HomeMy WebLinkAbout1995-006875 - retaining wall PERMIT
CITY OF ORONO PERMIT TYPE:
4 2750 Kelley Parkway- PO. Box 66 Permit Number: R11- 1L.T)T ING.
Crystal Bay, Minnesota 55323 -0 7
Date Issued:
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: J.
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I . OWNER:
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APPLICANT' RMITEE SIGNATURI� ISSUED BY:SIGNATURE_
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ � �f � � J Date Received:
Date Approved:
Entered By: ,P
Permit A: LA ,
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-------------------------------------------- ----------------------------
THE APPLICANT IS: (circle one) OWNER CONTRACTOR
)
JOB SITE ADDRESS: I"0 1_4P ZIP:
(work)
NAME OF OWNER: PHONE: (home) 14 7k V
MAILING ADDRESS: 1 � NO/ 1 I��/'0�2 CITY: ®�'0n (� ZIP:
CONTRACTOR: -��o/ L A Na SC A l�1 I✓C7 / PHONE:
MAILING ADDRESS: 3700 C Q jq-eP 'C✓0 O i/� I CITY: (.e �1 O�l ZIP: S Y
STATE LICENSE: A 0 18(0 C
Federa l TO , 1 -7 333 ( G
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION A
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : C 0 h C 14 ru CT#'U r\ of C Q U ld e l' w a I/S
r /-/- s
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ Q On
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 a proved plan.
.J
APPLICANT'S SIGNATURE: J214.0DATE: 3 _� -
CITY of ORONO
Post Office Box 66•Crystal Bay,Minnesota 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 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 private
data on yourself.
6. Your full name is required to process this application or
permit.
C
First Middle Last
3700 Laa4ecwz-
Address
1
City State Zip
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.0.4 RIGUTS OF
OF DATA
Subdivision L Type of data. The rights of individuals on whom the data is
stored or to be s ored shall be as set forth in this section.
inchvldual. An lndlvlduel asked to
Subd. 2. Information required to be given himself shall be informed of: (a) the
supply private o confidential data concerning state a ency,
purpose and int nded use of the requested data within the collecting or is legally
political subdi ' ion, or statewide system; (b) whether he may from his
known consequence arising
required to sup ly th�orequested private orcconfldential data; and (d) the identity of
supplying or, reusing supply P state or federal law to riceinvethe
t gve data,
data- This
other persons o entities authorized by
requirement shall not apply when an i9 tovia law enforcement is asked to uofficer.
pursuant to section 13.32, subdivision 5,
The commissioner of revenue ma lace the notice re uctiored under this
subdivision in t e individual income tax or ro ert tax re and Instructions instead o
on those orms, - ---Upon request to a responsible
Subd. 3. Access to data by individual Posubject of
authority, an in -vidual shall be informed whether he
s eeor eonfidentiaLe Upon his
;ndividuals; an whether it is classified asp P public data on
further request an individual who is the subject of etc himrland, if hdesires, shall
individuals sh be shown the data without �hyat data. After an individual has been
6e informed of the content and in th data need not be disclosed to
shown the
Priv to data end informed of its lir action pursuant to this section is
him for six m nths thereafter unless a �p been collected or created. The
pending or additional data on the individual has ublic data upon request by
responsible authority shall provide copies of the sponsiblevate r authority may require the
the individual subject of the data. The resp° and compiling the
requesting person to pay the actual costs of making, certifying,
copies. Immediately, if possible, with any request
The resp nsible authority shall comply ' of the date of the request,
made pursuant to this subdivision, or within five days f -immediate compliance is not
excluding Sat rdays, Sundays and legal holidays,
possible. If h cannot comply with the request within that time, he shall so inwoith the
he
p within which to comply
individual, and may have an additional
i to and fivgalho days.
request, excluding Saturdays, Sundays
to or complete. An individual
To
Subd. 4. Procedure when data is not aecui'a hi
in writing the responsible authority
contest the accuracy or completeness-of public or private data eoncertung
exercise thin right, an individual shall notify itgauthority shall within 30
describing th{e nature of the disagreement. The responsiblelate and attempt to
days either: J(a) correct the data found to be inaccurate or incomplete
notify past recipients of inaccurate or incomplete he believeav s ng datalto be correct.
the individu ; or (b) notify the individual that
cement is
Data in disp to shall be disclosed only if the in
statement of dlsagr
• included with the disclosed data. appealed pursuant to the
The determination of the responsible authority may be
provisions of the administrative procedure act relating to contested cases.
o
CHECK OFF LIST FOR ISSUANCE OF PERMITS
• FOR OFFICE USE ONLY
ADDRESS OR LEGAL: g695 /y001 51W2,G 52 PID:
DESCRIPTION OF WORK: 6 ((UC 1� $
-------------------- -- --------------------
--------------- -----------------
ZONING REVIEW BY: DATE APPROVED:
BIIILDING REVIEW BY: DATE APPROVED:
------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------
---------------------------------
ZONING CHECK LIST Zoning District: c.2- (6
Fire Department: Post Office: M School District: V!^
Lot Area: Width: i i�Gucm-2_ Depth:
Survey Submitted: Yeses_ No Date of Survey: g•ZI-`lY
Proposed Setbacks:
Ex..an�t (Lake) : 5 Right Side: G�
Rear (Street) : Ai /4 Left Side: (0'
Adjacent Structures: /✓JA- Wetland: /J1A
Building Height: Def. Hgt. Al JA- Peak Hgt. /y/A
Avg. Setback: Lot Coverage: /1J
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes_ No Date of Council Approval: ocT 1K
Grading: Staff Approval Date: 3-27-55' By: d�o- Council Approval Date:o--r zy4Y
Septic: Staff Approval Date:_ J/la By:
Zoning File:# Jcl7 ( Resolution # : Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: /�/6S CONSTRUCTION TYPE: ///14
Sq Footage $ Per Sq Ftg
Basement X
1st Floor X _
2nd Floor X
Garage X
X
TOTAL
eo
Estimated Construction Value: $ - —fi old 0,
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
(Mf g.) Other
_Final
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) :
( CC) �bi >1 ,
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COPY
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R�N't Io exce e d
IT NO.
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AS NOTED SCALE: APPROVED BY: DRAWN By
RESU SIWT DATE: REVISED
Work h,-If be ctoc-,-±
& zoning codes ne
ted in thIB rowv:�.
ALL T i v-;c-,
DRAWING NUMBER
I
Res i, Cl-)I' en c- �
Ex C 11Y1 (a D- ec- K
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�{ i.47
STAIRS
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8" MAX. RI:77 A" MIN. TREA y V
AT LEAST CNE REQUIRED
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Na J
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ATTACHED SHEET
OR 4&,(d PAIC —
ODE REQUIREMENTS
./ 01 CITU Opj ap
G 'K F l "WDIN® PIER PL'AI
PjapECTOR
T` rn r S DATE 5 PERh
APPRO,"D AS SUBMITTED
APPROVED WITH CORRECTIONS
;:_j NOT APPROVED -- CORRECT &
11i"e comments are for your information. All
ttW o mpitance with ail &pplicable bulfding
+nments including items not specifically rn
tc.r� (HIS PLAN' SE-1 Y', SITE Al