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HomeMy WebLinkAbout1996-007755 - wall particians - _ _ _ P�RMIT CITY�F ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �;��j�[;�'��� Crystal Bay, Minnesota 55323 Permit Number: {�����.�� (612) 473-7357 Date Issued: �^#:.`�,��f��� SITE ADDRESS: � '1;�i3�. :��Hi=ii��i..��•i1� �iF; •JF� �'. I . t�E. �'i 3—f �.;—'�'=:—�;`3 —i�i�:=,:�, DESCRIPTION: ��L.� F'i�hT I�:I r�l��=� �,ui ldin�� F'�3�n��it. Tv���. �.:��t�l—€�l�i�.•'�'�tfi;I:rL-`L F:u� ?�i.r�� ����t��:: TyF�M �;�.�`�#+:��r'�`TE"�;�t��=}CyEL t 1�;r�: f:lr�i�n:�tiZc y �_ t:.��:�t i�t•t�lfir�t.�.��t�t E W�°� `�!V �:��-��a.�� t�:,����� �.='7 HLT . t�#���t�lh�'� . REMARKS: :.;EF'�'�F�HTE� ���T�TF �'��ih'[t T tiEC..?i 1 T�'�3 7 F��ati �LF�":1�I t:.��;L_ FEE SUMMARY: Vfai_t;���'j f i�1( �:?, �wti rt:, F.�s� �wN ��`�7 . ':'4 F'l�:�r� Rw�vi�w ���, . �f �_�►.���c!-��r�a�, _______ _�1.�=�ir �{�t•:�I F��� ��14�. �;r: CONTRACTOR: _ ��,�,� ; �,�,-��.. _ OWNER: td�����`f 1l:_Y�i-? +��ii�l'��T 1�.'i�1 i s:}_� C:�i�:Hi; L i��i 7i;�� �T��:�� N i��Ni_A4�C7 L� �3?�=31 °�:�-'�::��i�L.I�?E ��3�; L_+��Nt� I�Al�::E �1td ��:��.��, M��}������a�_� r�{�.a ��:����1 t;i=�1:�:':; �.f�—i. �c��:�; �t?i —�=:�=;�`'F, i�-ik: s�!�l����r�'=;I!7tti��� �-i�:_��E�Y €=�i��x=k 1�:°�;��'=� 4='�:Ri 1 I':�:�;I?�t�i i�~i tir��t::�_ ..l�����.� '�:°��:�:�:_ ��r;x='�;;-��}Ef°?i:;-��;°::: �:,- - - --.._. .. ,_...._,- - - - , � - ���. h�f.�1.�" ��.f,) t���'i� f�f-j�'t1��-,:_� �µ!_.( :�`1I�! i-'.�i �E_I�:�:, �t�! .;, l !:i.t;� t:i_;t�if''e._ 1.:`-`! .t..�: �.. _ % �-7 r�i...: t: :,�d�`c' i,i�� �_��Z�_�i�f_� �_��:!�����i'•�i4_-�'�� (=i��{I.1 ��� �i�. I_I!— ti t.f €�`d�.._•=�!_��i-� ��°��_�.�. i t�;i i �_E.. .��._ �.L.'1��j i����_;•�'=r`3 I'�; �l L � f� �� ./�� � � � l'� � APPLICANT ITEE SIGNATURE ISSUED BY SIGNATURE :I'otal I'ee: � ��7'S� DateReceived: Date Approved: _ Entered By: /� Permit#: � � CITY OF ORONO - BUILDI'�i tG PERNIIT APPLICATION ALL INFORMATION l��iJST BE SUBMITTED�T FULL BEF�RE PLAN REVIEW WII,L BE STARTED ------ ---------�------(--------- ) THE APPLIC�v'T IS. circle one OWNER U� ONTRACTO �1/'a .--c JOB SrrE �DnxESS: 3 70/ s�o...�/,�, P c-(,-- ZIP: .Ss3?/ N��OF OWNER: �t � a C r�a ,�- PHONE: (home) el `7/� 93 �� (work) �t`�/ ^ 9� �-C MAII.ING ADDRESS: ��ke --��4 CITY: /`7�'`�� ��a�LZIP: CONTRACTOR: G/�-, ��d� P-'� T`��,—' PHONE: Ll 73-//o.3 MOBILE PHO�TE/PAGER: MAII�INGADDRESS: 7'v 9 �i`Gr« hiq k /aK �ITY: L�.., q L�l.�ZIP: S'1'1��� STATE LICENSE: # o o � 7S6,� ARCHITECT/ENGINEER: PHO�IE: MAILTivG ADDRESS: CITY� Z�' r N��: REGISTRATION # TYPE OF WORK: New Addizion Accessory Structure Move Remodel/Alteration �. Land Alteration PROPOSED WORK(describe indetail): C o�r7'r�4� � �� � �---�'`�ic,u..,r � � � � � �s�`!r STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. ESTIMAT'ED CONSTRUCTION VAI.UATION(escludingland): � �� o-� I hereby apply for a bu:lding 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: ��^- � t-'`�'`Y.�� DATE: `Z- / 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. � � _ -�_Y ' /�__, � � " r � � - � NO ---- G ITY of 4R0 ,� ;,:, ;';;�: _ � ��,��o� ` ' .:�. �., Posc office sox 66 `�``�,� �i:•'�l .