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HomeMy WebLinkAbout1993-005407 - 10x12 shed PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 815 Permit Number: Orono, Minnesota 55356-0815 (612) 473-7357 Date Issued: SITE ADDRESS: A J Dt NC-1 'T H L CIRE C)R u Ni DESCRIPTION: 1 1 - c..Uurj R ij i 1H 4 1-1--.1 P C-- im,41 t. TI y p RUJ lijjy-pq Wcor�-- T y pp V N LR T A -Evvvvv rr v VV Lni? 55 REMARKS: FEE SUMMARY: V�P:L j -1 T C INv- 6:ase reze :52,7 . T c t t 1 F A CONTRACTOR: OWNER: "P.-I "ENSA011 DAN NCRTH EEFIC.IRE Fir,' R; N Ci 1 MN `UZ i'Lill t - I.M THE 1 E` iGiHED 1-_-"E_-.,'Y RE(`j !P:::'FSD PERN I:-- t Nf*`E TH; R'EAL T NPROVEMENT P, I T 1-Y AND AGR_EF1_!::'- L"I.-.1 ;€ L. W D-41 S HK 1 U I i:1 I IV- j L L. I.-IRON"I 1_1 R C)IN ANCAES AN0 `--E 0- NINNE� AT` BIJILDINI.3 CODE. RENENTS APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE_,6,y.� CITY OF ORONO - BUILDING PERMIT APPLICATION Total Fee: $ 7 -�� Date Received: Date Approved: Entered By: '4/U Permit V: ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED (See Check-off List Enclosed)-------------------------------------------------------------------------------. TBE APPLICANT IS: (circle one) OWNER or CONTRACTOR JOB SITE ADDRESS: 1;;13_6 � ZIP: SS3 (work)_47�-5202 NAME OF OWNER: D®� o /�� �C��� '� PHONE: (home)4;W :SAILING ADDRESS: I /Y• .��® AC CITY: lw®6i✓� - ZIP: CONTRACTOR: e- - PHONE: MAILING ADDRESS: /��'oy� CITY: ZIP: STATE LICENSE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION 4 TYPE OF WORK: New Addition Accessory Structure_ Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED WORK (describe in detail) : FJ X 12 STORIES: SQ. FEET OF EACH FLOOR: 120 lqevp NO. OF BEDROOMS: GARAGE STALLS: AT - ESTMKATED CONSTRUCTION VALUATION (excluding land) Z 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 ::nderstand this is not a permit and work is not to start without a Rermit; and .hat the work will be in accordance with the approved plan. ' PPLICANT'S SIGNATURE: - DATE: CITY Of ORONO Post Office Box 66•Crystal Bay.Minnesota 55M•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. First Middle Last 42A I', Address /! V 4W-0 ^N S�"? 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 L • 513.0.4 GH'!'S OF SUgJF-CTS OF DATA . Subdiv' ion L Z`YPe of data. The rights of individuals on whom the data is e stored or to a stored shall be as set forth in this section. Subd. 2 Information required to be given individual. An.individual asked to rmed of: supply privat or confidential data concernin��mwthin the collhall be ecoting state agencye PP purpose and Intended use of the requested political sub -vision, or statewide system; (b) whether he may refuse or from his ally P 1 the requested data; (c) any known consequence arising required to upp y and (d) the identity of supplying or refusing to supply private or confidential data; This other perso or entities authorized by state lfseaskedral lto supplyw to einvestigative a . da requirement hall not apply when an individual pursuant to s coon 13.82, subdivision 5, to a law enforcement officer. ired under The commissioner of revenue maecul Alert tax re°und instructions instead of subdivision ' the individual income tax or oro on those or s. 'Upon request to a responsible Subd. 3. • Access to data by individualof authority, an ndividual shall be informedh t is privater he is eoruconfidentiaLe Upon his individuals; d whether it is classified P public data on to him and, if he desires, shall further requ t, an individual who is the subject of stored private or individuals s be shown the data without any charge in informed o the content and meaning of that data. After an individual h� been the data need not be disclosed to shown the Ari ate data and informed of its meaning, ursuant to this section is him for six m nths thereafter unless a dispute or action p ending or a ditional data on the individual has or public data uponeen collected or arequest by pending au hority shall provide co ies of the private resp P a. The responsible authority may require the the individ subject ofthe actual costs of making, certifying, and