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Home My WebLink About1993-005406 - replace studs/reside � PEI�MIT �� 4 CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway • P.O. Box 815 Permit Number: ��`!��--�}��'� Orono, Minnesota 55356-0815 Date Issued: `'��}��'`"}t' (612) 473-7357 i��:i c_:`�s/_=�:=. SITE ADDRESS: 4t}7 F'r�F��:: Lr� ��H F' . j . ��I. . i 1�.—�. 1 ?—�'_;—t�.i—f)t_)`�t:�: DESCRIPTION: ��.�[:� �_:�-�i��::��,r rt� ��uil��i;-�� `Yrrr:it. Ty��= '_1=—ADC}/nEt1�i�EL E,��; 1��.r-�,� ��s��:: T;��r fiEh!►=��'�TE!FiFh�it�L?E` ;:,:::t�E�� J.JiJJ.11•1V1+V � !� ;}? �'it! f�i f V1 VL11 Ts..'aYV ��!i t�rt�e1 �► _r_,-'i:�vvv�.��r `T t r T7LIf� :l�SM REMARKS: `'"`r'• " 'zi "' L•!lLW� /L } :.Li1V lt4t•L1}!f�IltYfT11 lL�il� :Y':'l?:{.'J:} ':jt;i .ii}3 l.Ta{;•ail:: na�•v,.+. i..'v:+s iiv-. ��%�•v�r :t�lT}t+r�� :•w�%'v�. . _ FEE SUMMARY: tlfaLi 1�T I��.3 �,'A?t i}t}t.E ��_t� ��'�' $!�.�s ,t_){.) �=�L?i"=}"rctT'�� -----.__ _��.��.a{.� �"<<�t.�l F�� .�,. taiy CONTRACTOR: — ��.�,r �r��i�. — OWNER: ��Ett1 `��_;3�;�v°r; t_:� �z��::�: �t�,��: ��.7�'�•`��_ °=�t�(�3N ��;W J N �.?3� i��=KTH '=.H#�i�E D� �i�7 �'H�i��:: Lr� F.,.• �:-� • c�.•-, . I_i_, t i•E,J _, _. =.r,s:;. t_) �'€_t` i_1 . . _. _ _.._.F� i.i�,i',-',; s.�.,'',�'.—�s',:`t}_ `' _ ��',��._or.. -,_ �"i• L..i�L: -'�`:i '�°- - '�'- - - :a � Fz�:_'C .L.�� _ �� a_.,-.. i iMiF_ €_)�'u_,,r�FS.-�1 t,�!`,��=.' s: ..,;1=r;, . . . �,�E 3€,-`._. _ _.. ,. ._ _. _;T�_i:;; E�:_ . .. . ._ ! � . �� . ��'_'`�"'i�...E __ .==�''v i _ ��•� �'LF�` . ��-• . i�� ;. -'�'� (_.�(� ` -�i�Y ?37�1 ��-,�-,'i-,L`- �I�1 �i{'1 :�� I l:��t j'•z'� ��'i - ;;-i 3 i�...s_ ..1 ;t'�-�E 1. -a!`t. i, '(`!.y ' t L 7'•s `#i..._ :f L f� �_._.._ ��'i �' �ai:.....a_._ ! _ _ . � : . .. . 'i .� . . ._ ...: 3i F.» �:�*� .�. �� I F i'�L.:� •3 : � f - r'�- - E.��. _`•:�:..;... .., .y,.��-•, -� '}�: i 'F.;r-- - �;: ET. �;3_ __ "'..�.-� i i s' � �'�- . ,..,.... _ I �.�tt�_�. �_� =i:,!)..f�!-�i i:...F .-, i-;i'�;_�t :�� 3 h�� 4 :.. t.�;'' �'i .�u,y��'�;f_; !F-a _.i_ t,i,_i�, ___ f,:;.t :C: 1"':`'.�t,��_."�i..?'!:_E�T� . I 1_ . . � `�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��-► .• ` �� CITY OF ORONO - BIIILDING PERMIT APPLIC?,TION Total Fee: $ �(�-0 d Date Received: ��5' �4'3 Date A�proved: Entered By: ' .<'� - Permit�: �`��6 . AI� INFORMATION MIIST B$ SIIBMITT� IN FLJLL BEFORE PL1�N REVIEW WZI�I. B$ STAR�'.D (See Check-off List Enclosed) ------------------------------ ---------------------------- � gppy��T Ig: (circle one) OWNER r CONTRACT JOB SITE ADDRBSS: �� /gi�K G� ZIP: SS 3 S�o (work) NAl�: OF OWNER: E'�.�✓/i✓ f�'! �/�''� PHONE: (home) :SAILING ADDRESS: sla� /�/rlR�l'' L/li _ CITY:�+� �_ ZIP: SS.3S � CONTR�CTOR: iv��n/ ,(Z FSl6/!�J E�/C /i1 T�if'/9 .1�L�,.'. PHONE: �7� `S�- a,Z,. �ATLING ADDRSSS: 4��G �II S/��'�E� �i�'. CITY: �70Y/YiJ'' ZIP: S��'G� STATS LICENSE: � nt- 6 ¢� ARCSITECT/ENGINEEFt: PHONE: MATTING ADDRSSS: CITYs ZIP: �: �---- - RBGISTRATIOA a TYPE OF WORR: New Addition Accessory Structure Move Demo Remodel/Alteration��, Renovate Land Alteration PROPOSF.D WORR (describe i.n detail) : /��/��F �TTL� s7"��f ��'� Bc�/�! �.Q F f/�E /¢l��'o��✓�i,iG- /�.e E7� aTORSES: SQ. FEST OF EACS FI�OOR: 30. OF BSDROOMS: GAR�iGB STAI.ZS: ATT. DET.