+ -_ �:� �'�' Crystal Bay,�linnesota��2.3-0066 ; l •';I.._. _ �-� ' ������ �� DATA PRIVACY ADVISORY In accordance �;�ith �i.S. 13.0�, Subdor licensetfroms thee CiryTotatO:ono or�an io e o i n fo r m y o u t h a t y o u r r e q u e s t r o r a p�r m departments may require ��ou co furnish cercain priva�e or co�dential information. You are notified that: 1. The information you furnish «�ill be used to determine your qualification for the permit or license requested. ?. You may refuse to suopl}� �'ata, but refusal may require that the City deny the pernit or license. 3. The information may be shared ��ith other local, state or federal a�encies to t?�.e extent necessary to pro��ss �ilz perr��t or license. 4. If your requested permit or license requires Council action to approve, some information may becam� public. �, You ha��e cer:ain ri�hts under M.S. li.04 (see fo?]o�z�ina pa�e) to review private data on yourself. (. Your full name is required to process this application or permit. PLEASE PRL�T'T /� �r � c�cY c+/ -PrM ti' 2 v— First �iiad:e Last �-o� �y.�., o.. � c. �ak d Address ��, S-�'.3 r �l-7S`� r�o� °�` `� Zip Phone C iry S tace I understand my rishts as sta�ed above. 0 , � Si�nature ��orrE-a��s�• Fax-a�-osio ----- —-- � -t.y- r . �.04 RIGHTS OF SIIBJECTS OF DATA � � Subdivision L Z`ype cf data- The rights of individuels on whom the data is stored or to be stored shell be es set forth in this section. - to be given in�ivid�aL An.individuel esked to gubd, 2, Informaticn required � � supply private or confidentiel data concernin�tamWithin the collecting stat ag n Y� purpose and intended use of the req em;d �b� �yhether he ma� refuse or is legally political subdivision, or statewide sys �oy� consequence arising from his required to supply the requested dats; (�) �Y �d (d) the identity of supplying or refusing to supply private or confidentiel data; other persons or entities authorized by state or�e�kedlto supplyeinvest gat ve da a requirement shall not apply when en individusl pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue n►a lert t� re��d�tructionsuinsteadh�s subdivision in the individual income tax or r• on those orms. . - --- � � _ Subd. 3. Access to data bY in�vi�u�1• �P°n request to a responsible authority, an individual shall be informed�he bliC'hPr vate or confidentiaLe Upon his individuals; and whether it is classified p ublic data on further request, an inaividuel whe is the subject oi e t��mrl�v�gaeif he desires, shall individuels shall be shown the date withou�f atn�t �t� �ter an individusl hes been �e informed of the content and meaning t� �� n�d not be �isclosed to shown the private data end informed of its ut��a��on pu��t to this section is him for six months thereafter unless B d�SP � ending or additional data on the individuh h�ate or p blie dataruPona equest by ' p require the responsible authority shall provide copies The responsible authority may the individual subject of the data- certif and compiling the the actual costs of making, Y�g� requesting person to pay - copies. lmmedistely, it possible, with any request The responsible authority shall comply ' made pursuant to this subdivision, or within aa e��ySimmediate8t ompliance e�ue.ns°t excluding Saturdays, SundaYs and legel YS ossible. If he cannet comply with the request within that time, he shall so inform the p heve an additional five daYs Within which to comply with the individuel, and m S t���� 5��� �d legal holidays. request, exeluding Subd. 4. Proced�u'e �►hen data is not accurate or complete. An individual may himself. To contest the accuracY or comQleteness of public oinri�� the�rcesponslble authority exercise this right, an individual shall notify describing the nature of the disagreemen b 'I?