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HomeMy WebLinkAbout1991-003635 - land alteration . � . _ ERMIT �.�a�TY OF ORONO PERMIT TYPE: J t 1:=.r F,_�::}EF 1 i`�E:�? 1335 B�wn Rd. South • P.O. Box 66 Permit Number: i i�j'���:;:� Crystal ay, Minnesota 55323 Date Issued: `-}�'��'=-�� (612) 473-7357 SITE ADDRESS: �.:;i�,�i F�iE���C:H t:hEE��:: �;_�; TLi`ti! F'. I . �•�. . 1 i';—? �7--:���—=;:t°—i:xi=��.F, DESCRIPTION: �;ti � . `l . tEL �_��_�IL tl��:r r'�rri3it. iy��r� l.Afi1�� �i�i��t!—�Ti�J��� ipy ���'� ;"a�y,'MAJA w�j,- . ��� ��. ,"�q�� ��� � . ,#�"S x 6 r i �°,�� . .. . . '�� � --_ p � . s A ,y �;� k ti ,�a �' �"?' ' ` ,}� .�' ��".� �; '�., � �'�'' �'��r �� ��"� � �� �,w� r r � . r�.h�", ���' ��--� ��„�,�`�, . __' ric: ':t.,,;�f7 �:1!�i� L�t L':l VII1J �.... _ :: — 'iL""��T ':�'�i•� _. . �'ta: REMARKS: '�""````�' " t� ":a; - i�'t { Cl!S �.lt'a Y\ - Llqyi�l tL L�%sYY 'i:lrl:':' Y�! !V..4i..}I��. :t7'!1T!1 l4Y FEE SUMMARY: �-"�' `�``= �'`'� .... -`:` _•Y V••"�.:.�lf�!L r•�_ _. _. r.. _. - C�ct�C !'t�C ,y_�_.___�._12�ti}ts! �����•ct.�! �Ct �:=.ii, {]t} CONTRACTOR: —�— ��_���� i�_�»{- -- � TNc c��FiTH r'�`iri i��c n:��ki I�` I�I�� :€��:��1 1_:�:�� OVI,'r'1�r�� ��{J�i�d ',;,;-; ;_,�;_;z _;T �� �,:,��i� i�iEl�1i��-I �_�i�.���: Gs; r��E�°�_:t� r�ra ��6;.��� t_��,_�r�,.� r�ra ��,:r,�;1 r:i=1',::i ��;s��i-1='�,_, �i r�-Ci.=�"77 - - ------ -..---____------ i --- --------- --------__—___._— ----- � r, y _ �.. _ ,. , . E __r� � r,.--•: ._.r,.-- r�r. - _,i - �,4 Y;': ':'_ 1 � r:r-n� ==r� • t�-.-. 1 ��C i t'1`+�L�G�I�,�1 4il��=!i ',r-3�f1C_E.:'7 �r i_�:i ir,.�. i :: t'����{"i:.�:. _=i 1_i�I !0_.� !'�!-II'�.,C= �*-i� fl�i-iL .!i'ir"�?�_��1C)'FE1'�I ! '- _ '�.i�_ .E i l� �-i�il� rsi�i•:i• ;�:=: � t� � ! ' � i..���:���. x i`# i i�ti��_� �_+_�i`�'s-`�s.Hi`��_�_ ��1 i�� i���._ i:j�i' i���= ,'� _ _ �_ �i�_ ;��._i._ ,� _ "Y "• '.1"e'"'�T i� � F:t.� _ '(tfh�y ' . �, «.ei Tf i" T • e" ' •�' •t iT�:f'"vii-}. � %i�%fE��_3 �_�i"iL?J.��H�'� -�:� };lil�i _.i F�! � � +_ai" 1"i_Eyi�f�::��;_I i�i�•h E-��}i LL}}.��t.-� �-�_�L}C �iGia�t 1 i;C_}'!�1'S�-�y� ^�6� ' � -. � J APPLICANT/PERMITEE SIGNATURE ISSUE SIGNATURE � '_� CHEC� OFF LIST FOR ISSIIANCE OF P�PSITS r^OR OF�'IC� CSE ONLt ADDRES S OR LEGAI.: I 3�� F R-ENG�l C/��� PID: DESCR2PTSON OF WORR: r�(, �r•�S o- C���0 �NG -------------- ZONING R.EVIEW BY: DATE A.PPROVED: �/-1 S-r1� BIIII,DING REVIEW BY: ��„w•--- DATE APPROVED: L(- (S- q � FEES TO BE C3ARG�: Misc. Fees Calculated By: p�IT Yes � No PLr�N REVIEW Yes No � SEWER CONNECTION STATE SIIRCHARGE Yes �/ Na WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No�/ SITL INSPECTION Number of SAC Units OTHER (speci`y) -------------------------------------------------------------------------- ZONING C3ECR LIST Zoning Dist_ic�: Fire Department: Pos` Of�ice: Sczool. Dist,~ict: Lot Area: Width: