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Home My WebLink About1994-006640 - lakeshore walls � PERMIT ' CITY OF ORONO 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: ,, ,.; _,_ _ ,' y�^.�: :"=:,s^�=: ��::.�.. Permit Number: �-:;;:._,:�,:;��: Crystal Bay, Minnesota 55323 • - - -� - (612) 473-7357 Date Issued: _ SITE ADDRESS: �..�'� _ _°t=..,��: �._''r' .=:��.� r_;-i DESCRIPTION: :,F.-_.:_:�_::-:_:. ..... . ._ . ._. ._ ... ._..._. '-i�='='" �`��.+:'f':'�3 T. � : � �- �,- '`:r`'4;i i:i?_ i G;'�:'-�i� i'_�=`�' REMARKS: L�1.+.l� L'it1Jli'V FEE SUMMARY. i�.iitir+Yi.�i iii:�iLi .L i.J 2�•t•l,i�l?L,`V�,i TP -.. '��i :" :k i li�; _+L!i i.'V a V V �. .� {� -�t: ...(i _ t..f7LLJ1 IL �!l'aVL �.��i'�i.' �r__ �._��_._.__ - - ::r;-::�- - ;:... _;,�i `•'��tis i Lrh: _ `i"i f'i>"1 iii_i..�Lii-i._.i�%!'n.'i_ii i��i _ . _. _ ... . _.. . ... _ . _ .. _ '_. ' l•:iii; .:}i Tdf. ... ..�fSl�1!�t� 4L'L'.A '1L�3 t.:. 'J'=•'� s 7 — � 1.2:�._a.-:�!�'? CONTRACTOR: OWNER: � �� =� �. _�.�_:��: - ._ -. . _T��•'._:.. . ; t,.. ._ _._. . _.. .. .�.;.:�._��_,�:;�� :,L��. '-s�`:_,,f�- r;ji,z _ _ _ . ._ ..i t.i ' ! '�.�3 ''• ' . i — �:':�: •"3 i- �.,•.Y. 3''"'� " It i..._ �_.<'_.�. .� _. ..s: .�.._ . �.., . .._..�I i . _ y..'�.,_•.. »� . ..... .. >_ ._ ... .. .... . . _ t .. . . .. . . ..._ . ..._t .._... _.. ._°yf". .__. . . .. .Y `.. . f ._ . `..i .�•..:.�i"� ;,�; . .. .. ! t� '`I '7 �. . ; �: • r .._�t�: ...J '.... .��:.� _.'.. 7 ..:[._... : .r��4�. .. ; ;" . ... :... ,- Y � �, � .__ . _ . . ._ _ __._ _. .__ _�_ ___ . _ t . . �. .._. . _ . � � A CANT%PER 1T SIGNATURE �SSUED BY:SIGNATURE � x ' � CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $_ �f,'� �' �� Date Received: / / "� �`�` �j 'f Date Approved: Entered By: � �/� Permit�:�;(r:<l�% AT.7• INFORMATION MIIST BE SIIBMITT� IN FIII�L BEFORE PLAN REVIEW WILL B$ STARTED (See Check-off List Enclosed) ----------------------------------------------- 2`HE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRSSS: � � � � �'t4'��'J c� ��t�`�' ZIP: � -� ��i/ (work) '`��/- ��/ � � t y.: : ♦� 1 � r �,.;'�, s . . , PHONE: (h om e) �t�� 7 3 /�� N�ME OF OWNER: d�-s �� lv i C � l . � �t t �- _ . '�� J�- ' ' z �: HAII,ING ADDRESS: _,'j;_1-� 1-�� ;'.; tF-�-LC� c - � i CITY: t..> `�. f} //'� ZIP: .� _� �// � :ONZ'RACTOR: : � -�-��.c � �( }c: I`� �.,' � L .!�� ', �/l� C PHONE: =' �-�.� -- �_� // �AII,ING ADDRRSS. ��=� / /�•�- ,(_7t,�i t �" ��, �i� CITY: i f-f��it-,>1/�`�� ,_ ZIP: �TATS LICENSE: � -� � f _ ARCHI TECT/ENGINEER. i- � =, i '�� '� ,` �`� � � , / : ' .PHONE: � � � •�`:�- ��'> MAILING ADDRSSS: �� • '��'��'� ; �,r��. � r � � r� CITY: / • �� < ; � i _�< <'��ZIP: N�: �'' ; ; < , ' - . , �� r .�< RBGIST'RATION n TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration_�_ PROPOSED WORK (describe in detail) : �� `�``�� s d�i. ;, �� C� �� (�-�:� + ► ' ' `��J�Q,'C � � ; � �� t � �" � � i i`� �� j ; ' ,� . `,+�� ` � � �� i� �;�� i`� f-4� [. l.a��s�•� STORIES: SQ. FEBT OF EACH FLOOR: NO. OF BgDROOMS: GARAG$ ST�LS: ATT. DET. ESTIMATED CONSTRIICTION VALUATION (eacluding Iand) : $ .' ! � ' I hereby apply for a building permit and I acknowledge that the information �bove is complete and accurate; that the work will. be in conformance with the .