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Home My WebLink About2002-P05332-DELETED-PROJECT NOT BEING DONE �� . i. � r,:�=r, t Cf z 2 _'� /� • �Total Fee: $ , ;��,,Date Received: �P- � �- �� Entered By: -�> ! � Permit#: � �3.3� L.ra y=%`i ��°L , � :� . CITY OF ORONO - B G PERMIT APPLICATION All information mus,t be submitted in full before plan review will be started. ,� � (please print all information) �` f.. � �f "�`/ �� _��____-��-t-�-�=�-`�----------- ------------------------------------------------------------------- ------- � THE APPL CANT IS: (circle one) OWNER OR CONTRACTOR � i� �� i� �,�,1,� • ,�- �4.� B siTE an�xEss: l`�t 1 S�� zlr: � 5� t l ,� �� ►_ � '�' � �� , ►� > � --� ��'�� / D . � NA��OWNER: �Av1 e(- d- l��c �a�z� �v-c c�� PHONE: (home) �'j'So2 �`7G-��s�' . �� L�L�-' '" � (work) ��lS.� �'7 -- �/' ' AIL DRESS: j �(cG ( ��i.v J2��„�e lD tZ CITY:��; u vl v ZIP: 5 S3�l l � �� ; �� -y � � � �✓a v�F��tvl f �� / � ), � � � ! . , ,�n 1 CONTRACTOR: � E � PHONE: / � l I� �;`>� �1� CONTACT PERSON: �.C u rz S „-�t MOBILE/PAGER: `�� MAILING ADDRESS: ,�/S� ,��,� L�a CITY: ��ti L ZIP: ,S s�G� "� STATE LICENSE: # �� . ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# ,..,�. TYPE OF WORK: New � Addition Accessory Structure �, Move Remodel/Alteration Land Alteration � -�,. / �� , PROPOSED WORK(describe in detai�: �� i�.-� ��, �,�-�.e. _�P% �-/✓/1<�° �� 2Jc-�-= i�t ,� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $� LS, �;L�' I hereby apply for a building permit and knowledge that the information above is complete and accurate; that the work will be in conf rman with the ordinances and codes of the Ciry and with the State Building Code; that I unde tand t is is t a permit and work is not to start without a permit; and that the work will be ir�acc ance i � e approved plan. APPLICANT'S SIGNATURE: �%,�� '7 DATE: G /4' D� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � r i , � Sec.13.04 RIGHTS OF SUBJECTS OF DATA ' Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or conFidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or enddes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked ro supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the norice reouired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. 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 confidential. Upon his further request, an individual who is the subject of srored private or public data on individuals shall be shown the data without any charge ro hun and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The tesponsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which ro comply with the request, excluding Saturdays,�Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data co�cerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagteement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to norify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify 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. The determinadon of the responsible authoriry may be appealed pursuant ro the provisions of the administrative procedure act reladng to contested cases. 