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Home My WebLink About2002-P04824 - deck . � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04824 Crystal Bay, Minnesota 55323 P2C'1711t Typ@: Addition/Remodel/Repair (952) 249-4600 Date Issued: 2iti2oo2 SITE ADDRESS: 330 Big Island Excelsior,MN 55331 PID: 23-117-23-32-0066 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Deck-Attached DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 38�75 Valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 39Z5 APPLICANT: John Eiden OWNER: JOHN EIDEN (LISA EIDEN OCCUPIES) MN 330 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 ILDING CODE REQUIREMENTS. �'`—.� -- ,. _ __ __ _ ______________ .__ f ry � ____ � < �� L�` � � .,.,�" L�:i�_�:— APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Sienitures Reauired). 1-Anolicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 ' f�� l�� Total Fee: $ 3 y;�5� Date Received: �� Entered By: _/�ly Permit#: C= .�� ;:� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all informatiorc) THE APPLICANT IS: (circle ne) OWNER O CONTRACTOR JOB SITE ADDRESS: S� 0 � S' G� C� ZIP: �S S � S— NAME OF OWNER: � d�� 1� � � i ��r� PHONE: (home) � 7� !-��S (work)�y / Z 2�� / 2 � � MAILING ADDRESS: , � 2 CITY:�j('C'�(S � o r ZIP: S S"-.5�-.-�� CONTRACTOR: PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCffiTECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: ' c �� C �e. � � '�� /�'�C� r � ,� c; '� c --� �n � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): �/�Q � � � 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 underst is is not a permit and work is not to start without a permit; and that the work will be ' acc dance with the approved plan. APPLICANT'S SIGNAT �--- DATE: /" � NOTE! Parade of Homes ev nts require separate permit approval by Po ice Department and Ciry Council 60 days prior o the event. Non permitted events will not be allowed. 5 ' v 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 trus 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 confidenrial dara;and(d)the identiry of other persons or entiries aurhorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply imestigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the norice reauired under this subdivision in the individual income tax or orooercv tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,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 thereafrer unless a dispute or acdon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 compty with the request within that tune, 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemenL The responsible authority shall within 30 days either: (a)correct the data found to be inaccura[e or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipienu 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 �ity 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. First Middle Last Address City State Zip Phone I un 'stand m rights as stated above. � _� _� __ _—t-- � Signatu �' 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3'3p (�� Sc�t-,v�r.� PID: DESCRIPTION OF WORK: �p�—� 1(Z.�,-p� �✓t --------------------------------------- ------ ------------------------------------------------------------��---- ZONING REVIEW BY: � DATE APPROVED: � 2 2 BUILDING REVIEW BY: DATE APPROVED: � -zg-v-Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ,/ No PLAN REVIEW Yes No � SEWER CONNECTION STATE SURCHARGE Yes �/ No WATER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: �j(, GFf7�1'i� Fire Department: Post Office: Sc ool District: Lot Area: Sq.fr. Acres Wi th Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Re olution Date: Shoreland District: 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: REMARKS (in house): 7 BUILDING REVIEW CI3ECK LIST UBC: �' 3 CONSTRUCTION TYPE: �� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ) ��u �" Inspections Required: Work Requiring Separate Permits: Site Plumbing 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: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMII�: 8 , • , 11 { � � � � s �� 9 � � W n N � � a � � � r ,� , �I � � � ?a-[ cP.,l.� l�,�� .L �-_ � , � �, � �si � � n �— � I • A �b �,-� �,< �- .. �.- /v � � � =�► � � r, -� � '° - ,� 9 3 ��r W 3 -� � t' � �,9. � � ,� ' �`�'= o � r- � O! p � � � � � S _`o` � � T � � �-!� � o s� �� A � ,a� -o � � � � a-- � �,� - `' s.� `�� _ � .. 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