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Home My WebLink About1993-005323 - land alteration PERMIT 0ITY OF ORONO PERMIT TYPE: USER DEFINED 2750 Kelley Parkway • P.O. Box 815 Permit Number: Orono, Minnesota 55356-0815 �X0-5-.•;: 3 (612) 473-7357 Date Issued: 07/13/93 SITE ADDRESS: 224-15 WATERT+AWN RD je P. I .N. i 34-118-2:'3-33-0056 DESCRIPTION: POND ,.. User Permit Type LAND ALTERATION CI''Y CE ,g0N0 F.:,VhAACE CF ICE REMARKS: 01 rEV 41.55 ( �[ t IL,it�EIT-iff;?V ituV Lf,)7R416 Mal 01 T!J:54 FEE SUMMARY: /91 Ease Fee -------- i)yC i Total Fee $510. 0 CONTRACTOR: OWNER: — Applicant — RYAN TOM 224.5 WATERTOWN RD LONG LAKE MN 55355 449-0941 FVXDER6 KI � #. EC u � � I3aY D � �; 1I „ LICANT/P MITEE SIGNATURE ISSUED BY:SIGNATURE .CJS CITY OF ORONO - BUILDING PERMIT APPLICATION 'Total Fee: $ Date Received: Date Approved: Entered By: ,/ Fermi t#:�39_3 ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ----------------------------------- ---------------------------------------- THE APPLICANT IS: (circle one) WNERjor CONTRACTOR JOB SITE ADDRESS: a U ��4 u��T �-t/N � ZIP: (work) NAME OF OWNER: PHONE: (home) 4yct oa4z :SAILING ADDRESS: a-- S ��-�Ty: d��" �-' ZIP: CONTRACTOR: >__ PHONE: HAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION A TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration_ PROPOSED WORK (describe in detail) : ��N 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. zz n APPLICANT'S SIGNATURE: DATE: w CI'T'Y of ORONO Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices 9 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 _ Z1 Phone I understand my rights as stated above. ignat BUILDING&ZONING—473-711W- ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING t a 513.04 RIGHTS OF SUB=75 OF DATA Subdivision 1. 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 individuaL An.individual asked to be informed of: su 1 private or confidential data concerning himself the collecting state agency, rp Y P uested data purpose and intended use of the req he ma v re political subdivision, fuse or is legally or statewide system; (b) knownrcons consequence arising from his required to supply the requested data; {c) any . and (d) the identity of supplying or refusing to supply private or confidential data, arsons or entities authorized by state or federal law to receive the data. This. other P when an individual is asked to supply investigative data, requirement shall not apply enforcement officer. pursuant to section 13.82, subdivision 5, to a law The commissioner of revenue may lack tax reound instructionre suinsteadder hos subdivisi'0rin the individual income tax or rope on thosems. --- Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whe �c he privateis orconfident al.subject of e Upon his individuals, and whether it is classified asp public data on charge to him and, if he desires, shall further request, an individual who is the subject of stored private or�du� has been individuals shall be shown the data withoutof hat data. After an individual Se informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning,ute or action pursuant to this section is him for six months thereafter unless a disp pending or additional data on the individual has been public datarupon created. equest by P g• require the responsible authority shaIl provide copies The hresponsible authority may the individual subject of the data. Yl gcertif 'n ' and compiling the requesting person to pay the actual costs of making, copies. 1 immediately, if possible, with any request The responsible authority shall comp y of the date of the request, made pursuant to this subdivision, or within five days Sundays and legal holidays, if immediate compliance is not excluding Saturdays, with the request within that time, he shall so inform the possible. If he cannot comply within which to comply with the individual, and may have an additionalcn five dao days. request, excluding Saturdays, Sundays g� Subd. 4. Procedure when data is not accurate or complete. An individual may himself. To contest the accuracy or completeness of public orlprivate coting ncerning authority exercise this right, an individual shall notify describing the nature of the disagreement. The responsible authority shall within 30 or te to days either: (a) correct the data found to be late dataeincluding recipientsenamed by notify past recipients of inaccurate or incomp the individual; or (b) notify the individual individualt he s statementeves the dof disagreement is Data in dispute shall be disclosed only if the included with the disclosed data. appealed pursuant to the The determination of the responsible authority may cedure act relating to contested cases. provisions of the administrative pro CHECK OFF LIST FOR ISSUANCE OF PERMITS ` FOR OFFICE USE ONLY ADDRESS OR LEGAL: W^7 tvt-1x w4 eJ l J PID: DESCRIPTION OF WORK: CAWQ Q .4"Vn+n�a� ------------------------- -------------------------------------- ZONING REVIEW BY: DATE APPROVED: 7' g' 07 3 BUILDING REVIEW BY: 10 N DATE APPROVED: --------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes P--- No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------- ZONING CHECK LIST Zoning District: Fire Department: Post 0 fic / lcr1 District: Lot Area: idth: De h:! Survey Submitted: Yes P< No Date of Survey: O� 16 1 t.ly Proposed Setbacks: ' Front (hie) : ISO + Right Side: Rear (s r^'') : «.O f`E' Left Side: �c _ Adjacent Structures: 2,0c> Wetland: Building Heig Def. Hgt. Peak Hg Avg. Setback: Lot' o Coverage: Existing 1roposed Hardcover: 0-75 ' 75-2511 250-50 ' 500-1000 ' Hardcover Variance Req fired: s No D e of Counci Approval: Grading: Staf Approval Date: y: Council A roval Date: Septic: Staff Approval D te: By Zoning File:# esolu ion #: Resolution Date: REMARKS (in h use) : BUILDING REVIEW CHECK LIST r , UBC: ONSTRUYVaue:-.E Sq ootage $ Pe Basement x 1st Floor x2nd Floor x Garage x TOTAL Estimated Constructi $ AI 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 �j Final (Mf g.) Other Other Well (State Permit) Electrical (State Permit) ----- ------------------------------------------------------------------------ REMARKS (IN HOUSE) : ---------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ----- ------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT) :