
�IEw WILL BE STARTED
See
_ ( --------------------------- -------------
-------------------------
THE APPLICANT IS: (circle one) OWNER or ONTRACTO - '5CeP - U/5,-,
JOB SITE ADDRESS:-36,55- /� y �� i� ZIP:
(work)
.
PHONE: (home)
home)
NAME OF OWNER: !�r� y o J t' c�c�a S ,r h s s s J
MAILING ADDRESS: 3G- S� ' CITY: /l, �r✓ c �'h- ZIP: 5 sj�i
CONTRACTOR: PHONE:
MAILING ADDRESS: �V 7C) �arY UI-ek) !�h - CITY: D�l�, A(, ZIP: ')'S -7Cs� Cl
STATE LICENSE: #
ARCHITECT/ENGINEER:
ZIP:
MAILING ADDRESS:
NAME:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :: S a
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ �Z�>
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.
DATE:
APPLICANT'S SIGNATURE.
i/ �
t
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 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 like to inform you that your request for a permit or
license from ther aiof Orono
or confidential epartments inf mationmay require
you to furnish certain Pr
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
LIunderstand m rights as stated above.
Signatur
BUILDING&ZONING—473.7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Cv S � > PID'
" (p�NS NIO
DESCRIPTION OF WORK:
- - - A�KL
-- ------- ------ --- - qZONING REVIEW BY: DATE APPROVED: J �lN P), s-
BUILDING REVIEW BY: DATE APPROVED:
_ -------------------- ----- -------
---- ----
TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes V 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 Units OTHER (specify)
_____ _ _ ------------------- ----------------
----------------------------- ,p
ZONING CHECK LIST Zoning District: /-- -
Fire Department: Y"\ Post Office: WA-YZ School District:
Lot Area: r- Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake) : Right Side:
Rear (Street) :
Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: -12-"! By:466ouncil Approval Datef ,�-*/
Septic: Staff Approval Date: By: <S
Zoning File:# "` O Resolution #: Is Resolution Date: L2 -
REMARKS (in house) :
BUILDING REVIEW CHECK LIST '.
UBC: CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
-----------------------------------------------------------
RE ARKS (IN HOUSE) :
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------
REIKARKS (TO BE NOTED ON PERMIT) :
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STA RtED
(See Check-off List Enclosed) ----------
----------------------------
-------------------------------- —
THE APPLICANT IS: (circle one) OWNER o CONTRACTOR,�i
JOB SITE ADDRESS: 3�O S� /b �"��� ry "�'� a re /�/-�
f A. ZIP: S 3 9
(work)
NAME OF OWNER: yv vtc {HONE: (home)
MAILING ADDRESS: (p Jr CITY:,/�����ar�-P ZIP:
CSF PHONE:
MAILING ADDRESS: a'y 7 d �r r u `'J �^'� CITY: a l�fz. zip: S � 6
STATE LICENSE: #
ARCHITECT/ENGINEER: t,J n%r +� w �-J �t / '� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK
describe in detail) : ��r`"� ` - X `� 4�6V
QS {ol b CIS E e,OIL
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ a Ute
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 a rdance with the approved plan.
APPLICANT'S SIGNA DATE:
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
O R ONG On the North Shore of Lake Minnetonka
lik DATA PRIVACY ADVISORY
In accordance with M.S. 13.041 Subd. 2, "Rights of subjects of
data", we would like to inform you n h f itsrdepartments mayerequ re
rmit or
license from the City of Orono or y
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—473-73S9
ASSESSING
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-----------------------------
----------------
---------------------
THE APPLICANT IS: (circle one) COwNEM or CONTRACTOR
JOB SITE ADDRESS: oR P ZIP:-
(work)
IP: (work)
ilt-14ov.14 H
r_ ^�" PHONE: (home) L 7
NAME OF OWPIER:JJf3�is:�" rr � �f1f , ,�.� t�.}t IJ�SS�1
MAILING ADDRESS:
CITY: O r�.UNo ZIP:
PHONE:
CONTRACTOR:
MAILING ADDRESS:
CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: _ PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION tt
TYPE OF WORK: New Addition Accessory Structure bIove
Demo Remodel/Alteration _ Renovate Land Alteration
PROPOSED WORK (describe in detail) :
�"T/,,V - A R/2 A D - C� N l
CRTC H / AS INACT 1 0 %pt.�T
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding 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.
DATE:
APPLICANT'S SIGNATURE:
�� ' �6S
CITY of
ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323'Mumc1Pal 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 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.
�..
\ c C
First Middle Last
Address
City State Zip
L4 -7 Z 2 O'S--O
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473.7357 • ADMINISTRATION&FINANCE—473.7358
• PUBLIC WORKS —473-7359
ASSESSING
SEP 27 '94 11:02 H. T. G. ARCHITECTS P.2i3
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Xfffr,ff]Tr (OfforrWAOff Of AWA4�F Abf,45m
3655 x}090�R0aa
ap�a4a, ,� 55391
June 8, 1995
Mrs. Dale Carlson
and Mr. David Carlson
3645 Togo Road
Wayzata, Minnesota 55391
Dear Mrs. Dale Carlson and Mr. David Carlson:
We at the Navarre Congregation of Jehovah's Witnesses would like to expand our
parking lot.
As you have probably seen, the City of Orono would like us to put in a drainage swale or
a 12" pipe to aid in water drainage. We would like to put pipe in the entire section and
not use a swale, which would be a sharply angled ditch. The pipe would be put in as
shown on the attached drawing. We would cover the expense of the pipe and installation.
Some easements will need to be signed for the City. These easements allow the City the
right to 7.5' from the centerline of pipe in each direction. The easement area is
highlighted on the map for your property. We also need permission to go onto your
property to install this drainage pipe.
We would like to know if you are in agreement with this. We can provide a legal
description of the easement area for your records and the City's records. We will be in
contact with you to see what you think about this.
If you are in agreement, please sign where indicated below.
Mrs. Dale O.Carlson fitness
Sincerely,
Navarre Congregation of Jehovah's Witnesses
Enclosures (2)
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Project
Street No. '
job NQ
Re ut�t�lD�c e P .M(' sy Pv M, -
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3fi31 �.�tts ;�iaaD
�anzaia,,:>g;� X1991
June S. 1995
Mrs. Dale Carlson
and Mr. David Carlson
3645 Togo Road
Wayzata, Minnesota 55391
Dear Mrs. Dale Carlson and Mr. David Carlson:
We at the Navarre Congregation of Jehovah's Witnesses would like to expand our
parking lot.
As you have probably seen, the City of Orono would like us to put in a drainage Swale or
a 12" pipe to aid in water drainage. We would like to put pipe in the entire section and
not use a swale, which would be a sharply angled ditch. The pipe would be put in as
shown on the attached drawing. We would cover the expense of the pipe and installation.
Some easements will need to be signed for the City. These easements allow the City the
right to 7.5' from the centerline of pipe in each direction. The easement area is
highlighted on the map for your property. We also need permission to go onto your
property to install this drainage pipe.
We would like to know if you are in agreement with this. We can provide a legal
description of the easement area for your records and the City's records. We will be in
contact with you to see what you think about this.
If you are in agreement, please sign where indicated below.
Mrs. Dale O.Carlson \"itness
Sincerely.
Navarre Congregation of Jehovah's Witnesses
Enclosures (2)