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HomeMy WebLinkAbout1991-003753 - land alteration �'ERMIT� CI��Y OF ORONO PERMIT TYPE: t�==;E�; C,EF IhIEG 1335 Brown Rd. South • P.O. Box 66 PermitNumber: t}�j:�7�:� Crystal Bay, Minnesota 55323 Date Issued: C����17/'=�1 (612) 473-7357 SITE ADDRESS: i 14i� �tii�T'H A�;t�l I:��i TLiV �'. I .fJ. : t�7-11;—i:::—j�.—t�i 3�,1 DESCRIPTION: t 1F�� ;i:.� i��i� FL::t_;�,i�: ��1�iC� t1���� �'�}'(tisi�.• {'y'i=�� �_i�iVEs �iL7E�i�;TIi�h1 fieri���'�::� T�� I i�1F'�'++��E DFt�i hlAU� AF.i it 1��i� Nt 3€l�1E' s�h�f; ��ri�,�,i� �,��;�4 � �,,��. " .�����,� `� �� ,���J� ` '� � , �'r o� r��� e � � �rv��r�+�„�at"a���id� a � �`,"'l.� M ����^��� r��Y��� ""�drarro�q r � � h n , ,�A+r � ar '�„� t rN,�rt �� �� a ': ,e� �,"" �z. � � r �,'�:,y � «. � �� ������ 1 x CI?'Y £�F �UNt? � 8���� ��� �„�,>��� ,��rt� r•{• A �'r ;�FtIC� jj ��� z�� �4Y d ,�,n,°j,�A I x�y�k 7 J�Xt�LrL + fI ���,��� l w � � � � .�,i133t1t7��v � � � �� � .� �,� �c�+ Stl.a0 � '. �c(� UL J� /� �° � , u �' ry���,��n ���e ���"� � ����7P7 r. �1. �ifs iW .✓%���'���µ �4 �.F N���� � � � � u ! _ ���L��, r—;��{at���'rc� r��/y i� .. �L�rJ�iJV t+SV�l. 1-SSfi����`f/i tl REMARKS: FEE SUMMARY: ��c1�C �CC _Y^,__�,��i 3 iI)k) j�=��.cl�. F'CC �rri{1, �,ft? CONTRACTOR: -- AF���I i c ai-�t. -- OWNER: f;�ihJ �;F►�Y EkC:►���TI�1�; 1�+7:�1?�! E�f;E�� Tlt�i �1��:;#? M I i�idt�i�'f��I:_� �tVE 11�.C� hi+ai;TH A�;l�i DR IYfC.its�JC} MN ��L,�,y. i�i(`ii�fl�i�( t�t� ��_,F.4 �:�1'�:y 47'�—].757 r�7��—�.°��� _ . --- .____---------- ' ----- --------_ -------- - �r � • F'r."y:' T -•h�. 'fi. 1 �,,..r i .,� ..., r:..�r- r��•:.= �;,r.:.,,}�.t�, � !":C :�i�LJC=:'+.�=�.l.t}�VC-iI �'=i:_T1rF::�7' i-ti�t,,tfr_•:�1 _. i"�T'i!'11.�:'_, it_(i'.� ii_t !'ii-i�'�•.L: J�"=C". i'4�'_F-3?_ ��'ir FS1_�l%r?'fC_�'*I : :-� i-- T r—�� _'��1 i i i i •-:� i':t - �s:- — �-•• 9t-,� T �--!_ .--i-� � - -r F ° �' r:i�_ s.I' �C:.:.1 �il��.l t-t �i'.?��_:� } _ ...1_ (-���_ d.'`_'�"ti�,•. i'i �,..I�i'•_ 9 •�i_}E't€'"1�1`Wf���i'�tr :d;s. 4 !'-i ;y!_� t.}, � �( ti;- : ,r.r - � -. .��..� :•i-- .; „_,.. . -. - ... t_}�ei„i�ut� i,l�i�r t,s''��l��IL L=} I-i14L? _• ��4 r� 'i�� j�j�:�f'�ii.".�:�+_i f 3'-: �:�i i.�_�i�r°.jt� �,.i_iE i�- _ �.i T.�t=!!C_34� �" � _.. f''r. _ . /� 1 \\ ` ^ ✓ APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE , CITY OF OR01�10 - BIIII,DING PERMIT APPLICATION Total Fee: $ Date Received: Date Approved: Entered By: Permit#: ALL INFORMATION IYIDST B$ SOBIKITTED II�1 FOI.L BBFORE PLAN RRVIEW i�ILL BE STARTED ---------------------------------------------------------------------------- TH$ APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITS ADDRESS: //�-I� Nvi2TH Aiz✓YI ?JiZ� ZIP: ��3CO`'( (work) $�r - $�t�`f NAME OF OWNER: ��m �73;Z.o PHONE: (home) �/7�- y S 5� MAILING ADDRBSS:J/�-1� Ncu2 "/� �4�Z.vv� ]�jZ CITY: /'Yl d�� �•r� ZIP: S 5 3� `� CONTRACTOR: �c��`t G �2�� �'X c'RV A�� N G PHONE: �172 ' / 75 7 MAILING ADDRESS: YB�o V�� N�� �'�'�V�'�S �� CITY: i'1'lv���� ZIP: S53�y TYPE OF WORR: New Addition Accessory Structure MoveT_ Demo Remodel/Alteration Renovate Land Alteration�_ PROPOSED WORR (describe in detail) : T rhP,Zv�� �,2,�� ,uAc.