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HomeMy WebLinkAbout1994-006029 - land alteration PERIl�IIT CITY OF ORONO �� j PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 - _=� =i�'=="� Permit Number: '��`" �"� =..�._-, Orono, Minnesota 55356-0815 _�:%r��:a��`�i (612) 473-7357 Date Issued: iYr� `!.y',::-�� SITE ADDRESS: � __:� ,���;.:._�:'�, �aV� j'"t3 _. . -� �: -- - —'£i�. • DESCRIPTION: r�� .'.�...!._ �_i'�,F i3.1 �Jr�i:��� �-'F_.,3�rf;i T �:;r��i � ?�rti�� i�j i 3-_z`ij 3 1 ; i�'kl r'T i L' •:� :;F�i r�tir L�! ! L! L1\1„�1t11 L�'i?i`•t.lf'� flL�i 7!'L ! .l.fY('77SLL V! I lldL a'i i}i fi}t fi F !� 1✓.1.Jt'L�V1fVV !7 �!!f �.lk .+tt} 1%l L•L!� JV+VV %'•i.+C"a Zi ':�i i:i} L.•flLLl1 /L ��VrVL• !.%i'�li+�_.:'iiiAr!� Y'!i!f :7L4L1! / !!1I7}(! t L!V 4:• ::{i`�.i! 1'i5:}i 'e��j 7jiT+i!_� ffL�SJiV�JV 6•VL�S llU1 !1L•�t! i}r '.'fL V"7:�iif f+'7' REMARKS: FEE SUMMARY: - - _�;�� :;�� .. _.._.. _ ---------,�_��_ ::���:.��,�, �•:��• _, -,i_2 , (3 t t CONTRACTOR: OWNER: --. �:•::-:�,; ; ��,�4�. -- _ -. :.. --;-. ��:�T i�� = _ . ::f':�:::_:�i�f; �::�:E�- 4-�'= ;��i"i i:�� =�_ - - ';"l.a� f� ? si_._� �.T { � 3� . ��, � �.�;,r �='i"�_ ����i:;.f'�:� _ � _ ..:� .. ;�1, ,�;,.�_ C.ii:" -..'��� `''�-i! I'',�it_j-�?�ht'�+_: . , 3 . .. . ;-...� . . : . r . � � � _. . _. . ... ._ . _ � ..._ _ . _. . .. __ ��.� � � ; � , . .._._,_ _ �_?: : ... : „.-.; - -.: � - ': - - - :;. • - .,,,,;��' , : {... -�. . �..;t.i,:, "_' . � i �.:i.. fi�:i., .. y:�t.�.u�€••. �.i . ... ?i:�. ... : t,+_:};C i._�.��:�'�_._... '�:� E ;-^ ��:E...�... _. _. . . �_�p" ,_,�,y � ..�. .. � . : :: f� ? f i + , � - �`, T;`..I� �';�I, f -:"� :Et}� �,'!!3`•.�{� t';_�1.,l� ;_...i '=�. .^;�. . "', -r L �, _, : ., __: . . ..__:�_ i i. -- - --- .. . .- - -__ . ._ .. _. _ . � _. .._. . .. . .. . . ... _ _ � . ����. _s :at ` .�-�u� (�� APPUCANT P TEE NATURE ISSUED BY:SIGNATURE CITY OF ORONO - BIIIZDINC PER��iIT APPLIC�TION ,��„ r,v Date Rece?ved: Total Fee: $� � — Date A�nroved: ' Entered Bv: :/�' Fermit�:��;.�`� _ - p,T.T. INgORMATION MIIST BS SUBMITTED IN FLTI�L BEFORE PLAN REVIEW WII�I, BE SZs�RTID (See Check-off List Enclosed) ------------------------------- --- � p,ppI,ICANT IS: (circle one) ONi`IER or CONT.�.ACTOR JOB SITE ADDRRSSs �e�� �a�►���-�a (�� � zzP: 5535 � (work) 9y� �`t�`3 NAME OF OWNERs �.Z.�T�1 .� • C�F�S N �f� PHONE: (horne) c('1t�- '73�13 MA=I�ING ADDRESS: �Ia o..r�� CIZ'Y: ZIP: PHONE: CONTRAC'rOR: � CITY: ZIP: MATT•ING ADDRESS: STATE LIC�.�NSE: � �- PHONE: ARCHITECT/ENGINEER: MAZI,ING ADDRESS: CITY: ZIPz REGISTRATION � NAME: TYPE OF WORR_ New Additian Accessory Structure Move � D�o Re.*nodel/Alteration� Renovate Land Alteration PROPOSED WORR (describe in detail) : (�c o;� �-,� L o..., 5�oT S o c t.