HomeMy WebLinkAbout1996-007950 - handicap ramp PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 BUILDING
Crystal Bay, Minnesota 55323 Permit Number: 007950
�
(612)473-7357 Date Issued: 0S/1 /'9G.
SITE ADDRESS:
3655 TOGO RD
LSV
F'. I . N. ; f7-117-23-_;1-ix_36
DESCRIPTION:
HANDICAP RAMP
Building Permit Type '3F-ACC: STRUCTURE
Building Work Type ACCESSORY STRUCT
ULC: Occupancy AZ-1
Construct-ion Type VN
Zoning LR-IC
Census Code 29 NONBLDG '=TRUC:T .
REMARKS:
FEE SUMMARY:
VALUATION $1 , 200
0
Base Fee $40. 25
Ptah Review $26. 16
Surcharge ----------
Total Fee $67 .01
CONTRACTOR: OWNER: - Applicant -
KINGDOM HALL
3655 TOGO RD
i iRONO MN 55:391
(612)471-8195
71-;_,195
T' UNDERSIGNED .HERESY QUESTS I�ERM I IDN T ITE TH—E ,REAL." R
SP C I F I Eta AND AGREES TO DD ALL WORK I N 'STRICT C FC I � �dI,TH ALLY Z I TV �
i NO ORDINANCES AND STATE OF MIMNE�SOTA BUII�D.iNG C�"�C}E 1 � UIRI , TS11.
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APPLI A T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
r NIL
Total Fee: S CV Date Received:
DateApproved:
Entered By: Q,d) Permit#: q RS0
CITY OF ORONO - BMDING PERMIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAIN REVIEW WILL
BE STARTED
_ ----------------------
HE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: '� Rig 3,' ZIP:
`dAltilE OF OWNER: �i i h1vboPHONE: (home)
(work)
`MAILING ADDRESS: V CITY: ZIP:
CONTRACTOR: ��FlE� p�5 PHONE:
1IOBILE PHONEXAGER:
NIAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECTIENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP.
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe indetail): �`/ti/v/����
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTnIATED CONSTRUCTION VALUATION(excluding land): $
I hereby apply for a building, 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 Building Code; that I understand this is not a permit and work is not to start
without a permit; and that the workyoii-�
be in accordance with the approved plan.
APPLICANT'S SIGNATURE:
DATE: � 3�q6
NOTE! Parade of Homes events require separate p&rnit approval by Police Department and
City Council 60 days prior to the event. Non-permitted events will not be allowed.
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency, political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply
private or confidential data;and(d)the identity of other persons or entities authorized 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 may place the notice required under this subdivision in the individual income tax or prooerty tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified as public, private or confidential. 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 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 informed 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 authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the actual costs of making, certifying, and compiling the copies.
The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding 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 additional five days within which to comply with the request,excluding Saturdays,
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 private
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authority shall within 30 days either: (a)correct the data found 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 correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authority 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 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 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 ' equired to process this application or permit.
First Mi e t Last
Address
City State Zip Phone
I understand my ri is as stated albove.
Signature
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DESCRIPTION OF WORK: AT►�Ott�t exL2
ZONIPIG REVIEW BY: DATE APPROVED:
BUII.DL�?G REVIEW BY: J&;�
DATE APPROVED: �'-/+!-'P(o
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER-MIT
✓, No
ER
PLANS Yes No SEWCONNECTION
STATE SL`RCHARGE Yes ✓ No WATER CONNEC PION
INVESTIGATION FEE Yes No PARK FEE
Yes No SITE INSPECTION
SAC
Number of SAC Units OTHER (specify)
ZONINi G CHECK LIST Zoning District: 1./�' « Shoreland District : ti'c
Fire Department: VkWc.+ 0
Post Office: School District: yVt s,j,-z
Lot Area: Sq.ft. tob, Acres
Width l (0 3.'L{( Depth
Survey Submitted: Yes Dt
No Date of Survey:
Proposed Setbacks: , + t +
Front (hek$): Y 7 Right Side: Com
t
Rear (Sueet): 200' k Left Side:
Adjacent Structures: /k7St( Wetland: /U(A
Building Height: f. Hgt. P.ak Hgt'
Avg. Setback:
Bluff Set ck: Lo Coverage:
Existing Prop sed
Hardcover: 0-"5'
75-250'
25)-500'
5 -1000'
Hardcover Varianc Required:.. Yes No
ate of Council proval:
Grading: Staff Ap royal Dale:
B Council A roval Date:
Septic: Staff App val Date:
Zoning File: 1 Re 01 tion: # Resolution Date
REMARKS (iii house):
1
BUILDLNG REVIEW CHECK LIST
UBC: �! f}Z- ( CONSTRUCTION TYPE: YN
Sq Footage S Per Sq Ftg
Basement x _
1st Floor x _
2nd Floor x _
Garage x
x
TOTAL
Estimated Construction Value:
Z 0 O cy
Inspections Required: Work Requiring Separate Permits:
Site Plumbina Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
- ----------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY:
REI'Y ARKS (TO BE NOTED ON PERMIT):
27
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ORONO . COPY
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4YRROVED WITH CORRE:V"NONE AS NK D � f%?Ip
,'07 APPROVED — CORRECT & RESAk
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ORONO
:T CERTIFICATE OF SURVEY FOR -T
KINGDOM HALL
IN LOT 7, BLOCK 10, TOWNSITE OF LANGDON PARK
HENNEPIN COUNTY, MINNESOTA
100.0 - N89042'30"E 163.41
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PLAN
ButlQt t3gl'E PERMIT
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Ar^f'�iJVED '-"';M-:' G . s .i<' ti AS NOTED
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