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Home My WebLink About2005-P09117 - shed � ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09117 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (952) 249-4600 Date Issued: 9/9/2005 SITE ADDRESS: 190 Big Island Unit# Excelsior,MN 55331 PID: 23-117-23-23-0035 DESCRIPTION: UBC Occupancy U1 Construction Type VN Proposed Use: Residential Census Code 328 Permit Class: Building Permit T e: Accessory Sriuctures Permit Sub-type(s): Accessory Structure YP �( Sl'��-`�. DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: 12'x 14'shed to be relocated to meet setbacks FEE SUMMARY: Pernut Fee: $ g3.25 vatuation: $ 3,000.00 Plan Review Fee: $ 54.11 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 138.86 APPLICANT: Owner/Self OWNER: Daniel7. O'Gara � 190 Big Island Excelsior,MN 55331 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. ' '� � ,cS� ICANT PERMITEE SIGNATURE IS UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I � � Total Fee: $ � ��' �� DateReceived: B" zb ' O� Entered By: �.,t;' ;�,,,-,x� ��- Permit#: f�D9//7 CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDItESS: ��C I_`�� ( �-,?�J�� ZIP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wiU be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed �� NAME OF OWNER: _��.0]�_> � � C�d�PHONE: (home)Co5/- yi�,a-loy7� (work) G�1��I-G��>3 MAILING ADDRESS: ,�3,� ( �'v�,V C I CITY: �7�,v,Q�oi79 ZIP: ��.�O CONTRACTOR: �,L�i'V �;`��9-/�� PHO E CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # EXPIRATION DATE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New '�� Addition Accessory Structure Move Home Remodel/Alteration PROPOSED WORK(describe in detai�: /'a K j�( � �� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��C>C�G' .C>b I hereby apply for a building pennit 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,---� � t r � '� APPLICANT S SIGNATUF;I�� - ; /�'�C— DATE: � C� 31 , � Sec13.04 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 i�dividual asked to supply private or confidential data conceming himself shall be informed of. (a)the purpose and intended use ofthe 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 mav place the notice reauired under this subdivision in the individual income tax or proaerty 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 publ ic data on individuals shal I be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning the data need not be disclosed to him for six months thereafrer 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 ofthe private or public data upon request by the individual subject ofthe 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 ofthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is no[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 Sa[urdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness ofpub]ic or private data conceming 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 reruse 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 Councii 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 perrrtit. First Middle Last Address City State Zip Phone I underst nd my rights as stated above. Sig�at r 32 �� BUILDING REVIEW CHECK LIST �C� v'� CONSTRUCTION TYPE: V ^, Sq Footage $ Per Sq Ftg Basement x _ lst Floor x _ 2nd Floor x _ Garage x _ x = TOTAL Estimated Construction Value: $ 3,c�c�°`' Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ` Septic Sewer Connection Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Board (Mfg.} Well (State Permit) —�F�� Grading/Filling Elecuical (State Permit) Other RENIARKS (IN HOUSE): - --------- ----------------------------------------------------------------------------------------------- REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date gY: ------------------------------------------------------------------------------------------------------ RE�IARKS (TO BE NOTED ON PERII�II�; sH�� Nte�s --� (3.� F2,��.� -� vriaS-� S��r�u� 8 � CHECK OFF LIST FOR ISSUA.I�ICE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: t�C c� (3�� S�J✓� PID: DESCRIPT'ION OF WORK: ��--� ZOVP�tG RE'YIE�V BY: s� DATE APPROVED: 9- •G s' BUILDI�'G REVIE`V BY. DATE APPROVED: 9 - g=0 5 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �� No PLAN REVIEW Yes �/ No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) -------------------------------------------------------------------------------------------------------------------- ZOi�1I�tG CHECK LIST Zoning Districr. Fire Departmen[: Post Office: School District: Lot Area: Sc.ft. Acres Width Depth Survey Submitted: Yes�_ No Date of Survey: S� I b-�c � Proposed Setbacks: Front (Lake): /5� � � Right Side: I c� � ►�Zr ��-� i Rear (Street): � 'f' Left Side: 7.� � t Adjacent Structures: (�, rj,C� . Wedand: N�f� Buildin� Hei�ht: Def. Hgt. c�.� Peal:Hgt• Lot Covera�e: N 1�l- Grading: Staff Approval Date: � By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # — Resolution: # Resolution Date: Shoreland District: y�� Av�, Setback � /„d- Bluff Setback: — L.ot Coverage: Existins Proposed Hardcover: 0-7�' y 7�-250' �.�L. 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�IARKS (inhouse): 5��,� Neec�s � � rv�ov�� --� � — S�n3a�-c�S