HomeMy WebLinkAbout1992-004296 - utility shed � �ERMIT �
CITY OF ORONO ' ' PERMIT TYPE: �,��������
1335 Brown Rd. South • P.O Box 66 Permit Number: !��f .'.��ah,
Crystal Bay, Minnesota 55323 Date Issued: t�7t�,j����%_=�',�
(612) 473-7357
SITE ADDRESS:
i 4�i C1 I C-�:EY LAk::E Dh
L'�:V
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DESCRIPTION:
E.1T I L I TY =�HEL�
C�ui l��in� F'e��rnit- Typc °=;F—�iC:ti: '=,T�,iJ�:TiJhE
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REMARKS:
FEE SUMMARY:
UALUAT I�:i�l �1 , �i y�}
E��se Fe� �:3�. t���
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CONTRACTOR: OWNER: — A�F1 i c a��i�`L'Y�'�' "
F'ETTI_; .TER�y.:�_.: �.� LL!'4' ._.7�
74�. -� _.� �r:
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' THE L�NDE�t';I G�fE� �-IEfi�EE, °
Y REt;��E .T:� �`��;�1 I',�:I i��N Ti;� MAh::E THE �iEA� i h1F'R�EVEI�ENT:�
V ~;F'EC:I�I EG �;h�#C� AC��EE'�� Ti i ��i i aLL W►"+F�l�:: I hi '�,TFi I C:�� �:i��t�1F'L I At�lC:E t�I TH F1LL C:I?'Y �fF
�:; !�E '1 1 I f = C - - . _
� _h_�f_ �..s�.0 I Nr�h��:E'_� Ah1L� ';TAT�. ��i= f�I t�itd��.��TA E��J I L�i hl� C:�_tDE �Ecit�I�iEMEN T:_ . -_'
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APPLI ANT PER ITEE SIGNATURE ` ISSUED BY:SIGNATURE
` CITY OF ORONO � BUIyDING PFRM.IT A.PPLICATION
Total Fee: $ h��` ��� Date Received: ��7 � / �
Date Approved:
Entered BY: � �;�.�-� �.1 ��� �,
' Permit�: / �
AT.T• INFORMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PI�N REVIEW WILI� B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRBSS s (CG �= �7" �'E' `L� ZIP: � � � � �
�
(work)
N� OF OWNER: ��c � � �'' PHONE: (home)
MATLING ADDRESS:��� �7 / C/�!Y^ � ' - �� CITY: ��� �t'T(` ZIP: `j 5 � � �
/� r
r } �-/-
CONTRACTOR: � v <<-U 1 � S �E' PHONS:�-� Z - �) ' � U n t
MAILING ADDRESS: Ss `/� Z2Z�� �� �Ez� CITY: �'•/�'�f����Cn l�. �/I iY ZIP: S S r' � ,°
�
STATS LICENSE: � �
ARCHITECT/ENGINEFR: PH�NE:
MAILING ADDRSSS: CITY: ZIP:
g�: RBGISTRATION �
TYPE OF WORK: New \�� Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
1 �
PROPoSED WORK (describe in detail) : �-"� ��. -
STORIES: � SQ. FEST OF EACH FI,OOR:
NO. OF B$DROOMS: GARAGB ST�LS: ATT. DET.
. ��c, '
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ l J� �7 � � �
_T 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
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. ' .
�PPLICANT'S SIGNATIIRE: - , DATE: � � �� J�
I��
CITY of OROliTO
Post Office Box 66•Crystal Bay, Minneaota 55323•Municipal Offices
•
� - v � 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 3.ike to inform you that your request for a permit or
I.icense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
l. 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva��
data on yourself.
6. Your full name is required to process this applicatian or
permit.
� -
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�
First , Middle >L��� Las
� ,-�� '
d ress
�- `��'� .�l� `\ > � � �
City State Zip
�--( � `� = � �� Z �
Phone
I understand my rights as stated above.
����
, �
Signat e •
RUILDING&ZONING—473-7357 • ADbtIN[STRATION&F[NANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�
S13
.04 RIGHTS OF SIIB.7ECTS OF DATA �
Subdivision 1. Type of date- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. Z. Information � t� � ��� ��vi�usl. An.individual asked to
� supply private or confidentiel data concernindg �amWi hin the c�llect g state agency,
purpose and intended use of the requested
political subdivision, or statewide system;
(b) whether he maV refuse or is legally
required to supply the requested date; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; snd (d) the identity of
other persons or entities authorized by sVadu� �e�kedlto supplyinvest gat ve da a
requirement shall not apply when an indi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg rolett tgX re°und i�tructionsui stegdhos I
subdivision in the individual incom� tax �r
on those orms. . --- - -
Subd. 3. Access to c�ata bY i����' UPon request to a responsible �
authority, an individuel shall be informed whether h r vateeor confidential.e Upon his
individuels, and w he t her i t i s c l a s s i f i ed as public, p u b lic d a t a o n
further request, an individuel who is the subject���e to himrlende if he desires, shall
individuels shall be shown the data withou�f��Y t �ta. After an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, ��ugnt to this section is
him for six months thereafter unless a disQute or action p
, � pending or additional data on the indivif�h h� gteeor publ c dataruponarequest by
responsible authority shall provide copies o P require the
the individual subject of the �ta'cos h of mak ng,l cert fyingyand compiling the
requesting person to pay the actual _
copies. immediately, if passible, with any request
The responsible authority shall comQly
made pursuant to this subdivision, or with lida e,�f Simmediateat ompliance eisu not
excluding Saturdays, Sundays and legal YS
possible. If he cannot comply with the reqfive �thi�i��ntW�ch toh omplynwi h the
individual, and may hsve �nS�� 1O�legal h lidaYs.
request, excluding Saturdays, YS
Subd. 4. Procedure �►hen data is not accs�ate or complete. An individual may
cont
est the accuracy or completeness of public or private �t he°res onsib e au hor ty
exercise this right, an individual shall notify in writing
describing the nature of the disagreement. eTnaccurate orin omplet and att pt to
days either: (a) correct the data f ound to b
notify past recipients of inaccurate or inuoelmP�t�a b�evesdthe datalto be correct
the individual; or (b) notify the individ
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. e�1ed ursuant to the
' The determination of the responsible authority may be app P
provisions of the administrative procedure act relating to contested cases.
. CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 7�� �1 c PID:� � ' l I �"a 3 � 3 '��"7
DESCRIPTION OF WORR:
------------------------------------------------------------------------------
ZONING REVIEW BY: c�i,,,Qp DATE APPROVED: y-2�' - S 2
BIIILDING REVIEW BY: �� �QJv�n.�— DAT$ APPROVED: �'/- Z�'' '�l Z
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes f No
PLAN REVIEW Yes ✓ No 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)
-----------------------------------------------------------------
ZONING CHECR LIST Zoning District: R R-1(�
Fire Department: L _ Post Office: L.l, . School District: U!j-o�U
Lot Area: ��� Width: ytf�C Depth: N��-
Survey Submitted: Yes� No Date of Survey: �,�'.� 7- 6� k`1
Proposed Setbacks :
�-re�°r-t (Lake) : 3�a' -� Right Side: $0� �
� Pa Y (Street) : nl � /� Lef t Side: Zoo' -�
Adjacent Structures: �p� -4 Wetland: /'f�A
Building Height: Def. Hgt. itJ/� Peak Hgt.
Avg. Setback: � • � � Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 ' (�• ��"
250-500 ' �
/
�
500-1000 ' i
Hardcover Variance Re ired: Yes N D e of C uncil Approva�:
Grading: Staff Appro aI. Dat : By: Cou cil Approval. Date:
Septic: Staff Appr val. Date.
Zoning File:# R sol ion #: R solution Date:
REMARKS (in hou e) : �
BIIILDING REVIEW CHECR LIST , � �
pgC: g� �'✓��I � CONSTRIICTION TYPE: �L�.1— �
Sq Footage $ Per Sq Ftg �
Basement X =
lst Fl.00r X =
2nd Floor x =
Garage X - ;
x (
TOTAL
$stimated Construction Value: $ /�,5��
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fill�ing
_�Footing Mechanical Fire j
_�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa�l. Board (Masonry) Lawn Irrigation �
o�Final (Mf g.) Other �
Other Wel.l (State Permit) `
Electrical (State Permit) i
------------------------------------------------------------------------------ �
REMARRS (IN HOIISE) : �
------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
------------------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
ZX4 STUDS 24"O.C. '
�O.S.B. FLOOR DECK �10�_��� 2X4 OVHG.
� 2X4 FLOOR 2Xq LCF T
JOISTS 12"O.C. RAFTFPS
16'-0" ��QS.B. ROOF
DECK
2X4 R,4FTER5
2a"O.C.
zx��, l�f4f��'YZ� W�^�ST�
ABOvE '
�� C.e �' �, ,z �rA2 ��(u=�-'rc'y
. �
�; ; . ., ,t, .
'_ '"`' '�c � (�v�2 4 c�+ �ll STuDS
----- - ------- �rll,�+ E�r�'��d't°' � :
,;,, �.-,',-;.� ,r�� . ���!�`s�;,,,_, � .
FLOOR PLAN F�OOR FRAMINGµ � ROOF FRAMING 2X6 OVHG.
,,,;�„� ,__�.�.'2� Z .
.....�.,,.
� ,� �;-�,-,,. .. _,... _ ,, -.. ,.-.. ,,.,,,,.,_,,.....,
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. � C r(� f�t ��
_ �..J �t'. . �i �� . ',. � yM � .
� ���'� r � R !'r� '��ork�t;r.L'Ibedcnt
t,y • �' M� ,:�, �: i:-� .r�rrfng :AOe [tr• .
�2�5 SELF-SEALRJG SHINGLES ' t` r .:,. in thl� rev(e 48"�
' I ' I I ' I I , , . ,�.E. 'IPlE L��
�•BAR �.
� � 2]"
I � ' � I � I �
7� � 2X4 TOP
� �t � Pl,',TE
SIDING f /�� `�
� T�- {RJPi.
_ /w' 79' 75'
IX4 '
TRIM 61'
2X.4 EOTTQtA
PLA7E
2xa Eox
. LEFT SIOE ELEVA ION 4X4 TREAT FRONT ELEVATION FRONT WAL� SECTION S1L�_
RUNNER
10 x 16 x 11
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I her�by certlfy th�t thi� i� i true end correct representation of a survey of File No. ' ���
the bounJ�r(et of the�bove da�cribed lend end o( the locetion oi al1 bu�ld�ngs,
���g • Gr/�BRI�L fl �ny, thereon, en�1 �II vis�ble encroachrrsent�, If eny, irom or on Sa�d la�d. y/3/ _ G
�URYEYUR9, INC. f� ' / B�ok - Page
A� wrvey�d b me thit � �` � da�� of `�/ .�_ � , �g�¢'
l0 Htrbor L�n'Np, �� 1 r�— 70
ymouth MN 66l11 t
on�; (412)669-0608 -- __.,._ .. .___.----�,�-�- ---- � Sc.a��,_._.
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