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Home My WebLink About2001-P04611 - sign on building CITY OF �RONO PERMIT 2750 Kell�y Parkway - PO Box 66 Permit Number. Po46>> Crystal Bay, Minnesota 55323 Permit Type: Sign Permit (952) 249-4600 Date Issued: i2�2si2oo� SITE ADDRESS: 333� Shoreline Dr Wayzata,MN 55391 P I D: 20-117-23-11-0024 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sign Permit Permit Sub-type(s): Sign on Building DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Sign on Building FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 3,000.00 TOTAL FEE: $ 83.25 APPLICANT: LeRoy Signs OWNER: Rick's Super Value 6325 Welcome Ave N 3333 Shoreline Dr Minneapolis,MN 55429 Wayzata MN 55391 THE UNDERSIGNED HEREBY 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 CODE REQUIREMENTS. �� i, '`� f' � ��c-- C5y'�^�� /� ��p APPLICANT PERMITEE SIGNATURE ISSUE BYSIGNATURE Covies: 1-Fi(e(SiQnitures Reauired), 1-Apolicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance p�e � Nov-08-2�01 11 :27am From—CITY OF ORONO +9522494616 T-152 P.007/�08 F-904 ee: $ �:�'-� '��r Aate Received: �`�`' C I �� , Total F / � Entered By: � /�� ' f� ''�/,� , Permit#: � ��1�—�,. � / � ,,,r CITY OF ORrON('S - B Ii�CY PFRMI� APPLICATION , All information must be submitted in full before ptan review will be started. (please print,zll inforrttation) ---------------- ) 7'HE APPLICAN'I' IS: (circle one' 0�4NER O ONTRACTOR J�B SITE ADDRESS: � ��,� ��?C��'1 i ✓i P d�� ZIP�_ �c� �� ,; - ��5��'��., � � � � �\ 1�V'AME OF OWNER: �� 1 C I� �I�'C'� t`�� PHOiti'E: (home) ��'� — �r (work) ��5�- y�`71�- �`>7� ti.. � MAII,�IGADDRESS: ��.��'� �l��'��-)�/�e CITY: Nc�vc.�re_ ZIP: �';:"i C4�V'TRACTOR: ( � �_ c�_, � � � �"� _ . _PHOYE:. '7� 3-�5:�S-t>C�� CONTACT PERSON: c� �c��e.r MOBII,E/YAGER: MAIT,ING ADDRESS:�3�r .:Q(cn��_,v CITY.�I.S ZYP: �S,c � 2� � STATE LICENSE: �f ARCHITECT/ENGINEER '� �` ��\�� PH4NE: �1S v�-C j��/ '�S`!� ) �-� - c MA�I,I�i iG ADDRESS: C;�S�� .�'�4T_CITY: ti� � f5 ZIP: ...>-� � NAME:_ C CL�� ,� �ct -F � -- -REGISTRA ION� TYPE OF WORK: New � Addition Accessory Strueture Move �temodel/A(teration C�_ Land Alceration PROPOSED WORK(describe in detail}; ,�� F �`��-� C�1 P-c-! ST4RIES: ,�_ SQ• �ET pF�:ACH�'LUOR: �� :s�� NO. OF BEDROOMS: GA12A(rE STALLS: A'TT. DET. , ESTIMATED CONSTRUCTION VA.L�U'A'l'IOIV� (excluding land): $ ��,On�� T hereby apply for a building permit and I ac�iowledge that the information above is complete and accurate; chat the work will be in conformanc� wich the ordinances and codes of the Ciry and wi[h the State Building Code; chat I understand this is not a pertnit and work is not to start wirhout a permit; and that the work will be in accordaace wi[h the a p�an. APpLICANT'S SIGNATIJRE: DATE: /� g �I NOTE! parad�� orn s events require separate permit approval by Police Department and City Counci160 days prior to the event. N��n permitted events will nnt be allowed. � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY AD�RESSORLEGAL: 3333 s�{O��c._�tiE, �Q2ivt� PID: DESCRIPTION OF WORK: �'IbNJ�6 cy _�w_ __ __��,_ - ------------------------------------------------------------- ZOr`Pi 1G REVIEW BY: -J---�- DATE APPROVED: �r •5 -a t BUII.DING REVIE`V BY: — DATE APPROVED: F'EES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes �/' No PLAi�T REVIEW ��r Yes �- No SEWF�CONNECTION STATE SURCHARGE.� � Yes � No �,;`Y�r�" ��twATER CONNECTION INVESTIGATION FEE � Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC Units OTHER (specify) Z01��1G CH�CK LIST Zoning District: N• GI{�tiw�P Fire Department: Post Office: School District: Lo[Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Righ[Side: p-(� Rear (Street): Left Side: Adjacent Structures: Wetl d: Building Hei;ht: Def. Hgt. Pe •Hgt. Lot CoveraJe: Grading: Staff Approval Date: B : Council Approval Date: Septic: S:aff Approval Date: B : Zoning File: # Resolution: !� Resolution Date: Shoreland Distric[: Avg. Setback: Bluff Setback L.ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REI�LARKS (in house): `` 7 �1 . . BUILDING REVIEW CHECK LIST �C� —" CONSTRUCTION TYPE: — Sq Footage $Per Sq Ftg Basement x = lst Floor x _ 2nd Floor x = Gazage x = x — TOTAL Estimated Construction Value: $ 3,000� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ' Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry)� Other Wall Boazd (Mfg.) Well (State Permit) _�-F�� Grading/Filling Elecuical(State Permit) Other REMAR��S(1N HOUSE): . ---------------______�__ REVIEW BY OTHEERS: DATE: Access: Existing New Access Approval: Date gy; ----------------- REMARI�S (TO BE NOTED ON PERMIT�: 8 Nov-08-Z001 11 :27am From-CITY OF ORONO +952Z494o16 T-152 P.008/008 F-904 Scc.13.04 RIG'ST5 OF SUSJECTS OF DATA Subd_ 1. 