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Home My WebLink About1994 - 006639 - garage to bedroom PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 :;; SITE ADDRESS: W/LDHUR DESCRIPTION: Building Periilit rype VT •4 4 . _ REMARKS: SEPARATE PERMITS REQUIRED FOR MECHANICAL AND ELECTRICAL ( -:;T!:',.1" ) . FEE SUMMARY: ''..)urcnar,ge CONTRACTOR: OWNER: - Applic-7Ant - NANCY WILDHURST IR ORONO THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS fU Pf.! OORK Ii UWtFLIANCE ORoN0 ORDTNANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMNTS . L_ g(-cre_2e APPLICA,P(T1ERMITEE SIGNATURE ISSUED BY:SIGNATURE CITY OF ORONO - BUILDING, PERMIT APPLICATION Total Fee: $ AF/,/ Date Received: � 7 Date Approved: Entered By: (J Permit#: fir; ? `� ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) 442E4 or CONTRACTORn� / JOB SITE ADDRESS: /d20/ I,()/Id burs./ 7d i i / "11-4'/ ZIP: 56-3 7 ^ / (work) %L-7z -7/095 NAME OF OWNER: / VENC`' G L . ,2, & LL PHONE: (home) /74'4' 3 MAILING ADDRESS: Sig-ME- CITY: ZIP: CONTRACTOR: PHONE: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # 7 TYPE OF WORK: NewAddition ,4�� Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : .7"//ti DN E C4 A77/9-c, /) .of-72-46 £ /.v 76 ,a&p,eo c^y STORIES: / SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. / DET. I ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ $1)0!� 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: / � DATE: /5/'V/I( 9 o 'V/I(9 \__..._ _ CITY of ORONO -CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices "QRONO 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. First � ) Middle Last /oe/ M/LOfftCRST / /91L_ Address MD UN.D /✓ JAS 3 4 City State Zip z-S 3 Phone I understand my rights as stated above. / / // Sig ature, 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 Anindividual asked to • supply private or confidential data concerning mself within the collecting be state agency, of: (a) the purpose and intended use of the requested data political subdivision, or statewide data; system; abny knownb) rconsequence arising nghe may refuse or lfromhis rys required to supply the requested , c) supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities authorized by state or federal law to recee hdata data, pursuant ot shall not section 13.82,ply when an subdivision individual, tolaw enforcemento supply icer.investigative pursuant to The commissioner of revenue ma •lace the notice re•uired under this subdivision in the individual income tax or propert tax re and instructions instead o on those orms. Subd. 3. Accu to data by individuaL Upon request to a responsible authority, an individual shall be informed whether he esubject of or confidential. d Upon his data on individuals, and whether it is classified aspublic, private al. data on further request, an individual who is the subjects storedto him and, if hor e desires, shall individuals shall be shown the data withoutanythat 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, s him for six months thereafter unless a di spute ual or has action been pursuant oo this sedtioThs pending or additional data on the indiby responsible authority shall provide copies of the private ora public data requestupon o the individual subject of the data. The responsible may the and compiling the requesting person to pay the actual costs of making, certifying, copies. The responsible authority shall comply immediately, if possible, with any request e of the est made pursuant to this subdivision, or within holidays,�f simmediateof the atcompliance eisu not excluding Saturdays, Sundays and possible. If he cannot comply with the request within that t hi, he ch shalltoso inform ny o h the the individual, and may have an additional five days within 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 allpublic not fy inrwritie ng datthea oresponsib e authority himself. To exercise this right, an individual s describing the nature of the disagreement.to bea inaccurate orhe en incomplete and attempt to authority shall within 30 days either: (a) correct the data foundnamed notify past recipients of inaccurate orincomplete that hesta,believesdthe datalto be sorra cy the e 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. pursuant to the The determination of the responsible authority may be appealed provisions of the administrative procedure act relating to contested cases. CHECK OFF LIST FOR ISSUANCE OF PERMITS ��F/OR OFFICE USE GNLY ADDRESS OR LEGAL: /D t�� /C/IlZiC/I [iv PID: -7/l ' / c%�� j DESCRIPTION OF WORK: A4 ;z-e 7f- ZONING REVIEW BY: N(/4 Jl DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: /I -,(1 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 D' strict: A Fire Department: Post Offi e: Sch.ol District: Lot Area: . Width: Depth. Survey Submitted: Y=s No Date of .urvey: Proposed Setbac - . Front (Lak: ) : Right ide: Rear (Str et) : Left Side: Adjacent Structu es: Wet and: Building Hei.ht: Def. Hgt. *eak Hgt. Avg. Setbac : Lot Coverage: E isting Prop*sed Hardcover 0-75 ' 75-250 ' 50-500 ' - .00-1000 ' Hardco er Variance Rei; ed : Y-s o Date of Council Al.proval: Gradi g: Staff Approv. Date: By: Council Appro al Date: Sept' c: Staff Approva Date: By: Zon'ng File: # Reso uti.n # : Resolution D.:te: REMARKS (in house) : BUILDING REVIEW CHECK LIST UBC: R-3 CONSTRUCTION TYPE: ki/J Sq Footage $ Per Sq Ftg Basement x _ 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ S p o0"d Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing K Mechanical Fire Framing Septic Water Connection .< Insulation Fireplace - Sewer Connection Wall Board (Masonry) - Lawn Irrigation ( Final (Mfg.) - Other Other Well (State Permit) p_Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : 0 Iii 1�amr 9ff'l PROVIDE SMOKE M_!C TORS FOR ENTIRE KULDINC �i,6 ;At —,O t PROVIDE ATTIC VENTILATION EQUAL TO 11160TH ATTIC AREA- IF 50% OR MORE IS PROVIDED IN UPPER PORTION OF '10OF AND REMAINDER IS PROVIDED IN SOFFIT VENTS, IT MAY BE REDUCED TO 11300TH ATTIC AREA. lit. U'-' ��y Rtes i"71ewn� �lvSr.,.9.. t Ira li,4a4. Il t� V � a rtA.j 1 e I VJlfL <; I V Allah W 001� y Q ohvt wo car' up#:4'If,t LA44lnifL_ CITY OF GRON45- SUILDING PLAN RRVMW INSPECTOR t/ GATE . R �� 1 PERMIT NO. APPROVED AS SUBMITTED Vr APPROVED WITH CORRECTIONS AS NOTED lj NOT APPROVED -- CORRECT & RESUBMIT (hese comments are for your information. All work shall be d" in full oompliance with-ali e;V•1i-jb,e i:LNdin& & zoning u3rements Incisding it not -"ciffcally noted in this ro%#W KEEP THIS PLAN SET ON SITE AT ALL TIME "Vi