HomeMy WebLinkAbout1992-004325 - shed PERMIT
. CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 PermitNumber: �ati�.�����
Crystal Bay, Minnesota 55323 Date Issued: t:y�;I f;�;/_=�i
(612) 473-7357
SITE ADDRESS:
:�17t y M I IVNETi�i��-�:A AVE
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: �i T� u� �;�G'�'G'
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CONTRACTOR: ���N�R��� — aF�PMI�Er�t• —
�'f 7�=� M I Nt�ET�+h�f�:A AUE
C:�tY:�TAL E�AY MAd ��:;�:3
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APPLICANT%PERMITEE SI ,NATURE ISSUED BY:SIGNATURE���'.��
��,.
,
CITY OF ORONO - BUILDING PERMIT A.PPLICATION
• �
Tot�1 Fee: $ �' ^ � Date Received: `�' =� %- % �-
�_ ,
Date A roved: � ��� �-'� ' ` '
PP � -:-
�ntered By: ' �- '
`� 'T �
� 'i
Permit�: �
A7•T• INFORMATION MIIST B$ SIIBMITT$D IN FIILL BEFORE PLAN REVIEW WILL B$ STAR�ED
(See Check-off List Enclosed)
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TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR
Jos si� Ann�zsss: � /� o /bi .,r ���,. J� � x:- Z1P: � S1 � 1 �
(work)
NAME OF OWNER: /►'I, ���' �''���C����a�.�;f' PHONE: (home)
MATZ�ING AnnxEss: �D �S ' cz�: �/`�s�tt% /�� �, zzp: ��� .t ?
CONTRACTOR: �S ` I�' PHONS:
MAII,ING ADDRESS: S',�r,. �f CITY: ZIP:
STATS LICENSE: �
p.xc$z�cm/�czxE�x: �^�/-/- �- �-�'�d r_.} .� �C��� pHorr$:
��SAII,ING ADDRSSS: CITY: ZIP:
xp,�: RSGISTR�TION n
TYPE OF WORR: New_� Addition Accessory Structure Mone
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : l d .� �� � /f /i�n� S Ec�r'�e r' .���'=�
STORIES: � SQ. FE$T OF EACH FLOOR: �l.� �
NO. OF B$DROOMS: � GARAGS STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding 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. •
APPLICANT'S SIGNATORE�,�c� /r l ���A�.l� DATE= �"��j •�J �
J
� �
1
CITY of ORONO
Poat Office Box 66•Crystal Bay,Minneeota 55323•Municipal Offices
•
� • � � 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 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 Iocal., state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3 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.
/Yl;d�'��/ �'aZp:�L /1� r�/�f/ah�f1
First Middle Last
��1� �;�n�e�•w k� a!�' �°� �S�
Address
�/^�S�l �a 4 �Gf �VV S�.S'3 � �
City ' State Zip
-- �7,��- dl i �
Phone
I understand my rights as stated above.
� C
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING ;
_....� � - — -.-�._-----....__._ --___-----------__�.__,— � ` �
�.04 RIGSTS OF SIIBJECTS OF DATA �
gubdivision L Type of data- The rights of individuels on whom the data is
stored or to be stored shall be es set forth in this section.
- to be given indiNdu�� An.individuel asked to
Subd. 2. Information required
� ' suQply private or confidentiel data concerning�BmWit�lun� collec�ting stat agency,
purpose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he may refuse or is legally
p known consequence arising from his
required to supply the requested �ate orceonf dentisl data; end (d) the identity of
supplying or refusing to supply p
other penons or entities authorized by stsau��e�kedlto supplyeinvest g�ve data
requirement shall not apply when an mdivi
pursuant to section I3.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead o
on those orms. . - -— -- - .
Ac� � �� � ����. Upon request to a responsible
Subd. 3.
authority, an individuel shall be informed�he b�c hPrrva eeor eonfidential.e UPon his
individuels; ead whether it is elassified p � ublic data on
further request, an individusl who is the subject of se to�mri�v�aae if he desires, shell
individu8ls shall be shown the date witho of�hat da a. After an individual has been
�e informed of the centent and meaning t� �ta need not be disclosed to
shown the private data snd informed of its meanin8, u��t to this section is
him for six months thereafter unless a disPute or action p
� ending or additional data on the individuh h�at�or p blic datarupon request by
' p require the
responsible authority shall provide coples The res onsible authority may
the individual subjeet of the data• p �Qrtif n and comp�ing the
requesting person to pay the actual costs of making, Yl g�
copies. ' lmmediately, it possible, with any request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complianee is net
excluding Saturdays, Sundays and legal holidays,
ossible. If he cannot comply with the request within that time, he shall so inf�orth the
p within which to comply
individual, and m S turda �Sundays and legalhoLdays.
