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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: % r') T t, 07— DESCRIPTION: TNING. W�! 1 TyC'p ifuildling LAIND Cil T na W c'r T tjj G YPE" J.N WAI L L.L i Dil REMARKS: &E F-rT&—c !AA N jjj.��iivvvvv yr r,j -Im .7.�. V1. L.1y vv ry ijt 1 Ov FEE SUMMARY: V.1. OL-11 -.,-V if 1 - 30 n.L.J% JAII.Ii-, ipl i !ILL-L 11 i i '.'L� L-iA;.L iwl 172 Sul,dNal Tizzit-al Fe-e- CONTRACTOR: J. - I . OWNER: TV L E R D RD N*-:RTH E D CE-'NTErRtJI..J -E 1 i AiN-SiTILD"N' M N 5 St' 141' t'l N 5 5:,.i' e'j T, It -LL I U L; 1 T NrO T A C C:T Af'! '4 R7. OF M I *0 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 , __.______ RO l0 COPY ! . Do d, rsai 7 �3 r a , J Q✓1, f1 t' '- jG, JA i f 4 �` lv,-j CIO 02 5a� , 9 ") R�N't Io exce e d IT NO. I 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 J E �{ i.47 STAIRS r 8" MAX. RI:77 A" MIN. TREA y V AT LEAST CNE REQUIRED `�' -- 0 E Na J E 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