HomeMy WebLinkAbout1991-003564 - addn to storage shed PERMIT
It CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South - P.O. Box 66 Permit Number: BUILDING
Crystal Ejay, Minnesota 55323 Date Issued: 003S64
(612) 473-7357 02/28/91
SITE ADDRESS:
3415 WATERTOWN RD
LSV
Dt MPIr 1
'dA: 9 44 )(407
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ADD'N TO
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Building Permit
Building Work- l'yPe
UBC occupancy !,38 R
Constructiorl -,'YF-4-'4 I v T4
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REMARKS:
FEE SUMMARY:
VALUATION $500
Base Fee $15 .00
Surcharge ----------I•-EQ
Total Fee $15 60
CONTRACTOR: OWNER:
Applicant
FERRELL WARD
341.5 WATERTOWN RD
ORONO MN 66356
(612)
T f-RI--iVEEME-NT
WN Ili 2.
THE •!1NCER!:-%IGNED 'HE-REBY REQUESTS PURiv1I'-S' -' 1 TO tAk- THE REAL * 'tfl
:;P,E"':IFJ*'ED AND AGREE',: Ti DO ALL WC-4-4-," 1N C:C*Ir1PLIANC:E Wil In AL11-
AINIM I"I �
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4LICANT/PERIVIlfg SIGNATURE ISSUED BY:SIGNATURE
r CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 341S \AJ ATER30\ w►J �uAo PID:
DESCRIPTION OF WORK: {App ln,%&1 +2 STUB-,;2 SHE✓O
------------------------------------------- -----------------------------------
ZONING REVIEW BY: (Q DATE APPROVED: 2-2-57 4
BUILDING REVIEW BY: -P 0 Xo DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
/
PERMIT Yes v No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes--7'
es No // WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------n-------------------------
ZONING CHECK LIST Zoning District: RI`ill
Fire Department: LCA Post Office: (, .L. School District:
Lot Area: Width: Depth:
Survey Submitted: ",Yes No Date of Survey:
ON Fid
Proposed Setbacks :
Front (Lake) : /(/ Right Side: /H�
Rear (- Left Side: /v
Adjacent Structures : ?(�� + Wetland: /V14
.3uilding Height: Def. Hgt. AA Peak Hgt. &/g
.vg. Setback: ��dLot Coverage:
Existing Proposed
iardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
ardcover Variance Required: Yes No67,1 Date of Council Approval:
r
rading: Staff Approval Date: By: Council Approval Date:
septic: Staff Approval Date: By:
4
Toning File: # Resolution #: Resolution Date:
t
,,EMARI S (in house)
BUILDING REVIEW CHECK LIST
UBC: 1 2 -3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x -
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value:
i
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
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REMARKS (IN HOUSE) :
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REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
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RE_MARKS (TO BE NOTED ON PERMIT) :
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CITY OF ORONO - BUILDING PERMIT APPLICATION
Cotal Fee: $ ` � Date Received:
Date Approved:
entered By:
Permit#: 3 -S(-P ,7/
ULL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)-
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ME APPLICANT IS: (ci/rcle one) OWNER or CONTRACTOR �
TOB SITE ADDRESS: 341!r �i� O�'I�IL G' ZIP: .�•�%✓��
(work)
ME OF OWNER: L` PHONE: (home
1A ) 1 �
+!AILING ADDRESS: 3 41,5` 16/�)2�A..-P�CITY:1�n ZIP:
:ONTRACTOR: PHONE:
MAILING ADDRESS : CITY: ZIP:
!YPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Iteration
PROPOSED WORK (describe in detail) :
;TORIES: I I SQ. FEET OF EACH FLOOR:
10. OF BEDROOMS: GARAGE STALLS: ATT. DET.
SSTIMATED CONSTRUCTION VALUATION (excluding land) : $ SbU•°-�
: hereby apply for a building permit and I acknowledge that the information
.bove 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
.nderstand this is not a permit and work is not to start without a permit; and
.hat the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
f
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
1
ORONa 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.
*1st Middle Last
ww
A)d ress
C
CitJJ State Zip
Pho e
I understand my rights as stated above.
Signature '
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
i
513.04 RIGHTS OF SUBJE= OF DATA
Subdivision L 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.
. to be given individual An.individual asked to
Subd. 2. Information required
supply private or confidential data concerning himWitels the collecall be ting state agency,
PP Y
purpose and intended use of the requested data
b Whether he may refuse or is legally
political subdivision, or statewide system; �oym consequence arising from his
or -confidential required to supply the requested data; (c) any- and (d) the identity of.,
supplying or refusing to supply private al data;
other persons is asked to
or entities authorized by state or federal law to receive tigtive date
requirement shall not apply when an indtoviauls�w enforcement officer.
pursuant to section 13.82, subdivision 51
The commissioner of revenue ma lt tax re°und uistructionsuinsteadder hos
subdivision in the individual income tax or proper
on those orms. -
Subd. 3. ubject of stored data on
Access to data by individual. Upon request to a responsible
authority, an individual shall be informed whether lhe is tee s confidential. Upon his
individuals, and whether it is classified asp , or ublic data on
further request, an individual who is the subject of stored ohim ri�ae if he desires, shall
individuals shall be shown the data withoutgof that data. After an individual di'sc has
to
been
Se informed of the content and meaning the data need not be
shown the private data and informed of its uta action pursuant to this section is
him for six months thereafter unless aP
ending or additional data on the in has been
eecr public eddatarupon request by
ted. The
P require the
responsible authority shall provide copies o the private
authority may ilia the
the individual subject ofthe
actuaall•cos h of making, certifying, and compiling requesting person to pay -
copies. y if possible, with any request
The responsible authority shall comply immediatel o f the date of the request,
made pursuant to this subdivision, or within five iif�immediate compliance is not
excluding Saturdays, Sundays and legal holidays, he
possible. If he cannot comply with the request dat within whithat ch tohcomply with the
iso inform the
ndividual, and may have nSunde additional
and legal holidays.
request, excluding Saturdays, Ys
Subd. 4. Procedure when data is not accurate or complete. An individual may
himself. To
contest the accuracy or completeness-of public or private data concerningle authority
an individual shall notify in writing the resp
exercise this right, responsible authority shall within 30
describing the nature of the disagreemesit.'_ The
days either. (a) correct the data found to be inaccurate��u�g peecipients nam d by
notify past recipients of inaccurate or incompleteto be }
the individual; or (b) notify the individual thatvhdu� statemene believes thet cfadisagreem nt is
Data in dispute shall be disclosed only if the indi
• included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
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I hereby certify that this is a true and correct representation of a survey of the east, south and west boundaries of that--part of the Southeast quarter
of Section 32, Township 118 North, Range 23 West, described as follows:
Beginning .at a point on the South line of said Southeast quarter, 1088 feet West of the Southeast corner thereof; thence West along
said South line 140 feet; thence North at right angles to said South line of the thence ,
L. its intersection with a line drawn North through the point of beginning at right bangles ato the nSouth uline sofrsaid ly lSoutheast
ong said road
quarter; thence South to the point of beginning_ Also,