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Home My WebLink About2006-P09978 - entrance monumentsw �- � PERMIT CITY OF ORONO 2750 Kelley�arkway- PO Box 66 Permit Number: P09978 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952)249-4600 Date Issued: 6/12/2006 SITE ADDRESS: 2080 Spates Ave Unit# Wayzata,MN 55391 PID: 10-117-23-31-0104 DESCRIPTION: Proposed Use: Residential Census Code O/S-Building Permit Class: Building Pernut Type: Accessory Structures Permit Sub-type(s): Entrance Monuments DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 181.25 Valuation: $ 10,000.00 Plan Review Fee: $ 117.81 State Surcharge Fee: $ 5.00 TOTAL FEE: $ 304.06 APPUCANT: Town&Country Fence OWNER: Terry&Christine Morse 8511 Xylon Ave.N. 2080 Spates Ave Brooklyn Park,MN 55445 Wayzata,MN 55391 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. ! � AP ICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 s � Total Fee: $ Date Received: �v`7—�lv Entered By: Permit#: A09 j�D CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please pYint c�ll information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (ci��cle o�ze) WNER R CONTRACTOR JOS SITE ADDRESS: �D� �j�ff'�c�5 f�(/� ZIP: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YeS �NO lf yes, a specral event permit is r�eguired tivith Police Depai•tn�ef�t and City Council appr�oval 60 clays prior-to the event. Sharttle bus service rvill be r�e9uired:�nless applicant den7onstrates sa�ficient on-srte parking is avazlable. Non-pe�•»�itted ever�ts ti�vill not be allowed. NAME OF OWNER: � � �/[I"�5 I� � Dl��PHONE: (h��) y�3��D?� (work) �j/3 ��Z-� MAILINGADDRESS: �ZD�D < <S �1/� CITY: ZIP: 3 t CONTRACTOR: �� f �ace�27r�y f LSi�L� PHONE�7(o3y y2�-SO�D CONTACTPERSON: Ue er' MOBILE/PAGER: MAILING ADDRESS: SS/( )(y or� ,l��.I�a, CITY:r,�y,� P�-R ZIP: SS��S- STATE LICENSE: # �OD�D`T�{Z EXPIRATION DATE: O ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) Any earth movement may requi e MCWD r view nd permits ! PROPOSED WORK(descj•ibe in detain: o Y � • STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $� � � I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; that tlle 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. f) � APPLICANT'S SIGNATURE: ,�. ATE: �OD�j 31 � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. The rights of individual on whom the data is s[ored or to be s[ored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private orconfidential dataconcerning himselfshall be informed of. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) �vhether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or reftisine to supply private or confidentiai data;and(d)the identity of other persons or entities au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue ma�place the notice required under this subdivision in the individual income ta�or property_tar refund instructions instead of on those fonns. Subd.3. Access ro data by individual. Upon request to a responsible authority,an individual shali be infortned whether he is d�e subjectof stored data on individuals,and whether it is classified as public,private or contidential. Upon his fuRher request,an individual who is dte subject of stored private or publ ic data on individuals shall be shown the 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 infonned of its meaning the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 oY making,certifying,and compiling the copies. The responsible authority shall compiy immediately,if possible,with any request made pursuant to this subdivision,or within tive days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate comp(iance is not possible. [f he cannot comply�vith 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, 5undays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of publ ic or private data conceming himsel£ To exercise this right,an individual shall notily in writing the responsible authority describing the nature of die disagreement. The responsible authority shall within 30 days eithec (a)correct the data tound to be inaccurate or incomplete 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 correcc. Data in dispute sLa!i be disclosed only if t�ie individual's statement of disa�reement is included�vi[h the disclosed data. The determination of the responsible audiority may be appealed pursuant to the provisions of the administrative 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 inforni 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 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. � Your full name is required to process this application or permit. r-_a✓✓��/ e /�Zo/��C First i�Iiddle Last �� Address (.��u�- �- �'l ,��t� (��z �73-��Zo Cit�� State Zip Phone I under d my rights as stated above. O Signaturc Reset Form 32 r • . CHECK OFF i.,IST FOR iSSUANCE OF �ERMITS FOR OFFICE USE ONLY ADDRESS ORLEGAL: Zo�b�o SP��c 5 PID: DES CRIPTIO�i OF WORK: CN T2�/Y GG /'YI.o N v n��-r�%� t �►�4�tf' ------ --- - _--- --_ ------ . ZOV�tG RE'�IE�V BY: DATE APPROVED� � - B-0� BUII�DING RE'V��V BY: DATE APPROVED; � •�-o,� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIE`V �� Yes c/' No SE�VER C�NNECTION STATE SURCHARGE Yes _s� No WATERCONNECTTON INVESTIGATION FEE Yes No ��: PARK FEE SAC Yes No � SITEINSPECTION Number of SAC�Units OTHER (specify) ZOt�i��TG CH�CK LIST Zoning Districr. -. Fire Department: Post Office: School District: � � Lot Area: Sq.ft. Acres Width Depch Survey Submitted: Yes�_ No Date of Survey: o N r"�tfc Proposed Setbacks: � . . , . . Front(Lake): �2- Right Side: � V.1�- Rear(Street): �•k- Left Side: C9 •\� . Adjacent Structures: C�.\� Wetland: /�f (� Building Heioht: Def. Hgt. 6 � Peak Hgt. (�� Lot Coveraae: n( I r/� Grading: Staff Approval Date: — By: Council Approval Date: ' Septic: Staff Approval Date: — By: Zoning File: {f — Resolution: f/ Resolutioa Date: Shoreland Districc: .,,P 5 Av�. Setback�^ ,v�A Bluff Setback: ^///a- I.otCovera�e: ,N �- Existin� Proposed 0 Hardcover: 0-75' 75-250' 250-500' 500-1000' 0. K- Hardcover Variance Required: Yes No v� Da[e of Council Approval: RE1�L4RKS (in house): . � BUII..DING RE'VIEW CHECK LIST �C� � CONSTRUCTION TYPE:.: Sq Footage $Per Sq Ftg Basement � . x _ . lst Floor � x � . . 2nd Floor x _ � Garage x = x _ TOTAL Fstimated Construction Value: $ (� p o o�-' Inspections Required: �York Requiriag Separate Permits: Site Plumbing Fire � Hazdcover Removal Mechanical Water Connection �, _�_Foating ` Septic Sewer Connection � Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mgg.) Well (State Permit) —.�F�� Grading/Filling Electrical (State Permit) Other � REI1/].ARI�.S(IN HOUSE): No on�v o s.✓ - i�vs/J i� �2 /3� �� ,�1= /�DT ?C-JSG" P��,P r!L f/v � � ----------------------------------------------- RE'V�W BY OTHERS: DATE: Access: Ezisting New . Access Approval: Date gy; � -- - --------------------------------- REI�IA�RKS (TO BE NOTED ON PERl1�II'I'): 8