The URL can be used to link to this page

Home My WebLink About2001-P04553 - free standing sign PERMIT C�,�.�Y `�F O RO N O Permit Number: 2750 Kelley Parkway - PO Box 66 P04553 Crystal Bay, Minnesota 55323 Permit Type: sign Permit (952) 249-4500 Date Issued: lo�3ii2ooi SITE ADDRESS: 380o Shoreline Dr Wayzata, MN 55391 PID: 17-117-23-33-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Sign Permit Permit Sub-type(s): Sign-Free Standing D ETA I LS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Chiropratic Sign FEE SUMMARY: PermitFee: $ g3•25 Valuation: $ 3,000.00 TOTAL FEE: $ 83.25 APPLICANT: Owner/Self OWNER: Mark Brewer MN 3800 Shoreline Dr Wayzata,MN 55391 THE UNDERSIGNED I-�REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CI"IY OF ORONO ORDINANCES AND STATE OF M�,NNESOTA BUILDING CODE REQUIREMENTS. ` .� � �-.___ � �n ,�/� C�� " 'k LI I E I NATU ISSLTED�Y SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 t //'�` '��j_ �_.... a�,•��,,••,i � � � ( r/ {� � ..'7'J 1 ' / i ' r _ 1Total�Fee: $ J`� _..., Date Received: � �1 `l i .�.� -� Entered By: �/� Permit#: �' ��, , , - � � CITY OF ORONO - .,PERNIIT APPLICATION (�,.�¢��.4;� ��.� All information must be submitted in full before plan review will be started. � (please print all information) ------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 3�d� oir/O/!�E!-!N�' ,�J.Q. ZIP: v�S39� NAME OF OWNER: /ni¢R/(��i�ti',B ,B�PF�EJ� PHOi�TE: (home) Y.S�"S��Z S� (work) �J�Z-y7Z -y�� IAILPi 1G ADDRESS: �0 Z/ f�.�5T,�AO 02 . CTTY: /��rYrv�ili� ZIP: 55.3� CONTRACTOR: PHONE: C0�ITACT PERSON: MOBILE/PAGER: MAILI�i'G ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: ,�,0/50� Sld�fS PHO\TE: MA.ILI\i'G A.DDRESS: CITY: Z�: N�y�; REGISTRATION# � TYPE OF WORK: New Addition Accessory Structure �5/6.tJ Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: /��.� ,.s/�,11 � OEs/G.�l �97t"/tCr/�D STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. ESTII�i IATED CONSTRUCTION VALUATION (excluding land): � .3. �� I hereby apply for a building pernut and I acknowledge 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 BuildinD 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 ac da e ' the approved plan. APPLICANT'S SIGNATURE: DATE: �� NOTE! Parade of Homes events require separate permit approval by Police Department cartd City Council 60 days prior to the event. Non permitted events will not be allowed. r � Sec.13.04 RIGFiTS OF SLJBJECTS OF DAT?i Subd. 1. Type of data. The righcs of individual on whom[�e data is stozrd or to be stored shall be as set forth in this section. Subd.2. Information reqirired to be givm individual. An individual asked co supply private or confidendal data concerning himself shall be informed of: (a)che purpose and inrended use of the cequesred data wi�in the colleccing Stace agency,policical subdivision,or statewide sysum; (b)whecher he may refuse oY is legally required to supply che requestcd daa:(c)any]mowa consequence arisiag fmm his supplyiag or refusing to suppiy priva�e orconndenaal data;and(d)the idenriry of other pe�soas or enud:s a�chorized by state or federal law to crceive the data..This requiremenc shall not apply whtn an individual is asked to supply investigadve dara,pursu�:c to secdoa 13.8?,subdivision S, to a Iaw enforcement o�cer. The commissioner of re�enue mav olace the noace «wired crder this subdivision in the individual income tax or proDertv tax refund instructions inscead of on those forms. Subd.3. Access to data by indi�idual. Upon requesc to a r.roasible auc�oriry,an individual shall be informed whe[her he is the subject of stored data on individuals,and whe�her it is class"ified as public,privac:or confid�r.rial. Upon Iris further request,an individual who is the subjecc of store3 private or public da[a on individuals shall be shown the dara wiu out any c"narge to him and:if he desires, sball be infocmed of the coatenc and meaning of chac data. Afcer an individual has been shown the priva�zan and ia:ormed of its meaning,che data need not be disclosed to him for six monchs[hereaiter unless a dispute or acrion pursuanc to this secdon is�,ending oc addiaonat data on the individual has been collecud or created. The responsibie auchoriry shali provide copies of the private or public dac�eron requ:s:by the individual subject of the data. The responsible authoriry may require[he requesang person to pay the actua!cosa of making,cer.ying,and�compiling the copies: The responsible authoriry shall comply immediacely,if possib!