HomeMy WebLinkAbout1995-007238 - deco steel band roof • .� �ERMIT
�ITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ��f �::^•:�_�
Permit Number: - -�`�-'
Crystal Bay, Minnesota 55323 - - - �� -
(612)473-7357 Date Issued: ;..,� a� ,�,_,�
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - '-_=°ir'°�. - ��,.`.�7. . OWNER:
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APPLICANT/PERMITEE SIGNATU ISSUED BY:SIGNATURE
. �
M . �� CITY OF ORONO - BIIILDING PER�iIT A.PPLICATION
�`�� � Date Received:
Total Fee: $ � �
Date Approved:
Entered By:_����tJ� � � �f�
Perinit�: 'I
ALI, INFORMATION MIIST B$ SIIBMITTSD IN FITLL BEF�12E PLAN REVIEW �� B$ STARTED
(See Check-off List Enclosed)
-----------------------------------------------------------
� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRBSS: ; Z�' ' ZIP:
(work)
�7AME OF OWNER- � �_�� PHONEs (home)
MAII,ING ADDR.ESS: CITY: ZIP:
. , ��//�'S5 C��`��
� ' PHONE: G/�T 7�=f��,
CONTRF�CTOR: w� (1
L(.} l . � ` n
MAILING ADDRESS• l� CI'I'Y:� i E7�'���-.�5�l7 ZIP:����j�f�
�s
STA�S LICENSE: � � '
ARCHITECT/ENGINEEFt: PHONE:
MAILING ADDRBSS: CITY: ZIP:
N�: RSGISTRATI�N n
TYPE OF WORR: New Addition Accessory Struciure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) :�� �!?"�c.� ��'�)L'K? �.u'� ,, ��ta �
.. ., � �
� � ...--,
l��5,\ � _ l CC�.. .{� .t�
STORISS: SQ. FEST OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET.
� 1
ESTIMATED CONSTRIICTION VALIIATION (eaclnding Ia.nd) : $��d� r
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 worJc will be in accordance with the approved plan. ,�
APPLICANT'S SIGZJATDRE: DATE: '
. �
I . , �
. �
� �
CITY of ORON4
Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Officea
•
� - � � 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 wou3d Iike to inform you that your request for a permit or
Zicense 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
gualification for the permit 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 iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci� action
to approve, some information may become public. .
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Yaur ful.l name is required to process this applicatian o�
permit.
l' ��
First Middle Last
4� �
Ad ress
. � ��
11 L .
City State Zip
�7� -- �9�`�
Phone
I un rstand my r' ghts as stated above.
Sig ture
BUILDING&ZON[NG—473-7357 • ADMIIVISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING °
i
I
—--- �
�
i . .. .
�.p,4 RIGS15 OF SIIBJEC'I5 OF DATA �
gubdivision L Type of dat�- The rights e tio�viduals on whom the data is
stored or to be stored shall be as set forth in th�s s
Subd. 2. Informatioa re�quired
to be given ind�n�l' An.individuel asked to
� � su 1 private or confidentiel data concerning tam�sitlhf in the collect g stat gency,
PP y uested da
purpose and intended use of the re9 tem; (b) whether he ma� refuse or is legally
political subdivision, or statewide sys �oWn consequence arising from his
required to supQly the requested date; (c) anY
su 1 ing or refusing to supply private or confidentiel dat8; end (d) the identity of
PP Y
other persons or entities authorized by stat ueolr�e�ke�to supplyein�st gat ve da a
requirement shall not apply when an individ
pursuant to section 23.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individu8l income tax or ro ert tax re und uistructions instead o
on those orms. . --- - - .