� A��u Hs�. t-�w� A�� �_/l�'+`��'� (38.RnJ` STORIES:�_ SQ. FEET OF EACH FIAOR: Co�o � NO. OF BEDROO1rIS: Z GARAGE STALLS: ATT. DET.�_ :X SSTIMAT$D CONSTRDCTION VALIIATION (exclnding land) : $ So�p 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 permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATORE: � DATE: �� /�'R� (Please fill out the reverse side of this form) . � CITY of ORONO Post Office Box 66•Crystal Bay,Minneaota 55323•Mnnicipal Offices • � _ � � On the North Shore of Lake Minnetonka D.��� T'R�.C__�.�.�� � In accordance with M.S. 15.165, "Rights of subjects of data", we would like to inform you that your request for a permit or license f rom 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 license. 3. The information may be shared with other local , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 15.165 to review private data on yourself. 6. Your full name, and date of birth are required to process this application or permit. �tr^�;�t� � Aw�2��.�cc Z 3� -- �3 - � � � . . � First Middle Last � _ � l`�� -- --r�lo�- .��`�-.. . ._P�2v�.._ _ ��Z _.._---._ . .. ... _- --- Z Address �.�v. �.,. lrvt ��l . - - �5 3 cD�f--�-----�--- - - -- �--�----�. ..-.��__------ -- -•--- ��-----�-- ----____...._. .. _._ -�--...._.--�- City State Zip -. �"7 2�_.Y`�_��_.._.. ._ _..--�-�------....----- Phone I understand my rights as stated above. 27 ____. .----- -�-- - ..----_ _... .._--�--...----�-..__.._.._ . � Si ure � � � 5 D/BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359 9 � assEssiNc Cv u�oNo COP� f . � _ ___��� o� Q�o�o SfTE PLAN OC GRADi�dG PLAN �°P��V��3 C; At����l��Q W!TH REVISIONS u �l�APP�+:J4'� � BY �r r ;. � DATE �-t'?-5� t � : ����z r �;Fa,2.FGc" ,Z�' 7!F � ;J� — -�_ t]/ ; �--_ �' rF,��_ a , J _ q,, } � }_,,_ 3E-rr � -- _... n� _-- _ -T �S� Nor i � _---�� � r C�'v� l��I N A� � `p�:J� I � Q�}'e/` �.a9'f �..1�+{ ( I ti�'� V � _.__ �_..__ r � G,� �Q �'�. � j�- - Z9 � , � ._(�, R��i nr i � � ' ' F-1o.�5G Z-w„Jll�-�v* (���,4.rNr4�,p � � r �, d- N i ��� ;� �(�Tl`� V��'�r.J C d�� , T :' ��rC �C . __ r , - ,' � �a e.+��.�Tc �3 e h'`^'� � �'!'N ' � 'Lt'-s�;, 'r�;;�!`-� ��5.D �,v r�'�_ L,/�'��t-�� 4 ` i i � � � E ��� `____--�-�?I � I ; '. � . � _ � � L1J� _ _ � � � ; , ; oo �-������ � i i L F�<<.f`,��E: � i ' ' i w ��� I � � N ,� . r � ` _ _ �i�'--�,�_.__�_ i _; � � i � � i 7 ' � ? � � ! f i ! y� i i ' g �I�l�11C.� «_____.__.. _.____------_.____�--�✓i k --- 125' - � -f-�� aRo 1 ►�10 ►.1 o RZ` N R�.vv� �C2� O R�,�» , Y�,�,u :���.�Y