HomeMy WebLinkAbout1992 - 004863 - pole barn PERMIT
it CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 o('.185I r�4�
Permit Number: {'=�.)f��;��':
Crystal Bay, Minnesota 55323Date Issued: _ /1119 --
(612) 4,3-7357
SITE ADDRESS:
_3.2. W i LL OW DR N
CH
P . l .N. , 33-11S-23-41-0014
DESCRIPTION:
POLE BARN
Building Permit Type SF-Ac:C STRUCTURE
Building Work Type ACCESSORY STRUCT
USC: Occupancy 88 M-1
t::o ,st.rurt.ion Type VN
Zoning RR-1B
REMARKS:
CITY! iii ORONO
OFFICE
FEE SUMMARY: _ _ 1313100000'1:,*, . OFFICE
VALUATION $f- 550 ir OA fill 1.TL1T !VrVV
1 3501 VVVVV n
Base Fee $q0 . 00 .i :Eu
� Gz'1
Plan Review _ _ _ 1222200000V.I. 01-/T ,. ...,V
n
Surcharge $:3r.3 Vi Ca -!77
JJ
Total Fee $151 . 83 TOTAL 1,�1a17
CASH 152,is V
L-11fTNG
••iJ:liJ i E -e
a t
RECEIPT—T!: -»'iij%W. vitt!
1\LL•L11 1 !ISIT171t 1 UU
37r�1.i1V.1 L• L001 ROI t1V•Tr!
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CONTRACTOR: W - Applicant -
p � GLENN
:32S WILLOW DR N
ORONO MN 55356
THE .UNDERSIGNED .HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
L
:„....----"7" ;
X APPLICAN /PERMITEESI..-TURF
ISSUED BY:SIGNATURE ��-l--.'L/
M CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /'57, ,�'.- Date Received:
Date Approved:
Entered By: 'Ci,)
Permit#: 4)76,3
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) ' or CONTRACTOR
JOB SITE ADDRESS: .3--;',1C V �2//% ��' 4/ ZIP: •� S 5
(work) .C5'% 7-3/22
NAME OF OWNER: Ys�z ' ��!'-�% It.-,y PHONE: (home) 7 ‘%2';( '
MAILING ADDRESS: .3-2.� CITY: l�.. 2.14ZIP: S= "
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure_ 1 Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) :
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $
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:/-2-- / %j,-,L
�►. CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 32.1; NO lrvtta.Ow 02 PID:
DESCRIPTION OF WORK: Pot-E, QAari
ZONING REVIEW BY: 4+ 1111~/-- DATE APPROVED: /Z-J49 -91—
BUILDING
Z-JO -92-
BUILDING REVIEW BY: 4-. CQ ,._ DATE APPROVED: OP-U7. 91.,
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: RR-U3
Fire Department: LoN AKE Post Office: School District: OR.ONV
Lot Area:2Z130Va5.015AcAe`SWidth: 333•(0N Depth: 4,6y. S/
Survey Submitted: Yes X No Date of Survey: 1-7 - $1?
Proposed Setbacks:
Front (Lakc) : ziio 'k Right Side: sg Y0.!
Rear (met) : 350'-�- Left Side: 4 Z60'±
Adjacent Structures: 25...5- Wetland: N/4
l
Building Height: Def. Hgt. /,S '4. Peak Hgt. /fr :
Avg. Setback: of coverage: 111,
E ting Pr•posed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varia ce Required: Y s No pate of Cou cil Approval:
r
Grading: Staff Approval Date: By: Counci Approval Date:
Septic: Staff Approval Date: By:
Zoning File # Re -olut'on #: Resol tion Date:
REMARKS (if house) :
1
BUILDING REVIEW CHECK LIST .4
r
UBC: $£f M•I CONSTRUCTION TYPE: NiL
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
Awe 6A04 2'2c32 132- x =
TOTAL
Estimated Construction Value: $ (0,65-0019
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
XFinal (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) :
I
•
1.A.
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
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.
First Middle Last
Address /17/
City ✓ State Zip
6/ 2S - 0 .2, `i ��
Phone
I understand my rights as stated above.
c /X4,/../
Sig iature
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
data mwithin tself he collecting state agency,
be informed of: (a) the
purpose and intended use of the requested
political subdivision, or statewide system;c) (b) whether
knovunrhe may refuse or consequence arising lfrom his
required to supply the requested data;
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 receivethe
data data,
requirement shall not apply when an individual is asked to supply inves
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma •lace the notice required under this
subdivision in the individual income tax or •ropert tax re and instructions instead o
on those orms.
Subd. 3. Access to data by individual- Upon request to a responsible
authority, an individual shall be informed whether he
sthe subject o nt f stored
Upon his
individuals, and whether it is classified as public, privatepublic data on
further request, an individual who is the subject of stored
hiprivate ifo hdesires, shall
individuals shall be shown the data without any thatchdata. 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 been collsuant or chs sectioTriss
pending or additional data on the individual data upon request by
responsible authority shall provide copies of the private or publicrequire the
the individual subject of the actualhe .costshe of making,le cert certifying, may
the
requesting person topay
copies. ssible, with any request
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or w th Ii days,da simmediate of thedatecof the request
not
excluding Saturdays, Sundays and legalrm
possible. If he cannot comply with the request within that time,h shallo o inf
y wo th the
the
individual, and may have an additional five days
within whirequest, excluding Saturdays, Sundays and legal holidays.
ay
Subd. 4. Procedure when data is or p private dadate or lconcerning himself•ete. An individual mT°
contest the accuracy or completeness public
exercise this right, an individual shall notify in writing the responsible authority
describing the nature of the disagreement.tto beTnaccurhe ate or incomplete shall and attempt to
within 30
days either: (a) correct the data four
notify past recipients of inaccurate orincomplete hat he believesdthe rdatalto be correct
named by
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. pursuant to the
• The determination of the responsible authority may be appealed
provisions of the administrative procedure act relating to contested cases.
_,
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ORONO COPYBUILD INE PERMIT PLAN RSVIVVO
DATE i��---10PERMIT NO. . ........,
0fiPPRO'V D ^,S, SUBMF
APPROVED ti: I- COPP.ECTiONS AS NOTED
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