HomeMy WebLinkAbout1995-006823 - fence . PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ - _.
Crystal Bay, Minnesota 55323 Permit Number: ! .
(612) 473-7357 Date Issued:
SITE ADDRESS:
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APP ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � C'�i
.
� � CITY OF ORONO - BIIILDING PERMIT APPI.ICATION
Total Fee: $ ,�J `� �� Date Received: �,/����
Date Approved:
Entered By:^�'�j . ,
Permit�: �._ 6� ���
ALI� INFORMATION MIIST BE SIIBMITT� IN FIILI. BEFORE PLAN REVIEW WII�L B$ STAR�ED
(See Chec Z�` Enclosed)
------------------------------ -----------r-------------------------------------
THE APPLICANT IS: (circle one _ OWNER or CONTRACTOR
�_._.__.__ /
. , ,
JOB SITE ADDRSSS: �Z �C� �±' , � ZIP: � S" 5 5
���/C C-' "7 9�/ � �l ` 1 � (work) �� 7--�(��
" � .- ���E�Sc-�
N� OF OWNER: . J/� � � � O � • �� PHONE: (home) � 7�" �'��� ��
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MAILING ADDRESS:��� ��!=���L!1_l_1/,%l�"�L CITY:�� ��' ZIP: � �.5� '�
- �- ��'�S� ��"� �L�I�;`j��
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cox�c�roR: � I ��SL 1 , �.-� '� � � � p$orr�: ��5��-���'S
MATLING ADDRESS: i/�/3t} ,'� t �'��T_ cITY: zzP:
STATS I,ICENSE: �
ARCHITECT/ENCI�: �,/C��"/ � PHONE:
MAILING ADDRBSS: CITY: ZIP:
N��g: RBGISTRATION u
�-/`�il��� /Z���� `1���f�f'f�� � / ���IC�� ���i���i 1 �-'
TYPE OF WORR: New� Addition Accessory Structure Move_���x`;
Demo Remodel/Alteration Renovate�_ Land Alteration
� � _� ,_
PROPOSED WORR (describe in detail) : T��11 �f'C ��� �/ /� ��
; /; <;�--'�/C%� -� d �� �� �f�— � / '
STORIES: � SQ. FEBT OF EACH FZOOR: �(
Iti O. OF B$DROOMS: � GARAG$ STAI.I,S: ATT. .
- � . .� /� ��. ,
ESTIMATED CONSTRTCTI�N VAI�T�TI�N (eacludin� Iand) : $ � : �� 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
ord�nances and codes of the City and wi the State Building Code; that I
understand this is not a perm' t and work ' not to start without a permit; and
that �he work will be in ac c q�dance with e approved plan. •
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APPLIC.i'�NT'S SIGNATDRE: �t���f- � ` f�`;'!'�%',/�,''�� � DATE: �i� � .S
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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 Iike to inform 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 confidential information.
You are notified that:
l. The information you furnish wil.l 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 Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If ycur requested permit or Iicense requires Councii. action
to approve, some information may beccme public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Yc,ur full name is required to process this apF-licatian or
permit. ,� �
/j=J1/J� �11 �J��'S ���'t S .' /L��/�I Jl'6�
�. %� � l_ .:r 1`��.�� �/
irst Middle Last
� t�C> l� �N
� �� e �, � �
Address
y�' � s � � �
,
City t Sta e Zip
�/�J � - � �� `�' � L� 1/
Phone
i
/
I u stand m r' g s as stated above.
. �������'�-l2 �
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. �,
ignature "
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
� -s--------------------- - -- -
,_,._._.,,:� ---- .
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573.04 RIGHTS OF SIIBJECTS OF DATA � .
gubdivision L Type of data- The rights e tio�viduels on whom the data is
stored or to be stored shall be as set forth ir► th�s 5 An.individuel asked to
- gubd, Z, Information required
to be given in�vidual•
� ' 1 rivate or confidentiel data concerning him`sielfin the collecting state agency,
�PP � p v refuse or is legally
purpose and intended use of the requ emed � whether he ma„ from his
political subdivisionthe request d da�, (�) �Y �own conseq�a��a��t'henidentity of
required to supply rivate or confidentiel data;
supplying or refusing to suQply p State or federal lav�► to receive the data. This.
other persons or entities authorized by p �vesti ative data,
requirement shall not apply when an individuel is esked to su 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 tax or ro ert tax re und u�structions instead o
on those orms. - - --- " _
Subd. 3.
