HomeMy WebLinkAbout1994-006605 - remodel porch ... � PERMIT
` CITY OF ORONO PERMIT TYPE: - ..
2750 Kelley Parkway- P.O. Box 66 '=�}_=_=�'-=-``~���'
Crystal Bay, Minnesota 55323 Permit Number: �_,�:_sr,;�,t_!=,
(612) 473-7357 Date Issued: �; ; ;��_;-�;�,::-.
SITE ADDRESS:
DESCRIPTION:
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REMARKS:
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FEE SUMMARY: �'-�� �'�'r�""
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CONTRACTOR: OWNER: -� . : -- - = =_�. - - �
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APPLICANT/PERMITEE St NATURE ISSUED BY:SIGNATURE �� ,
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A ` w' CITY OF ORONO - BIIII.DING PERMIT APPLICATION
Totai Fee: $ ��, '7�' Date Received:
Date Approved:
�ntered By: '.,C� -
Permit�:�� .��
ALI� INFORMATION MIIST BS SIIBMITTBD IN FULL BEFORE PLAN REVIEW WII,L B$ STARTED
(See Check-off List Enclosed)
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T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: �b� Cv� � � ZIP: ��3S�
(work) SZ� -43�Z-
N� OF OWNER: n�A-u� �st-(oA�C� PHONE: (home) 4�S'[oZ'L
NATLING ADDRESS: �JZ(os �.� (,o _ CITY: p ZIP: SS3�
CONTRACTOR: PHONS:
MAII.ING ADDEt$SS: CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEIIt: PHONE:
MATZING ADDRESS: CITY: ZIP:
�A�: RBGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration_� Renovate Land Alteration
PROPOSED WORR (describe i.n detail) : �'c..cQ,.� J� ��� `r��r✓ i.Jrti �A-'►��
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STORISS:_�G SQ. FEBT OF EACS FLOOR:
�TO. OF BBDROOMS: G�GS STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (eaclnding land) : $ [�,SD� ==-
� hereby apply for a building permit and I acknowledge that the information
,�bove is complete and accurate; that the work will be in conformance with the
ardinances and codes of the City and with the State Buil.ding Code; that I
understand this is not a permit and work is not to start without a permit; and
that the work wil 1 be in accordance with the approved plan. •
APPLICANT'S SIGNATORE: DATE: /o 3f '�t
. ,.
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C ITY of ORONO
Post Office Box 66•Cryatal Bay,Minneaota 55323•Mnnicipal Offices
•
� � � � On the North Shore of Lake Minnetonka
DATA PRNACY 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 City of Orono or any of its departments may require
you to furnish certain private or confidential 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 City deny the permit or license.
3. The information may be shared with other Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review privat�
data on yourself.
6. Your full name is required to process this applicatian or
permit.
0
First M' dle Last
�Z�C� �O � �- �
Address
�o� Iv1� �S3S�
Cit State Zip
��5-C�L2__-
Phone
I understand my rights as stated above.
Si nature
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING =
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. 513.04 RIGflTS OF SIIB.TP•CTS OF DATA � �
gubdivision L Type of data- The rights of individuels on whom the data is .
stored or to be stored shall be as set forth in this section.
-- . Subd. 2. Information req��d to be given indivi�usl. An.individuel asked to
� ' su 1 rivate or confidentiel data concerning BmWi�in th� collect g stat age�, .
PP Y P
purpose and intended use of the requested da
(b) wheLher he may refuse or from his
political subdivision, or stetewide system; �oWn consequence arising
required to supQly the requested date; (�) anY
su 1 ing or refusing to supply private or con��i federal le w o receive the data.itT1�
PP Y state
other persons or entities authorized by p investi tive data,
requirement shall not apply when an indi�via 1a en orcement officer. �
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma ler� t8X re°und�nstructio uinsteadh°S
subdivision in the individuel income tax or r•
on those orms. . - -- -- - " ,
Ac� to �� by ����, Upon request to e responsible
Subd. 3.