compiling the requesting pe on to pay - copies. possible, with any request The resp nsible authority shall comply immediately, if Po nest, made pursuan to this subdivision, or within five days of the date of the req Sundays and legal holidays, if immediate compliance is not excluding Saturdays, with the request within that time, he shall so inform the possible. If he cannot comply within Mme,h to comply with the individual, an may have an additionalen 1 v alddo days. request, excluding Saturdays, Sundays g individual to or complete. An eTo Subd. 4. Procedure when data is not accurate contest the ac uracy or completeness;-of public or private data concerning the responsible authority exercise this right, an individual shall notify n�sib a authority shall within 30 describing the nature of the disagreement. The respo days either. ( ) correct the data found to be inaccurate or incomplete c�°g Te pie ts nam d by notify past re 'pients of inaccurate or income theto be correct. lete the indivi or (b) notify the individual that� du�,��tement of disagreement is Data in disput shall be disclosed only if the • included with he disclosed data.responsible authority may be appealed pursuant to the The dete urination of the P Po to contested cases. provisions of t e administrative procedure act relating CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: LO 3(- /w S1,(-u2t Q(Z —PID: DESCRIPTION OF WORK: S 'C�' _ ___ - ZONING --------------- ------------------------ 3 ZONING-REVIEW-BY.- DATE APPROVED: BUILDING REVIEW BY: Nz, DATE APPROVED: --------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT YesNo PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes�i' No WATER CONNECTION INVESTIGATION FEE Yes No L,� PARR FEE SAC Yes No (% SITE INSPECTION Number-of-SAC- ------------------- UnitsOTHER-(specify)------ ------------------- ZONING CHECK LIST Zoning District: �/- 1 Fire Department: Post Office: /e- ,-^,r� School District: 0 1-4 Lot Area: 12, 6, 0 Width: w Depth: Survey Submitted: Yes Nom_ Date of Survey: Proposed Setbacks: Right Side: ( ; 4 Front (-Larke) : S t�� �i Rear (Str t) : / s + Left Side: Z 1 Adjacent Structures: Wetland: N /4 Building Height: Def. Hgt. - Peak Hgt. Avg. Setback: /yt4 Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' Z 3 500-1000 ' Hardcover Variance Required: Yes No //< Date of Council Approval: Grading: Staff proval Dat By: Council Approval Date: Septic: Staff p roval Date B Zoning File:# R solution Resolution Date: REMARKS (in ho se) : BUILDING REVIEW CHECK LIST UBC: <K' Y CONSTRUCTION TYPE: — Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ C-0 GU Inspections Required: Work Requiring Separate Permits: Site Plumbing Grading/Filling Footing Mechanical Fire �Framing Septic Water Connection ulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation ..2�-Final (Mfg.) 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) : -- ORM. cl �- . SITE PLAN N' • 6OPROVED � :a akMOVWITH REVISoil I I� tj - .. � 600�9 � �• •, .. � `'rte . . - _ • , • . ■ IMF illillillillillillilLTqLllpr,REI HARDCOVER CALCULATION WORKSHEET SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-1000' EXISTING HARDCOVER IN ZONE ----------------------- A. HOUSE X = S. F. LENGTH WIDTH x = S.F. x = S. F. x = S.F. x = S.F. B. GARAGE �o N X = S.F. C. DRIVEWAY O x 2 0 = ©Ob S.F. x = S. F. D. . SIDEWALK Xy = /b S.F, S X _ /(O S.F. x = S.F. E. PATIO/ DECK =X S.F. • F. LANDSCAPE X S.F. �� - "'?sem AREAS UNDERLAIN X o2s S.F. BY PLASTIC SHEETING x n S.F. x _ S.F. X (Y = � S.F. G. OTHER -------- ' TOTAL HARDCOVER IN ZONE S.F. Q TOTAL PROPERTY AREA IN ZONE - / S.F. , Eil 66 x 100ED - HARDCOVER CALCULATION WORKSHEET SEjBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' 500-�0Q0, EX STING HARDCOVER IN ZONE ------------------- A. HOUSE X = S.F. LENGTH WIDTH X _ S.F. X = S.F. X = S.F. X = S.F. B GARAGE X = S.F. C DRIVEWAY X = S.F. X = S.F. D . SIDEWALK X = S.F. X = S.F. = E. EATIO/ X S.F. ECK X = S.F. F. NDSCAPE X = S.F. (REAS DERLAIN X = S.F. ASTICEFTING X = S.F. )( _ S.F. G. OTHER X TOTAL HARDCOVER IN ZONE - S.F. TOTAL PROPERTY AREA IN ZONE - S.F. a g x100 = / .