Aecess to data by individuaL IIpon request to a responsible
authorit , an individuel shall be informed wh b� h r vateeor eonfidential.e Upon his
y ublic data on
individusls, an d w he t her i t i s c l e s s i f i e d a s p � P
dat8 without any charge to him and, if he desires, shall
further request, an individuh who is the subject of stored priva te o r�du� � been
individue�s shall be shown t of that data. After an ind�
�e informed of the content end meaning t� �� need not be disclosed to
shown the private data and informed of its u���8ction pursuant to this section is
him for six months thereafter unless a �P n request by
� ndin or additienel data on the individuel h�8teeor P blie datarupoeated. The
� Pe g require the
responsible authority shall provide copies of the p
The resporisible authority may �n the
the individuel subject of the �ta• c�rtif n and comp g
requesting person to pay the actual costs oY making, Yl g►
copies. if possible, with any request
The responsible authority shall comply immediately,
made ursuant to this subdivision, or within five days of the date of the request,
P holidays, if immediate complisnce is not
excluding Saturdays, SundaYs and legal
ossible. If he cannot comply with the request within that time, he shall so in�th the
P hsve en additional five daYS Within which to comply
individusl, and maY �d le al holidays-
request, excluding Saturdays, Sun�aYs g
te or complete. An ind�mS�. To
Subd. 4. Proced�a'e ahen data is not accura
contest the accuracy or comQleteness of public o lnri�i�the�responslble authority
exercise this right+ an individuel shall notify �ible authority shall within 30
describing the nature of the disagreement.
The respc lete and attempt to
days either: (s? correct the data found to be inaccurate or ineomp
notify past recipients of inaceurate or incomplete da b�e es�the datalto be correcty
the individuel, or (b) notify the individue1 that � eement is
Data in dispute shall be discl ta d only if the individusl s statement of �8�' t to the
• included with the disclosed da es1ed pursuan
' The determination of the responsible authority �o��tes ed cases•
provisions of the administrative procedure act relating
� -- CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 2�� s�{�`I�^'D�`-� PID:
D$SCRIPTION OF WORR: ��W�=
---------------------- -
--------------------------------Z�---------------
ZONING REVIEW BY: � �,._ DATE APPROVED: �'z S
BIIILDING REVIEW BY: � DAT$ APPROVED: Z -Z-z-5�r .
----------------------
FEES TO BE CHARGF.D: Misc. Fees Calculated By:
PERMIT Yes � Na
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)
--------------------------------
------------------------------------
ZONING CHECR LIST Zoning District: L� `� �
Fire Department: /v �- Post Office:/v C_ School. District: Nf C
Lot Area: � �`I �acn.e S Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: ,
� (Lake) : � Right Side:
Rear (Street) : Lezt Side:
Adjacent Structures: Wetland:
Bui�ding Height: Def . Hgt. (o '� � 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: By: Council Approval Date:
Septic: Staf f Approva7. Date: BY=
Zoning File:# ��f�� Resolution # : _�r.Z< Resol.ution Date:
REMARRS (in house) : �,�� ?�onr�n, �i c�E �=02 �u�,e.y �� ����C.=S
�► r
BUII,DING REVIEW CHEGK LIST
.
IIgC: �� CONSTRIICTION TYPE: �I- Z
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X
2nd Floor X
Garage x _
x -
TOTAL
$stimated Construction Value: $ � , ��O�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing � Grading/Fil�ing
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
oCFina 1 (Mf g.) Other
Other Wel� (State Permit)
E�ectrica]. (State Permit)
-------------------------------------
REMARRS (IN HOIISE) :
--------------•--------------------------
REVIEW BY OTHF•RS: DATE:
Access: Existing New
By:
Access Approval: Date ______________
-----------------------------------
j�F.MARRS (TO BE NOTL�ll ON PERMIT) :
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TI E SCHEDULED ��y�
PERMIT NO. '- �� COMPLETED '
ADDRESS �t-�-�- �'n�'��
OWNER �r��c.�Z�-� � CONTR.
TELEPHONE NO. '��� " G�-�"�-�
� DESCRIPTION �_
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMB�NG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,` pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 24 hours in advance.473-73�J7
OwnerlContractor te:
�
Inspector. �
White Copyllnspector's File Canary Copyl�`"