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HomeMy WebLinkAbout1995-007158 - deck/base gar at fin � ` PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 , .. ;.;r. Crystal Bay, Minnesota 55323 Permit Number: (612)473-7357 Date Issued: SITE ADDRESS: _ _. : �:���.—. ,—. .,—.. . . ._. t��— DESCRIPTION: _ :- �. ;-_ ; � � ... —.. _ . —�; .— ., �:�:_.—:';�:E��. . ._. .�—"'`--- - -y'. .:. __.. " _ �•_��., i , , _. :'?�'::r::; . .� +...��.F�t,' �_i�.}:_: ''.�" ' i:_.�j"i.`_� . _;;f.{; _. �. . 4 'y;%t-• �`'['�. ;T :,_. -`' �"jr . . .ii�ii;: _ j�j�', �.:i i.—;�+.{-.- ' 1.•1 ! 1 1.J7 L.'i 1 Jf iL' - .�. ...... ��..,f.f�'� �:'_i. !�� :�J.tt!'l:TLL L'J ! SI.rL i L�i..�i,v i%i%i}i% r'+,► ��'t L d: '' - V J. LL1T �L'+��r�. 1 i'..�V 1 V tflJt�� h - • _A? 3� � 'i L�1 '•=77 =111+TL' 1 L..i�L L�ti j!'1.iL::: }�7 FT i it _ kif ��. VLl1 a 1�! ~'t.i�E'i' �.. ;'; -i ..:!1Ll'!\ !L �T.-at� ..�'t���r�._'j'L.i�li' '-%tiF . i]5... LJ.:�!� !1!f11T1\ !L'L' � : `_' . '. ".. . �.:}i '•� �� T1v.J'71��.7i'v Li!\l1 t\VS !1.'1 •yJJ . �'�.ti!:•1��. REMARKS: FEE SUMMARY: . a . , .. . — . . ._.._ , : _ _.. . . ._ — _ :l��� �_.__.._ f�._._ :.._�� . �:.._ 1"��L-... . ._: . _ :'h�� �.�. • . . "_ _'_�I:'_. ..C'.E�`'?`' �.�___.�_.__ '�`�', :.._ � .•-.: •-.� `._.-•,-. ' _ __ CONTRACTOR: OWNER: — ' ' — — _ .-- �:r;�-��:�. _ ,,.f : _ _,L'_�,� _..r� _ ... _ _. _.�i. . . .. . ! %'ic_ �"i"f.. .a' . .'::.,.. .���-r. ._ _ _ �r _ _ . �, . � . t .� 1 -�.� ; . .. .. ._. . ��.. ,_ .. ,. .•: S� ' : #. +.� .. .. _ .. : �.. . . . .._ . . .__ . ._,. .__ ls .. ..... . .._. ..:.�, . �. J , ;.. ,r �. , . . _ -� � - — — : . _w ,.. , . _ , �;„ ,. _. ' ..� _ �" :.�.__ �. . ., , -� . r _ ._ f _ . __. .:. _,__ � '. . . ._.._.. .. k , . ' _. . ; � _ _ — ; .. . .�-.: ' .:.: . . . � � .. : {'iT .:" : �t� .,�. 4 � . . ... .' .'. - '.. �._ i :" ', �... '...�� : ' :.. '.�.,.�..: . : :'-i !.. . .. ""_. ,.. ..._ _ _.,.1._,. ..._ . _. .,.. . .. . . ._ . � �'. �1 APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE r � , � "'� CITY OF ORONO - BIIII�DING PERMIT APPLICATION � Date Received: ' '' ' � '^o�al. Fee: $ h</�// '7 I Date Approved: :nte.�ed By: /�� Permit�: ��/� � AT,T• INFORMATION MIIST Bg SIIBMIZTSD IN FIILL BEF�RE �'I�N ��I� �� B$ STARTED ( See Check-off List Enclosed) ---------------------------------- � APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRSSS: `��l- `�`� ��by� ���(��� ZIP: �)7���,-������ ��- (wo rk) � 75���� 7— NAME OF OWNER• IA�� � ��`��l`C �C�.��JI,�S..�11� PHONE: (hoine) ��S_ ���.K� MA.ILING ADDRESS: CITY: ZIP: CONTRAC'I'OR: ��'�- PHONE: ZKASLING P�DRFSS: CITY: ZIP: STATS LICENSE: � ARCHZTECT/ENGINEER: PHONE: MAILING ADDRBSS: CITY: ZIP: NAM�: RBGISTRATION a �� TYPE OF WORR: New Addition � Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration �� )� ���,,�^ -�-v�,� �.�, ��c.�>..` �;�x��,��1 �'1r��,��(�s) PROPOSED WORK (describe in detail) : �,`�`��""""'"� �Tti` `" � � 1 Y �`�.�t CL �:�L `�V��1��. ' �"��- �Y��'`l'41�1 ` r"�,L�.�'�� �� =��q'��.. L'� - ���' STORI$S: SQ. FE$T OF EACH FLOOR: NO. OF B$DROOMS:�_ G�GB STALLS: ATT. DET. ESTSHATED CONSTZtIICTION VALIIATION (eacluding land) : $ �� �� � � 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 snderstand this is not a permit and work is not to start without a permit; and chat the work will be in accor ce with the approved plan. f�� APPLICANT'S SIGNAZ'IIREh ���41'�� = , �'C�'Z- DATE: � � ,�,� , ��`;�'t��t� 1 k.