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 �ity 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 license 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 local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit 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 yourseif. 6. Your full name is required to process this application or permit. First Middle Last Address ��y State Zip Phone I un�� /. erst�d�m rights as st . i —' . , L� G i�%=� L-C-C� Signature 6 , � � CHECK OFF LIST FOR ISSUANCE OF PERMITS , FOR OFFICE USE ONLY ADDRESS OR LEGAL: 1'-19 � 5�}-c,cu:l,�N c_. ,�ti PID: DESCRIPTION OF WORK: 11k�c�G t�ccess STA 1� ZONING REVIEW BY: �,,` DATE APPROVED: '1- � -oZ BUII.DING REVIEW BY: DATE APPRUVED; -1 _ i-o 2 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓- No PLAN REVIEW Yes �- No SEWER CONNECTTON STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No ,� PARK FEE SAC Yes No_� SITEINSPECTION 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; ni � Proposed Setbacks: Front(Lake): Right Side: . (7.1G Reaz(Street): Left Side: Adjacent Structures: ,5'n' i- Wetland: '— 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 District: �,-C 5 Avg. Setback: P//� Bluff Setback: ^/ 1� Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' �./� . 250-500' 500-1000' Hazdcover Variance Required: Yes No� Date of Council Approval: REMARKS (in house): 7 � , BUILDING REVIEW CHECB LIST �C� '— CONSTRUCTION TYPE: '— Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x = Gazage 'x = � x = TOTAL Estimated Construction Value: $ 1 S�0 0 0 �� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection � � = Septic Sewer Connection � Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) �F� Grading/Filling Electrical(State Permit) Other REMARKS(IN HOUSE): • . __------------------------ REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date By; REMARI�S (TO BE NOTED ON PERMII�: ------w�w_ 8 � ��.-� ��Q�. ��- .. ��1 �� LL �hilton Tread� F_ � . _ � �i2� hig� - � .2' exposed tre�d - 4' ��e s �, � �� z�. ,� ��_ ��r _; - ;�< , : �, �� -�` --- ; . - c�nc:� `' c '�..i ��/! slane , - -- __ __._- -_ ___ __ .__ i ._ _ __ _ ; n t?i/(�q�'15[(A�S-1'Pev� ; �� k_� �hYu�1 Se4 Qe��t ih C��CYe�le i _ �_ cl e�a� bc��:,.�sdcm�� r,ti s��oHe �44� �.______ -- , � __ �.�....�.. : -__ � � ��-- - SPECIAL NOTE � ��2�--,_�_ _ __ , -__..______-- � - ---- �FE ATT/�CH�D SHEET �� ,�;` - _ � _�-..3r12_ __�� `��'� ��c � FOR t-4PtNC�Z�AI�- .. : , Ah { � � � •- `_-� �f CODE REQUIREME[VTS � rY :� _. �j �ra _ _ �i � � � s � . �. �. � i -_ . : . i • � ` f ' i � l� ~� ' _. ; ,: � � ' ��- 'i�� ' � �-� —__ � � � �8 ,. �, _ _ _ _ ___ _ - � � �t.�w� �c.es� . � 1' a t _ _ �'---__ __---��$ - — ':_ --� , - ��• _ ___ ; STAI RS � - " � � "� � '- �'` 8" MAX. RAlSER 9" MIN. TREAD ; bi1Q(ei�� rjj--- -'��Y'' . I < �` '.r-__ - b'-8° M!N. NEADROOM '• J�.C'L� l�t�l ( � �r -__. ' �� AT`�-E,4�T ONE HANDRAIL RE UIRED , l.0 r 1�,, h��t,,J u�___ -- , � (�(/v�( �,es�'_ � Y�' `� r��j�p,I GUARDRAfL OPEN StDES '_"_—l L , ,H�>"_' `t "y� _�. : _� s+='—=----r •.rf oi , !