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Home My WebLink About007064 - basketball court PERMIT 1--.CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number Crystal Bay, Minnesota 55323 Date Issued: (612) 473-7357 SITE ADDRESS: OXFORT! RO DESCRIPTION: T 8uidnq Permit TYpe • . :.'1 REMARKS: FEE SUMMARY: - - VALUATf.ON - 7-- ! otai hee CONTRACTOR: - - OWNER: i'.:rXFORD mN -0129 THE U\10ERSIGNED HEREBY PERMISSION TO lAKE IN--'.*VEMENH 6HECII-LIEU ANU 1U E0 ALL WURK IN '61RIUf WITH ('LI_ uIlY ORONO ,I.---OINAiNES (IN) STATE OE MINNESOTA BUILDING COOEUIREMENTS/7 . .400 47.45. • (,) APPLICANT1PERMITEE SIGNATURE ISSUED BY:SIGNATURE •Total Fee: $ x iC, %. ` 63-S.)140,..)l( I�ateReceived: � 'Date Approved: Entered By: Permit#: !/ CITY OF ORONO - BylkDiNp ARMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 5'7,c pec Far oc3kZ ZIP: 573.- NAME OF OWNER: (1.€ Cwaer a6oP 611a) - tck5-krK PHONE: (home) _ 4173-olaci (work) .1475-as 17 MAILING ADDRESS: ,,, .' CITY: ZIP: CONTRACTOR: c:.‘,..s To.v�S - 1'6 T mu-KT- PHONE: L/51./-02166 MOBILE PHONE/PAGER: 586- /087 -7' MAILING ADDRESS: 3cq g S,b Ley v►ie». 14L4y CITY: &464,) ZIP: T6I a.a., STATE LICENSE: # Sub Albe =be. 1.14cF 641- 51 a5 - ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure ✓ Move Remodel/Alteration Land Alteration PROPOSED WORK(describejndetail): 3)' X 6,y riL20- - ur`ho6e v e coor-� �1---a45 ke-�- 4. 1- C Caur+- STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7, 06 oZ a- 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 work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: 6179E NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY • ADDRESS OR LEGAL: b1.51o2O C PID: DESCRIPTION OF WORK: }SKA943Av- �`'4 ------------------- ----------- DATE APPROVED: (>_r _-syr ZONING REVIEW BY: - - BUILDING REVIEW BY: e, (0.41,,,_ DATE APPROVED: NM _ _ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes a No PLAN REVIEW Yes_r1 No SEWER CONNECTION STATE SURCHARGE Yes p` No WATER CONNECTION INVESTIGATION FEE YeS No ,/- SITE PARK FEEIEPECTION SAC Yes Nom- SITE (specify) Number of SAC Units ZONING CHECK LIST Zoning District: 4.42 -)A Post Office: L School District: O��v Fire Department: U- Lot Area: A3 /C_ Width: /v(C- Depth: ork/k..- Survey Submitted: Yes OC No Date of Survey: ON Fl Ue Proposed Setbacks: Right Side: � Z 5 `.1 F-rent (Lake) : L'-12v g Rea-r (Street) : 230 Left Side : 30 CO Adjacent Structures: 35 Wetland: "l/f4 Building Height: Def . Hgt. /U(// Peak Hgt. /1/44 Avg. Setback: 0 4 Lot Coverage: GLI IA- Existing Proposed Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' Hardcover Variance Required Yes No Date • Co ncil Approval: Grading: Staff Approval D- . e: zy= Council Approval Date : Septic: Staff Approval D- •e: By: / Zoning File: # -e olution - " -solution Date: REMARKS (in house) : _ / BUILDING REVIEW CHECK LIST UBC: 0 N ik CONSTRUCTION TYPE: N(4- Sq Footage $ Per Sq Ftg - Basement --- - - ------ _. - _x = _ -- 1st Floor x = - -- __ _ . - - _- 2nd Floor . x = • _ __ Garage x = x = TOTAL Estimated Construction Value: $ 7/ Q O o Inspections Required: Work Requiring Separate Permits: SitePlumbing Grading/Filling Footing Mechanical Fire Framing Septic Water Connection Insulation Fireplace Sewer Connection Wall Board (Masonry) Lawn Irrigation p<Final (Mfg.) Other Other Well (State Permit) Electrical (State Permit) REMARKS (IN HOUSE) : REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT) : :4; Y •O 0 CITY of ORONO , '? r� Municipal Offices • Post Office Box 66, G Crystal Bay.Minnesota 55323-0066 kESIIOS; 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 (see following page) to review private data on yourself. 6. Your full name is required to process this application or peuuit. PLEASE PRINT CCAi A First J Middle Last Address e0.,& '4524-O J54 City State Zip Phone I understand my rights as stated above. Signature TELEPHONE-473-7357• FAX-473-0510 10 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subdivision 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 property 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. 11 '--) qt) 0 -4. ..A cc)A 0 ?. SPORT COURT® ORONC COPY a a 3986 Sibley Memorial Hwy P- -, a IL Eagan, MN 55122 (612) 454-0456 r u J I- p- -I.-.. ( 4. 0 z 5 --Y j' /:\ 0 CITY Oti Of4CINieii Is' . i — \. illtilLDING 15, RPM PLAN R411,4,1' ‘s. •...,, " ' EQA,,-___ )r.. \-4:G) **Q):-- - ,P. 'b INSPECTOR "fts (.....‘ 271> ,_:_- .6 sc" t DATE Ca- 1 -->— PERMIT NO. ., 0 i ----A r.2 APPROv'-3 AS SUBMITTED 1/4--- 4 APPROVED WITH CORRECTIONS AS NOTED l--74 El NOT APPROVED — CORRECT & RESUBM7 '...;,. iv2.3' fheee comments are for your information. All work sheoi #.,.e fell compliance with al applicable bulfdthe & zofmfg 00(4.1. ,* uiresnents inciu,:fing tems not specifically noted .n htF:F}; THIS PLAN SET )N SITE Al A!., - Q) In ki w 2 4.) . 11 2 it — - -- i.." S133HS 00Z 17b1.-ZZ ........ S.133HS 001 Lb 1-ZZ V, S.1.33HS OS lb 1-ZZ 1. ,