Dept:�: Survey Submit ed: Yes No Date o= Surv v: Pro�osed Setb ks : � Front ( k i : 3ignt Side: Rear ( S �eet �e�t Side: Adjacen Struc sres : et?and: Building fiei ht: De Hgt. P��k �'�� Avg. Setbac. : Lot overage: Ex sting Pr posed Hardcover: -75 ' 75 250 ' 25a 500 ' 500- 000 ' Hardcover Va iance Required: Y s N Dat of Council App val: Grading: Sta f Approval Date: By: Council Approva Date: Septic: Staff Approval Date: BY= Zoning File:n Resolution �: Resolution Date:_ �RMARiC$ (in house) : ; �- - - .-- - - ---,� � '-_� BIIILDING RLVIEW �(� LIST �C: CONSTRIICTION TYPE: Sa Footage $ Per Sq Ftg BaseTe_^.t X - 1st Floor X 2nd Floor X - Garage X _ x TOTAL $stimated Construction Value: $ ��� Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Mechanical Fire Footing water Connection rramina Septic Insulation Fireplace Sewer Connection Wall Board (Masonry) Other r�nal (Mfg. ) Well State Permit �� :lectrical (State Permit) � Otner ----------------- -------------------------- -}-(-C-------- -- � REMARRS (IN HOQSE) : ��,�� (L��1 N G ---------------------------------------- Rh'VIEW BY OTHERS: DATE: Access : Exis�inQ New -----Access_Approval---Date------------------�v-------------------------------- RRMARK$ (TO B$ NOT'SD ON PERMIT) : � , CITY OF ORONO - BDILDING PERI�IIT APPLICATION Total Fee: $ Date Received- Date Approved: Entered By: Permi t#: ALL INFORMATION MDST BE SUBMITTED IN FIILL BEFORS PLAN REVIEW WILL BE STARTED -------------------------------------------------------------------------------- THE APPLZCANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: I��� �\�--��4-- . ZIP: �j�Z� (work)�-�ddv� NAME OF OWNER: ��� '�r�� PHONE: (h ome)��-�1�) MAILING ADDRESS: �:��C,�i CITY: ZIP: ��� ������� CONTRACTOR: �i�(.>. PHONE: �I � I��� MAILING ADDRESS:�I�� `ti • (��� �� CITY: �. ZIP: �,��-`r� TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration Renovate Land Alteration � PROPOSED WORR (describe in detail) : �'1�� ��J �Jy � ���—� Vt� �t'',-�I� _ �� -,�Av �r�L -� �.�.�.�,���, STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRDCTION VALIIATION (excluding 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 Fermit and work is not to start without a �ermit; and that the work will be in accorda c with the approved plan. APPLICANT'S SIGNATURE: DATE: lPlease fill out the reverse side of this form) . � � - ���. �*� ���;� �,�: �+� •.J�'��`" R����=" -� �ITY of O]E��N� � . ����w�r, -���::�.��:; �:�, >�� �;; 3r :, _. rarF*„s,�-� �����h� Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea ,ar..�4 i�.r:, ,��a �.� �=� _w On the North Shore of Lake Minnetonka DATA__PRIVACY ADVISORY In accordance with M.S. 15.165, "Rights of subJ ermit o r Iic'ense would Iike to inform you that your request for a p 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 qual.ification 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 local , 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 ir.formation may become public. 