A�� to �� � ����. Upon request to e responsible
Subd. 3.
authority, an individusl shall be informed wh bli� hpf vateeor confidential.e Upon his
individuals, and whether it is classified as p � ublic data on
turther request, an individual who is the subject of Se to himrlande if he desires, shall
individuels shall be shown the data witho of�hat data. After an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data 8nd informed of its meaning, u�uant to this section is
him for six months thereafter unless a disPute or acticn p
� ending or additional data on the individu e h�8teeor public datarupon request by
' p require the
responsible authority shall provide coples The responsible authority may
the individuel subject of the ��- certif n and compiling the
requesting person to pay the ectual costs of making, Yi g'
copies. lmmediately, if possible, with any request
The responsible authority shall comQly '
made pursuant to this subdivision, or with lide e �f Simmediategt ompliance eis not
excluding Saturdays, Sundays and legel YS�
ossible. If he cannot comply with the request within that time, he shall so inform the
lndividual, and may have en additional five daYS within which to comply with the
request, exeluding Saturdays, SundaYs end legal holidays•
Subd. 4. Procedta'e when data is not accurate or complete. An individuel maY
contest the accuracy or completeness of pub�li f �lnriwriting the�respensib e au hor ty
exercise this right� an ln��� s� n y nsible authority shall within 30
describing the nature of the disagreement. The respo
days either: (e) correct the data found,toom ete data�including reec pients namedt by
notify past recipients of inaccurate or inc p
the individuel; or (b) notify the individual lnd�v dual�s statementof disagreement is
Data in dispute shall be disclosed only d th
• included with the disclosed data. ealed ursuant te the
' The determination of the responsible authority may be aPP P
provisions ef the administrative procedure act relating to contested cases.
i
i
' CHECK OFF LIST FOR ISSUA1vCE OF PERI��IITS
FOR OFFICE USE ONLY
�DDRESSORLEG:�L: Y � sH�'dti�iOO� —PID'
DESCRIPTIOti OF ���ORFi: �e c��a-T► v-� j 'Z''-� '�'���"� /�1' �'Q ��G
---- ------------------------
----------_
ZO\'I\G RE`��ti BY: Nl� DATE APPROVED:
BL�,DL1G RE�'IE`V BY• r, , DATE APPROVED• 8 -S -S�
- --------------------------- -
--------
----—------------- y------- -
FEES TO BE CH�RGED: Misc. Fees Catculated B
PER�IIT Yes r/^ No
PL�� ��,IE�� YeS �/' �o SEWER CON�tECTION
STATE StiRCHARGE Yes --� No WA'TII2 CO�'ECTION
INVESTIG�TION FEE Yes No �/' PARK FEE
S:�C Yes No �s� INSPECTION
Number of S�.0 Units _ OTHER (specify)
-------------------------- �
ZO\�G CN,EC� LIS ZoninQ District: Shoreland Distric .
Fire Department:
Post Office: Sch ol District:
Loc Area: Sq.ft.
Acres Width Dep[h
Survev Submicted: Yes
�,To Date of urvey: _
Proposed Setbacks:
Front S Lai:e : Ri� Side: _ -
� ����� .
Rear (Str t): eft Side: ��� �
Adjacea S[ructures: Wetl. �
Buildin; Hei� : Def. Hgt. Peak h
Avg. Secback Bl ff Setback: ..overage:
istin� Proposed
Ha:dcover: 0-75'
75-Z50'
?�0-�OQ'
�00-1000'
Hardcove�r Variance Required: Yes No Date of Council Approval:
Gradin�; Starf ?�pproval Date: ' By: Council Approval Date
Septic: StaTi Aoproval Date: BY�
Zonin� �ile: � Resolucion: � Resolucion Date:
��IARKS (in house):
26
BUII.D�G REv'IE��' CHECK LIST
jJgC; /� CONSTRUCTION TYPE: ��
Sq Foocage 5 Per Sq Ftg
Basement X —
lst Floor R —
2nd Floor X —
Garage x —
x =
TOTAL
Estimated Construction Value: $ Sfs' Z S�
Inspections Required: �Vork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_� Final Grading/Filling Electrical (Sta[e Permit)
Other
gE1V1�,RKS (ri�1 HOUSE):
_____�_______________---�----- - -- _�_______
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date BY�
- --------------
REMARKS(TO BE NOTED ON PERMIT'):
27
� � �� ' CITY OF ORONO - B�II.DING PERI�LIT APPLICATION
Total Fee: $ //J• /�i� Date Received:
Date Approved:
Entered By: � L,:-� G
Permit�: ��-�d
�I� INFORMATION MIIST B$ SUBMITT� IN FULL BEFORE PLAN REVIEW WILL B$ STARZ'ED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRRSS: � L�L� ZIP�
(work)
N�ME OF OWNER: � �"-c.. PHONE: (horne)
MAILING ADDRESS: CITY: ZIP:
��l ��/��5 C� G�5
CONTRACTOR: i..�-�'`tly N,.1� #'c�'-� S��l�'r C'C� S � �, PHONS: ���-L�/��I
IK..AILING ADDRBSS:��I 1 l.f..�'�-'�-�f,c1���'/�s CITY:��2._i C�1��Y 17r1�TIr.ZIP:,���j��
C'
STATS LICENSE: � �"��/Y�/l�
ARCHITECT/ENGINEER: PH�NE:
MAILING ADDR$SS: CITY: ZIP:
N�: RBGISTRATION n
TYPE OF WORK: New Addition Accessory Struciure x Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe in detail) : '� ' � � �
� �r ' �ur� c� O r�[ � � ' ' � �'
��LL��1 i�� :
STORIES: SQ. FE$T OF EACH FLOOR:
NO. OF BSDROOMS: GARAG$ STAI.LS: ATT. DET.
