HomeMy WebLinkAbout2000- no # - perm sign on building ` PERMIT
CITY OF ORONO PERMIT TYPE: User Defined- Sign
2750 Kelley Parkway - P.O. Box 66 Permit Number :
Crystal Bay, Minnesota 55323 Date Issued: 4/10/00
(612) 249-4600
SITE ADDRESS: 3449 Shoreline Drive
PID #20-117-23-12-0033
DESCRIPTION:
Permanent Sign on Building
Commercial
REMARKS:
FEE SUMMARY:
Base Fee $ 35.00
Total Fee $ 35.00
CONTRACTOR: OWNER: Mark Pletsch
Box 128
Navarre,MN 55392
'TH�LJ1rTDERSIG1�iED HEREBY I�E+CQUEST PERMISSIQN'T(a M�iI�B THE REAL IhrIPROVEMENTS SPECIFIEL?t41�ID
�GI�EES T(�DU ALL W0�IN STRI�T�GMPI,XAItiC�WITH A�.,L GI`TY C7F'f�RONf1 t�RU�I1�N��S a1�T1�ST,AxE Qk'
'MI�7NE�()TA BUTLl7ING CODE�EQ�,1IRE�MENTS.
1��'��� � ���'Yl.a`��
APPLICANT/PERMITEE SIGNATURE ISS D BY: SIGNATURE
otal Fee: $ �,� Date Received:
Entered By: �� Permit#:
CITY OF ORONO - BUII,DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) OWNER R CONTRACTOR
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JOB SITE ADDRESS: 3 � � q S�.v h t-���,, Z ZIP: S�_���
NAME OF�OWNER: �l��� ��Ie-{'S�-L� PHONE: (home) �/75/� _
� �work) Y7�- 7300 �
MAILING ADDRESS: o� f �c� CITY: NQ V� U H� ZIP: s".S�3�2
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CI1'Y: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
� ` � �
PROPOS D WO (describe in detain: S l�h Q��, � 1 � '�v� �cs�i��j��
Y1 ,.��D Q.4.'C li'� � ,
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conforniance 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 work will be in accordan i e pp ved plan.
APPLICANT'S SIGNATURE: DATE: 3—��'���
NOTE! �arade of Homes events require separate permit approval by Police Department and
Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGATS OF SIJBTECTS 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 section.
Subd.2. Information required to be�ven indiridual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the pucpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legaUy required to supply the requested data;(c)any known consequence arising from his svpplying or
refusing to supply private or wafidendal data;az�d(d)the idenfiry of other persons or enades authorized by state or federal law to receive the data.
This requirement shall not apply when an individuai is asked w supply investigaqve data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
'►'►+ �mmissioner of revernie mav olace the notice reauired under this subdivision in the individual income tax or grooertv tax refund
instructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infortned whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who
is the subject of stored private or public dara on individuals shall be shown the data without any charge to him 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 iu meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pe�ing or addidonal data on the individual t�as been
collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible aud�ority 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 i�ividual,and may have an addidonal five days within which to comply with the request,
excluding Saturdays,Sumlays 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 concerning himself. To ezercise tlus right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagreement. The responsible authority shall within 30 days either. (a)correct ihe data fouiyd to be inaccurace or incomplete and attempt to�tify
past rxipients of inaccurate or incomplete data,u�cluding 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administraflve procedure act relating
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 fumish certain
private or conf'idential 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 Ciry 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 yourself.
6. Your full name is required to process this application or permit.
V�,�-�� ���,� �����
First���� �,2'V V�JI' Ti`V� t�.�'►,`' " ` Last
Address ,l� , , \ � C -�ry � � ( '��� / �d�
D��Lo ( ���a`t--a V`�JV J �j�� �-�
C��y State Zip Phone
I understand my rights as stated above.