5. You have certain rights under M.S. 15.165 to review private data on yourself. 6, yp�1r full name, and date of birth are required to process this application or permit. /�t�' �C.. ��t-R�� �►���,�--� �r �c. First Midd� Last Z� v! ��I� �� - - - Address - __5 .._ . �i.--- --�--_ _ ----- ------- .-�--- _ — --- - - - -= - -- - -- Ci y State Zip ��1 - 1'���j -- ----- --- -- Phone I understand y ights as stated above. r S ' ature BU[LD[NG&ZONING-473•735 i • ADMINISTRATIOIv R.FINANCE-473-7358 • PUBLIC WORKS -473•?359 ASSESSItiG ` � C�A�L V 1 N H . H E D L U N D '_ _ .' ;'--� ' `., ' 7�2s Mo�oa� A�.��. so�,n ''' Richfl�ld�Mlnn�soto 55423 Land Surv�yor Civil Enqinser � Phont : 866-2523 , �- surve � ` ' ar s G'ert� �cate � ����� ��P� JOB N0. ��O-7� SURVEY FOR� John Laurent DESCRIBED AS� Lot 8, Block 2 , FRENCH CR.I;EK, City of Orono, Hennepin County , I�tinnesota and reservin�; easem�nts of rc�c�rd . Top of F�uno�olion = 9�p.9 P�o,00sed E/erolions : n --'�' Gdr�.-� Foa� = �70.5 Exisfin9 E,(�yofion= : t•, ,�, ',�..,�^ Bcrserrienf F/oer • `�6�,E3 Droino9e Dir�c/ions� --►— ' ��','"R� G�enol�s Tree Lir�e � Denofes L vf Corners : p �' �„{ : � , ,� L�no�es O!'/'sBf Sfa.Fe: p 1 '* \ I • , . �' , � `364,� 161.82 9�� �, � ,;. ,� :' � �i x .. �. � 96 0 �, ��, lL � `--- --- �7---- — -- —=i_ � �%': .r, � ��' � I �N ( :3_ .- �� � � � . � � E�.� 'f„ E� z�� � � � U � C"'� �' ' . `� ci:� Z � I � � , � � � // �c� � � � �� A �, �r � �� �=�' T '� "�) ,� �� �: ��� ' �1- � \1 6�0 � r- � �Q �! ' �' �� � '�1� 1 t)� !�^�r� ?+j �� �1 `� �, v,� ., 4 �� , �``� � ' � ` �...,'� � a� / � ,,�`` �;� � .Q � �c•=,��0` =. Gf� � `�� � \ •'M C� �— � '� �` ,��� � � 1 + �I ❑ m � � �3�,3 �� , f O Y: r� � �j \ ��� 61' --�� � �� � 1� ,.� . - 64 i �� � � � \ , 9= � � � y-�'' i, C b '\ � ",� ^ � �� L• O . N � -i'� ��b e � �0 � � , 9�,Z � h � � 4 � ' � � � �i � t� G ���z �� � �� \ � � �, �6' �, i� 1 � Cn tc F ,,.a ., o s � � � \ � . � � �a N �� �.� ... �io. � , � � � 00� �- �, �O b 6y,o �� \ j P y/ o i , yio.b� �` , I ��� , � � / , ,Q Q �..��� ' /. I.. � � � I T_.._.' _ Q : i �\ � / � '-` � \ ' � � � � r� T y, �-'_._�__ n o N � � � �� � o �. ,a� , ___ a < � 30 - , �--_ _ � m r r _-- �J' Y3rz�1,�ti.�;� � � ��. ,� v --__ i 1 '--�`FytNU �r�.'��, ''t� '�, 20 I ' I � r �i+,�i3, ��,i�,,�i.'i- y,6�2 �_ �-� `_"�-,� `_ "t'�'`����,/ � � � � _ � I � �� i:'�'> r �,� Cf R \ 'Z ___-� � �� � ; � � � ���� ��� ������ 'O.�� _ \ ._ �I � ` 0 �. � ^ T 1'' � N I� � .r�� ����i(� .-� �� � , _ .. ���. . . � ( 964-8 � �`I 9�S TIFICATE OF SURVEY I hereby certify that on 3 /3! /Bb I surveyed the property described above end that the above plet is a correct representotion of so(d survey. Calvin H. Nedlund, Minn. Rey. No. 5942