HomeMy WebLinkAbout1995-006959 - exterior entrance PERMIT
CI�Y OF ORONO PERMIT TYPE:
�:2750 1�elley Parkway - P.O. Box 66 :::;_�?: ` ,
� Crystal Bay, Minnesota 55323 Permit Number: : ..'--._°^ _
�,.f:�;:...:'�'.�_.•_i
(612) 473-7357 Date Issued: Y - ✓ _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: -
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FEE SUMMARY:
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CONTRACTOR: _ :-:;:;�:� : _ _��;=.. -- =-. . _ . OWNER:
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APPUCANTrPERMITEE SIGNATURE �fL ISSUED BY:SIGNATURE �/ —
`
� DateReceived: � ,� � �S
Total Fee: $�'� �� DateApproved:
' Permit#: �-�`��%
Entered By:
CITY OF ORONO - BUILDING PERM�T APPLICATION
ALL��'OR.'�f�TTO��'�ST BE SUByIITTED -N�'L BEFORE PL�'�t REVIE`Y�YII..L
BE ST�RTED ------------- ---- -- --
----------------------
-------------- -�"'�--�\---
THE APPLIC:�:��' �� (�ucle one) O`VivER OR COIV�TRACTOR ;
JOB SITE ADDRESS: � �� � e����'J ��'�°'`' � �'�r�� ZIP:
� �'L ��`` PHO�tE: (home) `�7�'�'77�
N�`SE OF OtiV`�ER: � �'' (w�rk) �`�l��/� /
IIAILING�iDDRESS: ,� `"�� � '��s`�,` °�`��',`�'/'"� CITY: �,�c� /�` �' ZIP:
� — �
�,, L���Q PHo�: �j 5 � �i �
C�NTR�i�;TOR: �./ i�'� �l-Si%G" J
�IpgILE Yriu���,/PAGER: �;3�'�yz/� c"1`'�
NIAILL�'G ADDRESS: �% � 7 � �r�y'y�'�-1�'���.�� CITY:��r���' C:/'ec;� ZIP:��
.�---- w/3� ���iG i��j
STATE LICENSE: #^�,l� /
P�-IO�TE:
ARCHITECT/E�GI�itEER: CTTY: ZIP:_____
v1AILING�DDRESS: REGISTRAT`ION #
NANiE:
Addition Accessory S�ucture
TYPE OF WORK: New ��on _
Move RemodellAlteration ✓— � --�---�
� �,
PROPOSED WORK(describe indetail� `��` /'.t��'%� G��t��� � ���`�� ��
��!"� ,(�cL' �G � r /��
STORIES. _______ SQ• �ET OF EACH FL04R: DET.
NO. OF BEDROO�iS: GARAGE STALLS: ATT.
r � �J
EST�1A'TEDCONSTRUCTIONVALUATION(eYcludingland): $� ' `o��•
1 for a buildina permit and I acknowledge that the information above is complete
I hereby app y
and accurate; that the work will be in conformance with the oad�����a�orke S no[to Stan
and with the State Bu�ldina Code; that I understand this is not p
without a permit; and that the work wi�l be in accordance with the approved plan.
,� � � ,
APPLIC�'�''S SIG�1A'I'URE: ' `�'�'
��C ���: 5�
! Parade o Flomes events require separate permit approval by Police Depart�ent and
NOTE _---
City Council 60 days prior to the event. Non-permitted events wi11 not be sl1oti+'e .
..�
9
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,; � ::. "� \'`� '�Y of ORONO
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�1�+� '�`�����'�_:.r, �'' , P�o�soX�s
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DATA PRTVACZ' ��ORY
In accordan�e with 1�1.5. 13.0�> Subd• `licensaetfroms the Ciryr f Orono or�an loi ics
inform ��ou that your request for a permit or
de�arunen�s may require ��ou to furzish certain private or confidential inforr.�ation.
�"ou are notiiied that:
1 Z-h� intormation you furnish wi11 be used to determine your qualification ior t e
pe:mit or lice:Lse requested.
�. You may refuse to suoply data, but refusal may require that the City deny the
pe.,-nit or licease.
3. The inrormation may be shared with oth= license.state or federal aaencies to the
extznt necessary to process the permit o
�. If your requested permit or license requires Council action to approve, some
information may become public.
�. You have certain ri�hts under M.S. 13.04 (see followin� paQe) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLE�SE PRL'�'T
� v� S /`'1 ��y�i�a�'G �1=�'v � �
First
Nfiddl� Last
� �
�3 � � s�� � "
Address
� �- , � ` �� - �/ �
�,�, �� C,/� ��i
/�7/�' � 7 3�
S tate
Zip Phone
Ciry
I understand my riahts as stated above.
/.�� � //
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,
Sia ature �
TELEPHONE-�173-'3�7• E�.Y-373-0510
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 concernin� 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 arisin� from his supplyina or refusin� to supply private or
confidential data; and (d) the identiry of other persons or entities authorized by state or federal
la�v to receive the data. This requirement shall not apply when an individual is asked to supply
investiQative data, pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue mav �lace the notice re uired under this subdivision in the
individual income tax or ro em 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
charje 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 meanin�, 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 authoriry may require the requestin� person to
pay the actual costs of making, certifying, and compiling the copies.
The responsible at�thority shall comply i.mmediately, if possible, with any request mad�
pursuant to this subdivision, or within five days of the date of the request, excludin� 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, excludin� 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 riaht, an individual shall notify in writing the responsible authority describing the nature of
the disaQreement. The responsible authoriry 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, includin� 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 disaQreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions
of the administrative procedure act relatin� to contested cases.
