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
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•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) :