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Home My WebLink About2003-P06305 - land alteration PERMIT CITY� OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po63os Crystal Bay, Minnesota 55323 Permit Type: user De�ned (952) 249-4600 Date Issued: sii3�2oo3 SlTE ADDRESS: 1580 Sixth Avenue N Long Lake,MN 55356 P I D: 26-118-23-3 2-0006 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: User Defined Pernut Sub-type(s): Land Alteration(0-500 cu yc DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 0.00 TOTAL FEE: $ 50.00 APPLICANT: Owner/Self OWNER: Whihnan Real Estate Partnership M� John E.Whihnan 1570 Sixth Avenue N Long Lake,MN 55356 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. -=� . � ., — --�� c��.�. <��--� . :� 'tt�PEIeANT PERMITEE IGNATURE --`-'""- � ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Reouired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 . ,-- , crU s�, , f '�Total Fee: $ J�� '�C�-'�"Date Received: ,��(Z/� � Entered By: ��Permit#: �� , ,- . � CITY OF ORONO - B ��G PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � ------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OW E;OR CONTRACTOR JOB SITE ADDRESS: . /� � C% Si X � � � ZIP: ;S� �_��: �t'l�� .� .�s ��Ct �;- � �� NA1�iE OF OWNER �,/��„ �i� �� '�,-,G,,, � PHONE: (home) �f 7_j-��7`�1�, (work) S�irn� MAILI�i 1G ADDRESS: /5 7� �'�'' �'� N CITY: �, � � ZIP: _ � '_S � CO\�'RACTOR: PHONE: � �S- _3�) �� COtiTACT PERSON: MOBILE/PAGER: NLAII.,Pi 1G ADDRESS: CITY: ZIP: ST�T'E LICENSE: # ARCHIT'ECT/ENGINEER: �'' MAII..I�i 1G ADDRESS: CIT` ZIP: NA.`IE: RE�Y�s� .JN# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration�_ PROPOSED WORK(describe in detai�: �ti��-� ,��, G"� � � � ��c c-��;� ��L �L"Y �-�3 /'7��{-L� L!_L 6-�� l�A..�w7�! %�..�--�i1�. GIL�LL,� � �1�LL)�S�tC� �. r- ^ , J �-ti��G C�c�►�� ' STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a buildinJ permit 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 Buildin� Code; that I understand this is not a permit and work is not to start without a permi:; and that the work wi�I be in accordance with the approved plan. ._..- APPLICANT'S SIGNATUR�:-��'.,--':.-- �✓ DATE: � y --�_"' ��„.— � �__.. _ NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 r , Sec.13.04 RIGFiTS OF SLJB,TECTS OF DATA Subd. 1. Type of data. 'I1�e righcs of individual on whom the data is sWred or to be stored shall be as set forth in this secaon. Subd.2. Information required to be gven indiridual. An i�ividual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and in[ended use of the requested data within the collecting state agency,political subdivision,or statewide rysum;(b)wherher he may refuse or is legally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or enCaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigative data, pursuant to secdon 13.82, subdivision 5, W a law enforcement officer. 'Ihe commissioner of revenue mav olace the norice reauired under this subdivision in the individual income taz or nrooercv tax refund instructions mstead of on those forms. Subd.3. Access to data by iadividual. 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 class�ed as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge ro him and,if he desires,shall be informed of the content and meanin�of that data. Aher an individual has been shown the private data and informed of its meaning,the data need nat be d'uclosed to him for six months thereafter unless a dispute or acdon pursuant to this secdon is pending or addidonal data on the individual has been collecud or created. 'Ihe responsible authoriry shall provide copies of the private or public data upon requesc by the individual subject of the data. The responsible au[horiry may require the requesang person to pay the actual cosu of making,cectifying,and compiling the copies. Tha responsible authoriry shall comply immediately,if possibie,with any request made punuant to this subdivision,or within five days of che date of the request,ezcluding 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 addidonal five days within which to comply with the request, excluding Samrdays,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 privare data concerning himself. To exercise this right,an individual shall notify 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 incompleu and aaempt w noafy past recipientc of inaccurare or icuomplete data,including ncipienu named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute shali be disclosed only if the individual's sratement of disagreement is included with the disclosed data. The determination of the responsibie authoriry may be appealed pursuant to the provisions of the adminis�ative procedure act retaang to contested cases. �` `� PATA 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 �iry of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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. Firsc Middle Last Address Ciry State Zip Phone I understand my rights as stated above. 6 � ` CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: /5 s�o S�x Tl-f �►v c- N• PID: � DESCRIPTION OF WORK: �nA✓�i��/cA-,� �.i� - O2��t w�a,� L-r•�twc4 ZO�TI1i TG REVIEW BY: o (�Q�,�,e,,,^ Nw � DATE APPROVED: S•t Z.-0 3 . BUII..DI�i TG REV�W BY� . DATE APPROYID: — N lf►- ---,-i-�. - FEES TO BE CHARGED: is GFee�ulated By: PERNIIT Yes � No PLAN REVIEW Yes No SEWER CONNECTTON STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE � Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) ZONPTG CH�CK LIST Zoning District: Fire Department: Post Office: School District: • Lot Area: Sq�.ft. Acres � Width Depth Survey Submitted: Yes_ c� No Date of Survey: 2-�!• 76 � I•Z`{-03 Proposed Setbacks: ' � Front(Lake): Right Side: Reaz (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Z�bbg Resolution: # Resolution Date: 2-Z`� �.03 Shoreland District: �s Avg. Setback: Bluff Setback: Lot Coverage: Eusting Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Couacil Approval: RENIARKS(in house): PjtoPo s� 6 f�� e�� o..�Tv � Z s � 2 S S�� sv�2vc._ 4.�� /-2 Y• 0 3 _ . � 7 e � BUII,DING REVIEW CHECK LIST . �C' CONSTRUCTION TYPE: — _ Sq Footage $Per Sq Ftg � Basemeat . . x _ lst Floor � x . _ 2nd Floor x _ Garage x _ . x = TOTAL Fstimated Construction Value: $ /��, — � /NL / rsc.i 7 c✓/d G.v�. Inspections Required: Work Requiring Separate Permits: Site plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ' Septic Sewer Connection � � Framing Fireplace Lawn Irrigation Insulation (Masunry) Other Wall Boazd • (Mfg.) Well(State Permit) X Final Grading/Filling Electrical(State Permit) Other REMARI�.S(IN IiOUSE): REVIEW BY OTHERS: �""`_�---------- ---�~----__ DATE: Access: Ezisting New . Access Approval: Date gy. � RE1�ZA.RI�S (TO BE NOTED ON PER1vII1�: � ~�� 8