HomeMy WebLinkAbout1994-005980 - siding/door PERMIT
PERMIT TYPE:
CI'�Y OF ORONO
2750 Kelley Parkway • P.O. Box 815 '='„
I :I I'dC�
Orono, Minnesota 55356 0815 Permit Number: ;t; ' ;=;t�
(612) 473-7357
Date Issued: ti:;,` _�:`'psi
SITE ADDRESS:
R40 OL D LONG LAKE RD
CH
F' . I .N . •c-11;=-_::-41-t�; ;ti1.
DESCRIPTION:
°r;I D I tG:DUf iR
Build.'”ill; DP,rrrii t. Typ '=F--ADD/REMODEL
+(C4i It�ill'� t1 orl•:. Type RE-_'IDL.
ttom' . Ocrlad='_ill'=y F:-:=:
C.:tInst•ru t•iori Type VN
41 LII- 1213.(„2/y-.
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REMARKS: I MIA;i++-'L l:.i
REMARKS. '-' ''" "
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FEE SUMMARY: VALUATION _ 22220 tit? ' n
01 bb, 'T+td
CHECK r
BaseFee
$108. 00 RECEIPT-'ii.; f" L°jit3
!1117!7}1 ! -.;
Plan Review .?{; i't_; # t}t1•},•,t: i•t�ui i_rs= -a +:
{ - nL'vvv rl% 4vvi 11v1 r 14 -i
S1urch=trg ,t. i 3/ ' i'',,=.
TO{t.a I Fee
$182 . 45
CONTRACTOR: R: - App I i C ctllt• -
840
ORONO
X173-7_937
TNS � QRSHEREBY . QUESTS-- RM168 O 1 THE REAL-- IMPROVEMENTS
.. ,F'�� ETEC? AI+ AGREES 0 D ALL <« IN S RIt T CD S.T =11 :E* t . Al, G T
URONO'ORO I N ES A NATE F 3'' , *" 4. {9 !! �:" R€ � NT .
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••PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C.-it
•44 + CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ /u ./S Date Received: .s5 -?f - 7 7
Date Approved:
Entered By: */""/:7. ) Permit#:a:5-c)Ye)
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) !•^ 1110
.r CONTRACTOR
JOB SITE ADDRESS: gr-K0 0/e 64' LA:- £Ge- ZIP: .„1.)--:5--3/ /
(work) 'J
NAME OF OWNER: f��.�1i' aG ez:-.� PHONE: (home) `r4 77-17
MAILING ADDRESS:lrc /1 /4 !r ,,„i6: CITY: Z{f,AtU z.44 ziy. ZIP: 17;37/
J
CONTRACTOR: 61, ),2,c_ PHONE: 1/7.3J - 773 7
MAILING ADDRESS: 2' e D/eil .1,7. j#,, G' CITY: f‘,/.72./.% ZIP: „5---127y
STATE LICENSE: #
ARCHITECT/ENGINEER: jloA:/✓ PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration ) Renovate Land Alteration
PROPOSED WORK (describe in detail) : 4/Fhtl JX 7- e64, 2c- ic7 ..5; ;17,-,
.- .4s ,C tie,„ 4,J, Q p.0 2 n.c/
ARL
STORIES: / SQ. FEET OF EACH FLOOR: /..spa -,J EP-441) - 14..5yt•49-4
NO. OF BEDROOMS: ?3 GARAGE STALLS: ATT. 2- DET. `� 6o _ 71- `4,4 /47r
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ IS aa . "
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 approved plan.
APPLICANT'S SIGNATURE: 41,' - DATE: .a .27 -1,4
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO 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.
44711v . k?"4:6-
First Middle Last
1
Address 0
City 7 State Zip
'93 ' 7 .27
Phone
I understand my rights as stated above.
