HomeMy WebLinkAbout1995-007020 - monuments/lake stair , E � PERMIT
• CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - - -
Cr stal Ba , Minnesota 55323 Permit Number: --�.�' �,:�,�� .-.
y y Date lssued: -�'�-��`-��=`'
(612)473-7357 =:;�.:r;;i;�;,�=;�.
SITE ADDRESS:
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FEE SUMMARY: ;7�L�,�/�f'T—T;'i��jt',�j'► Y�!
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CQNTF�ACTOR..; �:'.-`-'°. �._-.:�:��;- � OWNER:
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APPLICANT/PERMI EE SIGNATURE ISSUED BY:SIGNATURE
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y � CITY OF ORONO - BIIII�DING PERl�LZT APPLICATSON
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� �� �� �� Date Received:
�. cal Fee: $�� /r •.z-/
Date �:�oroved :
�.ztered By: � PennitA: ,('��-'
AT.7. INFORMATION MIIST BS S7BMITTSD IN FLn�L BEFORE PLAN REVIEW WZLL BB STARZ'��.D
(See Check-vff List Enclosed)
�'�������������������������������������������G� ����������������������������
�"� APPLICANT IS: (circle cne) Ow'NER or CONTRACTO
JOB S2TE ADDRRSS: �57 ��r�nl,��l `.Lt.�- ZIP: 55�� �
(wo r?c)
:3AI� OF aWNER: A'� l►'� U L� - PHONE: (hc:.te)
H�II�ING ADDRESS: �+�p� CI�'Z': ZIP:
d
CONTRACTOR: �y{-��CG� 1�0Y t� _ PH�NS: �''J 3`i 'Z�fl
?dAII.ING ADDRESS: � 5 ('�1 S 1��G.rt'ir� ��YI CITY: �� Y'Y��IIP ZIP: S�
ST�TS LIC�NSE: T ��"
,.� c6R P
ARCSITECT/ENGINEER: ��u� � e�.f- � Lrdi PsoxE: �3�( • 2��
�zrric AnDFzsss:��t�i 5 /Yl�t�l� � . c=�� �-G�i--� (��Q/� zzP: 5534-4-
H�: Pm S.�-�-,�Sp� �.•A' �� �Y✓l� RBGISTRATIOA � 2 V S 1 Z
'^YPE OF WORK: New Addition Accessory Struczure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : W � �"� � �
i 5 �, G�. �C `Q lGw.� � �e I��/►�a� Gvlu w+�S ��'. r.�l 5
�;l'I�a • �akPa.lU�1v� �o(�- � G��r+�- �jy 5�c �- �R.r�r���
STORS$S: � SQ. FEST OF EAC� FLOOR:
�i0. OF B�ROOMS: GARAGE STAI�S: ATT. DET.
BSTII+SATED CONSTRIICTION VALIIATIOA (esclnding Ia.nd) : $ '�%��
= hereby apply for a building permit and I acknowledge that the infor�atior
above is complete and accurate; that the work wi11 be in conformance wit�i the
ordinances and codes of the City and with the State Building Code; t:�at -
understand this is not a permit a work is not to start without a permit; anc
��at the work will be in accor e with the approved plan. . �
2 s
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PI�ICI�NT'S SIGNATUREs DATEs � •
� • - CggCg pgg ZIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRES S OR LEGAL: �� ��2���� CN PID: .
�n� , �.¢ � VW°Ncx,rc.�5 - G�4I� S�/2 S
DBSCRIPTION OF WORK: �4�''r ------------
--------------------- -- �="'c�S
- - DAT`E APPROVED: ' -
ZONING REVIEW BY: - _ . .
DATS APPROVED: C� ' Z-=Qi S
BIIII,DING REVIEW BY: — -------------------------------
--------------------
-- ---------------
FEES TO BE CHARGED: Misc. Fees Ca].culated By:
PERMIT Yes �'No
PLAN REVIEW Yes �/' Na SEWER CONNECTION
WATER CONNECTION
STATE SURCHARGE YeS �NO pp,RK FEE
INVESTIGATION FEE Yes � No v` gITE INSPECTION
SAC YeS OTHER (specify)
Number of SAC Units --------------------------
--------
----------
District: �2 '��
ZONING CHECR LIST Zoning
Fire Department:
nJ �G Post Office: � School District:
�--
Lot Area:
� Width: Depth:
Survey Submitted: Yes�_
No Date of Survey: � 2-' � " ��
Fr N'KUWc1 r�t�ow�w+--#f
Proposed Setbacks: j � Right Side: G-�r'�'
Front (�Q� = !
� +
Rear (��% = N (� Lef t Side: ( �S
Adjacent Structures: 3�?
' � Wetland: �'✓�i4
Building
Height: Def. Hgt. N�� Peak Hgt• �
-�- Lot Coverage: "'""'"
Av:g. Setback: proposed
. . E�isting� a ..
Hardcover: 0-75 '
, N° G(�(���`r^�,5
75-250
250-500 '
�� � Y
500-1000 '
Hardcover Variance Required: Yes No,�
Date of Council Approval:
Grading: Staff Approva� te:
Council Approval Date:
Septic: Staff Approval. te: y�
Zoning Fil.e:�
Re lut o Resolution Date:
gEMARKS (in house) : .
BIIILDING REVIEW CHECR LIST _ _._ _ � �
IIBC: ��''3� CONSTRIICTI,ON TYPE: �l�l¢ .. - -
� Sq Foo�age $ Per Sq Ftg - . _ _ . � _
-Basement -- - x - .�-,-.
