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Home My WebLink About1996 - 007891 - shed . _ PERMIT 'CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Ea)T DI NG Permit Number: Crystal Bay, Minnesota 55323 007873 Date Issued: (612) 473-7357 05/01/96 SITE ADDRESS: 4665 WEST BRANCH RD LSV P. I . N . ; 07-117-23-22-001S DESCRIPTION: SHED Building Permit Type SF-ACC STRUCTURE Building Work Type SHED UBC Occupancy U-1 Construction Type VN Zoninc.i: RR-1B Census Code 328 OTHER NONRES . REMARKS: FEE SUMMARY: VAL UA T I ON $1 , 000 Base Fee $34 . 75 Plan Review Surcharge $ . 5Q Total Fee $57.84 CONTRACTOR: OWNER: - Applicant - STEFFENSON JAMES 4665 WEST BRANCH Rn ORONO MN S5364 (612)472-3215 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . / 4r. APPLICANT/PERMIA.' NATURE ISSUED BY:SIGNATURE S DateReceived: Total Fee: S 6 �� Date Approved: Entered By: )2G2J Permit#: 2,4'! ( CITY OF ORONO - BUILDLNG PERMIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS: (circle one) CONTRACTOR JOB SITE ADDRESS: 5c.3"-- v est dgrAri A A/ZIP: 4.g,.3 V cfa� NAME OF OWNER: •..J I,(S c J -t2ffeA5 n n PHONE: (home) V1702-32./4" �n (work) MAILING ADDRESS: (54.41€ CITY: f rocc..ncl ZIP:5S.3 (2V-r 7 CONTRACTOR: d/&,5 PHONE: MOBILE PHONE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure X Move Remodel/Alteration Land Alteration PROPOSED WORK(describeindetail): C-Ar-deii s'hLd STORIES: SQ. FEET OF EACH FLOOR: 76 S� 743.` NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTL 1ATED CONSTRUCTION VALUATION(excluding land): 67'00 '251– I —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 ill be in accordance with the approved plan. APPLICANT'S SIGNATURE: , . ;vim;% DATE: 6 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. teldair 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 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 tri this section is pending or additional data;in the individual has been collec'::d 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 is required to process this application or permit. • X55 (. so . Micl Last First 1A40S7 V)^ yjC k Add/ s 5-536y`•J/� 97a-32/ City State Zip Phone I understand my . as stated • a.- Signature / CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ' /(46 l,�t.5r - CIL2c PID: DESCRIPTION OF WORK: SH DATE APPROVED: y-2g• f(,,ZO\ZNG REVIEW BY: • 1. 10.4t...- DATE -S� BUILDLNG REVIEW BY: S •�K(O DATE APPROVED: f ' Misc. Fees Calculated By: FEES TO BE CHARGED: No PERMIT Yes ✓ SEWER CONNECTION PLAN Yes Ni RIATFR CONNECTION STATESURCHARGE YesJ�. PARK FEEINVESTIGATION FEE Yes No SAC -Yes SITELNSPECTION NO Number of SAC Units OTHER (specify) ZONZ:NG CHECK LIST Zoning District: Q2-t(3 Snoreland District: NO S orFire Department: "Post Off _: - A A/ ��//_ Depth Lot Area: Sq.ft. Acres •id a. Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Right Side: Front (Lake): Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: Grading: Staff Approval Date: By: Council Approval Date: N Septic: Staff Approval Date: By: Zoning File: Resoiution: # Resolution Date: REMARKS (in house): 26 BLILDL'rG REVIEW CHECK LIST . UBC: U-1 CONSTRUCTION TYPE: . Sq Footage S Per Sq Ftg Basement = 1st Floor z = 2nd Floor x _ Garage x _ C TOTAL vX Estimated Construction Value: S I 0p0 Inspections Required: Work Requiring Separate Permits: Plumbing Fire Site Water Connection Hardcover Removal yteca:pica! Septic Sewer Connection - Footing Lawn Irrigation Framing Fireplace (Masonry) Other - Insulation Weil (State Permit) Wall Board (Mfg.) _24.. Final - Grading/Filling Electrical (State Permit) Other REMARKS Pi HOUSE): _ ______--------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS TO BE NOTED ONPERMIT): • 27 / DATE TIME CITY OF ORONO CALLED IN J�-/g-9 Ca INSPECTION NOTICE SCHEDULED //- a/ 9."3 c) PERMIT NO. / 8 9/ COMPLETED a1 t ADDRESS 4"(o (£ b0-1-4.7A(2 ,— OWNER �. CONTR. TELEPHONE NO. �J 417 - 3,/o DESCRIPTIONittl 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION = FINAL 14 SEWER HOOK-UO 06 PROGRESS 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO Si COMMENTS: ` _P__L C4 _Z e a-4-c D CC CC W CC Ct WORK SATISFACTORY:PROCEED PROJECT COMPLETE W CC ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W ▪ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerIContraT te: Inspector. White Copyllnspector's File Canary Copy/Site Notice