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HomeMy WebLinkAbout1994-006504 - shed z PERMIT It CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 E:1.j r 1..0 r t•J Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: SITE ADDRESS: r.H T . Pti . _- 1 —__.._.A4—Ci DESCRIPTION: :_:HED Ft° r,g PC, ' i1 t. <C,W — - L'l' y `i.#Fir; U i 1!: 7 11°? 1y:3I',•; i+r r:!r _H>=11 Ir r UF C+=;ns x. ,uct•i!n Type c !vl --TV ifilm L-1 I 1 L4 L;11L•/tV "FAj:i.wr rt C7{'�C !LjTJTLL IT • fit I li,L 1•dl VvVVV 7 +!Yr-M � r!i! { 'ii1)i!i tf!f�t9 n� i r.!JVl Tr 1.�i�VV • y *-• � SIC V:. Q, REMARKS: 1""t``"if -- '`' _ V t:L.ITf i i✓ft•IL4f L. Rf IV r.'L f'i!?1 i.—•i�{•jA►f A' Yill'3 ftL4Lit t !1tl71Ti1 !VV �r Ti aC: FEE SUMMARY: "`'`'!`•` ``,`-1 /`; i 0:� • V/V _ .tVrvi: r•7 ION 1(?'c h a.rge' ------- E' a Tcital Fee $10.S . 7(j CONTRACTOR: OWNER: -- L,r°I =.r �:w'REL L . F�ra� F TOWN RD THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED ANDAGREES T.� DO WORK IN STRICT Ct tl Pf. ANCI~ WITH AIILL CITY i�1= ORONO ORDINANCES AND STATE OF MINNESOTA SU I LD I NG _DE REQUIREMENTS. ..moi APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � .,AL 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) ------------------- TSE APPLICANT IS: (circle one) O� or CONTRACTOR JOB SITE ADDRESS: /,j ,��/ C' ZIP: (work) NAME OF OWNER: ��,�; � �� � PHONE: (home) MAILING ADDRESS:= ���rl'/������1'�'1�/y f`� CITY:L,11 r ZIP: CONTRACTOR: PHONE: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: Nom: REGISTRATION u TYPE OF WORK: New Addition Accessory Structure .'_ Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : 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. APPLICANT'S SIGNATURE: zaj DATE: CITY of ORONO CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices OF . O On the North Shore of Lake Minnetonka O 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 ��/�✓������(� Lt1 Ali ��. Address City State Zip Phone I understand my rights as stated above. S ature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING 513.04 RIGEM OF SUBJFJM OF DATA ts of individuals on whom the data is Subdivision L Type of data. The righ stored or to be stored shall be as set forth in this section. gid. 2. Information required to be given individual• An.individual asked to supplyprivate or confidential data cone purpose the collecting state agency, be informed of: (a) the rp purpose and intended use of the requested data hether he may refuse or from his polially tical subdivision, or statewide sys �oy� consequence arising required to supply the requested data; (c) any supplyingor refusing to supply private or confidential data; and (d) the identity of state or federal law to receive the data. This. other persons or entities authorized by supply investigative data, requirement shall not apply when an individual law enforcement officer.pursuant to section 13.822 subdivision 59 The commissioner of revenue ma lace the notice�reuired under this subdivision in the individual income tax or ro ert tax re andctions instead o on those Torms. -- Access to data by individual- Upon request to a responsible Subd. 30 d data on authority, an individual shall be informed s public,he private confidential. Upon his individuals, and whether it is classified asp public data on further request, an individual who is the subject of stored private or�du� has been individuals shall be shown the data withoutof that charge to him and, if he desires, shall at da a. After an individual Be informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning, pursuant to this section is him for six months thereafter unless a dispute or action private or public data upon request by ending or additional data on the individrh has been collected or created. e P require the responsible authority shall provide copies o P onsible authority may compiling the the individual subject ofthe actual.costs of mThe aking, certifying, and comp g