Ist Floor X = . . ., �_._ ._ .. - ----- . __ . . ` - -__�.�__
__�.�. -
� 2nd Floor x = � _ _ . .�� . ._- ___. _ ��: � -
Garage . x - - - - -_ --
X = - , _ -
TOTAL
Sstimated Construction Value: $ �.����
Inspections Required: Work Reqniring Separate Permits:
Site Plumbing _ Grading/Fil.ling
�Footing Mechanica7. Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�Final (Mf g.) Other
Other WeJ.I (State Permit)
Electrical (State Permit)
------------=-------------------------------------------
REMARRS (IN HOIISE) : �
-----------------------�---------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
---------------------- ----------------------------
F�FJKARKS (TO BE NOT� ON PERMIT) : W OlL K ST�R�F3 W�o +(�v iI��/vG ��r'
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Lot 5, Block 2, PAR�ENv�l00D, Hennepin County, Mn.
::ardcover surface area = 7880 sq. ft.
Total lot area = 50,710 sq. ft. /� �
c��r
Hardcover area is 15.5$ of lot area _
r / �� �.
.�.� , _
�homas S. Bergquist � ' `
Registered Land Surve�ior
clinnesota Lic. No. 7725
tGLE
+EE'S Sy,•Y� �1_�p' � - Prepared for.
� � SATHRE-BEiiG0Ui5T. tNC. K
� '{ 106 SOUTM SIIOADWAY�WAYZAT�YN 86�01 Dr. Richard Paulson
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�ardcover surface area = 7880 sq. ft. ��� .
Tota� lot area = 50,720 sq. ft. FjD;�
Har�:c��er ?��a is 15.5$ of lct area I�-.� �l o � �Q� ���
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CITY �F ORONO
°`—SITE PLA�d GRADING PLAN
�A���flt>ED _
. � �. . - ❑ R�PROVE[� �s'ITH R�VtSIONS.,
_ ❑ DiSA�'r��j OV - -
. _ BY �" .
: DATE �—2—`�
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�R��,�1��V��}M��
�rs° '� �.. " �� •' Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal 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 Iike to inform you that your request for a permit or
Iicense f rom 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 Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
3. The information may be shared with other �ocal , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Counci i a�tion
to approve, some information may become public.
5. You have certain rights �nder M.S. 13.04 �o review pri�a��
data on yourself.
6. Y�ur full name is required to process this apt�lica�icn or
permit.
-i- � � N� ��-. .•� -
�_, � � �c
F ' rst Middle Last
.� �:� ,� ,, , �
Address
� ' ��,�-� S3 �-
, � ,
Cit S ate Zip
`���} - � �-� _
Phone
I understand my rights as stated above.
� � ��
S ' gnatu e
BUILDING&ZONING—473-7357 • ADMCVISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
r' . .� ,
�.04 RIGHTS OF SIIBJECTS OF DATA �
Subdivision L Type of dat�- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
gubd, Z, Information required
to be given in����' An.individuel asked to
� supply private or confidentiel data concernina 8mwi�n the collecting state agency,
purpose and intended use of the requested v refuse or is legally
politicel subdivision, or statewide system; (b) whether he ma�
required to supply
the requested dat8; (c) anY kn°Wn consequence arising from his
supplying or refusing to supply private or confidentiel dats; end (d) the identity o
other persons or entities authorized by state or federal law to receive the data. This_
1 when an individual is asked to supply investigative data,
requirement shall not app y to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the teo�a�tructionsu nsteadhos
subdivision in the individuel income tax or ro ert tax
on those orms. . � --- - �
Subd. 3.
Access to �ata by indi��- UPon request to a responsible
authority, an individuel shall be informed whether h r vateeor confident al.e Upon his
individuaLs; and whether it is classified as public, p ublic data on
further request, an individual who is the subjecc�ge to�mriRvnat�eif he desires, shall
individuels shall be shown the data withou�fan�y t �ta. After an individual hes been
�e informed of the content and meaning the data need not be disclosed ta
shown the private data and iniormed of its meaning, u�uant to this section is
him for six months thereafter unless a disPute or action p
� ending or additional data on the individ�h h�gte or public datarupon8request by
, P
responsible authority shall provide copies o P a�ible authority may require the
the individual subject of the data. The resp
requesting person to pay the actual costs of making, certifying, end compiling the
copies. immediately, it possible, with any request
The responsible suthority shall comply of the date of the request,
made pursuant to this subdivision, or within five ��immediate complisnce is not
excluding Saturdays, Sundays and legal holidays,
possible. If he cannot comply with the request within that time, he shall so inf1orth the
individuel, and may
have an additional five daYs within which to comply
request, excluding SaturdaYS� Sundey� �nd legal holidays•
Subd. 4. Procediae when data is not aces�rate or complete. An individuel maY
himself. To
contest the accuracy or comQleteness of publie or private � the�responsible authority
exercise this right, an indivic�ual shall notify in writing
describing the nature of the disagreemenL e���,�te ore n omplete and at pt to
days either: (a) correct the data found to b
notify past recipients of inaccurate or incomp�t he belie esdthe rdatalto be correcty
the individual; or (b) notify the inchviduel
Data in dispute shall be disclosed only if the individusl's statement of disagreement is
• included with the disclosed data. e�1ed ursua�t to the
' The determination of the responsible authority may be aPP p
provisions ef the administrative procedure act relating to contested cases.