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HomeMy WebLinkAbout1995-007459 - dock walkway - PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- PO. Box 66 i _i k:..�:_; - i Crystal Bay, Minnesota 55323 PermitNumber: --,:�,:y � (612) 473-7357 Date Issued: - :;.� .;:�;__, S TE ADDRESS: I� - - - - , _ - - - ;.: - _ : __ : ; _.,-,�: DESCRIPTION: : ;.; :�;_;?, i �j_}�;� �'.,t';..1 . .� : ; :__ � - /lcc�ssory Str��fur� _,���.t;, ! �_:i .`��~, ix�;,:;f�lr - i�'- _ .. . .. . t�f=..� :.!''si C �•i+='�"° ',s'!='.� . .: G � --- �:t' —,,—,f;i: t•i i i� LLi i:�;����itv tJ�!1'!!! _. . . . ' p�i-i"},r i,T•,?: : ;' i i.11 u11 li V V 1r Tf L7; .... a i�. 1-'Ci�d:'' +�+ Jr'1'S"1:�V1J�� 15' I `.��.. � �'�• � V 1 �`L.1 :TL' 3" +'1iki1ifrl +t+�' 1 i i..ii.1.'V`JV�.� 7! �}f . *•:i • 11_ 77L:T �L'�V t�'L.if'+' Ti .;.";., _i t.:eii�t� iiL .i.i•,."�= i1 `t�..t l7li�1 '•JL' . �7_` '_ . . ....... :1V. •yd EMARKS: � I EE SUMMARY: : .._ �-;F_zi°v -. _ . �:f':���; .__.._.- ;=.._ _ ��.�.� . �._ �'1.=.�� =;e:=;. ._�°� �_;, :?r-: I :�l:ti`�i;:'.� _ _ ___.____—. ''`'; �i#'; E i,!3..�C f"':.'�'_ '.'a,} 1 l� _ . . a .. � i � CONTRACTOR: . , , __ _ : -.. . -- OWNER: . .._ .. . . . . ._ . . 'k. ._ _. . ... , '- .. . . _ .. _. _... - .l.._t..:. . .. . _ ... .. _. .. .. ._ . . . � �:'�.�;—:i_."`_`r. _=�_ii_� ;r;�;� r`=._:�_:?. ... .._„.;�".� 3a�js'� ' _ ' .";i j_:; _ i i � � � . � Y � .. �— . — . . �" � � " __ `4;.�t�: . . ., �. ,�— . F r -�-;—, f {�. t ..��.4 � r��. ! , � P f i f I .:'� . ..:.. _;..` . .': : ...'y ' . .. .. _� . _._ `:4'_ .. . _,. ._ ._. _ _. ., �F _,_. . _ ... .. . . . i��.___ _ _ . . ... �}I . . .. .. _. ,�t.. � �, ft:r l�u.'.—. i� �.: � �' � t �' 't . . :'.. � :,: . .'_ �. - �. . . . L.. • ' . . . '..: :.�, . .... ._. . . _ - J I � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUR �-�. � DateReceived: �`' ' � �� Total Fee: S j�� �� '' � � � , Da�e Approved: j r� - � X ' �1 S Entered By: � �-: Permit n: '� �=- `� CITY OF ORONO - BUII_.D�tG PER1tiIIT APPLICATION :�LL�i�'OR�v1ATION�TLiST BE SLB�TITTED L�T FULL BEFORE PL��i REVIEW`�'II�L BE START'ED ---------------------------------------------------------------- THE :�PPLIC�:�'T IS: (circle onej O`V�1ER OR CONTRACTOR JOB SITE �DDRESS: i_����� ZIP: �� .-��' N�tiLE OF O`VYER: \`t���,.,«.c� ��z' " �-'� ��-� -,_ :.� PHONTE: (home) (work) �IAII.,�'G�DDRESS: CITY: Z�� � / ° -� CONTILCTOR: �'C`�1fC L�it �(( �� � �i �,,' PHONE: �" � -r�"_ ,� .�� �, ��IOBILE PHONE/PAG�R: ` ,, '�' '� ' � � CITY: ' '�-' ,��,,.._.-�. ,7�IP: L .; . v1AILINGADDRESS:�y `/ �' %.• �;--�� ` ��-� _ ' - `�-==—� ST�TE LICENSE: # a,RCHTI'ECT/ENGLYEER: PHONE: �I�ILING ADDRESS: CITY: 7g'� ��`�: REGIST'RATION �# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Iancl Alteration PROPOSED`VORK(describe indetail): STORIES: _ SQ• �ET OF EACH FI.00R: NO. OF BEDROOVIS: G�RAGE ST�LLS: �TT. DET. �STL�L�TED CONSTRUCTION VAI.UATION(escludingland): S '��' �'�'�'A (!� I herebv apply for a buildin� permit and I acknowledge that the inforr�lation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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. , ' � s- _ / � J � f AP PLICAI�iT'S SIGNA'I'ITRE: ��1,'l CG`rc.--�C� ,"� / ���l tDATE: � � � � E S !--> . NOTE.' Parade of Homes eve�he event e �Von-petrm=�edt event�willbnot�becal�wed. ent and City Council 60 days pnor to r ' � � � O � . � ���� ���'�' �f (� r3 ��i.:- ,�., «unic�p�ot�ces t.� �i' _� (�y Post Of��e Box 66 `�,� ' 1�. _ ',`: �J"�' Crrstal Bay,�iinn�sota=�323-0066 ��kESH�4� � - = D�,T:� PRIVACY ADVLSORY In accordance «�ith `i.S. 1�.0-�, Subd. �. "Rivhts of suojec�s o� daca". �;�e �vould li�e to inforrn ��ou that �our reauest ior a p�rmit or lice nse rrom the Ciry or Orono or any oi its departments mav require vou co �sriisn cenain pri��a�e or contidential inrormation. You are notitied that: 1. The info��acion �•eu �urn.ish «'iL be used to determine ��our qualification for the permit or license requested. �. You ma�� refuse to suppl�� da�a, but refusal may require r.nat the City der.y the perrnit ar �icense. 