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HomeMy WebLinkAbout1991 - 003665 - divide lease space PERMIT Y OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: BUILDING Crystal Bay, Minnesota 55323 Date Issued: 00:3P.365 (612) 473-7357 05/01/91 SITE ADDRESS: 2350 WAYZATA BLVD TLN DESCRIPTION: DIVIDE LEASE SPACE Building Permit Type SF-ADD/REMODEL Building Work Type COMMERCIAL CITY ar ORCAU UBC Occupancy 8-2 88 FINATE OFFICF. C':'nst.ruc ti on Type V-N 131,3.1000N ufli rig POD 01 GEN 450.V 1 35tON Ot 292.13 1:21.4.V0 01 28.35 Cific. 71. 771.P8 RECEIPT--THANK Yrki i',2113.1. 1) C001 Kfi. 7.12:14 (.)5/01/9.1 REMARKS: SEPARATE PERMITS REQUIRED: PLUMBING, MECHANICAL, AND FIRE SPRINKLER. FEE SUMMARY: VALUATION $67, 293 Base Fee $450 . 50 Plan Review $292. 83 Surcharge Total Fee $771 . 98 CONTRACTOR: OWNER: -- Applicant. -- MET-CON METRO INC 18846250 OTTEN BROTHERS 10540 LYNDALE AVE 8, ST 4 2350 WAYZATA BLVD BLOOMINGTON MN 56420 ORONO MN 55356 (61'2) 884-5250 473-.5425 AA, k 7111 17tiAir" - OP • '"" :1'.„--,44,41-t, ' MPAIPArerAr Ai agEr- VW' •PP ANT •ERMITEE NATURE ISSUED BY SIGNATURE CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ 7 7L. 9 rx Date Received: fl2-t\-) Date Approved: -/- Entered By: Permit#: 3 (� ,-- ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIB'W WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER r CONTRACTOR JOB SITE ADDRESS: a V r 0 4/, !✓ la'1,74 7/J. ZIP: 5S3S( °by ,14Ae, (work) Y3-5VS NAME OF OWNER: PHONE: (home) '9' /5 37 MAILING ADDRESS: JgOx AO CITY: �c,, y 1,�h/,4/ ZIP: 4'"4-15 5 o' CONTRACTOR: M.E. % -Ccs, PHONE: eTlie '4(2_5-0 SO MAILING ADDRESS: /00.4100 /,h1 /e Ale e S. CITY: _Percfrn,t..,, Apt/. ZIP: S"s `fes o Swift- r� TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration X Renovate Land Alteration PROPOSED WORK (describe in detail) : ,4: ,g44-47.-- a.,01 STORIES: / SQ. FEET OF EACH FLOOR: 91007 NO. OF BEDROOMS;/------ EDROOMS GARAGE STALLS: ATT. DET t ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /a/ Pee) /� 000 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: ✓tr ,/ "0! , dv DATE: 7///:./‘/A/ • CITY of ORONO -- Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices OF . - =.O ,ONG. 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. -2/1P-71-7/1-- Middle Last (fox d l) ,e35-0 !�,i._ 44y T.9 iVe ddress /eh' ola Q /414 .55736 I City State Zip .25 - S 7`-zs- Phone I understand my rights as stated above. 1%.101r 3.5e Si•jib' e BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING S13.04 RIGHTS OF SUBJECTS 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 • supply private or confidential data concerning himselfwithin the be inform dtate agency, P. requested purpose and intended use of the (b) whether he may refuse or is legally political subdivision, or statewide system;required to supply the requested data; (c) any known consequence arising from his supplying or 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 data, requirement shall not apply when an individual is asked to supply investigative pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the rnotice instructions reoirdunder this subdivision in the individual income tax or prod on those orms. Subd. 3. Access to data by individual. Upon request to a responsible subject of authority, an individual shall be informedh bli�,hprivateis eor confidential.ed data on Upon his individuals, and whether it is classified p public data on charge to him and, ifo he desires, shall further request, an individual who is the subject of stored private or individuals shall be shown the data withoutof any data. After an individual has been Se informed of the content and meaning need not be disclosed to shown the private data and informed of its meaning, the dataursuant to this section is him for six months thereafter unless a dispute or action p pending or additional data on the individual has been collected d orupreare created. bye rP g require the thehponsible authority subject shall provide copies The the responsible authority and compiling the individual g per of the the costs of making, certifying,requesting person to pay copies. if possible, with any request The responsible authority shall comply immediately, made pursuant to this subdivision, or within five days ifiIof�ediete date of the compliance eiqu not excluding Saturdays, Sundays and legal holidays, with the ossible. If he cannot comply with the request within that time, he shall so inform the P have an additional five days within which to comply individual, and may request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To right, an individual shall notify in writing the responsible authority describing this disagreement. The responsible authority shall within 30 e the nature of the to days either: (a) correct the data found to be setae including inaccurator peer and named by notify past recipients of inaccurate or incomplete the individual; or (b) notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagre ment is • included with the disclosed data.responsible authorit may be appealed pursuant to the The determination of the Y provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: A.310 I• L/4 '2474 8/W PID: ,1 a r y /0/( / /44/. s i r6 DESCRIPTION OF WORK: _TA/ D! Y;Qs N d i 5/4r e- ZONING REVIEW BY: - DATE APPROVED: St BUILDING REVIEW BY: - DATE APPROVED: A FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes 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:1 u D Fire Department: Alf" .4A1t' Post Office: Ao✓yAce School District: ,e/0/10O Lot Area: Width: Depth: Survey Submitted: Yes Ni, Date of Survey: Proposed Setbacks : Front (Lake) : , Right Side: Rear (Street) : /PI Left Side: Adjacent Structures . Wetland: Building Height: Def. Hgt. Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' -2 0 ' 7 5 5 'ffr C' 250-500 ' 500-1000 ' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File:# Resolution #: Resolution Date: REMARKS (in house) : 24441A1 MC per G.U.t)• BUILDING REVIEW CHECK LIST UBC: a be, CONSTRUCTION TYPE: V4 Sq Footage $ Per Sq Ftg Basement x 1st Floor q [or7O x ,24.24 x ,2 A-71243 2nd Floor / x _ = Garage x = x = TOTAL Estimated Construction Value: $ / 6.:71 aQ3 Inspections Required: Work Requiring Separate Permits: Site )(/Plumbing Grading/F' 1 ing /Mechanical Mechanical X Fire ,,pp,rihtr FramingSeptic Water Qonnection )(Insulation Fireplace Sewer Connection =f,Wall Board (Masonry) Other Final (Mfg. ) Well (State Permit) Other Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) :