��c��e oren flmplet and att pt to days either: (a) correct the data found to notify past recipients of inaccurate or inc�mP�t he belie es the datalto be correct the individusl; or (b) notify the individ Data in dispute shall be disclosed on1Y if the individusl's statement of disagreement is • included with the disclosed data. ealed purs�t to the ' The determination of the responsfble authority mo contested cases. provisions of the administ�'ative procedure act relating ' �� ' CHECFi OFF LIST FOR ISSUANCE OF PERtiIITS FOR OF�CE USE ONI-Y �DDRESS OFc LEG:�i..: 3�0 l ���rtk.z,��► e —PID' DESCRLPTIO\ OF ��'ORF�= t�t�''R'` � v`'' S DATE APPROVID: ZO\�G REti'IESV BY: � DATE A.PPROVED: 3- �-°t� . BL-II.DL\G RE`�jv BZ'� FEES TO BE CIi-�RGED: Vo 1�Iisc. Fees Calculated By: PERti1IT Z'zS '� — PL�N REVIEZV Yes �/ `to _ SEtiVER COIWi ECTION - . �10 WATFR COi�Ni ECTION STATE SliRCH.-�RGE YzS � — P qg� �E INVESTIG:�TIO�+ FEE YzS �°� �'�—r.. s� INSpE�ON SAC -'Zes — OTHER (sPecify) Number of S�.0 Units _ ZO\�G CHECZi LiST Zonin�Disuicc: Shoretand Disuict: .Po� ��`: School Di 'ct: Fire Departm c: Lot Area: Sq. Acres Wid[h Depch Survey Sub ' ted Yes No Dace of Survey: Proposed Sec ac!cs: i�� Side: F:o (Lake • Re� (Streec): ft Side: Adj cent Struc res: We and: Building He Qht: Def. H . Pe H;t. pvg. Se[bac : Bluff S back: t Covezage: Existi.n Proposed I-�ardcovez: 0-75' ___ 75-�0' 250-�00' — 500-1000' Hardcover 'ancc Required: 1' Na D of Council Anproval: . Grading: S App roval Dace: By: Council ?.oproval Date: Szocic: Staii ApP roval Dace: B�' � File: T Reso uri a: : Resolutioa Daze: Zonin_ �ti (in house): . � 26 " i. BL-II.DL`rG RE���Z' CHECI� LIST . covsrxucTTov�E: �� , L�c: � — � � Sq Foota�e 5 Per Sa FtQ _ Basement t = lst Fioor t = 2nd Ftoor X = Garage c = � x TOT�L Estirnated Construction Value: S 3 2�� tiVocic Requirin� Separate Permlts' . Inspections Required: . p;umoing _ Fire Sice �eCa��� _Water Conne=cion Hardcover Removal SeDcic Sewer Conneccion FoocinQ - L,awn Irrigacion Fireplace — —� Frami.ng (tiiasonry) _Other Insulation �f� � Well (S[ace Permic) �Wall Board �[ Eleccrical (State Pe:mit) 7C Final Gradia;lFilling — —T Other _,�_ REyf.ARKS (� AOUSE�= gEV�W BY OTHERS' DATE: Access: Existin� Ne•�v �— Access Approv�: Date By: �1�i��gKS (TO BE NOTED ONPERtiII�: 27 .�,. ��' i � ,, f � � . , t � L... 1, 1�' ` � � � �'. r .. ^k � � �:: i� i -- � z � Y � ..� � � � ;,� v �1 - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � '��,. � °� � �� `� � .�. � '� ��`�; ��J JAN-12-96 SAT 12;31 TOWLE REAL ESTATE FAX N0, 3479389 P, 02 � � � ��- �-0 � $��. r�. � ;b, �:_ � ,q o: �a � • � �:.� ��: :� � ,. , � _ � � , � �, .�: „ �- , , ' �" O� ,� �; �' a o � , � � 3'V� ' '�' � � � r �,�; ,;,� �, � � � �\ \ ' • r,�R �j .. �I'�- `�' � ��'f ::.. � � ViS y � � G i. 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