HomeMy WebLinkAbout1993 - 005069 - remodel garage PERMIT
CITY OF ORONO PERMIT TYPE:
BU DING
2750 Kelley Parkway • P.O. Box 815 Permit Number:
Orono, Minnesota 55356-08150 0 SO
Date Issued:
(612)473-7357
SITE ADDRESS:
99.5 WILDHURST TR
CH
P . 7 . N. : 07-117-23-21-0003
DESCRIPTION:
REMODEL GARAGE
Building Permit Type SF-ADD/REMODEL
RuilHing Work Type RENOVATF/REMODEL
URC Occupancy 84 R-3
Construction Type VN
Zoning LR-1B
•
REMARKS:
SEPARATE PERMITS REQUIRED FOR PLUMBING, MECHANUAI ELECTRICAL (STATF) .
FEE SUMMARY: CITY Ifl fliWIW
r ykimr-r- nrrr
VALUATION $35, 000 US r
1313100000
rr
base Fee $.217 . 00 :3.1 &EN 317.00
Plan Review $206 . 05 13501 00000 TI
Surcharge 01 la .706.05
Total Fee $540 .56 1222200000
flI rcm rth
V i
rurrw
a 54 0.55
IFCEIP THANK YOU
4270150 C031 1qN 5 1515
04/19/93
CONTRACTOR: OWNER: - Applicant -
OLEXA BARBARA
996 WILDHURST TR
ORONO MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
OVyAPPLICANT/PERMITEE SIGNA URE ISSUED BY:SIGNATURE
fi CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ JAS('. - ; Date Received: `�-//93
Date Approved:
Entered By: ; T�
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER r CONTRACTOR
JOB SITE ADDRESS: CA-V:3 �� L�lFu c�sT Tc-c . Ml�u u1 ZIP: 5 c 3(o 4
(work)
NAME OF OWNER: A9-9 -2_A `-c20:1\ PHONE: (home)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARC-H arEeTIENWEER: S r. \I PHONE: IA rI C9 - -3Ci
MAILING ADDRESS: to \ \Q R�I J \g CITY: \ ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition )( Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : MAst L< 7, ..\o coQ 2
b
STORIES: \ SQ. FEET OF EACH FLOOR: `o
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3c6J2c
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: �1�\,,_ „__„ ( DATE: 101- CI-3
Pb, , ../ CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: qy,5' T2 PID: 22 -1/7" v3 2/ OO 23
DESCRIPTION OF WORK: 64'YLG` �--
ZONING REVIEW BY: 440 (J244.4,--- DATE APPROVED: L1-(a-i 3
BUILDING REVIEW BY: 44, Cx DATE APPROVED: 9-Vi-00
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—7-7:- SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: 1...2- 1,63
Fire Department: +NtkotiiU Post Office: A2ouNd School District: (A e TbNKi
Lot Area: L3,z+n,4jr.53 aitlts Width: 1/4 ' Depth: 2(O '
Survey Submitted: Yes p( No Date of Survey: 0-0 - 91
Proposed Setbacks : ,, /r
F--ortt (Lake) : 9-‘' Right Side: 5 (�
Re-err (Street) : s-9' t Left Side: i1///4- (�
Adjacent Structures : -7779-CNa Wetland: Ado
Building Height: Def. Hgt. C9 .VL Peak Hgt.
Avg. Setback: Cj .{C Lot Coverage: Af/14
Existing Proposed
Hardcover: 0-75 ' b 0
75-250 ' 3(.7N
250-500 '
500-1000 '
Hardcover Variance Required: Yes $ No Date of Council Approval: Cl-((-ct Z
Grading: Staff Approval Date: /W(6¢ By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # /7&- ' Resolution #: ?(I Resolution Date: 4/-//^92-
REMARKS (in house) :
BUILDING REVIEW CHECK LIST r . •{
UBC: $' " qa-3 CONSTRUCTION TYPE: _VN
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 3s;OOOo�
Inspections Required: Work Requiring Separate Permits:
Site c Plumbing Grading/Filling
"(Footing Or Mechanical Fire
"(FramingSeptic Water Connection
A Insulation Fireplace Sewer Connection
AWall Board (Masonry) Lawn Irrigation
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) :
J A
CITY of ORONO
CITY Post Office Box 66'Crystal Bay, Minnesota 55323•Municipal Offices
ORONO-- 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.