�, „� v tV d r STORSES: SQ. FF.E'� OF EACH ��R: NO� �F B�ROOMS: G�iRAGE ST�S: ATT. D ET. ESTIMATED CONSTRIICTION VALIIATSON (eacludinq la.ndl : $ for a building permit and I acknowledge that the iriformation � hereby apply that the work will be in conformance with the above is complete and accurate; Code; that I ordinances and codes of the City and with the State Building e�it; and understand this is not a permit and work is not to start without a p =hat the work will be in accordance w' the approved plan- . ' DATE: 2-f APPLICANT'S SIGNATURE: �= � C���i' o� ���I�TO � y,�� Post Office Box 66•Crystal Bay,Minnesota 55323•Munir_ipal Offices � • - • • On the North Shore of�ake Minnetonka _ DATA PRNACY ADVISORY In accordance with M.S. 13.04 , Subd. 2, "Rights of subjects of we would like to inform you that your request for a permit or data", of its de artments may require license from the City of Orono or any P you to furnish certain private or confidential information. You are notified that: 1. The information you furnish wil.l be used to determine your cruaiification 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 inf ormat�o the ext entnnecessaryhto processcthe permit or f ederal agencies license. a. If your requested permit or license requires Councii. ac�'-or- to aporove, some information may become public. 5. You have certain rights under M.S. 13.04 to review private data on yourself. 6 . Your ful.l name is required to process this application or pe*-�it. First Middle Last Address Ci`y State Zip Phone I understand my rights as stated above. Signature � BUILDING&ZONING—473-7357 • ADMINISTRAT70N&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING . CHECR OFF LIST FOR ISSDANCE OF PERMITS _ FOR OFFICE 'USE �NLY ADDRESS OR I,EGAL: .. - - " �D� -- ��L _, ^_+ :-PID. _� - - __... _ _ ....__.......... _ ._ - �� � _ DESCRIPTION OF WORR: r�I� . --------------- ----�---------------------------------------------- --- __--- . . . DATE `APPROVED: " .�I_-"'�''"''f� � �� _ _ . _.. ZONING REVIEW BY: � . _,_ _. _.... ._ • - _. . _ _< _ . _ __ .` . . . __ . _._. v. BIIILDING REVIEW BY: N �/'� DATE APPROVED: -------------------------------------------------------------------------------- FEES TO BE CHARGED: � Misc. Fees Ca�culated By: PERMIT Yes � No C�A�t'a'N�/r r�l,.�ry �t2w.1�r PLAN REVIEW Yes No SEWER CONNECTION STATE SIIRCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------- ZONING CHECR LIS /1 Zo n D' trict: �_ / �'ire Department. P st Of f ' ce:J c i ct: Lot Area: Wid epth: �urvey Submitted: Yes� No Date of Survey: � cri Fi l� Proposed Setbacks: � , Front (Lake) : � -f- Right Side: (v �"' t= Rear (Street) : D � � Lef t Side: //" /�' � Adjacent Structuresf� V�etland: I �� � ,� � � Buil�ding Height: Def. I�g't. , Peak�igt. l � � � Avg. Setback: � �� � � Lot Cover��ge: Ex��sti�ng �� Propose'd � ; / ; Hardcover: 0-75 ' ; __��- , ,' 75-250 ' / � � i � , � 250-500 ' � �' , 500-1000 ' �� � � Hardcover Varianc� Required. Yes No Date of Council Approval: Grading: Staff Approval Date: y-22-5Y By: Counci� Approva� Date: Septic: Staff Approval/�Date: / By: Zoning FiJ.e:� i ` F�esolu on : Resolution Date: ,, REMARRS (in house) : � BDILDING REVIEW CHECR LIST ,pBC ` :- _ ' - CONS IICTION TYPS . - _ _ , . = � _._ _ _._._._ . _. .._.�_.� -_ ._..