_.wieh any r_quest made pursuant to chis subdivision,or within five days of the date of ct►e reques�,excluding Saturdays,Sundays and legal holidays,u immediaG.compliance is not possible. If he cannot comply with the request wichin rhat time,he shall so inform the individual,and may have an addi�er.al five days wichin which to comply wich che request,eaciuding Saturdays, Sundays and legat holidays. Subd.4. Procedure when data is not accurate or eomplete. �r►individual may contest the accuracy or completeness of pubtic or pri�•ate data conceming himselF. To exercise�his ri¢hc,an individual shal!nodfy ia wridng d;e responsible authoriry describiag che nature of the disagreemeac. The responsible au�horiry shall wi[hin 30 days ei[her: (a)correcc the dae icund to be inaccuratc or incomplea and aaempt to nodfy past recipiencs of inaccurate or incomptece data, including recipients named by ehe individi��l;or(b)coufy the individual thac he believes the dara to be correct. Data in dispuce shall be disclosed oniy if the individual's sta�ement of disagrr_�ent is ircluded with the disclosed daea. The decerminadon of[he rasponsibie authoriry may be appea::d pursuanc to the provisions of�he adminisaariv�procedure act reladng to contested cases. . DATA PRIV�CY ADVISORY In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi data",we would like to inform you that your request for a permic or license from the City of Orono or any oi ia deparmencs may require you to fumish certain priva[e or confidential information. You are notified that: 1, The information you furnish will be used to de:ermine}•our qualification for the permit or license requested. 2, You may refuse to supply data, but refusal nay require that the City deny the perm.it or license. 3, The information may be shared wich o[her loczl, state or federal agencies to the exten[necessary to process the permit or license. 4, If your requested permit or license requires Council action to approve, some informacion may become . , public. �, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (, Your ful.l name is required to process this application or perm.ic. /Y/Ak� �v�ENE ,L`�•QE�,E� First Middie Lasc f02/ �GI+Td�lD 2. Address ,y�,/ .��6`� �s��Z �� /�vNE1'l�/� i�i�� 7. Ciry State Zip Phone I unders d i '� as stated above. . Sig e � �!.? " CHECK OFF LIST FOR ISSUANCE OF PERMITS �l�� FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3�c�c� 5 t�p 2.cc,��v c� (�2 PID: DESCRIPTION OF WORK: �l lo� ZOtiNi G REVIEW BY: DATE APPROVED: r o -z Y -v� BUILD�G REV�W BY: — DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes No PLAN REVIEW Yes No SEWER CONNECITON STATE SURCHARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZOVIl�tG CH�CK LIST Zoning District: Fire Department: Post O�ce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: Ok tr�p Proposed Setbacks: Front (Lake): i C�` Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peal:Hgt. Lot Coverage: /(/•/} ' Gradine: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 C � BUII.,DING REVIEW CHECK LIST �C� CONSTRUCTION TYPE: �. , Sq Footage $Per Sq Ftg Basement x _ lst Floor x _ _ 2nd Floor x = Gazage x = z = TOTAL Estimated Construction Value: $_ 3�Oc�� —Pp� u Q�G Sc��i,1,� InspeMions Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footin8 � 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(IN HOUSE): . ------- --------------------- ------------------- REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date gy; ------------------------------------------------------------- REMARKS (TO BE NOTED ON PERMI�: � ��` j� . 8