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Home My WebLink About1993-005419 - replace garage slab PERMIT CITY OF ORONO PERMIT TYPE: 2750 Ke&ley Parkway • P.O. Box 815BUILDING Orono, Minnesota 55356-0815 Permit Number: Date Issued: (612) 4717357 SITE ADDRESS: 4815 NORTH H SH ice E Lair•: .iii DESCRIPTION: REPLACE GARAGE SLAB Bui f i,o Permit Type SF—ADD/REMODEL Building Work Type e R iy_�tf i_ �'i T E �;EMODEL Construction Type CITY W 4!T::•L i!~�2 LL 131310000-16,�f:lrF z Sf 72.�1•'' ._11 L•!1 1 L L !1L.L•L Sly �'!J REMARKS: FEE SUMMARY: VALUATION Base Fee $72 . 00 Total Fee $74 . 50 CONTRACTOR: OWNER: Aopl i ant R I GELHO HENRY 4515 NORTH SHORE DR MOUND MN 55364 472-3112 THE UNDERSIGNED HEREBY •-•,_ :•tUwSTei PERMISSION TO MAKE THE E i'`EA _ IMPROVEMENT!--.,' SPECIFIED AND AGREES sLI !-')CI aC' s;_._ WORK _R IN S T: I - T COMPLIANCE WITH CITYtt_ OF ORONO ORDINANCE' riI AN _ i' F OF: MINNESOTA BUILDING CODE REQUIREMENTS . aQ i _ - T r AP LI A PERMITEE SIG TURE ISSUED BY:SIGNATURE l CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: y S 1 ,5 &1� S 0,00 C: tor PID: DESCRIPTION OF WORK: y4dL4-Ce -<�- '" � y v-C- PA-+ S-C- 6 ff n ZONING REVIEW BY:------------------------- Y:--- --- ---- -------DATE APPROVED:-- -/G �i' 3 - BUILDING REVIEW BY: , � DATE APPROVED--- (0 -`(3-------------- ------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes /, /No PLAN REVIEW Yes No Gam' SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No--�Z� PARK FEE SAC Yes Nom/ SITE INSPECTION Number of SAC Units OTHER (specify) ---------------------------------------- ZONING CHECK LIST Zoning D"strict: Fire Departmen Post Off* ce: School t: Lot Area: Width: Dept Survey Submit a Yes No ate o Survey: Proposed Setb ck Front (L ke Right Side: Rear (St ee ) : Left Side: Adjacen St uctures: Wetland: Building Hei ht: Def. Hgt. Peak Hgt. Avg. Setbac L t Coverage: Existin Proposed f Hardcover: -75 ' 75 250 ' 25 -500 ' 500 1000 ' Hardcover ariance equi ed: Yes No Date of Council Approval: Grading: S aff Appro al/Date. By: Council Approval Date: Septic: Staff Approva Date By: Zoning File: # R solution : Resolution Date: REMARKS (in house) : BUILDING REVIEW CHECK LIST ; UBC: V;�- CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x — Garage x x = TOTAL pv Estimated Construction Value: $ 000 Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling _Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation Fina 1 (Mf g.) Other Other Well (State Permit) Electrical (State Permit) ------------------------------------------ REMARKS (IN HOUSE) : ------ ----------------------------------------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Approval: Date By: ------------------ ------------------------------- ---------------------------- REMARKS (TO BE NOTED ON PERMIT) : CITY OF ORONO - BUILDING PERMIT APPLICATION Totat'Fee:• $ Date Received: Date Amvroved: Entered By: ' Permit a- ALL INFORMATION MUST BE SUBMITTED IN FIIT.T. BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed) ------------------------------------------------------------- THE APPLICANT IS: (circlee one) _OW/N/ER or CONTRACTOR � JOB SITE ADDRESS: /Yu �� ( �9 2c �- ZSP: 3c, 7 4c- (work) NAME OF OWNER: PHONE: (home) V MAILING ADDRESS: J l ( e° S d rL ;-,CITY: joeolk Y D ZIP: CONTRACTOR:( ��n�eQ (� '( PHONE: FAILING ADDRESS: CITY: ZIP: STATE LICENSE: $ ARCHITECT/ENGINEER: PHONE: :MAILING ADDRESS: CITY: ZIP: „rte: REGISTRATION a TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration_ Renovate Land Alteration PROPOSED WORK (describ in detail) :' STORIES: SQ. FEET OF EACH FLOOR: ?O. OF BEDROOMS GARAGE STALLS:.,4 ATT. DET. _ 40 ''=M ATED CONSTRUCTION VALIIATION (excluding land) : $ 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 ;rdinances and codes of the City and with the State Building Code; that I .nderstand this is not a permit and work is not to start without a permit; and khat the work will be inacco with the 'ppr.oved plan. 'ePPLICANT'S SIGNA DATE:H- j � ' c� , CITY of ORONO Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices • _ a a 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 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. 13.04 to review privates data on yourself. 