HomeMy WebLinkAbout1994-006471 - privacy fence PERI��.ZIT
CITY OF ORONO ` �
PERMIT TYPE: �;�.i_::..,;^ =,v;,-�
2750 Kelley Parkway- P.O. Box 66 Permit Number. :�;,-,;=:;..;;
Crystal Bay, Minnesota 55323 - � -_ _ _.
(612)473-7357 Date Issued: ;_;�_;;�:_;:;:.r�:
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER: �- -. - -�_��=i�� �
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APPLICANTiPERMITEE SI ISSUED BY:SIGNATURE
� ' 'r �' CITY OF ORONO - BIIIZDI2�'G PERMIT APPI,ICATION
� � - _,
,, �_ � Date Received: / � i
� Total Fee: $ ,- � -
Date A�proved: `
� • �
� Bntered Bv• ,�f;' — Per.nit� C y '1/ - _- -
r
t ' ,
� AT'T• INgORMATION MIIST BS SUBMITTED IN FUL.L BEFORE PLAN REVIEW WII,� BE Sg�RTE�
; (See Check-off List Enclosed) ____________
�� p,ppI,ICANT SS: (circle one) O�dNER or CONT.T�.ACTOR
�a.�-,O zzP: �� 3 9
JOB SITE ADDR.BSS: r�Z 8� �l �/�-SCo �C�f�t/'7" S�Zz-Co�P�J7
(work) _
NAME OF /
OWNP.Rs � 2 � C-S�� PHONE: (home) �{`�/ �-C��v �
l� ,��,1 cz�: G(./�S�L��-_ zzP: '�53� /
hiATI,ING ADDRESS:��`?�1 �'�SC� o«r
J �. PsorrE:
CONTRACTOR= C"
��: ZIP:
MAT�ING ADDRESS: S �� �`-
ST�TE LIC.��'`7SE: �
ARCHITECT/ENGIN�ER: b
l� - PHa�:
CZTY: ZIP:
MASLING ADDR.ESS:
R.EGIS�RATION z
x�=
Accessory Structure Move
�PE oF �.;�gg: Ne�,,� Addition Land Alteration
Re.*nodel/Alteration Renovate ,
De�o 1-�.r�� �_
— j—.�•v�.�- Gc/�r-��«
PROPOS?D WORR (desczibe in detail) z ��^��v � r'�-�z�
� L-S
CG e.S�S � �
STORSESs SQ. FF•ET OF EgC$ ��R=
NO. OF BEDROOMS:
���� STA7,7•g: ATT. DET.
. $� �� �
EST2.MA�F.D CDNSTRIICTION VALIIATION (excludinq
land 1 : OOQ.
I hereby app Zy f or a bui lding p
ermit and I ac?tnowl.enge that the information
above is complete and accurate; that the work will. be in conform C ae With t e
ordinances an d co des o f t h e C i t y and with the State Building e�it; and
un ders ta n d t h is is not a permit and work is not to start wi t hou t a p
that the work will be in accordance with the aporo v e d p l a a. • .
� DA�: 9'-�� ` -�'J`�_
APPLICANT'S S _
�
. • . '� �
� � ����' o� ����TO
Post Office Box 66•Crystal Bay,Minnesota 5a323•Munidpal Offices
M!
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On. the North Shore oj Lake Minrzetonka
• ' • •
DATA PRNAC�' ��SORY
Subd. 2, "Rights of subjects of
In accordance with M.S. 13•ou`that your request for a permit or
we would like to inform y o f its departments may require
data" , o= Orono or any
license from the City rivate or coniidential in=ormation.
you to furnish certain p
you are notified that:
1, The information you furnish wil.I- be used to determine your
aualification for the pe=�=� oi Iicense requested.
2. You may refuse to Sl1UDI-Y
data, but refusal may require that
t:�e City deny the permit or license.
be snared with other local , s�ate or
3 . The information may rocess the permi� oi
f ederaZ agencies to the extent necessary to p
license. . •
a. I� your recuested permit or
Iicense requ�res Counc�s a�='-°r
to approve, some insormation may
become public.
J •
You have certain rights under M.S. 13. Oa to rev=ew priv��e
data on yourself. _
; to rocsss this appl�cat�on or
6 . Your ful.I name is reau_red P-
pe�it.
�LS��
uJ2 � Last
First Middle
:�2 S1`� �1 � 5 -
�� i �D�1-�
Address
L � � ,v ! Z1.D
State
City
�� %� �� ��
Phone
I understand my rights as stated above.
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S1 ure
BUILD[NC&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358
• PUBLIC WORKS -473-7359
ASSESSING
. . CHECR OFF LIS.� F.(3R ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAI,: � � � � ��� ._. � C /i���< PID: � j - �� � - `f
'�� ��[ c`c.
DESCRIPTION OF WORR: �� �� - - ��� �- � �� '
------------------- - -- ------- ---�---------
------.----,------��-------------_
ZONING REVIEW BY: t�.-- ' DATE APPROVED �?- Z�` �
BDILDING REVIEW B : DATE APPROVED: �7 " Z-l-`�`�
FEES TO BE CHARGED: Misc. Fees Ca�culated By:
PERMIT Yes �No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes � No ATER CONNECTION
INVESTIGATION FEE Yes ✓ No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER ( specify)
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ZONING CHECR LIST Zoning District: �/�,-/L
Fire Department: P t i e: ����G���r��
��ot Area: � Sy I�-G/t,C-�S Wi Depth:
Survey Submitted: Yes � No Date of Survey: � ����
Proposed Setbacks : �
F-�ant (Lake) : s` � Ri ght Side: /V��
Rear (Street) : �✓�/-�- Lef t Side: �nT WT Li�
Adjacent Structures: Wetland:
Building Height: Def . Hgt. G � Peak gt.
Avg. Setback: ot overa e:
Existin Pr pose
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Re ired: Y s o Date o Council Approval:
Grading: Staff Appro al Date: By: Co cil Approval Date:
Septic: Staff Appro al Date: By:
Zoning File: # - - Resolution # : - Resolution Date: " '
REMARRS (in house) :
BUILDING REVIEW CHECR LIST `� � . • .
IIBC: �� � CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor x =
2nd F].00r x =
Garage x =
x =
TOTAL
Estimated Construction Va�ue: $ /� (�OU �
Inspections Required: Work Requiring Separate Permits:
Site P�umbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�l Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well� (State Permit)
Electrical (State Permit)
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REMARRS (IN HOOSE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approva�: Date By:
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RF�ARRS (TO BE NOTED ON PERMIT) :