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Home My WebLink About2002-P05854 - land alteration . � PERMIT C��Y �F �R�N� Permit Number: 275� Kelley Parkway- PO Box 6�6 P05854 Crys�tal Bay, Minnesota 55323 Permit Type: userDet'�ea (95�') 249-4600 Date Issued: iii26i2oo2 � SIT�ADDRESS: 1310 Rest Point La Mound,MN 55364 P I D: 07-117-23-32-0030 DESCRIPTION: Proposed Use: Residential Permit Class: General Pe�nit Type: User Defined Pemut Sub-type(s): Land Alterarion(0-500 cu yc D�1'AILS: A�proved per resolution#: Sbparate permits required: I�OTICES/REMARKS: � �EE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 0.00 � ITO�'AL FEE: $ 50.00 I � APPLICANT: Owner/Se�f OWNER: Mr.&Mrs.Reinhart � 1310 Rest Pt La Mound MN 55364 THE UNDERSIGNED HERFJ�Y REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL;'WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING ClODE REQUIREMENTS. �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Reauired), 1-Avplicant, 1-Monthlv Renorts, 1-As�essine, 1-Finance Page 1 � . , ��'� �'F /1 � �, Total Fee: $ �`� Date Received: �v -, �� -I Entered By: ��,►�(�Q Permit#: � ( �-- / - �`�� CITY OF ORONO - B G PERMIT APPLICATIOleT All information must be submitted in full before plan review will be started. " (please print all information) -------------------------------------------------------- -- - ---------------------------------------------- THE APPLICANT IS: (circle one) OWNE �OR CONTRACTOR JOB SITE ADDRESS: � �� S ( �j 1� L,.ti ZIP• �.� 3 �' S 2 NAME OF OWNER: � � �L�� PHONE: (home) � 7�— �z�� (work)�CS�z ` ?S�I.S-' T�UG � Z6S— MAILING ADDRESS: /3�0 G�i�T �t:v� �.c� CITY: ��2-C�R�C? ZIP: ,S S 3� � CONTRACTOR: PHOiVE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHOl�'E: MAILING ADDRESS: CITY: ZIP: NAlVIE: REGISTRATION# �� TYPE OF WORK: New Addition Accessory Structure ' � Move Remodel/Alteration Land Alteration �, ' �'��?r��- 2 _-_��G�U �G� - PROPOSED WORK(describe in detai�: l��L L f� ,J�� S � ��' �c'� 'Ff)� �1 U/S�= /�lJ {� t�.�A 't-� 12 Ce�•cl 'j12.c:�C. �� STORIES: SQ. FEET OF EACH FLOOR ,�� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building pernut 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 �uilding Code;_that I understand this is 't and work is not to start without a permit; and that the w ill be i�r`aee an wi the ap�roved plan. APPLICANT'S SIGNATURE: ' � DATE: � � l 7 ��' NOTE! Parade o,�Homes events require separate permit approval by Police Deparhnent and City Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SLJBJECTS OF D:�TA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forch in this secdon. Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidenrial data concerning himself shall be informed of: (a)�he purpose and inrended use of the requested dara within the collecdng'state agency, poliacal subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown coasequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idendry of other penoas or enriaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve dara, pursuant to section 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of re�•enu� mav place the nodce reauired under this subdivision in the individual income tax or Dropertv raz refund instruccions instead of on those forms. Subd.3. Access to data by individuai. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public, private or co�dendal. Upon his further request,aa individual who is the subject of stored private or public data on individuals shall be shown che data wi[hout any charge to him and,�if he desires,shall be informed of the contenc and meaning of[hat data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed to hicn for six months thereafter unless a dispute or acrion pursuanc to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the da[a. The responsible authoriry may require the requesting person to pay the actual cosu of makin2,certifying,and compiling the copies. The responsible authority shall comply immediate(y, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and(egal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shail so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An mdividuaf may contest the accuncy or completeness of public or private data concerning himself. To exercise this right,an individual shail norify in writing the responsible authoriry describing[he nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual;or(b)noafy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. T'he decerminadon of the rzsponsible authority may be appealed pursuant to the provisions of the administracive procedure act relaang to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Ri�hts 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 confiden[ial information. You are notified that: 1. The information you furnish will be used to determine your qualification for the perm.it or license 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, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested perm.it or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or perm.it. �1Z � �_ � `��+��c<� C;�-►2-r-c-� First Middle Last /3 j v �2 �--�`T �0 i•cJ'( /_� Address 6F2v�t/o �l� ,��5%�`� ZS2 - `l�7z_ ��za �' City State Zip Phone __,_ r�=,�r.�,,,d_m}c_rig_hts as stated above. ___.._______ � � .--'-�_ � . Signature CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRFSS OR LEGAL: I 3(O (L�.� �o�Nz � PID• DESCRII'TION OF WORK: L�rnN i4�n�..-Yt�a 1�� ZO�PTG REVIEW BY: DATE APPROVED: I� �Z6 �L BUII.DING REVIEW BY: ��,� DATE APPROVED; w'f'�o G �- _ FEES TO BE CHARGED: r'��'1�'i�c. Fees Cal� culat�d By: PERMIT Yes a� No PLAN REVIEW Yes No SEWER CONNECTTON STATE SURCHARGE Yes No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No STfEINSPECITON Number of SAC�Units OTHER (specify) ZONING CH�CK LIST zoning District: . Fire Department: Post Office: School District: � Lot Area: Sq�.ft. Acres � Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: ` �j�Y✓l � �Q ((VI t� �J ' Front(Lake): Right Side: � r'/lAvr. �t ��e5 Rear(Sueet): Left Side: Adjacent Structures: -� Wedand: �' Building Height: Def. Hgt. Peak Hgt. �' Lot Coverage: `-' Grading: Staff Approval Date: -- By: Council Approval Date: Septic: Staff Approval Date: � By: Zoning File: # ^� Resolution: # Resolution Date: Shoreland Disuict: r-- Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500� 500-1000' Hardcover Wariance Required: Yes No Date of Council Approval: REMARKS(in house): 7 BUII,DING REVIEW CHECK LIST �C� — CONSTRUCTION TYPE: -- _ Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x = Garage x _ � x — TOTAL Estimated Construction Value: $ Inspections Required: 1�Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection . F��S Septic Sewer Connection � Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board � (Mfg.) Well(State Permit) _�,.F�� Grading/Filling Electrical(State Permit) Other REMAR��,S(IN HOUSE): . �__________-- -----------_____________ __ REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; ------------------------------------------------ ---- REMARBS (TO BE NOTED ON PERMI�: 8 . - - �.,..�,�.�.. - y�� T- . � • � ��f� i. . ' � . " _ �' � iy C�^'�' _ T �i; . � . . �/� g y! n W/ � 00 i�� ._ -_ . / �� , 1 � O � � �" t _ / O � ��°�p �F ��1��i" '� 3 a ¢s � SIT� ��;'�� G{r,u��G PLFiN ` � / r ,�,, ;r�^ n � �� S [� � !��`'„`�P a,�:'�:tJ�' "t�Cr��1N� � �j "�':•'`.�tll"� 1r,.�i f �r�J ^ r •.�.7 ,^1i i i i�v �. ;..+} S�_:' I I� (it�`i�.�?IJ(1. � � C v'�w'H��f'�`.�,�1� ��J Di ��T� 1� — Zl�fs"Z. � `_ ,-. 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