6. Your full name is required to process this application or permit. GI1gr< First "I'll,1.11,11,111,111,1111,1.11,11,111,111,111,11lI"I Middle Last Address City State Zip 7 2 - z_-- Phone I understand my rights s s ted above. ignatu BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—47 3-7 35 9 ASSESSING ' t F- - 513.0.4 RIGHTS OF SUBJECTS OF DATA Subdivision LType of data. The rights of individuals on whom the data is a stored or to be stored shall be as set forth in this section. Subd. 2. Information required to be given individual. An.individual asked to supply private or oafidential data concerning himself shall be informed o� aa) the purpose and inten ed use of the requested da whetther hee may refuse or is legally political subdivisio; , or statewide system; from his required to supply the requested data; (c) any known consequence arising supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities or federal law to receive e This- authorized by state data, requirement shall not apply when an individual is asked to supplyinvestigative pursuant to section 13.82, subdivision 5, to a law enforcement officer. der The commi ioner of revenue may place the ropert tax reotice required und instructionsuinsteadhos subdivision in the ' dividual income tax �r on those orms. Upon request to a responsible Subd. 3. Access to data by individuaL authority, an individual shall be inform ed whether h v teeoruconfidential. Upon his individuals; and whether it is classified as public, p public data on further request, an individual who is the subject of stored mriand,if hdesires, shall individu8ls shall b shown the data withouofany t After an individual has been Se informed of the content and meaning the need not be disclosed to shown the private data and informed of its meaning, pursuant to this section is _ him for six mon0s thereafter unless a disputeThe Pending or additipnal data on the individual hbeen public ddataruponareq est by responsible authority shall provide copies private responsible authority may require the the individual subject of the data. The resp requesting person to pay the actual costs of making, certifying, and compiling the copies. ssible, with any request The responsible authority shall comply immediatelyays ,f p date of the request, made pursuant to this subdivision, or within five if -mmediate compliance is not excluding Saturdays, Sundays and legal holidays, possible. If he cannot comply with the request within stn which toh comply with the all so inform the individual, and may have an additional five days request, excluding Saturdays, Sundays and legal holidays. Subd. 4. procedure when data is not acuate or complete. An in To contest the accwraey or completeness-of public or private data concerning responsible authority h an individual shalt notify in writing the exercise this right, responsible authority shall within 3 0 describing the nature of the disagreement. The resp° to days either. (a) correct the data found��bn inaccurate including rertiPl'e is named by notify past recipents of inaccurate or P the individual; Or (b) notify the individual ��dual�s statement cf disagreem et is to be correct. Data a dispute shall be disclosed only • included with the disclosed data. appealednsipursuant to the The determination itroative procedure the bat le authority helating to contested cases. provisions of the,: . �'� �{� �':�2�A r5 ,{} �� i� .tt.) 1. ..1' ,t� ..�.,•, I{.�. .: '..+:K ii.a ;,, i`�r ;r,. ;1 r{ .G�.;'`.F•. .+ 7 ,,..,;s. �+:tF3:Y,:,,, �� . r:; .I . '. .'\ S}.'..•!:. 1 Y.`P.� 4•T n.1 i �C 1 oj Y+ F S:' ,>.-}; .-.: "y'C",I F. .. ,r W �.., .. .r, ,YI 7 @,. €!f acs 0.r car of ORONO K SITE PLAN GRADING PLAN Certificate of Survey 9APPROVED for Henry J'. R i ge 1 hof U APPROVED WITH REVISIONS of Lots 8 & 9, BERGQUISTIS ADDITION TO SAGA HILL U DISAPPPOV&Wwx Hennepin County, Minnesota By DAT „3 kA e (AV If 6� � r�8 " Amo y pna(N4 s ' /,o \ ° r N 'rez t \ C -� ,, ff•5�•:,� fror�ic OD i 2.y vcc I 0 0 I hereby certify that this is a true and correct representation of a survey of the „ ( M location of .an existing house in relation to the .East line 'of Lots 8 and 9, Berg- o -7 quist' s Addition to Saga Hill . It does not ° .ourport to show any other improvements or Acroachments. i COyF�FIN & GRONBERG, INC. \ Mark S. Gronberg Mn. Lic. No' 12755 � Engineers, Land Surveyors and Planners Long Lake, Minnesota C, �� J r r + 0 g-';. T� - M I N . sG.o r Scale 1 inch = 30 feet Date 6-26-89 1—%{—`_ i✓armcl Sr.rc/,' �5�9. / c.nY. �) 1 / o Iron marker LAKE MINN ETON KA Ficy— ` 4• � �1 exs f,rs r+Cs�a �r