7ype ot daca. Thc righcs of individ�sl oo whom ct►e da�a is sroced or cn be swrcd shall be as se[forsh in�his secrion. $ubd;2. InPo�tioo required w be given lndividual. a�r,individual askcd w stipply pri�aie or confidenrial da�conceming hisnself shall be inPo[mtd of: (a)the purpose 3t1d incended use of thc rcques�ed dara wi[hiu thc cotlecting smee agency,polirical subdivisian,or sracewide sysum;(b)whe�her he may reftise or is legally rcyuired io suppIy che requcstid da�a; (c)any known conscquencc aruing from his supplying or rcfiuing m supply priva�c or conFidennal dsed;and(d)the idcndry of oshct penong er e�tidcs aurhorizcd by srara o�federal law co receive nc�dan. This rcquiremcnc shall noi apply when an individual is asked co supply invesdgaritie data,punuaa�co scccion 13.82, su6division 5, ro a law enfuccemen�officer. 21ie cn micsioner�f revern�e mav pl ce tf�e nodcc r n�ired under�hic a�hdivis o�n_thc i d�i��i�ius�inenm�rax or Prooeriv�ax reft�nd inRrructiQns inst�ad af on th�se f�9. Subd. 3. Access to data by individval. C�pon rcqucs�w�responsibte aurhociry,un indiv;dual shaU be informed whethcr he is the subj�cr of srored da[a on indi�idusls,and whaher it is c(assificd as public,pcivata or to�dential. Upon his fur[her teques�,an individual who is�he subjee�of swred priva�e or public dara,on individuals sha!!be shoxn�lv:data wi�houc any chargc co him and,if he desires,shall ba inform�d oP rhe con�ens and meaning of chut daca. After an individuat has bee�.sfiown dx p�ivA�e dan aod infocmed of ics meaning,the data need not be disclosed�o him for six monihs rhereafur unless a d"u�ure or action pur,�an�ru dus secQon is pending or addi�ional data on rhe individus!has been collce�td or crea�ed. The�csponsiblo audtonry shall provide copics of�he pri�are or public da�upon rcquect by the individual subjccc of�he da�. The responsible aurhoriry msy rcquire the r�quesring perso��eo pay die accual cosu of mutiing,ccrcilying,and campiling�hc copizs. '[�c responsible auehori�y shall comply immed;ately,if pass.ble,wirh any raquesc madc pursuant w rhis subdi�ision,or wiittin five dsys ot che da�e of rhe requesc,excluding Sacurdsys.Sundays and IcFal fu•liday;,if;:nmedissc campfiancc is not possible. IP he eannoc comply with rhe requas[within ihac dme.hc shall so infocm che individu�l, and raay have an addi6onal ftve days wichin which w compty wi[h rhe �eques�, eacluding Sa[urdays,Sundsys and leg�l holidays. Subd.4. Precedure�shen dota is not accurate or cumpt�_te: An w.di�idusl may con�es�the accuracy or comple�eness of pvblic or priva�data conceming himstlf. To cxer�ise rhi:righ[,an ir.�ividual;hail nocify in wridng�hz responsible aurhoriry deacribing nc�nacure of rhe disagreemenc. 'ilie ctisponsibla authoriry shsll wirt�.in 30 days cichcr: (�)cot=cct rhe da�fowxi cn be inaceura[e ot incomQle�e and a�temp[w noat�' pas�recipienrs of inaccurate or incomQlcx daa,induding recipients m.�mcd 6y tht individual;ar(b)neufy the individual thac he beliaves cho da�a co be correct. Daia in dispu�c shall bc disclosed only iP the individu:�!'s statemcnc of dieagreemenc is includtd with the disclosed dara_ 'l�e dcurminadon of fic responsiblc sutlwriry may bc app�:aled parsuant w thc provisiuns oP the adminisrraave proccdure ac�reladng w con�ested cascs. T�ATa P$iv acY AnvrsOT�Y in secordance wiLh M.S. 13.04, Subd. 2, "Righc;of subjeccs of da�a", we would like to inform you that your reques[for a permit or license from rhe �iry of Orono or any oi its deparnnents may require you to furnish cectain privace or confidencial infomzacion. You are notified that: 1. The information you f�,�rnish wit: be u:,ed to determine your qualifica�ion for the permit or license reques[ed. 2. You may refuse co supply data, but reh�sal may requir: chat the Ciry deny the permit or license. 3. The informacion may be shased with oiher loca:, sta[e or federal agencies to the extent necessary to process che permit or lieense. 4. If your reques�ed permit or license requires Council action�a approve, sotne informa�ian may become public. 5, You have certain rights under M.S. 13.(r4 (availabie ugon request) to review private data on yourself. 6. Your full name is required to process uiis application or permit. G� ` �� 1�f2_ � T� � Firs[ �tiddl: Lasc ��--� L1�-�C-��/'`,►� t`� � �- � � �� waaM � �, ,�� S'`/a-rJ �6 3`�� —CY�� ry g�Le Z;p Phone I understand my righu as ted abo r Signs[urc 6