4/ .I
- gn -'-ure •
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS 473-7359
ASSESSING
4
513.04 RIGHTS OF SUBJECTS OF DATA .
•
Subdivision 1. Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
to be given individual. An.individual asked to
•
Subd. 2. Information required himself shall be informed of: (a) the
• • supply private or confidential data concerning
purpose and intended use of the requested data within the collecting state
nvy,
tem; (b) whether he may from legally
political subsupplynthe requested dator statewide a;a; (c) any known consequence arising
his
required to supply and (d) the identity of
supplying or refusing to supply private or confidential data;
otheror entities tities authorized by state or federal law to receive the data. This.
p
requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma 'placelce tax the re notice
und iiistructid under
his
.
subdivision in the individual income tax or roa
rton those orms. —
Subd.
3. Access to data by individual. Upon request to a responsible
authorityy,, an individual shall be informed whether
hprivatethe
or confidential.stored
Upon his
individuals, and whether it is classified as p data ons
to him and, if he desires, shall
further request, an individual who is the subject of stored private or�du� has been
individuals shall be shown the data withouofan���� After an individual Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its ��action pursuant to this section is
_ him for six months thereafter unless a dispute
or additional data on the individual ha.va been
collected
lie datarupereated.
e request he
pending the
by
the individualble authority subject shall provide copies The responsible authority may requireithe
the of the data. certifying, and compiling requesting person to pay the actual costs of making, Yi g,
copies. immediately, if possible, with any request
The responsible authority shall comply ' request,
made pursuant to this subdivision, or within five aysi of the
date
of the is the
excluding Saturdays, Sundays and legal holidays, he
if ot
possible. If he cannot comply with the request withinihat which shall so inform with th the
•
p have an additional five days
individual,eand may Saturdays, Sundays and legal holidays.
request, excluding
_ Subd. 4. Procedure when data is not accurate or complete. An individual To
mcay
the accuracy or completeness of public or private data concerning
the responsible authority
exercise this right, an individual shall notify in writing authority shall within 30
describing the nature of the disagreement. The responsible to
days either: (a) correct the data found to be inaccurate� incomplete iients namedt by
notify past recipients of inaccurate or incomplete
the individual; or (b) notify the individual that he believes the data to be come is
Data in dispute shall be disclosed only if the individual's statement of disagreementto the
• included with the disclosed data. appealed pursuant
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
by CHECK OFF LIST FOR ISSUANCE OF PERMITS
l FOR OFFICE USE ONLY
ADDRESS OR LEGAL: O L 0 Uo l CPC PID:
DESCRIPTION OF WORK: S t 01 re‘5 + O OO(
ZONING REVIEW BY: N IA DATE APPROVED:
BUILDING REVIEW BY: 4i0PAIew--- DATE APPROVED: 3 -i V--(Y
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes L No
PLAN REVIEW Yes t/' No SEWER CONNECTION
STATE SURCHARGE Yes & No WATER CONNECTION
INVESTIGATION FEE Yes No f PARK FEE
SAC Yes No 1 - SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: School District:
Lot Area: Width: Depth: .
Survey Submitt= d: Yes No Da a of S rvey:
Proposed Setba ks.
Front (La e) : R' ght Si•e:
Rear (Str -et) : eft Sid :
Adjacent •truc'ures: Wetlan. :
Building Heigh : De . Hgt. Pea Hgt.
Avg. Setback: Lo Cover- ge:
E isting •ropos- •
Hardcover: 0-7 ' '
75-251 '
250-501 '
500-100 h '
Hardcover Vari• nce Requi ed: Yes io Date of Council Appr.val:
Grading: Staff Approval D=t- : By: Council Approval Date:___.__
Septic: Staff approval Da .- By:
Zoning File:# Resolution #: Resolution Date:
REMARKS (in ho -e) : I
BUILDING REVIEW CHECK LIST
UBC: R -3 .----
VN
CONSTRUCTION.TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage ` . x =
x =
TOTAL
Estimated Construction Value: $ FSS S O O-
Inspections Required: Work Requiring Separate Permits:
Site ' Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
InsulationFireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
_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) :