� � \
Signature
6
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CHECK OFF LIST FOR xSSUANCE OF PER1�LxTS �
FOR OFFICE USE ONLY � �
'ADDRE.SS OR LEGAL: 3 y y 9 $/,,.o r��; � • . �
PID: � 2o- it�- 3 0 �
DES CRIPTIOY OF WORS: ; e r � – r '
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. . _ �
ZO�'I�YG REVIE'�'V BY: � �,., � DATE APPROVED: 3 z 00
BUILD .7�i IG REYIEVY BY: cti.,,,l � DA3'E APP�tOVED: p � '
� • � � � . . . ,
- • - . . , — . ------- �
FEFS TO BE C�iA,RGED: ' • �• � � Misc. Fees Calculated By: � � �� �
PERMIT � �� �Yes ' No . . . '
PLAN REV�W � Yes No SEW�t COYNECTiO�T
STATE SUR`H�,.RCrs .Yes No '�ATER COYNECITON
IIVVESTIGAZZON�EE Yes No PARK FEE
SAC Yes No STTEINSPECITON
Number of SAC Units ��-OT'HER (specify) �
ZONING �C�CK I,IST � zoning District: B-� r- -----M� . _�
Fire Deparomeat: Post Office: � Schoal District: � ' •
. . . � � 1
Lot Area: Sq.ft. � � Acres �Yidth $S Depth , �3�
Survey Submitted: Yes . No� x Date of Sarvey:
Proposed Setbac?cs: � . .
--- --- -_Fraat (La.�Ce):. __ :-.: . . . . Right Side _ _----- - - -
Rear(Street): � Left Side:
. Adjaceat Structures: Wetland:
Buitding Height: Def. Hgt. Pea.ti Hgt.
Lot Coverage:
Gradin�: Stafi Approval Date: �• By: Council Approval Date:
. Septic: Staff Approval Date: � gy; . • ' . �
Zoning�ile: � ' � , . Resolution:# Resolution Date:� � • � .
Shoreland Dis�-ict: � �
Avg. Setback: Bluff Setback: L,otCoverage: � � .
' • Exisci.n� Proposed '
Hazdcover: 0 75' �
75 250' . . . .
250 S00' • • • �
SOQ-1000'
Hardcover Vaziance Requircd: Yes No Date of Council Approval:
RE1�ZA�ZKS ('Ln house): . s � q N r�e r w�; -1- -�c r- M �n H��-o� k g
'�i c�i� ��Co�,na►,� .
� , . . � .
. '�� � 26
, •ti.,, , .
� -
• . , .. . . , .
• - • . .
. BUII.DING RE'V1E�r CHECK LIST � ' : . .
UBC: - . . . . . _. ,
COYSTRUCTIOY TYPEs � �. � � . � . �
, .. Sq Footaae . � S Per Sq Ftg � .
, Basemeat x . : . . � .
.. . . �1st Flaoc , ' � . . :x . . _ � . .
� 2nd Floor . .. � � � _ . . ... . . . • . . � ` ,
.� Gatrage ' ' .x. .. . - . _:-, . . - .. .. : .
x . _ - . .. . . . ,
x = — -_- -,
• —_ .
• TOTAL � . .
Estimated Coastruction Value: s -... _ - • .
� - - Inspections Requlred: • - . tiyork Re r�o
Site . � a Separate Permits; ' � �
Hardcover RemovaI . Plumbiag � .Fire .. �.. ; .
___.__Footing M����� �Yater Connectioa . ,
Stptic - •
_Fraa�ing =Sewer Connection � ' : �
Insulatioa . � Fueplace Lawa Irrigauon
_WaII Boazd � (�'1asoary) _ Other � � . . . . - � . . .
______Fiaai � • �Mf$•� _ Well (State Permit) . . •
Ocher G�d����l�� Electrical (State Permit)
. ��'Z� CIN HOIJSE): ` .
RE'Y7Eti'V BY OTHERS• � "--" . ------ �
DATE:
� Access: Exiscing � Ne�v � '
• Access�Approval: Dato .
-------------------------------- By:
REiIZA�RKS(TO BENO�'ED ONPERi1�IIT�; . � .
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