__. . �' �o. ..o ESTIl�SSTED CONSTRIICTION 4ALIIATION (esclading land) s $ �� I hereby apply foz a building permit and I ackavwledge 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 permit; and �.hat the work will be in accordance with the approved plan. . . �;� /f� DATE: �-" �"'�� t'PLICANT'S SIGNATUItE: '� � �'G� -�-- . � � - O CITY of ORON Post Office Box 66•Crystal Bay,Minnesota 55323•Municipai Offices • � _ � � On the North Shore of Lake Minnetonka DATA PRNACY 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 3.icense. 3. The information may be shared with other iocal, state or federal agencies to the extent necessary to process the permit or 3.icense. 4. If your requested permitmar become p blic res Council action to approve, some information y 5. You have certain rights under M.S. 13.04 to review pri�a�e data on yourself. 6. Your full name is required to process this apFlication or permit. �bN�� w, �fi'�9��'•�.rc� — First Middle Last �f�3G �(/ S/�o•e� �.�', Address r�o �.�� r-°��✓ S5s'c� City State Z1p L17� --- S'Z c'Z- Phone I understand my rights as stated above. `� '�C��- . Signature � BUILDING&ZONiNG—473-7357 • ADMINISTRAT[ON&FINAIVCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING V . ti • . �.p4 g,IGHTS OF SIIB�� OF DATA ' .. gubdivision L Z`9Pe of data. The rights of individuels cn whom the data is � stored or to be stored shall be ss set forth in this section. � . Subd. 2. Information required to be given in�viduaL An.individu8l esked to • ' 1 rivate or confidential data concerning �ms,t�n�e collec�ting stat agency, . �PP Y P purpose and intended use of the requested �t whether he may refuse or from his political subdivision, or statewide system; �o� consequence arising required to supply the .requested date; (�) �Y � su 1 in or refusing to supply private or confidential data; and (d) the identity of PP Y g stete or federal law to receive the data. This. other persons or entities authorized by 1 �vestigative data, requirement shall not apply when an indt�vi8ig en orcementuofflcer. pursuant to section 13.82, subdivision �, The commissioner of revenue mav �la�L taz re�und instQucteonsuinsteadhos subdivision in the individual income tax or �r��e on those orms. . - � -�— � � , U on request to e responsible Subd. 3. � Access to �ata by in�vidual. P authority, an individval shall be informed wh ublic pr'vate or confidential.e IIpon his individuals; and whether it is classified as p � ublic data on further request, an individual who is the subject of stored private�he desires, shell indiviausls shall be shown the date without any charge to him and, � �e informed of the content and meaning of that data. After an individuel hes be�n hown the private data snd informed of its meanin$, the data need not be �sclosed Lo s ute or action p�rsuant to this section is him for six months thereafter �� e �P n request by ' endin or additionel data on the individual h�8t��or p blie datarupoeated. The • P g require the responsible authority shall provide copies The respensible authority maY � the the individual subject of the data. certif n and comp g requesting person to pay the actual costs of maldnB, Yi g' copies. . 