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Home My WebLink About1991 - 003652 - land alteration PERMIT -CITY OF ORONO PERMIT TYPE: ��. 1335 Brown Rd. South • P.O. Box 66 Permit Number: eiiiS cyDEFINED Crystal Bay, Minnesota 55323 Date Issued: OS/01/91 (612) 473-7357 SITE ADDRESS: 2500 WOODHAVEN DR TLN P. I . N. . 3-118-23-41-0006 DESCRIPTION: sou x >V:UE:I YARDS FILL user permitType LAND ALTERATION Remarks APPROVED PER RESOLUTION #2957 ADOPTED 04/22/91 CITY OF ORM .L °AMP L.1 313100N - Lq X141 t 1 1U7LJt 150•00 V AA n 01 Wm 200.00 ltLt.•L J.1 lYY /!1/t/t• !ki tIY w, nVi I.L 7• }t_ REMARKS: AFTER-THE-FACT ZONING APPL I c:AT I ON FEE OF $200.00 DUE WITH BUILDING PERMIT FEE SUMMARY: Base Fee $75 .00 Invest•isat•iofF Total Fee $150. 00 CONTRACTOR: p R. -- Applicant -- R i.;::f A ':DSON i::EENAt# 2500 WOODHAVEN DR ORONO MN 55356 47'7J-1144 '-:s -eta k \t wwe t7;�� ':, ''rF b a h ! w ww s`a 1k €a � \fid c�' �w�w " + �' ,:.�}� : „ \ $w9 I*4 ;444'�w„ :..'y i �t gaww wt, a "?v r \ ,+::,\ w-F � t 0 a ,� .� , D .4) APPLICA T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE • • CHECK OFF LIST FOR ISSUANCE OF PERMITS ! FOR OFFICE USE ONLY J ADDRESS OR LEGAL: .%'� � �� j 7' 1•-c..)_ PID: 3S /I8 - 2'-.: // f 000(0 3( C) c_M a tC �,A/L.1� DESCRIPTION OF WORK: �12.��1� C f1 L--L_ � � ZONING REVIEW BY: 474/ 1, DATE APPROVED: I/ - Z`-I - Ct / BUILDING REVIEW BY: - _ DATE APPROVED: - FEES TO BE CHARGD: Misc. Fees Calculated By: c-Xli -----S , PERMI 7- " ) Yes X No PLAN REVIEW Yes No X SEWER CONNECTION �- STATE SURCHARGE Yes No X' WATER CONNECTION INVESTIGATIONFEE_0,, Yes No PARK FEE SAC . 75 Yes No SITE INSPECTION ( — Number o f' SAC Units OTHER (specif y,, N� t ~' i 2oCr'- -------_-r: ZONING CHECX LIST Zoning District: la-ie-1g Fire Department: /- / Post Office: L School District: C7 r._O Lot Area: 7_N-c- Width: Depth: — Survey Submitted: Yes X., No Date of Survey: 2 - 8 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: J Grading: Staff Approval Date: /7_24-7 / By Council Approval Date: f -2-Zst I Septic: Staff Approval Date: By: Zoning File:# /1i ZS Resolution #: Resolution Date: L/-ZZ- -cit REMARKS (in house) : . li .. BUILDING REVIEW CHECK LIST t UBC: CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x TOTAL • Estimated Construction Value: $ Inspittions Required: Work Requiring Separate Permits: Plumbing Grading/Filling Site Mechanical Fire FootingmingSeptic Water Connection InsFireplace Sewer Connection Insulation (Masonry) Other Wall Board (Mfg. ) Well ( State Permit) Fin Electrical (State Permit) Otherr REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access : Existing__ New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : CITY OF ORONO - BUILDING PERMIT APPLICATION • re p Total Fee: $ % C(. ' Date Received: Date Approved: L4_ `r''`7( Entered .By. � � ~` _ Permit#: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS: (circle one) s.r CONTRACTOR JOB SITE ADDRESS: 26-00 CcpoOC J-aP2,Jt. Q-r. [,GrLq (-64CA— ZIP: ,S-45:357 (work)4/7 ?-//y y NAME OF OWNER: j yj f1 dnoo d bOY-) PHONE: (home) i/76-17839. MAILING ADDRESS: 25)0 C.JOocLi-cv-04-- Ig-r. CITY: L4-15. ZIP: ,5.7535-4 CONTRACTOR: PHONE: MAILING ADDRESS: CITY: ZIP: TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : µ ,01.0 urns e ...s+ oP ex,..f diwri ve.wa� c..Dlic,cr-3 Sfri,•,dfrn terra • mos*of, +K.a- at-13nd.�4113 watan. bi-!s h,nw Dbv +f o. 2 rwaAj p rose nt A po4c- l 0..Q ho zcarnl -b Ch,I d re n.We pro pcis¢. -to [rsem^^ ,e, e l e✓a+,`�, i:� -f�..o cx- 4 w i S to ping L;,.v to -1& e-x i SA,c.r1,011 d ro-7 p An 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 t : 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: t /�-c-�Le,�eha 4. DATE: 2 -21 - 9 / (Please fill out the reverse side of this form) 410 , CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices *MONO On the North Shore of Lake Minnetonka DATA__PRIVACY 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. C9_l r, l'c ha,rclsate. First Middle Last Address n"' City J State Zip 417 -O_Ys3 Phone I understand my rights as stated above. . Signature BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359 ASSESSING t , tlw 1 A fill , e F7e,.:-•;,0 4.1'1 ....til:7- DATA PRIVACY 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 inform- ation. 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 reqires council action to approve, some information may become public. 5 . You have certian 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. • ke�e.r,a..r. Co I c- RI cS-ourr xm First Middle Last a5QU good ri Or. Address Lort5 1.0.1C9L rn 5 S3.Sfo 2 - iq -5N Date of birth (does not apply to building/general permits) 1-1 7(o -D$ 31 Phone I understand my rights as stated above. X � _ Signature 5l3.04 RIGHTS OP SUBJECTS OF DATA c Subdivision L 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 An.individual asked to supply private or confidential data concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecting state agency, political subdivision, or statewide system; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his 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 receive the data. This. requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority, an individual shall be informed whether he is the subject of stored data on individuals, and whether it is r1 sified as public, private or confidential. Upon his • further request, an individual who is the subject of stored private or public data on individliAls shall be shown the data without any charge to him and, if he desires, shall Se informed of the content and meaning of that data. After an individual has been • shown the private data and informed of its meaning, the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request, excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the 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 of public or private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a) correct the data found to be inaccurate or incomplete and attempt to • notify past recipients of inaccurate or incomplete data, including recipients named bye the individual; or (b) notify the individual that he believes the data to be correct. 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.