C1�� nr.
P►2 R Acta 15Middle
First Last
Cc ‘ \ \--�Nv�;ZS?
Address
City State Zip
ao;•1c_ `1 - 1 (0(_) U CS c ( C13"� - \3v
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
•A.
513.04 RIGHT 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. Anindividual asked to
•
supply private or confidential data concerning
data mself the collecting be state agency,
of: (a) the
purpose and intended use of the requestedlegally
political subdivision, or statewide system; an ) known) rconsequence arising he may refuse or lfrom his
required to supply the requested data; c) y
supplying or refusing to supply private or confidential data; and (d) the identity of
other persons or entities authorized by state lseeskederal law to to supplyinvestigative ive the data,
ta. This
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
er
The commissioner of revenue may
cethe v tax rnotice e i rercuireonsu nds d r this
subdivision in the individual income tax or le
on those orms.
Subd. 3. Access to data by individuaL Upon request to a responsible
authority, an individual shall be informed whether he
s the is subject
r jest of
stored
Upon his
individuals, and whether it is classified as public, p
further request, an individual who is the subject of a troedo isim the or
he desires, shall
data on
individuals shall be shown the data withoutof that data. After an individual has been
Se informed of the content and meaningthe data need not be disclosed to
shown the private data and informed of its meaning,
him for six months thereafter unless a dispute or action pursuant to this sectiThe
on is
pending or additional data on the individual
has been
eor Pull c dataected rupreare created.
by
responsible authority shall provide copiesprivaterequire the
the individual subject of the actualhe • The costs of making, e certifying,�and may
the
requesting person to pay
copies.
The responsible authority shall comply immediately, if possible, with any request
e
made pursuant to this subdivision, or w th li five df simmediate of the
date
of th ce risequest
not
excluding Saturdays, Sundays and legalall so
possible. If he cannot comply with the reguest five daysin withinthat twhich toh omplynwuth the
the
individual, and may have an additional legal holidays.
request, excluding Saturdays, Sundays g
Subd. 4. Procedure when data fpublic onot accurate iva a data lete.concernnng himself. To
may
contest the accuracy or completeness the concerning
hse authority. T
exercise this right, an individual shall notify in writingresponsible
describing the nature of the disagreement.dtbeTnaccurhe a a orencomplete and attempt to
authority shall within 30
days either: (a) correct the data four
notify past recipients of inaccurate orthat data,believesdthe datalto be correcty
the individual; or (b) notify the individual
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the
provisions of the administrative procedure act relating to contested cases.
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CITY OF ORONO ..,
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Y SITE PLAN GRADIN
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BY ,,. • , . -5,- ti
) DATE 4- c
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"ere-/e cyra. ‘• / ), .*/ SO[17% Line oc 'the 5.E,
-' •--5 f30° 3O,a //4 00•• .--` /44/14 of See..7,7 //7/ R. 23
WILDHURST TRA10_ .
I 574rdel: 14/21171y emirl 1,,ioi;ro9le
I
\
ReV/5ed 3-03 -92 •
- i
I hereoy certify that this is a true and correct repreteantation of a survey of Fie No.
DEMARS - GABRIEL the boundaries of the above described land and of tho location of al buildings, 7/9 3 _43
if any. thereon. and al viable encroachments, if arty, 4:om cx on said land.
LAND SURVEYORS, INC. Book - Page
•
As day of surveyedre this -/-
No veryaer- , 19 9/ Z57 -6,3
3030 Harbor Lane No.
Plymouth. MN 55447 ' Z t",- ,-:,0 Scale
Phone: (612) 559-0908 / ../
„ 40,
- 1 Minn. Reg. No. 9 Div A, / =
143:223.1