1 immediately, if pessible, with anY request The responsible authority sha11 comp y of the date of the request, made pursuant to this subdivision, or within five days Sundays and legal holideys, if immediate compliance is not excluding Saturdays, �,yith the request within that time, he shall so inform the possible. If he cannot comply ryi�n My��h to comQly with the individuel, and mey have an additio� I��ol�days. request, excluding Saturdeys, Sunda3's g te or complete. An u►�� Tngy Subd. 4. Proce�a'e w►hen data � ublie o�p ivate data concerning himsel�• To contest the accuracY or completeness�of Pnotify in wi'iting �e �P°��e guthority exercise Lhis righr, an in�� s� nsible authority shall within 30 describing the nature of the disagreemertL The resp° lete and attempt to days either: (a) correct the data found to be inaccu�'ate or incomp ieats named by notify past recipients of inaccurate o�r��P�t�believ�e.�s�e r�ta t� � correci. the individuel, or (b) notify the m eement is Data in dispute shall be disclased only if the individusl's statement of disagr • included with the disclosed data• � appesled pursuant to the � ' The determination of the responsible authority may provisions of the administrative procedure act relating te contested cases. .. • . • � CHECR OFF LIST FOR ISSIIANCE OF PERMITS � � FOR OFFICE USE ONLY ADDRESS OR LEGAL: pID� DESCRIPTION OF WORR: ' ------------------------------------------------- ZONING REVIEW BY� DATE APPROVED: BIIILDING REVIEF7 BY: DATS APPROVED: FEES TO BE GHARGED: 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 IInits OTHER (specify) -------------------------- ZONING CHECK LIST Zoning District: Fire Department: _ Post Office: School District: Lot Area: Width: Depth: Survey Submitted: Yes No Date of Survey: Proposed Setbacks: � Front (Lake) : Right Side: Rear (Street) : Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. _ Peak Hgt. Avg. Setback: Lot Coverage: Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval Date: Hy: Council Approval Date:_ Septi c: Staf f Approva7� Date: By�- Zoning File:� Resolution #: ResoZution Date: REMARSS (in house) : . ., BIIILDING REVIEW CHECR LIST � � • •4 , � IIgC: CONSTRIICTION TYPE: Sq Footage $ Per Sq Ftg Basement X - . lst Fl.00r X - 2nd Floor X - Garage X - X = TOTAL Estimated Construction Value: $ Inspections Required: Work Reqniring Separate Permits: Site � Plumbing Grading/Filling Footing Mechanical Fire �Framing Septic Water Connection Insulation Firep�ace Sewer Connection Wall Board (Masonry) Lawn Irrigation �Final (Mfg.) Other Other WeI.Z (State Permit) Electrical (State Permit) ----------------------------------------------------------- F�F.MARR$ (IN HOIISE) : ------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY= ---------------------------------------------------- REIrSARRS (TO BE NOTED ON PERMIT) : �,.:