request, exeluding YS�
Subd. 4. Procediu'e when data is not accurate or complete. An indi�iduel may
contest the tccuracy or completeness�of pu tli f orlpriv`�ai�the�nrespensibie au hor ty
exercise this right, an individuel shall no Y �ible authority shall within 30
describing the nature of the disagreemenL The respe
days either. (a? correct the data found to be lete dataeincluding rec piets nam dt by
notify pest recipients of inaccurate or ineomp
the individusl; or (b) notify the individuel that he believes the data to be en°ent is
Data in dispute shall be disclosed only if the individual's statement of disagr
� • included with the disclosed data• ealed 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 LEGAI,: �.��(1 �t�n.�Z`cyc-�c,�.� �(jt:-�- PID: /O-//� - a3 3 % D�9 �j
D$SCRIPTION OF WORR: �Gi� �'�'
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ZONING REVIEW BY: �,(o QM�n� DATS APPROV�: S-�/�'SZ
BIIILDING REVIEW BY: �/i1 DATS APPROVED:
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes i/ No � �
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No� PARR FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECR LIST -----------------Zoning District: �2'f� ------------------
Fire Department: Post Office: � SchooJ. District:�/Le.Ja
Lot Area: Z6�,ZSo s �- �6� �W dth: �76 Depth: /�
Survey Submitted: Yes� No Date of Survey: to -/-7S
Proposed Setbacks: � �
Front (Lake) : I 0 S ± Right Side: ��-/D 'F
Rear (Street) : 37� Lef t Side: �S �
Adjacent Structures: /U O �� Wetland: /✓��
Building Height: Def. Hgt. /L/�/-L Peak Hgt.
Avg. Setback: Lot Co �rage:
Exi t'ng Pro osed
Hardcover: 0-75 '
75-250 '
250-500'
500-1000 '
Hardcover Varianc Requ red: Ye No Date ounc 1 Approval:
Grading: Staff A prova Date: y: Council Approval Date:
Septic: Staff A prova� Date: BY=
Zoning Fi�e:� Res ution � Res lution Date:
REMARRS (in h use) : '
• , r
BQILDING REVIEW CHECR LIST •
IIgC: g'� /Y► � � CONSTRIICTION TYPE��-
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor x -
Garage X -
X -
TOTAL
�-
$stimated Construction Value: $ ���
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Gradi:ng/Fil].ing
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
WaII. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other WeJ.I (State Permit)
E�ectrical (State Permit)
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REMARRS (IN HOIISE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
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gF.1�(ARR$ (TO BE NOTED ON PERMIT) :
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Ra �a�� . ��. �
o � . .
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+'�r� �h�rl��s .T. ��`,�Fr ���,�'� ���A �' �fpl �.-^ r.
of T.rot� !, $ �, �icc'r, � �:�r:t.�:;cy �n :�i2:71C'�.C�I��C9 � ,
, , i3�� � �-�-3-<
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o MINI�E TONKA AVE. ...._--.,,.�r.�'�
• �.
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� �-,oca�;onr : I ' NoarN o� ;�o� G. rr '
��Er'qf N ; �io �r. � Q��s r � SIT Pl_fi��� _—. GRADING PLA
, ����� � ��_���� ; s ��� " �R�P�Rrr �(�PP�C �;��
Ty,,c : ,-���«« C«6RQ) ❑ �:f'RR�'��'�D �°���Ti� R�VISIONS
CI DIS��"�3" `�';-D
i L3Y ._
; ��'E ,5_,3 _y-z�-
� C�ri.i `'�cH�.e o!' ��:--�-e��: _ - .
I hpr�b_: �e:rti r3- t}�at tti.i Q js a true nnd corrert renresent.ation of
e �ui-vPv of the bol�nd4rie� ol' :�ot.� �L, 5, ar�d 6, r�lock 8, 1•ionterey on
11ir�r.eton'r.s, ond of�}�e lo��ti�n of ell lniild�n�s thereor., ar.d all
• � �•isirle er.rre��hnPnts, if eny, from or on :^id lar.U. Thi� sl�r��-�' 1s
r.,Hae only jr, c�r.n��ticn uith a mort���P l�r+n now :�in� Placed on :he
�:orerty; and nu liabilit,� is assL:�ed �xce^t to the hc��der of such
nc+rt�a�e or am• other ints�rent acnui:ed b-: re�son of s�:ch r.:ort�;nE'c.
It is vnderst�od and aEreed no r.+ont:ren+_ },are txrer. �laced for t31P.
nur�se of est�bllsh�nF lot lines or ix���'Nry c�-rner� . �
/G��"';L_�� 1 ; ^'_ ''.�`�
Sc��+le: 1" = 4�' Gorcon R. Coffin Rf:�;.�7 . bOb4
Date : ln—V.�75 I.And Surveyor and Ylanner
Lon� Lake, N�innesota
^ �; - . � ' �<l� / �/�� .�;�7�
C�r�'/-�[��►%�/� _s.r�' � ��r• ���:f� ��;,�4{ a� s� r,
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