HomeMy WebLinkAbout1990-003285 - driveway alteration ��ERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: ��:::cn �iE�i���: ::
Crystal Bay, Minnesota 55323 Date Issued: ;j'--�=���=�=��
(612) 473-7357 ' ' `��' = ' _
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SITE ADDRES:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: _ i OWNER:
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APP!ICA PERM!TEF ATURE ISSUED BY:SIGNATURE
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/
' CHSCR OFF LIST FOR ISSIIANCE OF PSRMITS
FOR OFFICE USE ONLY
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ADD�`cESS OR LLGAL: � .."+ -�. .�, � " . � _ � � .� �
;�► l�-� � --.�„ �• ,� jm;,�� ' ��. PID: _ r � ...._ E r �� .__
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L'ESCRIPTION OF WORR: �,''' � , �, , � . . , ,i � Q- � � - , t- , � . .
-------------------------T--------------------------_---�-------------
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Z ONING REVIEW BY: '�;`�'�`�'�- DATE APPROVED > � `
. ,
BIIILDING REVIEW BY: � ' � ' ` � � ' - DATE APPROVED:
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FEES TO BE CHARG$D: Misc. Fees Calculated By:
PERMIT Yes ��` 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) •
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ZONING CHECK LIST Zoning District :��_� �,�_„
� , ,� - � • �. . � , . _.-�
Fire Department: � Post Office: � School District: j � '�� �.
�
t / - � , �,��' �'-- Depth: ���..,-,� .
Lot Area �� F, Width:
f � ._
Survey Submitted: Yes� No Date of Survey: "' '" '
Proposed Setbacks :
Front (Lake ) : Right Side:
Rear (Street ) : Left Side :
Adjacent Structures : Wetland:
Building height: Def. Hgt. ; � Peak Hgt.
� .
Avg. Setback: � Lot Coverage: ;
' Existing Proposed
Hardcover: 0-75 '
, �
75-250 '
250-500 ' . j
500-1000 '
Hardcover Variance Required: Yes No � Date of Council Approval: ��
Grading: Staff Approval Date: /�� �" ' By:�;�i��' � ) Council Approval Date: --"�
Septic: Staff Approval Date: T---�� By:
Zoning File: # ��� Resolution # : F Resolution Date: '--
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REMARRS (in house) : _ i
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- . - - - -- - -. w�. .. .
: ♦
- - - -- . _ . . _ ,-__.__. . _. _. _ . - ' � �'
BQILDING REVIEW CHECR I.IST
IIgC: CONSTRIICTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage X -
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire -
Framing Septic Water Connection
Insulation � Fireplace Sewer Connection
Wall Board (Mascnry} Other
Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
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REMARRS (IN HODSS) :
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R�.'VIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY=
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REMARRS (TO B$ NOTED ON PERMIT) :
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' � CITY OF ORONO - BQILDING PERMIT APPLICATION
Total Fee• $ ��U� �' Date Received: ' ' �
Date Approved:
Entered By: �'�� „
Permit#: � ,���
gr.T. INFORMATION MIIST BE SIIBMITTED IN FiJLI. BEF'�1tE PLAN REVIgF] WILL B$ STARTED
(See Check-off List Enclosed)
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THE APPLIGANT IS: (circle one ) OWNER or CONTRACTOR
JOB SITE ADDRBSS: �7�� .G�c�2i�/ ��2.c.iJ/�:: !(D�� ZIP: � �%/
(work)
NAME OF OWNER: f'��/L r�,�'� f/�CG:/11� ��"�?•CG"n-^ PHONE: (home) ��� . �r���
MAILING ADDRESS: �7�jS �''iY2:/7/ ���N'�'�C� CITY: �20,Uca ZIP: �3 i/
CONTRACTOR: ,�rl1�3E�'L 0�t.�=� ����i7� _ PHONE: �3�- �l-��
:KAILING ADDRESS : � �• /J()X S� CITY: ���/�-i'�=I ZIP� S�-�'i/
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration 1�
PROPOSED WORR (describe in detail) : ���n�/l�"'� �/Z/����( a� ���
/J ii i.�'dc.?S �!d/1��-C
STORIES:___1� SQ. FEET OF EACH FI,OOR: /��,�
NO. OF B$DROOMS: a�/� GARAGE STAI.LS: ATT. DET.
