HomeMy WebLinkAbout1991 - 003585 - land alteration PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: U`:.ER DEF I.NEL
Crystal Bay, Minnesota 55323 Date Issued: 0035:35
(612) 473-7357 03/0B/91
SITE ADDRESS:
24.50 W0i i0JHAVEN DR
LSV
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DESCRiPTIOIN:
LAND ALTERATION
User Permit Type LAND ALTERATION
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REMARKS:
FEE SUMMARY:
Basetill
��e Fee C
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Total Fee $50. 00
CONTRACTOR: OWNER:
-- Applicant --
EDWARDS, K I N
2450 WO00HA V EN DR
ORONO MN 55356
F'EC:IE D 0 r r EE TO DO s AL . WORK IN F �
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APPLICAN = ifEE SIGNATURE ISSUED BY SIGNATURE
• CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: z is-D ,'L PID:
DESCRIPTION OF WORK: 12-,CC*2' f2tr7-A/AJ/ti C Cti,�'C.-�- = j f#tC"�-F � _ A-L27
ZONING REVIEW BY: Air c DATE APPROVED: �'� //
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:22/L
PERMIT 4k(---) Yes X No
PLAN REVIEW Yes Nom_ SEWER CONNECTION \
STATE SURCHARGE Yes Nom_ WATER CONNECTION `. !/^
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION t `
Number of SAC Units _ OTHER (specify) J� N
ZONING CHECK LIST Zoning District: FOZ - ) &
Fire Department: Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey: 67 /C Cf
Proposed Setbacks:
Front (Lake) : Right Side:
Rear ( Street) : Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: S - - `'f By: 6 \Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution #: Resolution Date:
REMARKS (in e} : C)/t: s r j s at5 (•i 7_
C-(_),\),> )T7 C S A) D. 2&) .AAct!ij64) P � H
7i ,
Total Fee: $ 50 . 77
50 . U�CITY OF ORONO - BUILDING PERMIT APPLICATION
Date Received:
1
Date Approved:
Entered .By: id--u-` ��,
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 2`7 i fink°6 Vie"' i)2, ZIP: 55
(6Nv.e.)
(work)10- 5~'7/
NAME OF OWNER: e; ,����° -144PHONE: (home) 0-J 7 -
MAILING ADDRESS: a/5a 4v450151 1-% 4e, CITY:"csy, p ZIP: i 35 6
CONTRACTOR: }A4--E7 PHONE:
MAILING ADDRESS: 3;17i44.--- CITY: ZIP:
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration X
PROPOSED WORK (describe in detail) : 6i,LO We---1,4,;,3 4.--.4i--
,
(72.A.0 A-car° e 4f-
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 informatic
above is complete and accurate; that the work will be in conformance with ti
ordinances and codes of the City and with the State Building Code; that
understand this is not a permit and work is not to start without a permit; an
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE: f ) - //
(Please fill out the reverse side of this form)
gip.
CITY of ORONO
, 4Y . `tf Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
- ;
' �L On the North Shore of Lake Minnetonka
DATA__PR_IVACY ADVISORY
In accordance with M.S. 15.165, "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. 15.165 to review private
data on yourself .
6. Your full name, and date of birth are required to process
this application or permit.
/r/ifoi ALL-4 cd1.,447e4iSS'
First Middle Last
(9(110 ( -)004/11 dg_ .
Address _
City, State Zip
A77.) - 3,0,)___
Phone
I understand my ri•,• as stated above.
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Signature '
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
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1111$ ITEM NAS BEEN
Certificate of Survey
for MICROFILMED
:J1146 Tonal:.
of Lvt 2, t?locK 1, :,averinz's :vccd a':en
Hennepin County, Minnesota
EaS 265
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EpS/ 265.00•
0074/o f A sl
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I hereby certify that tris is a true and correct representation of a
survey of the boundaries of lot 2, :nook 1, :.,everi:.6'.s '..ccs:aver., t:e
location of all existing buildings, if any, hereon, Qna the pr000sea
location of a proposed bui?dina. It does not pur'ort to show otter
Improve-ents or encroachments.
Scale: 1" = 100' Gordon R. Coffin Reg. .+o. 6064
Date 1-5-81
Land Surveyor and Planner
o s Iron marker Long Lake, Minnesota
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