-_a� �__ �, .� .-• p � �� - ��r�93f3 �s _-`�`_ _ __-.�� ---��TY �F ��7oN0 � � r a° � BUiLD,s':G P "RP,AI PLAN REVIEW t�� ' -- �� ---�-- --�'� / v � . �' INSPECTOR �.�b ` .., � �- , 1 � � �•, � ` ______—__ _ _--. -- - `�� -_ .'r'r� Dr t ___ 7 - 1 - 0 2 PER!�1iT NU. �, r-,r 1 � ^ � ------ �_. ._ -r ❑ � `RI f tC."��.iJ l��5��-� ��•- � � �� s �^h; h rU�:ti`il1 �t:� ____ �-__�_._ _ ,'r�,-. ,..�� r� .�.,a�-n��-r.,i'. r�.� � -- • F�U'V�"Drv�T,-? �r��,_"��;�J/1SilUTED a . q!y _ -- � � �-,_.,_`__. y�� __ . ... C �11� - ��r�:.f.- �' �-' _ �� C � . , F� FZ.. �.D---��.,, _C i" ; � ;:11T �_ L� --- ... '�� - ;��i'�.,+S&f?f�t yC�i.lr iC'.v:Taf�^n.A�{:\'t')R S� �I�.:-:(�OIIA .. '-- - _.. �fl . ...� P,_f . A' :.I^ f� ..'iil:tJ 2!l'.� Z••;.1f�' . 'J:�@. � '" -..�-- ---._ --__.. Rt �::�..�.. ��_, '.;f � , ".'..`� . .. •:.�: < [�::i�:v:dVk � --_________K�tr I tilS PLAtV SET OPJ S�1 t AT ALL 71ME$ � � ��,�l �ln.0ve Qu�R., ��-- - ��"�sfl 1 �� . . � Chiltan �'read� �P� � �� ; � ��2" high - 1 .2' ex�os�d tre�d - 4' w��e � Q, � 9�fi s � tv r�-� � �� • R�rl _� ;.—g. � : �� e � .t---- � • _�___.._} C.-_L�.�� `' r� !{ �rzr ll �javte , ..._ _- - ._...___ --- -- ------___. :•� �_..__._,_, ; Pi�(R�r15tw►S Peut ; g� i�-�- �JP+lu`1 Se� f?ait ��n �(lYlCYe�e � � �944� � cl e�a� bc��sdune.� w.s-I ovre �_ r..�---- ' _ ! ` - � - -' �-- __ _ SPEGIAL NOTE � �� `-'� - --- -- _ ___ �EE ATTACHED SHEE�' `„ f - -- -_�__---------1��'Z.A.�t_ � ��._ . �• a -��% (.�«c � F4R � �942, ,�� - �:� : ` ��-� ��-- .. CODE REQUiREMENTS rs '� � ` �40:�----- �1�� - _;��_ ,; � �� —..__�_�__��_.-�--�t i : - ti„� � {�: ; � • �, - i � � 1 � � �' �� 938 f `- -_ � ; � �u� t�a�.�.s� ' �' �-� � .,- STA 1 R S � _ a �--- ---- ---�------ -- - - (�f��(p �_s�--� . ---�� g° MAX. RAI5ER 9" ,'��!N. "iR�A� t�VC3l ,_�.�s.��ti.^-�,.�'.��-��.s�i��---_ ��i � rana� � r.�--`��:° (��-g�� M!N. !�f_!\DROOI�; � '• ��`/t�L'L`j l,u cx( � f� _ v �� -- _ j• �� - -,_. AT LEAST ONE H�1�JGi;:'�!L �:�QUiR�D � lu� l��'(6��u�f�� --.� - _ �GUAR[�R�\i%_ Ot'E�J `:,;��r5 ` . (�UVl I �ieS�+s'� � �':.� �-�;� �_..___ ..�._ .f �---.---�f � i . -- 'j'-�� . . __1� l. � V�� ' �-_":�_'ti��—_=tf �._...- _ � � J ' "':`�936 �� `D r�,� a � -,�\ �i�� —;r .._ ___._CiT T' �F �V i�'�31'�O � � . �J.+ �-, QUILD;P!G P R }T LAN REVIEW -� � , �\.� :J ' .._"...�.�� r � _.i. r I'i;PG�;TOR �'. � ' �----------- _..__._` � ra, _ �u� G�1�= "'i' \�v'Z_ _P�_7itofl i f:O. . �_ f/" �� —_ Q �.�____---'---------'-- �.�x ----- ��-. .�'%-,.'�i!S�"!t:'� :�;).l,i�i'i^.'ib''I IT�� U ---�--_ ri �:�i:iL�� \li"' „r-r;, i-.��...-i!-n—I � .'J �S��IOTFD U�' �,,,�� ,e�� ----._�._u -.�� .J V J;I .� i-�. V��i,� f� I o ' __ ��'1 [G �� r".''Pt��,'/tJ .�(;0 � '�C,: � lL�U3tV"tIT _, . - ._ T�iCSC CGi:1!^B.^.:S&�?fOt VOUf!1�:'J;'C73t�•^,��. F,!{Y1'C�!k S�ali�ic dOf19 .. �� --� -- in t�u; comp!iance �rrii; aii aopi;ca':;� b�.;ii�;iag e:�d zo�in� ca�a � _.. _-_.—___-.--.--Fu:r�.::�..n.�e.:';�.ir.clu��mg i',�ms�;�,��,3,:i!ica�ly ro?��d i•�tni�reviaw. � KEEP 7HIS PL:�iv SET ON SITE AT ALL TIME3