� A e :f ' .a �� CI�'�' O� �R01'�T� i'�'��' <°�o-1 §� v� �,, �� ��,;'�����$�� z.� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices �� x:� �.;� � ��b� : ,>'��;""���"�'•�� � On the North Shore of Lake Minnetonka DATA PRNACY 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 Iicense 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 Iicense. 3. The information may be shared with other local , state or federal agencies to the extent necessary to grocess the permit or license. 4. If your requested permit or Iicense requires Council. actio*� to approve, some information may become public. 5. You have certain rights under M.S. 13.04 �o review pri�at� data on yourself. E. Yaur full. namP is re�uired to process this apt Iica�ian o� permit. E�S � b�' h�s�(� ��.vt CC4.VI.SbVt ' rst Mid Ie Last ��0 C��c �.v� � Address (�� ��� Q�,N SS3 S�-Q 3 8� 30�f Cit State Zip �ZS- �3�� ; �7��f 4'3�- Phone I un rst my rights as stated above. Si nature BUILDING&ZONING-�73-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359 ASSESSING r �.04 RIGH'TS OF SIIB.7ECTS �F DATA Subdivision L 'I`ype of da�- ThQ rights of individu8ls on whom the data is stored or to be stored shall be es set forth in this section. An.individual esked to Subd. 2. Iniormation re�uired to be given in�vi�uaL u 1 rivate or confidentiel data concerning tgmWi hin the collecti g state gency, s PP Y P purpose and intended use of the requested ��� whether he ma� refuse or 1 from his political subdivision, or statewide system; 1 the requested dat8; (c) any kn�wn consequence arising required to supp y rivate or confidentiel data; and (d) the identity of supplying or refusing to supply P State or federal law to receive the data. This_ other persons or entities authorized by p investi ative data, requirement shall not apply when an individual is 8sked to su ply g pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mev pla�t t8X re°und instr�uctionsunsteadhos subdivision in the individual income tax or Qroper V on those orms. - t� �� by ����. LTpon request to a responsible Subd. 3. Access authorit , an individual shall be informed whetbh�ec h r vateeor confident a.l.e UPon h� y �1 ' P ublic data on individuals, and whether it is classified as p charge to him e.nd, if he desires, shall further request, an individual who is the subject of stored privste or individuels shall be shown the data withou�f��Y t �ta. Af ter an individual has been �e informed of the content end meaning the data need not be �isclosed to shown the private data snd informed of its u��oT��ction pursuant to this section is him for six months thereafter unless a �Sp n request by � ndin or additional data on the individual h� gte or pu lic datarupoegted. The pe g responsible authority shall provide copies The hresponsible authority may reauire the the individuel subject of the data• and compiling the requesting person to pay the actual costs of making, certifying, copies. immediately, if possible, with any re9uest The responsible authority shall comQly S of the date of the request, made pursuant to this subdivision, or within five �f immediate compliance is not S��g and legal holidays, excluding Saturdays, �With the request within that time, he shall so in�orth Lhe possible. If he cannot comply within which to comply individuel, and may have an additio� le al�ho id�Ys• request, excluding Saturdays, Sun�Y� g Subd. 4. Proced�e �►hen data is not ecc�sa te or complete. An individugl may ontest the accuracY or comQleteness of public or private dat�he°resp nsib e au hor ty ° ht an individuel sha.11 notify in writing exercise this rig � describing the neture of the disagreement. Thac�P°te or inc mplet and at mP t° days either: (a) correct the data found to be in notif past recipients of inaccurate or incomplet he bel evesdthe dataito be correcty y eement is the individual; or {b) notify the individual tha Data in dispute shall be disclosed only if the individual's statement of �8� t to the • included with the disclosed date• ealed pursuar► � The determination of the responsible authority may be aPP provisions of the administrative procedure act relating to contested cases. 1 CHECR OFF LIST FOR ISSIIANCE OF PERMITS ` FOR OFFICE USE ONLY , , . ,�� , .: � , 1 3 j-� c���..3 ��xEss ox LEc�: `���� ���' ��<���_�� �c��� Pzn: .� �-i/�Y � � DESCRIPTION OF WORR: �CLI� - `M ��W`°�`� fi 6iAR'�`�� �m�- ��N �5 H ---------------------------- --------------- ZONING REVIEW BY- DATE APPROVED: -7- I-1``�5 BIIILDING REVIEW BY: DATB APPROVED: ">-17- � S ---------------- ---------- FEES TO BE CHARGED• Misc. Fees Calculated By: PERMIT Yes t/� No PLAN REVIEW Yes � No SEWER CONNECTION STATE SURCHARGE Yes v No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------ -------------- ZONING CHECR LIST Zoning District: (Z��1� Fire Department: L L Post Office: (_�- School District: p�N� Lot Area: �v o c.�+4-N0 e Width: — Depth: — Survey Submitted: Yes �c No Date of Survey: o�v i=�� Proposed Setbacks : Front (Lake) • /v�� Right Side: N (/� � Rear (Street) : N�/a- Lef t Side: -1 � !�� Adjacent Structures : Arnti��-� Wetland: 2to" Building Height: Def . Hgt. ��� Peak Hgt. ��� Avg. Setback• � -�- Lot Coverage: N�f� Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' � , 500-1000 � Hardcover Varia� ce Req ' red: Yes No Date of uncil ApprovaZ:_ � un � 1 A rovaJ. Date: Grading: Staff Approval ate: B : Co PP Septic: Staff pproval. Da e: � i BY= Zoning File:# Re o ution # : Resol tion Date: REMARRS (in ho�se) : � O W N � S�lo� I.�`A'r�- Q 2�V K1 C. �=E�'.�1� � BQII�DING REVIEW CHECK LIST �• IIgC: /L- 3 CONSTRIICTION TYPE: �^' Sq Fcotage $ Per Sq Ftg Basement x - lst Floor X - 2nd Fl.00r X - Garage X - x = TOTAL Estimated Construction Value: $ �5s,0oa'y Inspections Required: Work Requiring Separate Permits: Site � P�umbing Grading/Fil.l.ing ,�( Footing d-Mechanica� Fire ,�Framing Septic Water Connection �Insu�ation Fireplace Sewer Connection �Wa1J. Board (Masonry) Lawn Irrigation �Final (Mfg.) Other Other welJ. (State Permit) �Electrical (State Permit) ---------------------------------------------------------------- j2F.MARK$ (IN HOIISE) : ---------------------------------------------------------------- RLVIEW BY OT�tS: DATE: Access : Existing New Access Approval : Date BY= ------------------------------------------------------------- RF.MARKS (TO BE NOTED ON PERMIT) : � p ,.� -Zw .yS.'1 :. • -r � . � � j.r.,: Q:��. 1:,,����0 '^�^' tb�"�F s��� FR,� ��_ � s + � ' , � lf � y '' ; �. , �°'«,;� ; ' � �t ,� �: - . =f,� ..� � . , , , . ' ;� ; ,�,�;�„ �. ,.��� � ,.., ' , . � �; � o . w , �. , .,. ' a�y,..� „�;` -�S`� ::.n+� �.�=t- �r ;,��� �. � ; .. N� � - c ,1 ��hA t i t'� •� "`:. . " �_` � � � ' •. � ..2 -`" �� — � �r" �t �.. , . .�#' -� � ,� � ' ' ► . - . 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