�rdinances and codes of the City and with the State Building Code; that I :.zderstand this is not a permit and work is not to start without a permit; and ��at the work will be in accordance with the approved plan. � �. , �. , �-� �,��"� � �� ; � '�'PLICANT'S SIGNATIIRE: � DATE: � � / � � CIT�' of ORON� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Officea • � _ � � 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 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 Councii action to approve, some information may become pub3ic. 5. You have certain rights under M.S. 13.04 to review prica�e data on yourself. 6. Your full name is required to process this application or permit. � ., �� ,� � �--� � �� ' � ;�-�;{ �_ � p,,�/�. First Middle Last -1`�._�� ,_).� �. ��;.�, �.4.. ' y.� �- t.� • /�� C �� Address � C �t ��`. / �- % ��- � � �/6� l � ' � . City State Zip `� -� / _ - -' - „ � � , � Phone I understand my ri hts as stated above. ,---,.� � ' _ .�__ _ -- _ _._ �. - � . --- Signature,.� _ _ __--- �_,. BUILDING&ZONING—473-7357 • ADMINISTRATtON&FINAIVCE—473-7358 � PUBLIC WORKS—473-7359 ASSESSING ---- • a � 513.04 RIGH'T5 OF SIIg.7ECT'S OF DATA Subdivision L Type of data- The rights of individuels on whom the data is stored or to be stored shall be as set forth in this section. Subd. 2. Information requ.ir�d tO � �� An.individual asked to � � supply private or confidential data conc ed d tamwitlhin the collecti g state agency, purpose and intended use of the request (b) whether he ma� refuse or is legally political subdivision, or statewide system; �own consequence arising from his required to supply the requested dat8; (c) any su lying or refusing to supply private or confidentiel dat8; end (d) the identity of PP other persons or entities authorized by si gdual'�.�se8skedlto supply invest gat ve da a requirement shall not app2y when an ina pursuant to section 13.62, subdivision 5, to a law enforcement officer. The commissioner of revenue ma olert tax re�und instructionsuinsteadhos subdivision in the individual income tax or r � on those orms. . - -- - Subd. 3. Access to �ata by in�viduel• Upon request to e responsible authority, an individual shall be informed�wh u�c, pr vateeor confident a.l.e Upon his individuals, and whether it is classified p ublic data on further request, an individual who is the subject of e to}�mrl�v�aae if he desires, shall individuals shall be shown the data withou�fan�y ��tg. After an individual has been 6e informed of the content and meaning the data need not be disclosed to shown the private data and informed of its meaning, u�uant to this section is him for six months thereafter unless a dispute or action p � ending or additional data on the individuh h� a eeor public datarupongrequest by ' p require the responsible authority shall provide copiesThe responsible authority may the individuel subject of the data• certif n and compiling the requesting person to pay the actual eosts of making, Yi g� copies. immediately, if possible, with any re9uest The responsible authority shall comply S pf the date of the request, made pursuant to this subdivisi�a le al th