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1993 - 005236 - add/remodel
PERMIT CITY OF ORONO '` PERMIT TYPE: E.?_s ��I ;I, 2750 Kelley Parkway • P.O. Box 815 Permit Number: i i 2::6 Orono, Minnesota 55356-0815 : : (612) 473-7357 Date Issued: OG/18/93 SITE ADDRESS: s'c WILLOW D; .38 P . I . N . . 33--i1:=-2:.-41-0003 DESCRIPTION: Building Permit Type SF-ADD/REMODEL Building Wf_irk Type DF ._K URC: # f P u ' ii[ ' _ _ F:-'_' Construction. Type VN CITY!•-- O L': ORONO OFFICF 131,3100000 =11 =L7t LU 35.00 13'50100000 01 LL:t .. ' r-a..a_L'l'1lVV ii f0 iry 01 L' !t f.: Lot\ 1 L _•L!a slV T!L•t'L^'VV LrVL•- ROI :.7... REMARKS: DECK T' [UC7 UREMUT MEET UpDING C:ODE RFQUIRFMFNTS FEE SUMMARY: / _ {d ALUA � I ON $1 ,500 Base e ;=e,_ $:74,5 .00 PlainReview2_. . .r 5 Surcharge : 75 Total Fee V7,8 ._50 CONTRACTOR: WN — App'I i c at-�t• - I t_ =lei _jAi•ES 225 WILLOW DR LONG tNG LAKE MN 55:256 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS PROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK`. IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCE'S AND =STATE OF MINNESOTA B t}I LD I NG CODE REQUIREMENTS. 9AA'ff% AZ\ dreree- APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE Cj l CITY OF-ORONO - BUILDING PERMIT APPLICATION / Total Fee: $ 61,g, Date Received: V 95 Date Approved: Entered By: C6 ( (0 Permit#: v ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) THE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: f 2 5 (,U ,/(4, Dr. ZIP: 57S13,5J‘ (work) NAME OF OWNER:\J ii-)-1 `J i // y d 01 PHONE: (home),/73 -8 7 C/ MAILING ADDRESS: CITY: ZIP: CONTRACTOR: ..)C/1' PHONE: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessor Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : �G c,.L TO C e'4, 5-I r t( C I r e , C ' o e », 62,51 S (- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / 5-C20- 0 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. /� r— e}7/3 APPLICANT'S SIGNATURE: //02 43'T e' ,/al'/) DATE���r�?.�i • , CITY of ORONO CI Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices OF -- CIRONCY 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. 1/4)9 g 411 First Middle Last Pi) /)/ Address City State Zip r% 7 Phone I understand my rights as stated above. ) ignature BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359 ASSESSING /zip c- q- ,2 02 //d tti ropy �(.I1 fA5 ,2eG(Cl / O� CXt5 77/-,x3 � ,\ + •r l3 u — t 2z c K r► FLASHI G • r / / /7 • CITY OP ORONO '' • 8UIL©!NG • IT PLAN REVTEW LATE 'f 3.� PERMIT NO. ❑ APPROVED AS SUEkiirrTED /ET'APPROVED WITH c .PEOT 3NS AS NOTED ❑ NOT APPROVED — OOFF'r,:cOT & RESUBMIT These comments are for your information. All work shall be done it ful! compliance with all af)pl!cable buildlrtg & zoning sods !t• quirFnients including items not .pecffically noted in this rev 44t. KEEP THIS PLAN SET ON SITE AT ALL TIMES. CITY ORONO COPY W S i1 HAS BEEN ORONO SITE FLAN GRADING PLAN MICROFILMED W APPROVED EJ APPROVED WITH REVISIONSPl::= o_ survey ❑ DISAPP OV''D for Tn_res D. DiUnan BY in +;;e S.'iitheast 1/1 of (:.:ctior. 33-118-23 DATE,.____ e—c -cz 3 - t c25 (L.)i L L0 L C 33 33 34a i8 0 - I 1/41 • n ,•---....... .._. 348' .. .. •.. N1_0.•- - - ;,.5 . - - 14.4. _ _ _ 7L.1 a /e/ /91 200. Q e — z • J�/�, 17 A 25 0ecK • M r 0 ` ~ M u� ' t. 4 N N N N '+J - Eos ime ol SE i4 „s .,,.i�' .. ,,f' SFciion 33-/18-23--' M. .uishnq�; O7 shed T% -J is.1 ar.4. - J , 3 i .. So,-)M line' ei SE/4- i of Sec{ion 33-//8-73---7 _____,0: i r o 3 3.0 - - 34B.25 ELLANE tn M 1 33 33 Certificate of Survey: I hereby certify that this is a true 3nd correct rer,resentation of a survey of the boundaries of the South 251 feet of the :;, s 348 feet of the Northeast quarter of the southeast quarter of ,vection 33, Township 118 North, Range 23 ;gest of the 5th Principal Meridian, and the location of all existing buildings therec,n. It does not purport to show other improvenents or encroachments. _.../(440;0/40e4 4 / Scale: 1" = 60/ Gordon R. Coffin R . ; c. 6064 aate : 4-2.8-78 utr_c< Surveyor and :li,nner o Iron marker Dont; ..eke, Xinnesota C'HF,CK•OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 225 0PID: DESCRIPTION OF WORK: (1.E.e ,✓i c c �J ec �c �v Je o N ( -c-k 13 v_c t r L,610 P e2 wwt-T ZONING REVIEW BY: 0yW.— DATE APPROVED: e` Y-`l 3 - BUILDING REVIEW BY: 40(0,t,vw---- DATE APPROVED: to FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/ No PLAN REVIEW Yes ti No SEWER CONNECTION STATE SURCHARGE Yes ✓ No WATER CONNECTION INVESTIGATION FEE Yes Nov- PARR FEE SAC Yes No t SITE INSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zo ing D ' strict: Fire Departm: Po t Off ' c hetDistrict: Lot Area: •Wid Depth: Survey Submitted: Yes /X No Date of Survey: LI- 2.1(- 1 vN tz(LZ Proposed Setbacks: i+ Front (Lake) : (q $ -' Right Side: 6i) 7 2- Rear (Street) : LOOt + Left Side: ($ i- Adjacent Structures : A Tr Zt Wetland: &h14 Building He0 t: Def. Hgt. L__ Peak H. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0 75 ' 75-250 ' 250 500 ' 500-1.00 ' Hardcover Va lance Re•uired: Yes No D=te of Counsil Approval: Grading: Sta f Approva Date: By: Council '.pproval Date: Septic: Staf Approval Pate t Bb Zoning Filey Resolution #: Resoluti.n Date: REMARKS (in •onse) : BUILDING REVIEW CHECK LIST ' . UBC: gT g. --.3 CONSTRUCTION TYPE: YL Sq Footage $ Per Sq Ftg Basement x = Lst Floor x = 2nd Floor x Garage x = x = TOTAL - Estimated Construction Value: $ (," o-c� O 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 Final Other Other - (Mfg.) Well (State Permit) Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: tE ARKS (TO BE NOTED ON PERMIT) : r/1 J e Cac. 5 RNC-L vvv.As T e 1. 0 (_ Ge 1).e 0...e-G v %11,42. S