HomeMy WebLinkAbout1990-003364 - shed A � �
a �, �: ��.�� �:��: PERMIT TYPE: �;t���L,;i�l��
� Brown Rd. South • P.O. Box 66 `-�`''�'```=`�
Permit Number: �;_;;_�;:��:y
>tal Bay, Minnesota 55323 Date Issued:
��i2) 473-7357
�DDRESS: i 5� 4-is'���:E�::��C��°i�:'r F�d i L_1._
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FEE SUMMARY: ' ` ��.� �`;'
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CONTRACTOR: Oy�i[t���� �=�E;E� I
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� F,PPLICANT PFRMITEE SIGNATURE ISSUED BY:SIGNATURE
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CHECR OFF LIST FOR ISSIIANCE OF P$RMITS
FOR OFFICE USE ONLY
ADDR$SS OR LEGAL: I�"S /T�--�.C" 'I� �-Y✓;��- I�+ ��PID: `� �� I I�'� �Z-� % � C�C,'C��
DESCRIPTION OF WORR: �I `f� S� � ���f'�""��';�
-----------------���---------------------------------------------------�
ZONING REVIEW BY: — DATE APPROVED: i�Ci - Z ?- `J C--'
'�.,�
BDILDING REVIEW BY: DATE APPROVED:
------------------------------------------------------------- -�- -----------
FEES TO BE CHARGSD: Misc. Fees Calculated By:�-' ��f�
PERMIT Yes � No �'�
PLAN REVIEW Yes 'x No SEWER CONNECTION
STATE SURCHARGE Yes X No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify) /
---------------------------------------------------------�—-----5�------�
ZONING CHECX LIST Zoning District: � " 1 .� �
'�", r+: -r�,r;�=c-t�
Fire Department: � , � � Post Office: School District:
Lot Area: n �J� �� .'j � Width: '��'�� F Depth: ��E 7 f
Survey Submitted: Yes No� Date of Survey: lL'�,i'i ("--c-�`.1'u'�=�'�� �'�r�C`�P
(l�} L-e7T i+��S-��TS .���i�c t.�.>i+'�'�
Proposed Setbacks : t -. r`�z'`'
Front {��.: �C�`�� � .'� Right Side:� � � N�t������ ����
� P ,,_ � Jus� c..ov�--r'C-��+�
Rear (�e� : � Left Side: /�7� � � Of� -�-4=T s r'r��
� .�_ �3� S j��Z'. n y,h.ti�
Adjacent Structures : --�^� '� Wetland: -�' S�-•>►�rrc�
Building Height: Def. Hgt. fZ � �� Peak Hgt.
Avg. Setback• -�--- Lot Coverage: � . � ��
Existing Proposed ` �XL�, ._ �,� 3�
Hardcover: 0-75 ' ' 7 �/2 ' �J��
75-250 ' ��� ��� ' 310
��• x�z = "3 ��z �
250-500 � � jZ �(Z =� a %
� ` ���2`ri = 'S � /
500-1000 y� " �
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Hardcover Variance Required: Yes No� Date of Council Approval: ;
Grading: Staff Approval Date: .r-'���� By: Council Approval Date: �
Septic: Staff Approval Date:���-L%r��:;: By: �
Zoning File: # s Resolution #: — Resolution Date: �
�
RBMARRS (in house) :
.- .� 1
_ ..-- ,__ . _ _.._ _ . -� �,
BIIILDING REVIEW CHECR LIST
iTBC: �� /Y� CONSTRIICTION TYPE: (/�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Sstimated Construction Value: $ �(�/�.1 (��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
�CFooting Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry} Other
�Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
------------------------------------------------------------------------------�
RSMARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
R$MARRS (TO B$ NOTED ON PERMIT) :�}oD��� p s t� ��-�sne��e� A-NJ� v�el�t3�4L
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. ' • � CITY OF ORONO - BQILDING PE'RMIT APPLICATION
rotal Fee: $ �-�� ' �j Date Received: ��I"�`�p��'
Date Approved: /�� -a �/_�� ��
Entered By: I�� �` . I
_, �
Permit#: >��� f
�T•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIB'W WILL BE STARTED
(See Check-off List Enclosed )
--------------------------------------------------------------------------------
� APPLIGANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ��� �/Ci�/:�f" n �� L_ ZIP: -5.���?4 �;
� - �
(work) ,S�'o-5��, Y
NAME OF OWNER: ��;�j' 1 /�G'.::�:c,v PHONE: (home) �%',�i -,�7'�C4
� /
MAII,ING ADDRESS:/Jj �j� �AC.r.�'�;:r� f/�..• CITY: ,,,�,�`✓/- .lec' ZIP:,�J✓S �
CONTRACTOR: j�',�� PHONE:
A4AILING ADDRESS : �,�;'i/,��' CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure � Move ��
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED wo�tx (aescribe in detail) : C/�'�-� �iy�-„�, �;v� //,�:� ,�,,��✓�
, ///'�
�l�i�� �-l� ��[ i E'% �'�- 9� �/ rN�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRQCTION VALIIATION (egcludinq 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.