__.._._ . ..-----___ .. _�, ,. ... ._ __..._._ -- - - ; �� �-. _ . . . ,_ - � _ - Sq F �tage - Per Sq- Ft ` ^ _ .: i .. . _ '� 3� . _�.._ �-Basement _ __.___ .__ ....__.X __.. _ :. _ - , - _- . _. - .....s- ��lst ..Floor ._ X -_ - _ _ �- 2nd :Floor . .__.. .. . . --�-�= ' . . � __ =1_ Garage = _ __ X �— � . _ , _ �. _ ...._. --- . . �_,_ . TOTAL � � � � / � � � stima ed onstruction V'a3.0 : $ . _ _ i � Inspection Requi . Wor� R qairing Separa e Permits: Site _��P1 ing �1, Grading/Fi1.�ing Footin M chanical ' Fire Framing �S ptic Water Connection Insulation irepl.ace Sewer Connection Wa1.� Board (Masonry) Lawn Irrigation _�Final (Mfg.) Other Other Wel� (State Permit) Electrical (State Permit) ------------------------------------------------------ REMARRS (IN HOIISE) : ---------------------------------------------------- REVIEW BY OTHLFtS: DATE: Access: Existing New Access Approva�: Date BY� --------- REMARRS (TO BE NOTED ON PERMIT) : _. . ,�..._ _ . .._ _.__� . ___ .. . _.._---- ___ _ _ __� . , _ . � . g t�-� �� �� R�� F:�� ������ � � � � .� $(j� af: a.. . -- ii��i�t3�d�„js C • �„�,i,� ��' �`. �,��_..F ;,y ,�?.'.7:�- �1� �' t'"�'�. � •. '; ::`=�' ,.� � r � 'i: �,,,�Z+`.� s �s :�;"�=;Q• .• �� , ' � i ,�� �';i � �i�, : ' ' ,7 u ;'t;'ti!��l','u rt'f .:,. r�t af Su�--vey �1� `'�` for Ja�:es �' Iiarson 1 ���1r'+r•:+`�� _r••i��,o�`t� �L �l, 5� J�'i J ..-.ar�a�t�e�� �L �� �, � � OR��Nfl � "�,Ils' ;•.; • �, Albz�►� n� �''�e���yc ❑ , ,f,,�-•r�;�. o � �A � . t''7 � ��'! �� _ C:E_^.^f3r�:] OL'52�7� x:1. / _n�t111V1.a f-Ll1i� -, �;r v � �!;� w!r�� .� GnN� u i.,1�1 1� , � o� � - �- � �� � . t ���::� F =� �. r������oc�� �P ;�'�,� `���!T�' ��- �, . �C.;, �..�-,> r'-`'; 1 r � `� _ /�',)�'i i_I ;��•��r•ii�V �'\� G I�'�7 q• r Z.Z——1� � t.O V/�1� � w Q 4''-,i.''1'� r 2 Q , °9� { �x �sP� � � s�w � c^� � � �• M,�—T�4L. P►�-'z-�5 � /�: aP�oNMa�i I-�ecqc oi�womP � — / �V LQ�-� � \ � 1..� � � � �. � : �ov c..� �c C. Y i4�5 � -����� � � � �� S � " --.. �- - f'1/�� � � �i i i/-� /�_ r _� 'n� �. � , �)� 1 C ��' � y �o� / /� � Y f . . _ �-' � c . � / 5� .. . r' _ Y' _�� I }� � � �XJ 1 �. oS _ _ aGp�otimn�'e lo� � � ' . M o+ bw�SC� / • � . �' ,��i � ' 1�,° . C�Y��C. �x{ST Y-rCn E�4QoS�A \ �_. _ ` ' c�` M g,TA� � ��'`�c-TS . 4PProwTQQ �E . ean(-t�l�nt Z S .�-� � y� � 2-. —�' ��� 1694p. . Certi�'icate af Surrep: I hereby certi£y that . 68e th3.s is a trne and correct °• � rapresent,atinn of a sur�eJohnston's . the boundaries of Lot 5, � RearranaQeasnt o£ Albee's Lon� La}ce Addition, ar.d _ --- - -- tha locstion of all eaisting buildings, if a:ry, thereon. - IL does aot puz'port to shoW otrer i�provements or encz'oachments. Scale• 1° = 5G' , Gor�on R. Coffin Rag. . 6�64 . Data : 3-31-76 Land Surveyor and ��r . .. . a . Zron marker I.ong Lake, Minnesota . . ' • . . _ . . . - --� - _ .::-: _- , - - - ---- --_ - -- - -- -=:=. --:. ;;-,:::�. -�-- __ — . --- - � --- ==:r:.:-,=: - _ __ . _ ._.. ._ . - _. - � . . _ .. __ - - _ , :._ � . - � . - . ._ --- . . : -.. - � r - ' - _ . -'�t- -