authority, an individuel shall be informe�h ublic,hp vateeor confidentiaL� �Pon �
individuels; and whether it is classified p ublic data on
further r�quest, an individuel who is the subject of Se to himriande if he desires, shall
individuels shall be shown the data withou�f an�y ��a. �ter an individuel has been
�e i n fo rmed of the content and meaning t he data need not be �isclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a disPute or action p
� ending or additionel data on the individual h� 8te or public datarupon request by
' P require the
responsible authority shall provide copies The responsible aut�rgy maY �n the
the individual subject of the �t8• certif n , and comp g
requesting person to pay the actual costs of making,
copies. 1 immediately, if pcssible, with any request
The responsible authority shall comp y S of the date of the request,
made pursuant to this subdivision, or within five day
excluding Saturdays, Sundays and legal holid`eys�ni�ha���8 he hall soa info m the
possible. If he cannot comply with the request �� Within which to comply with the
individual, and rnaY ha�e an additional five days
request, excluding Saturdsys, 3undaYS and legal holidays.
Subd. 4. Procefiae when data is not accurate or complete. An indivi�� may
himself. To
contest the accuracy or completeness�of public or private data conce��e authority
ht an individual shall notify in writing the resp� �yithin 30
exercise this rig , nsible authorit shall
describing the nature of the disagreemen� The respo leLe and attempt to
days either: (s) correct the data found to be inaccurate or incomp .
notify past recipients of inaccurate or incomple ter a b�e esdthe datalto be correct
the individusl; or (b} notify the inaividual tha eement is
Data in dispute shall be disclosed only if the individual's statement of �gT to the � .
• included with the �isclosed data• � aPpe�ed pursuant
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
_ ;: _ _ . _ __, .
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
' FOK OFFICE USE ONLY '
ADDRRSS OR LEGAL: 3�0� � � � PID: .
_ .. _ _
D$SCRIPTION OF WORR: �%�Qt°.L-
-- po 2c.�� ��r-�-o�_ p�- a�- �-�s�
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ZONING REVIEW BY:_ /� DATE APPROVED: � "
BIIILDING REVIEW BY:
DATE APPROVED: �/' �-�l�( _ .
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes-� No �/" SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No s/� PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER� (specify)
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ZONING CHECR LIST Zonin Dist ict:
Fire Department: Post Office: Schoo��Di trict:
�
Lot Area: Width: Depth: /
�
Survey Submitted: Yes No te of Su ey:
Proposed Setbac s:
Front (La ) : Right Si
Rear (St eet) Left Si e:
Adjace Str ctures: Wet and:
Buil.ding H ight: Def. Hgt. �eak Hgt.
Avg. Setb ck: Lot Co erage:
Existi g Pro osed
Hardcov r: 0-75 ' --
75-250 '
250-500
500-1000
Har cover Varia ce R quired: es No Date of Counci Approval:
Gr ding: Staff p val Date: By: Council A proval Date:
S pti c: Staf f Approva]. Date: BY�
Zoning Fil.e:# Res tion #: Resolution Date:
REMARRS (in house) :
BDILDING REVIEW CHECR LIST _
. �
IIgC: �-� CONSTRIICTION TYPE: ��
• - Sq Footage $ Per Sq Ftg
Basement - . .. _ __ .x . - - . _ .
lst F�oor x_ _
2nd F�oor . x - - - - . _
Garage . X = - '
x - _
TOTAI�
$stimated Construction Value: $ �, S�a��
Inspections Required: Work Requiring Separate Permi.ts:
Site P7�umbing Grading/Fi].J.ing
Footing Mechanica� Fire
�Framing Septic Water Connection
Insul.ation Fireplace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
Final. (Mf g.) Other
Other Wel.l (State Permit)
. Q�Electrical (State Permit)
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REMARRS (IN HOIISE) :
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REVISW BY OTSLItS: DATS:
Access: Existing New
Access Approval: Date By:
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RIIKARRS (TO BS NOTSD ON PERMIT) :