c�'J �
ESTI1rSATFD CONSTRIICTION VALIIATION (eacluding Iand) : $ �����:`�'
T hereby apply for a buil.ding permit and I acknowledge that the information
;bove 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
jaderstand 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. •
A.PPLICANT'S SIGNATQRE: / DATE:J5 �'�
�-
. ' 1 `7
�
C ITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
� - � � 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 confidentia]. 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 license.
3. The information may be shared with other iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Yaur full name is required to process this applicatian or
permit.
'1 ��i /� •
First Middle Last
� r��do�
Addr ss
� �
City State Zlp
�
P one
I u erstand my rights as stated above.
Si nature
BUILDING 8c ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
� � + .'
�.04 RIGHTS OF SIIBJECTS OF DATA � �
gubdivision L Zype of data- The rights of individuals on whom the data is
stored or to be stored shell be as set forth in this section.
gubd, 2, Informatioa �d
to be given indi��• An.individuel asked to
� ' supply private or confidentiel data concernina $mWi�in the collecting state agency,
purpose and intended use of the requested
olitical subdivision, or statewide system; (b) whether he may refuse or is legally
P the requested date; (c) any known consequence arising from his
required to supply
supplying or refusing to supply private or confidentiel data; and (d) the identity o
other persons or entities authorized by state or federal law to receive the data. This,
when an individusl is esked to svpply investigative data,
requirement shall not apply to a law enforcement officer.
pursuant to section 13.82, subdivision �,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und mstructions instead o
on those orms. . --- - � _
Subd. 3.
Access tc data b9 i����' �Pon request to a responsible
authority, an individuel shall be informed whether h�VBteeoruconfidential.e Upon his
individuals, and whether it is classified as public, p ublic data on
further request, an individuel who is the subject of Se to himrland, if he desires, shall
individuels shall be shown the data withou�fan�y��8. �ter an individuel hes been
�e i n formed of the eontent and meaning t� �ta need not be �isclosed to
shown the private date and informed of its meaning, u�uant to this section is
him for six months thereafter unless a disPute or action p
� pending or additional data on the individ�h h�8�or publie dataruQon request by
� responsible authority shall provide copies ef P require the
the individuel subject oftrie actual.costs of making,l certi Yingy 8�d compiling the
requesting person to pay -
copies. immediately, if possible, with any request
The responsible authority shall comQly � of the date of the request,
made pursuant to this subdivisi�d le with lidays, if�immediate compliance is not
excluding Saturdays, Sundays �
possible. If he cannot comply with the request within that time, he shall so in�orth the
have an additional five daYs within which to comply
individuel, and maY S�� �d legal holidays.
request, excluding Saturdays, Y5
Subd. 4. Proced�a'e ahen dsta is not accurate or complete. An individuel maY
himself. To
contest the accuracy or completeness�of public or private � the�nresporisible authority
exercise this right, an individuel shall notify � ��e authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data f ound.ncom lete datae including reec pients namedt by
notify past recipients of inaccurate or i p
the individuel, or (b) notify the individuel in�'v dual�s statementof disagreementcis
Date in dispute shall be disclosed only if
• included with the disclosed data• ealed pursuant to the
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases.
�
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