HomeMy WebLinkAbout1994-006492 - scr porch over garage PERMIT
CITY OF ORONO `
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: �,; ,,�: ,-;;:,�,._
Permit Number: ������t��`1��� �
Crystal Bay, Minnesota 55323 `-�`-''�'`�`�='A=
(612) 473-7357 Date Issued: ; ::;;F;;;;���
� SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- r��:���. �i�2!�i. ""
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
' � CITY OF ORONO - BII?LDINs PERMIT APPLICATION
Total Fee: $ Date Received:
Date Approved:
Entered By: , -f1iU //C
Permit�: ���' 7 /,�
AT•T• INFORMATION MDST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED
(See Check-off List Enclosed)
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THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: �� ZIp' � ���
(work �'05���
, � "v � ' � /l,� PHONE: (home)�/Q�O
N� O� OWNER: ' ��
MAILING ADDR.ESS: �� � ��c��-P�� CITY: ZZP: G�'
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
N�g: REGISTRATION #
TYPE OF WORR: New Addition Accessory Structure riove
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) :
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
..�.
ESTIMATED CONSTRQCTION VALIIATION (excluding Iand) : $ 1(.-L''C�
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 acc rdance with the approved plan. �
i � � ���
APPLICANT'S SIGNATIIRE: DATE:
�
C ITY of ORONU
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal O�cea
•
� - � � 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 3.ike to i'nform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidentia3 information.
You are notified that:
1. The information you furnish will be used to determine your
qual.ification 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 local, s�ate or
federal agencies to t�e extent necessary to process the permit or
license.
4. If your requested permit or license requires Councii action
to approve, some information may become pub3ic.
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
perm't.
. v
Firs Mi dle Las
A dr s
y 9
City Sta e Zip
�?/ ����
Phone
I under and my r' ht� as stated above.
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BUILDING&ZONING—473-7357 • AI)MINISTRATiON 8c FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�.� g,�Gg� pg SIIB.TECTS OF DATA �
Subdivision L Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section. �ked to
Subd. 2. Informaticn requi�d
to be given in�v��l' An.individual
� ' su 1 private or confidentiel data concernina 8mwitlhin the collecting stat agen�S'�
pe,upose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he may refuse or is legally
p the requested dat8; (c) anY lrnown consequence arising from his
required to supply rivate or confidentiel data; end (d) the identity af
supplying or refusing to supply P state or federal law to receive the data. This_
other persons or entities authorized by p lnvesti ative data,
requirement shall not apply when an individual is asked to sv ply g
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income ta�t or ro ert tax re und instructions instead o
on those arms. . --- � - " ,
Subd. 3.
Access to �ata bY ind�v��L Upon request to a responsible
authority, an individuel shall be informed whether h��a eeor confidenUal.e Upon his
individusls; and whether it is classified as public, p ublic data on
further request, an individual who is the subjecc�gQ to�mri�ae if he desires, shall
individuels shall be shown the date withou�fan�y t �ta. After an individual hes been
�e informed of the content and meaning the data need not be disclosed to
shov+m the private date and informed of its u����ction pursuant to this section is
him for six months thereafter unless a disp
ending or additional data on the individual h� gteEor Qublic dataruQon request by
� p require the
responsible authority shall provide copies of t e p
the individuel subject oftrie actusl�costs of making,l certi yingy and compiling the
requesting person to pay -
coQies. ssible, with any request
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or within five days af the date of the request,
excluding Saturdays, BundaYS and legal holidgys, if immediahe s all s�info m the
possible. If he cannot camply with the request within�i��ntlW�ch to comply with the
individual, and may hsve�' additio� le ��o��.
request, excluding Saturda S��YS g
Subd. 4. Proced�e �►hen data is not accu�te or eomplete. An individuel maY
himself. To
contest the accuracy or completeness�of public or private data conce�ble authority
exercise this right, an individ�a� s� notify in writing the resp
describing the nature of the disagreement. The responsible authoritq shall within 30
days either: (a) correct the data found to be inaccurate or incomplete and attempt to
notify past recipients of inaccurate or incomplete�de t�e esdthe rdataito be correct
the individuel; or (b) notify the individual tha eement is
Data in dispute shall be disclosed en1Y if the individuel's statement of disagr
• included with the disclosed data. � 8ppealed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
, CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFF<ICE �SE ONLY
ADDR$SS OR LEGAL: 2�{ZV C�LO C���GI� /���PID:
DSSCRIPTION OF WORK: SG2.�� f v�C� O�'-P� EX �S���G �p19/1�6 C�s
--------------------- -- ---------------------------------------------------
ZONING REVIEW BY: � C�� DATS APPROV$D: t Q'' �-�l y
BIIILDING REVIEW BY: CX��-- DATB APPROVED: j C'--'�-" `7 `,
--------------------- -------+-------------------------------------------------
F$SS TO B$ CHARG$D: Misc. Fees Ca�culated By:
PERMIT Yes � NO
PLAN REVIEW Yes ✓' N� SEWER CONNECTION
STATE SURCHARGE Yes�� No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECR LIST Zonin District:
Fire Depart ent: Post Office: School District:
Lot Area: Wid h: Depth:
Survey Sub i ted: Yes No Date f Survey:
Proposed S tb cks:
Front (La e) : Righ Side:
Rear (Str t) : Left Side:
Adja ent S ructures: etl.and:
Building eight: Def. Hgt Peak Hgt.
Avg. Setb ck: Lot Coverage:
Existi g roposed
Hardcove : 0-75 '
75-250 '
50-500'
5 0-1000 '
Hardcove Variance R qui ed: �fies N Date of Council Approva�:
Grading: Staff Appro a7. ate: y: Council Approval. Date:
Septic: taff Approva D te: By:
Zoning ile:# Resolut on #: Resolution Date:
RffiKARRS (in house) :
�
BIIII,DING REVIEW CHECK LIST . ,
. ,
UgC: �Q •� CONSTRIICTION TYP$: V�
Sq Footage $ Per Sq Ftg
Basement x =
lst F�oor x =
2nd Fzoor x =
Garage x =
x =
TOTAL
ao
Bsts.mated Construction Value: $ �, �°a
Inspections Required: Work Reqniring Separate Permits:
Site Pl�umbing Grading/Fil�ing
Footing Mechanica� Fire
�Framing Septic Water Connection
Insu].ation Firep7�ace Sewer Connection
Wa7�1 Board (Masonry) Lawn Irrigation
p�-F'ina� (Mf g.) Other
Other WeIJ. (State Permit)
E�ectrical (State Permit)
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RRl�ARRS (IN HOIISE) :
-------------------------------------------------------------------------------
REVIEW BY OTHEI2S: DATE:
Access: Existing New
Access Approval: Date By:
-------------------------------------------------------------------------------
REMARRS (TO BE NOTSD ON PERMIT) :
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