lidays,dif immediate compliance is not excluding Saturdays, Sundays g possible. If he cannot comply with the request withi�i��nt��h toh omplynw�th the individu8l, and may have an additional five days request, excluding Saturda�s, SundaYs a�d legal holidays. Subd. 4. Proced�u'e �►hen data is not accurate or complete. An individual may contest the accuracy or completeness of public oinr Writing tthe�respons b e au hor ty exercise this right, en individua.l shall notify describing the nature of the disagreement. Tha�r�P�e orenCflmplete and at pt to days either: (e) correct the data found to be in notify past recipients of inaccurate or incomple t he bel evesdthe datalto be correct the indivic3usl; or (b) notify the individuel tha eement is Data in dispute shall be disclosed only if the individual's statement of disagi' • included with the disclosed data. � appe�led pursuant to the ' The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. � CHECR OFF LIST FOR ISSIIANCE OF PERMITS , FOR OFFICE USE ONLY ADDR�SS OR LEGAL: Z$Z� DVN � � �'ID' U$SGRIPTION OF WORR: G�'!�'L��'/sEO�S ��+ ��S ---------------- ------ -------------- ------------------------- -- ZONING REVIEW BY: DATE APPROVED: � ) - � b - S `� - BIIILDING REVIEW BY: C�� U'Ur''ti'�'` DATE APPROVED: ---------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: ._� Sp.00 �J�,vD Ac�C�T�,v PERMIT Yes ✓� No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes�Y�Y No WATER CONNECTION IN�iESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) -------------------------------------------- ----------- ZONING CHECR LIST Zaning District: C.� ' j �- Fire Department• Post f c : ��chool. District: Lot Area: Widt - Depth: Survey Submitted: Yes D�. No Date of Survey: 3 'ZS- � �^' -� �'e Proposed Setbacks: Front (Lake) : Righ Side: Rear ( Street) : Le t Sid . Adjacent Struct es : Wet nd: - Bui�ding Height: ef . Hgt. Peak Hgt. Avg. Setback: Lot overage: Existing Proposed 5, Z "7c� Hardcover: 0-75 ' 75-250 ' N�� 250-500 ' 500-1000 ' Hardcover Variance Required : Yes No Date of Council Approval: Grading: Staff Approval Date: By: Council Approva]. Date: Septic: Staff Approva� Date: BY= zoning Fi7�e:� �ybs Resolution # : �� Y�� Resolution Date: REMARKS (in house) : BIIII.DING REVIEW CHECK LIST . �C: �� CONSTRIICTIOYd TYPE: /1��14- Sq Footage $ Per Sq Ftg Basement X ' lst Floor X - 2nd Floor X - Garage X - x = TOTAL Bstimated Construction Value: $ ,V��' Lo�� P'�%��"�^� � � c7 Inspections Required: Work Requiring Separate Permits: ,� S �-� Site � P�umbing Grading/Fil.Xing Footing Mechanica� Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wal.l. Board (Masonry) Lawn Irrigation _pSFinal. �� G� ,-7 �iv�rN� (Mfg.) Other Other WeI.� (State Permit) Electrical (State Permit) ----------------------------------------------------------- REMARRS (IN HOIISE) : ------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Agproval : Date BY= ------------------------------------------------------- �F.MARKS (TO BE NOTED ON PERMIT) : , . _ . . - , , _ , _ .. - . . _. . . . .. . . � .'. . � ':._ ."� " �. '- " � ...'::_. .. . ��. ��.' . �"..� ."'.�.� . .. .: � .'.� . -.� . ..:'. �'. '�.•: 4�.'_. _ y,'-�.��. _.. -