HomeMy WebLinkAbout1994-006607 - relocate shed PERIV�IT
CITY OF ORONO t `
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: _;: i_y- : ; -.
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Crystal Bay, Minnesota 55323 PermitNumber: ;:>>:��f�:,_,t_�;�
(612) 473-7357 Date Issued: _ ,, . _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANTiPERMITEE IGNATURE ISSUED BY:SIGNATURE
�` " ' CITY OF ORONO - BIIII,DING PF�RMIT A.PPLICATION
Total Fee: $ �� =�� Date Received:
Date Approved:
�ntered By:^,l`fI
Permit�:G��',�:' 7
i�I, INFORMATION MIIST Bg SIIBMITT� IN FUI�L BEFORE P?�N REVIEW WILL B$ STARZZ?D
(See Check-off List Enclosed)
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r;`HE APPLICANT IS: (circle one) 0 EWN R or CONTRACTOR
Jos sz� �Dxxss: 33`f5 ��1 s T��- � � zzP: �r 3�/
(work)
NAME OF OWNER: v�1 "" `�-�1 �� L �N� PHONE: (home) �f?�-�Zl 8
MAII,ING �nDx�ss: �3`�5 L�i�SI�- /`�, ��P cz�: �-c�,4-r�Z,y�- zlp: SS3�'/
CONTRACTOR: PH��'
MAILING ADDRESS: CITY: ZIP:
3TATS LICENSE: �
:.atCHITECT/ENGINE�F2: PHONE:
'-�.AIT,ING ADDRESS: CITY: ZIP:
3���: RSGISTR.ATION �
TYPE OF WORR: New Addition Accessory Struciure v Move
Demo Remodel/Al.teration Renovate Land Alteration
PROPOSED WORR (describe in detail) : � - �o�� �7���e- ��
STORSSS:� SQ. FEBT OF EACH FI.00R: 9 x �� ` ` �`a'.' �%
NO. OF BSDROOMS: GARAGB STALLS: ATT. DET.
/ �D ,
ESTIMATED CONSTRDCTION VALIIATION (eaclnding land) : $ �P � � ''-
I hereby apply for a buiZding permit and I acknowledge that the information
�bove is complete and accurate; that the work will be in conformance with the
o��dinances 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 wil 1 be in accordance with the approved plan.
fiPPLICANT'S SIGNATURE: �`�-»' �. C� DATE: �D- -3�_��
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`t b � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
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� . � � 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 Iicense 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 �ocal , sta.te or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Councii a�tion
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Yaur full name is required to process this application o�
permit.
�� �
First Middle Last
3 '� yS C'�.ST-�--c- ��T_��
Address
(��ii Z� �I� . �s'3�'/ -
City State ZiP
y7�- ��� �
Phone
I understand my rights as stated above.
LU .
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING °
.' 't ' ' n
513.04 RIGHTS OF SIIBJECTS OF DATA
gubdivision L Type of dat�- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
gubd, Z. Information required t° b� �Y� ����" An.individual esked to
� " supply private or confidential data �uest d d tam i hin the collect g state agency,
purpose and intended use of the req
political subdivision, or statewide system;
(b) whether he may refuse or is legally
required to supply the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized bY di idual iseaskedlto supply i n est gat ve da a
requirement shall not apply when an in
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg rolert tgX re�und instructeonsunsteadho5
subdivision in the individual income tax •r
on those orms. . - -- - -
Subd. 3.
Access to c�ata bY in�n�' Upon request to a responsible "
authority, an individual shall be informed whether h��gteeor confident al.e Upon his
individuels, and v+►hether it is classified as public, p
further request, an individual who is the subject of Q to�mrl�de if he desires shall
individuels shall be shown the date withou�fan�y ��tg. After an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data end informed of its meaning,
him for six months thereafter unless e dispute or action pursuant to this section is
, pending or additional data on the indivif�h h� gteeor publ c datarupongrequest by
responsible authority shall provide c�pies o P require the
the individual subject ofthe actual.co ts of mak ng,l certi ying y and compiling the
requesting person to pay -
copies. immediately, if possible, with any re4uest
The responsible authority shall comply
made pursuant to this subdivision, or within five �f Slmmediatea compltance eisu not
excluding Saturdays, Sundays and legel holidays,
possible. If he cannot comply with the re9 ive �thi�i��nt�ch toh omplynw�h the
individual, and may have an additional f YS
request, excluding Saturdays, SundaYs and legal holidays.