11
.
' C�Cg OF'F LIST FOR �SS ONL OF PERMITS
° FOR OFFICE U
.� �� /`�"��"� PID: ,� C _ r,�I - .� 3 ;; _i c��, �yi
� ADDRESSORLEGAI-: ��"�� '���z "' . �/-� �
i . h,� '.'�'�G L..� � -L!'...-i._
DESCRIPTION OF `VORK:
ZO�iG REVIEtiV BY: � 1�-- DATE APPROVID: S- � — 55'
BUII.D�tG REVIE�V BY: DATE APPROVID: 5 -5 -�s' _
FEES TO BE CH.�RGED:
Misc. Fees Calculated By:
PERl�1IT Yes � No
PLAi�1 REVIEtiV Yes � No SEWER COI�NECTIOi�'
c�- No WATER CONNECTION
STATE SURCHARGE Z'eS No �. p�K FEE
INVESTIG�TION FEE Z'eS No � S� �SPECTION
SAC Yes
OTHER (specify)
Number of S�C Units __. _ _ __
-----------------
_�r
ZONING CHECK LIST Zonin�District: G�- ' �
Shoreland District :
ost Office• h o/j b�ist�'c�
Fire Departmenc: �//�,
L__�
Lot Area: Sq.ft.
cres � dth Depch
Survey Submitted: Yes �D _
No Date of Survey: plV r'��-e
Proposed Setbacks: � .r Riaht Side: (S � `
F�e�t (Lake): ►3 a �
� (Stre�s): �d� r Left Side: W�� �
Adjacent Structures: �1�77�`� Wetland: it///1
' Building Height: Def. Hgt. Pe
Avg. Setback:
B Setb k: Lot Coverage:
Ezisting Proposed
Hardcover: 0-75' 25�fo
75-250' S �
250-500'
500-1000' ----
Date of Council Approval: �_
Hardcover Variance Required: Yes No �C_ �
Grading: Staff App
roval Date: � By: Council Approval Date:
Septic: Staff Approval Date: By�
o File: � _ Resolution: n —' Resolution Date:
Zoni.n�
�tiiA.RKS (in house): _
26
,— �
.
r
BUII.DPi tG REVIESV CHECb LIST
�C_ �Q - 3 CONSTRUCTION TYPE: Y�
• Sq Footage S Per Sq Ftg
Basement x
lst Floor �
2nd Floor z
Gara�e z =
� R
TOTAL
a�
Estimated Construction Value: � S o o a —
Inspections Required: �Vork Requiring Separate Permits:
Sice Plumbing Fire
Mechanical Wate: Connection
Hardcover Remo�'al Sewer Connection
�Foocing Septic
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Ocher
Wall Board (Mfg.) Well (State Permit)
b�-Final Grading/Filling Electrical (Stace Permit)
Other
gEyl�,RgS (Pi 1 HOtiSE):
---------------------------------
REVIEW BY OT'HERS: DATE:
Access: Ezisting New
Access Approval: Date BY�
______---
- ---------------------
RE1�IARKS (TO BE ti'OTED ON PERI�TTT): E1AR!� ��Q^ 2�.-Yvv��a�s /t-�4 L1��-��
E' - a;�N ��v Cc�r �N
t
27
� H�RDCOV"EK L:�,��..� , „_.�,.,_.y.�_
" � SETBACh ZO�IE: (CIRCLE OVE) 0-7�' 75-250' ' 2��00' S00-1000'
EYISTL`G �LaRDCOVER IN ZONE = CC% S.F.
A. House z
Wid[h
urg�' = S.F.
z
= S.F.
z
= S.F.
z
x = -j� y �- S.F.
B. Gara�e
� _ ��� S.F.
C. Drive�.vay — S.F.
�
� S.F.
— � ,
D. Sidewalk R =
S.F.
Y
� _ � �� L S.F.
E. Pa[ioiDeck = S.F.
x
_ �G7' .� S.F.
F. Landscape '� —
S.F.
Unde:lain X = S.F.
Bv Plastic X
Or Fabric
S.F.
G. Ocher x
S.F. A
TOT?.L HARDCOVER IN ZONE - .,� �S.F. �
TOTAL PROPERTY AREA IN ZONE B x 100 = °
A �
PROPOSED HARDCOVER L�t ZONE _ �; L S.F.
A. House R
Lengtts width S.F.
x S.F.
z S.F.
z —
_ ��__ S.F.
B. Garaoe z
_ �l'�� S.F.
C. Drive�.vay x _ S.F.
z
_ � j' S.F.
D. Sidewalk x _ S.F.
R
= l� d�v S.F.
E. Patio/Deck z = ` S.F.
z
S.F.
F. Landscape � = S.F.
li nde:lain X _ S.F.
By Plastic z
Or Fabric
_ �� S.F.
G. O[her z
r . S.F. A
TOTAL HARDCOVER IN ZONE - Z� S.F. B
TOT�L PROPERTY ?,REA IN ZONE - , qo
A — g z 100 =
14
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� Conc' Ste s 4'-0 belo�✓� grade ;
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SPECIAL NOTE ' � �
SEE ATTAC��� �9-iEET � PQRC;� �
; �3 i 6 ot property line ;
FOR I-1�D��-
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CODE REC�IJIRE�V:`EN�-� ; ;
_ ___._..____..___. .._ __--- '
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�-- - - - ------------------------ --'
STA[RS
8" MAX. RISER 9" MIN. TREAD
6'-�?" MIN. HE.�D92QOM
AT LEAST ONE MA�1DE2�IZ REQllIRED
<;!I�,F�n?�'all_ (?�'�h S��?=S