1
.�PPLICANT'S SIGNATQRE: ' DATE:/��`-�s.r ���
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`"= � ` Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
•
,� - � ,� On the Nortlz 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
Iicense 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 Council. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Your full name is required to process this application or
permit.
/"�T�'/� -Z �c..�S�,C/
r
First Middle Last
��..._�S" r',r ��
Address
.���� /'�iv S`.���s�
Cl State Zip
5'�� �t'ra
Phone
I understand my rights as stated above.
�
�✓ - ,�'��
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�
513.04 RIGHTS OF SIIB.7ECTS OF DATA
Subdivision 1. Type of data- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information �d t� � ��� ����" An.individuel asked to
supply private or confidential data concer a agt8m i hin the collect ng state agency,
purpose and intended use of the request
political subdivision, or statewide system;
(b) whether he ma� refuse or is legally
required to supply the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentisl data; and (d) the identity of
other persons or entities authorized by staau��e�kedito supplyinvest gat ve data,
requirement shall not apply when an indiv
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg rolert tgX re�und instr�uctionsunsteadhos
subdivision in the individual income tax •r
on those orms. . -- - '
Subd. 3.
Aceess to �ata by individual• Upon request to a responsible �
authority, an individual shall be informed whether h rrvateeor confident a,l.e Upon his
individusls, and whether it is classified as public, p ublic data on
further request, an individuel who is the subjecc�ge to himrlande if he desires, shell
individuels shall be shown the data withou�fan�y t �ta. After an individual hes been
�e informed of ihe content 8nd meaning the data need not be disclosed to
shown the private date and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action p
, pending or additional data on the indiv�f t e hr vate or p bI c dataruQonarequest by
responsible authority shall provide copies The responsible authority may require the
the individuel subject of the data• 8nd compiling the
requesting person to pay the actual costs of making, certifying,
copies. immediately, if possible, with any request
The responsible authority shall comply
made pursuant to this subdivision, or with lida e,�if Simmediatea compliance e�u not
excluding Saturdays, Sundays and legal YS
possible. If he cannot comply with the reQfive dat� �++►ithintwhich toh omplynw�h the
individual, and maY hsve an additional }'S
request, excluding Saturdeys, SundaYS end legal holidays.
Subd. 4. P��e �►hen data is not accurate or complete. An individuel may
himself. To
contest the accuracy or in pvidu�shallpnotifY inr Wr ting tthe�responslble authority
exercise this right, an
describing the nature of the disagreementbeTnacciu�a e or incomplet and att pt to
days either: (e) correct the data found to
notify past recipients of inaccurate or incomp�t hee believesdthe datalto be correct.
the individuel; or (b) notify the individual
Date in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. � appe�ed pursuaT�t to the
" The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
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�} DATE TIME
CITY OF QRONO CALLED IN 7�U"�O
INSPECTION NOTICE SCHEDULED -�� ��
PERMIT NO. coMP�ETEo .fv —�—Qo �I—
ADDRESS S ��
OWN ER CONTR.