Subd. 4. Procedure �►hen data i.s not accurate or complete. An individuel may
contest the accuracy or completeness of public or private dat�heo��P�ib e au hor ty
exercise this right, an individual shall notify in writing
describing the nature of the disagreement. eTnaccura e oc in omplet and att mpt to
days either: (a? correct the data found to b
notify past recipients of inaccurate or incomp�t he believesdthe datalto be correct
the individuel, or {b? notify the individual t eement is
Dats in dispute shall be disclosed only if the individual's statement of disagi'
• included with the disclosed data. � 8ppe�ed puzsuant to the
" The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
CHECR OFF LI�T FOR ISSIIANCE OF PERMITS
" ` FOR OFFICE US� ONLY
� ,
ADDRESS OR LEGAL: 33�15 C�fSN�C. (��1 �-QA� pID= __
DESCRIPTION OF WORR: ����-' �
----------------------------------------
ZONING REVIEW BY. _ DATE APPROVED: l!-l-�Ty
BIIII,DING REVIEW BY:_ ✓vw�— DATE APPROVED: ( -(-`��
-----------------
FEES TO BE CHARGED- Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes ✓�iNa 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)
------------------------------------------
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ZONING CHECR LIST Zoning District: Gle-l �
Fire Department• /� ` �- _ Post Office: — School District:
Lot Area: �yl6 Width: S� Depth: 7�t•Z 5
Survey Submitted: Yes� No Date of Survey: 3'"7���'(
Proposed Setbacks : �
Front (Lake) : ��� Right Side: 0�
Rear ( Street) : �� Left Side: ��'
Adjacent structures : ��/� wetland : �C/�/d
Buil.ding Height: Def . Hgt. (�, ��-- Peak Hgt. U�(/t
Avg. Setback: �� Lot Coverage: ��' �
Existing Proposed
Hardcover: 0-?S '
75-�50 ' �17-10 Q°lo
250-500 '
500-1000 '
Hardcover Variance Required: Yes � No Date of Council Approval.:_
Grading: Staff Approval Date: l��/�- By: Council Approva� Date:
Septic: St�ff Approval Date: �l/� BY=
Zoning File:# /S S `1 ResoJ�ution �: ���� ' - Resolution Date: �0-�g - �r�
REMARRS (in house) :
BIIILDING REVIEW CHECK LIST . . .
! i
IIgC: /Y)- � CONSZ'RIICTION TYPE: Y�
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd F]�oor X -
Garage X -
x =
TOTAL
$sti_mated Construction Value: $ 1�0� . Od
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Grading/FiJ.l.ing
Footing Mechanical Fire
Framing Septic Water Connection
InsuJ�ation Fireplace Sewer Connection
Wa17. Board (Masonry) Lawn Irrigation
_�Fina7. (Mfg.) Other
Other Wel� (State Permit)
Electrical (State Permit)
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RF,MARRS {IN HOIIS$) :
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REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
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�_F.IMARRS (TO BE NOTED ON PERMIT) :
, _._. , _ . , . _ _
, -- . . _ _ ,
_ :..-, , . , . _ ... .�_.- ,
T.' ,,
DATE TIME
CITY OF ORONO CALLED IN ������ ��
INSPECTION NOTIC SCHEDULED —T— T� '�'�
PERMIT NO. Is� COMPLETED ���/�� �-+�C�
ADDRESS ��`f-5 ���� �� ��
OWNER ��u-� �� CONTR. �
a
TELEPHONE NO. �7� - ��U�
� DESCRIPTION ���-
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAOING/FILLINQ
y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINA 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d C WORK SATtSFACTORY:PROCEED PROJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED C_ ISSUE CERTIFICATE OF OCCUPANCY
W
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -• pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-73�J7
Owner/Contractor o
Inspector.
White Copyllnspector's File Canary CopylSite Notice
ase»e
, Certificate of Survey � .;�,��ro �3� �'���;�,'��;�
for James Ogland -� ` ti "'�=-�'" ��`„'�-� � '
of Lot 9 , WALLACE ' S At�DITION TO THE VILLAGE OF MINNETONKA B�ACH
t-l�nnepin County, Minnesota
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Existinq Leqal Descripton
Lot 9 [�I�LL;ACr � S ADDrmrnri m� muE �,�ir r �rg Or' MIP]NETO�]'{1` n�FC"
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This surve shows the location of all existin buildin s in �1� 1 �t �"o,l�o
Y g g :-;-. ;- �� ., t��a�QyNG PLA�
relation to the boundaries of the above described property . x_ .-,� .: t ���
It does not ur ort to show an other im rovements or en- �n��}r:�r,�r;..�
P P Y 1� l r� r: u :����.� ���\I���f;�"�.��
croachments . � 'i_.': r",� ; `�� � .'.s `z'; , , .a �.
• . Iron marker f ound � -� �'�'� +.�� ��� �
o: Iron marker set
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I hereby certify that this survey was prepared by me or under my direct super- ��+TE 3-15-93
� � � � � � vision, and that I am a duly registered Civil Engineer and Land Surveyor under
"� the laws of the State of Minnesota. scn�E 1 " = 20�
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y Mark . Gronberg Minnesota License Number 12755
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