requesting person to pay - request copies. mmediately, if possible, with any q The responsible authority shall comply i of the date of the request, made pursuant to this subdivision, or within1 � iiffive �immediate compliance is not excluding Saturdays, Sundays and legal with the possible. If he cannot comply with the request within that time, he shall so inform the individual, and may have 811 additional five days within which to comply request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may himself. To contest the accuracy or completeness hof publico in write data eoresponsible authority exercise this right, an individual shall notify responsible authority shall within 30 describing the nature of the disagreement. The respo days either: (a) correct to the data found to be inaccurate i°cludingree�Pits named by notify past recipients of inaccurate or incomplete , to the individual; or (b) notify the individual that he believes statementdatadisa be were is Data in dispute shall be disclosed only if the individual's included with the disclosed data. be appealed pursuant to the The determination of the responsible authority mo contested cases- provisions of the administrative procedure act relating CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3y (�/�4 fZTz�w nl P-6 PID: DESCRIPTION OF WORK: SK --------- -- --- - - --------------------------------- ZONING REVIEW BY: - DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED:- ---------------------- -4----------------------------------------------------- FEES PPROVED:------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW YesesNo SEWER CONNECTION STATE SURCHARGE Yes-�7- No WATER CONNECTION INVESTIGATION FEE Yes Nom PARR FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District Fire Department: Post District: Lot Area: lwidth: C7 / Survey Submitted: Yes No Date of Survey: Q Proposed Setbacks: r r4 Front ( 1©v "I` Right Side: 14sb r � Rear (" T) : 120 r f Left Side: so Adjacent Structures: Wetland: N/A- Building Height: Def. Hgt. Peak Hgt. 0. /L Avg. Setback: Lot Coverage: Exist ng Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Re uire s No D to of ouncil Approval: Grading: Staff Appro al Da e: By: Co cil Approval Date: Septic: Staff Appro al Dat y: Zoning File: # R s lution #: esolution Date: REMARKS (in house) : BUILDING REVIEW CHECK L 46. UBC: ,.w`1 CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x 1st Floor x 2nd Floor x = Garage x - x = TOTAL a 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 17 -Final (Mfg.) 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) : , r N 1 � 01 old CITY OF ORO �, NO � y,,, �• . SITE PLAN � PPR EPL GRADING PLAN �F� ' PPROVED WITH REVISIONS " 0 ISAPP ' aY ,•}� In per,- o h c��3� sHc->7 �-=- - � tot'' -•/«�.- �; ,.�, �Ail 4 1N.o 0 C j ti Q �I l � i t i .1 lye, fv q� ,r.:.. •/mss. - � /a8g.o• 56 "y' ccri.n 0.c Sek-h*ai his is a true and correct representation of a survev of the east, south and west boundaries of that 118 North, Range 23 West, described as follows: nt on the South line of said Southeast quarter, 1088 feet West of the Southeast corner thereof; then I feet; thence North at right angles to said South line of the public road; thence Southeasterly alc with a line drawn North through the point of beginning at right angles to the South line of said h to tho nn;.,* iCOPY --- -- _- _ _ RO 1 30 _ - -- - s�, 51 ep �tiv is yl ; -- -- - - ._ Ano — 2x i Qom►, - Pry� �n� •r-tt&'-'47eo LVYi1�.9C!r --- — --- ZX b r<(kFrz-XS c zx &e 12" ---- TYf` GoN CALL 4 O T -PERMIT NCl.-� - -- --- AFFRt?VEDc SLB DA7 I ;APPROV@D 1 . (CORRECTIONS AS NO ED NOS A 'PR __ --- —_ - --- -- -- ir a comments are for your Information. All wcxk shall Ce done / _ D Yy/v ce—Viit"7r1liI3pltU-ibTe-DCrailing&zonTrfi cede tic iiraments Includlr items riot specifically noted in,this;review 4i i z WATL- 1 R►DG� 2x� _12. V J i � r i e t S ate►, i 619 cox S PA h'b� i! C-S r/6-0 Low_ 50 LoAd