TELEPHONE NO. -7 �-��� j���
j. ❑ FOOTING ❑ MECHANICAL RI ❑SITE WELL
~ ❑ FRAMING ❑ MECHANICALFINAL ❑WELLTESTPUMP
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� ❑ INSULATION ❑ FIREPLACEIWOOD BURNER ❑ EXCAVIGRADINGIFILLING
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O ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESFIORE/WETLANDS
Z ❑ FINAL ❑ METER SETITURN ON ❑TREE REMOVAL
Q C DEMO—SITE ❑ SEWER HOOK-UP �SITE INSPECTION
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� ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
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� ❑ PLUMBING RI ❑ SEPTIC INSTALL. ❑COMPLAINT
_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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W ❑WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
� ❑ CORRECT WORK&PROCEED ❑ CITATION ISSUED
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� ❑ CORRECT WORK,CA�L FOR REINSPECTION ❑ PROJECT COMPLETE
� BEFORE COVERING ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT UNSAFECONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. •
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra�r o�site:
Inspector. ����
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME
CITY OF QRONO ca��Eo iN ��-�
INSPECTION NOTICE i SCHEDULED / - -��-�>J���
,>_�
PERMIT NO. � -��� connP�ETEo _.��QE? ��
ADDRESS %��_�(t � �� �` (� !� � '
OWNER —E� `���� �� CONTR.
TELEPHONE NO. �`r�� -`7 �� ��
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� �FOOTING -�I�-� ❑ MECHANICAL RI ❑ SITE WELL
W ❑ FRAMING � �� , ❑ MECHANICAL FINAL ❑WELL TEST PUMP
� ❑ INSULATION � ❑ FIREPLACEIWOOD BURNER ❑ EXCAVIGRADINGIFILLING
�
O ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORENVETLANDS
Z ❑ FINAL � METER SETlTURN ON ❑TREE REMOVAL
Q ❑ DEMO—SITE ❑ SEWER HOOK-UP ❑ SITE INSPECTION
I
� ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS
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W ❑ PLUMBING RI ❑SEPTIC INSTALL. ❑ COMPLAINT
_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOW-UP
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GW�ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
� ❑ CORRECT WORK&PROCEED ❑ GTATION ISSUED
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� ❑ CORRECT WORK,CALL FOR REINSPECTION Cl PROJECT COMPLETE
� BEFORE COVERING ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECTUNSAFECONDITIONWITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
PERMANENT
❑STOP ORDER POSTED.CALL INSPECTOR
C 1 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContrac on ite:
Inspector.
White Copyllnspecto s File Canary CopylSite Notice
�
CERTIFIC�ITE O� �T�T R,VEY
Prepared for : ______..PL'P,ItY IZI.SiDI:Nc'L___ _ _.------.----
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, � L DESCRIP'1'ION :
,�`` � I_,-_>t 1 , I31_ock 2 , DANIELS
N LUNG L�1KL•; IiF�'IGHTS ,
� �cc'orcl ing to the r_�corded
� E� I at thereof , flennE�G�i n
! ; _ C��unty , h1iniiesota .
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GENERAL NOTES
o Uenotes iron monument Proposed top of toundation elevation =
V+ � Denotes cross chiseled in cc�ncrete Proposed b�sement f loor elevation =
X939.7 Denotes exist�ny spot elevoiion �'ro��ose<i g�r�ge floor elevation =
939 Denotes proposed spot elevation
�-- Denotes surface drainaqe E3FNCHMl1RK:
Dashed contour lines denotes proposed features
Solid contour lines denotes existiny features
T /� ATT I hereb certif that this surve lan or re orf SCALE
ALL -METRO LL'�lr 1J Was Drepared by me or under myYdPrectsupePvision I +� � �/1'
-- ------ and that I nm a duly ReQi3tered lond Surveyor ( "iv
SURVEYORS under the I ws of the State of Minnesota. g00K PA�E
2340 Daniels Street — --�����2 /'l• �-���J 22 2�
? Long Lake, Minnesota 55356 FILE No.
z �-� naTF __1����89 REc No 17oZ5 �`�IqS A
Ph: 475- I ,�3
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