HomeMy WebLinkAbout1995-007625 - awning w/sign : • �, PERMIT
CI'�'Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - - _
Cry9tal Bay, Minnesota 55323 Permit Number: a;.��
(612)473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- ��'�,_--��. � ,:.:.�:;r��_- —
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APPLICANT% RMITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: � � ' �� DateReceived: ,�,� - %� � % �
DateApproved: �; - �` - �':>�
Entered By: __�,;.� Permit#: ��`�'�
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CITY OF ORONO - BUII�DI�i tG PERIVIIT APPLICATION
ALL INFOI2NIATION v1UST BE SUB�IITTED IN FULL BEFORE PLAN REVIEW WII.L
BE STARTED
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-- ---------------------------------
THE APPLIC��1T IS: (circle one) OWNER �R CONTRACTOR
JOB SI'I'E ADDRESS: � tC,�� >4K_.�-c 1�� �'. N�-��`�.Y�r� ZIP: �`�3�1�_
NAME OF O`Vi�1ER: �.-��`� l <<=y" PHO�IE: (home) �i� I -�7E-�/
(work)
iVIAILING ADDRESS: 3"�C�� ���� �Ir��s�_ CITY: ��:c,� zc�z. ZIP: �5 3�-i 1
CONTRACTOR: -- PHONE:
�IpB1LE PHONE/PAGER:
MAILING ADDRESS: CITY: ZIP'
STATE LICENSE: #
ARCHITECT/ENGINEER: r�;<_,�,�.:��{� ����Y�.�:.., ���.x•r�rn,�HONE:
MAILING ADDRESS: CITY� Z�'
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move RemodellAlteration Land Alteration
PROPOSEDWORK(describe indetail): ���k% I��`s�,�` ����Y� :��'��'�` �vc fs��
� � ,-�-�--, ����mc M,�r�� �n k�= (�'��°�l C'��-F-�,� c��
i��<,-�, �:.� �,�� t+
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
. oc;
ESTIMATED CONSTRUCTION VALUATION(escludingland): $ i � ���
I hereby apply for a buildin� permit and I acknowled�e 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 work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �- / "�-�JC�' DATE: i z - �?- `�S
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.
� �
Sec.13.04 RIGHTS OF SiJB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or ro be stored shall be as set forth in this secrion.
Subd.2. Information required to be given indiridual. An individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and in[ended use of the requesced data within the collecting'state agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required[o supply the requested data;(c)any known consequence arising from his supplying or refusing to suppiy
private or conFidendal data;and(d)the idenary of other persons or enades authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigarive data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav piace the norice required under this subdivision in the individual income tax or propertY 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 confidendal. Upon his fur[her request,an individual who is the subject
of stored private or public data on individuals shal(be shown che 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 its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acaon pursuant to this section is pending or additional data on the individual has been collected or created.
The responsible authority 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 costs of making, certifyine, and compiling the copies.
The responsible authoriry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,exciuding 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 to 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 conceming himseff. To exercise this right,an individual shall noafy in writing the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomp(ete and attempt to notify 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 disciosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions of the admicustrative 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 pernut or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to detemune 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 pemut or license.
4. If your requested pernut 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.
�-<'t=�c' � �'`'_Y"?`�'_ ��s�
First Middle Last
'�` �c1 �'' v ���<_� —
Address
��_G y < <:�-�-- (',7��; >; '�=-�� ���i� -�; 7 �-��
Cin, State Zip Phone
I understand my rights as stated above.
��' �-��_
Signature`"
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CHECk OFF LIST FOR ISSUA�`CE OF PERtiITTS
FOR OFFICE USE ONLY
�DDRESS OR LEG:�L: ��f 6� 5����-�"� PID:
DESCRIPTIO\ OF «-OR.�: �� 6"' _
----------------�_--------
ZO\�G RE`�`V B�': (� 0 ( ��w,�— _ DATE APPROVED; (z-i�- 5 s
BL�,DL\G RE�ZEtiV BY: iv l.� DATE APPROVED:
------------------------
FEES TO BE C�L�RGED: y�isc. Fees Calculated By:
s�b,.�
PERti1IT YzS �� �o
y o � SEWER CO��ECTION
PL:�� REVIE�� Yes WAT'ER CONi�`ECITON
ST:�TE SURCH�RGE YzS '-'jo
Iv VESTIG:�TIO�i FEE Yes No PARK FEE
SAC Yzs No SITE INSPECTION
Number of S�C Unics _ OTHER (specify)_ �_
---------------------------- '
ZO`L�G CHEC� LIST Zonilla DtStli�i:
Shoreland Discrict :
, ���
� Posc Office: School Discrict: %�
Fire Departmen[: � i
� , / ;
; AEres Width j i Depth
Lot�.rea: Sa.n. ; �
;
� �,ro Date o�Survey: � �
Survey Suomicted: Yes T_
/
;'
Proposed Setbacics: �
Fronc �Lake): � Ri�ht Side: , i
Rear (S�ree�): Lert Side:
.-�djacenc Scructuces: Wetland:
Building Heig.ht: Def. H;t. _ Peak H,t. � �
i
Av�. Secback:
Biuif 5etback: _Lot Covezage:
Exiscing % Proposed .
Hardcover: 0-75'
75-Z50'
250-�00'
500-1000' ��
/ � ��
Hardcover V�riance Required: Yes No Date of Council ?�pproval:
Gradin�: Scatf ?�pproval Dace: By: Council .�pproval Date:
Szp[ic: Scaif :�pproval Date: By:
Zaain� File: n__ Resoiuiion: n Resolution Daze:
RE.�IARKS (in house): c N �-�-+�y.► r�c�.o�-e S� s q
r�o �� L� v�.. .T S —
P-e2 7�-R= ��s �'•a.
26
,�- •
BL�,DL\G RE«��' CHECI� LIST
L�sc: r�/�- co�sTxLc�ov r�E: �/�
Sq Foocage S Per Sa F��
Basemenc e —
lst Floor � —
2nd Floor c —
Gara;e c
Y -
TOT:�L
Estimated Construction Value: � ��7 v
Inspections Required: tiVork Requiring Separate Permits:
Si[e Plumbin� Fire
Hardcover Removal l�fecnanical Water Connection
Foo�in� Sepcic Sewer Conneccion
Framing Fire�lace Lawn Irrigation
Insulation (Nlasonry) Other
Wall Board (yif;.) Well (State Perm.ic)
D<Final Grading/Fillin; Electrical (Sta[e Perm.ic)
Other
�v�s (�i HOUSE):
-----------------
REVIEtiV BY OTHERS: DATE:
Access: Ezisting �eW
Access Approval: Dace BY� r
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REI�iARKS (TO BE NOTED ON PERI�TIT):
27
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36"
1
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18"
proJection
NON LLUMINATED AWNINQ
FABRIC: SUNaRELLA #4605 HEMLOCK TWEED
�,e1s�-j C.c�x �-f �1- ����
THESE DRAWINCiS AND SPECIFICATIONS O SCALE $���� = T—O" ATTRA�TA
ARE THE PROPERTY OF ATTAACTA SIGN. — I��
To dl�trbuto thow cfmwlnp�to enyono for kho purpo�o of rooddoy Wd�,or Uw
roenuteeturo or o��on dmllar to 1h�ono rvpra�ontad Maro I� oxpro�Nr lorbldd�n. 5B 'M�Q�M �
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