�:.
ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ������
I 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 will be in accordance with the approved plan.
' SIGNATQRE: GU ��l G� ,GYL DATE: /�j �C-�� �7�D
APpI,ICANT S
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Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
•
�� ,� - � � 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 Iike 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 Iicense.
3. The information may be shared with other Iocal , state or �
federal agencies to the extent necessary to process the permit or
Iicense.
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 prica��
data on yoursel.f.
6. Your full. name is required to process this application or
permit.
/Lud1 ��/L.E- C ��.J
First Mid le Last
�0- /��,� s'�3
Address
LU/�Y��� i"/�,cJ.cC;S��%7� `i� 3<</
City State Zip
g j� ¢��' � ,
Phone
I understand my rights as stated above.
�--
Signature
BUiLDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
. . � _
.. . � 1
51.3.04 RIGH'TS OF SIIBJECTS OF DATA
Subdivision 1. Z�►pe of data- The rights of individu8ls on whom the data is
stored or to be stored shall be es set forth in this section.
Subd. 2. Information r�d tO � ��� ����' An.individual e.sked to
supply private or confidential data concerni a tamwithf in the collecti g state agency,
purpose and intended use of the requested
political subdivision, or statewide system;
(b) whether he ma� refuse or is legally
required to supply the requested date; (c) any knoWn consequence arising from his
supplying or refusing to supply private or confidential data; and (d) the identity of
ther ersons or entities authorized by state or fedeke lto s pplyen est gative data,
° p 1 when an individual is Ss
requirement shall not app y
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place thX re�und instr�ucUonsunsteadhot
subdiviion in the individual income tax or oro�ertv tg
on those orms. . --- - - .
Subd. 3. Access
to �ata by in�viduaL � Upon request to a responsible
authority, an individuel shall be informed�h u�c,hD ivateeoc confident alre UPan �
individuels, and whether it is classified p ublic data on
further request, an individusl who is the subject of se to�mrl�v�a�e if he desires, shall
individuals shall be shown the data witho o f an�y ��a, Af ter an individual hes been
�e informed of the content and meaning the data need not be �sclosed to
shown the private data end informed of its meaning, ��uant to this section is
him for six months thereafter unless a dispute or action p
� ending or additional data on the individ�e h� gteeor public datarupongrequest by
P
responsible authority shall provide copies o P reauire the
the individual subject oft�e actual�cos h of making,1�Qrt fyingya�d compiling the
requesting person to pay -
copies. ssible, with any request
The responsible authority sh811 comply immediately, if pa
made pursuant to this subdivision, or within five dayslmmediateatcompliance ei.�su not
excluding Saturdays, Sundays and legal hAlideys,
possible. If he cannot comply with the reguest within that time, he shall so in�or h the
h a v e s n a d d i t i o n a i f ive da Y S Within which to comply
individu a l, an d ma y and le al holidays.
request, excluding Saturdays, SundeYS g
Subd. 4. Procediu'e �►hen �ata is not a�aivg e da=ta lconcerning himself• To
contest the accuracy or completeness of pubL�c or p
exercise this; right, an individuel shall notifh ���bietauthorPy hall W thin 130
describing the nature of the disagreement. T P� �
days either. (s) correct the data found to be lete dataeincludingree�pi�� namedtby 2
notify past recipients of inaccurate or incomp �
the individua13 or (b) notify the individual that he believes the data to be correct. _
Data in dispute shall be disclosed only if the individual's statement of disagreement is �
�
• included with the disclosed data• be a ealed ursuant to the �
' The determination of the responsible authority mp contes ed cases. '<
provisions of the administrative procedure act relating r