3. The information may be shared �vith other local, state or tederal aaencies to t}:e e�tcr,t ne�essar}� to p:J��ss ��1� Pe�r�it or license. 1, If ��our requested permit or license requires Council action to approve. sor�e ini�ormation mav oecom� DllD11C. � You ha��� ce::ain ri�hts unde: �I.S. 13.0? (se� fo?lo�j�in� p�Q�) to revie�v priv2te data on �ourself. 6. Your n.ill name is reqLired to process this application or p�rmit. PLEASE PRL1�`I' .L.. First ��liddle Last v �� _� dress � �,F,, _ yy^ � � ��� ,��� ���� � r�� �/ C1N State Zip Phone I understand my riahts as sta�ed above. SiQnarure v TEL.EPHO?YE--173-?357• F.A?C--t73-O510 I i _..____ ---- - 4 SI3.04 RIGH'IS OF SIIB�TS OF DATA Subdivision L Type of data- The rights of individuals on whom the data is stored or to be stored shall be as set forth in this section. An.individual asked to Subd. 2. Information required to be given in�vl�uaL u 1 rivate or confidentiel data concerning �mWit�h�in the collecting state agency, s PP Y P purpose and intended use of the req em;d �b�whether he may refuse or lfromhis political subdivision, or statewide sys }rnown consequence arising required to supply the requested date; (�) �►Y u 1 in or refusing to supply private or confiden�e�aaw to receive the data.ItThis. S PP Y g state or �vestigative data, other persons or entities authorized by requirement shall not apply when an lndt�vla law en orcementuofficer. pursuant to section 13.82, subdivision �, The commissioner of revenue ma place taX re°una i�tauctionsu nsteadhos subdivision in the individual income tax or property on those orms. - . Subd. 3. Acces� to �aLa by ��V1�L Upon request to fl responsible uthorit , an individual shall be informed Wh b�� h�vateeor confident al.e Upon his a y ublic data on individuels; and whether it is classified as p � P e to him and, if he desires, shall further request, an indiv�du e �t8 without any chargtored private °ryidual hes been individuels shall be shown th of that data• After an inci� �e informed of the content and meaning the data need not be �isclosed to shown the private data and informed of its meaning� u�uant to this section is him for six months thereafter unless a dispute or action P �ta u n request by �n or additional data on the individual hes g e or publ��ed or �eated. The , pen g rovide copies of the p fequire the responsible authority shall p The responsible authority maY �in the the individual subject of the ��• certif n and comp g requesting person to pay the aetual costs of making, Yi g' copies. if ssible, with any request The responsible authority shall comQly immediately, P� ade ursuant to this subdivision, or within five days of the date of the request, m P g�days and legal holidays, if immediate compliance is not excluding Saturdays, With the request within that time, he shall so inform the possible. If he cannot comply individual, and maY ha�e sn additional fiv�d�ou���n which to comply with t e and le request, excluding Saturdays, SundaYs � Subd. 4. Proce�iu'e *rhen �a� � ublic o�a ivate datla lconce nnng himse1f• To contest the accuracy or completeness of p in �i� the responsible authority exercise this right, an individuel shall notify describing the nature of the disagreement. The responsible authority shall within 30 dg either: (a) correct the data found to be lete data�includingreec pients namedt by � notify past recipients of inaccurate or incomp the individual; ar (b) notify the individu8l that he believes the data to beementCis Data in dispute shall be disclosed only if the individual's statement of disagr • included with the disclosed data• � 8�pe�ed pursuant to the � The determination of the responsible authority may provisions of the administ�'ative procedure act relating to contested cases. CHECb OFF LLST FOR ISSUAi�iCE OF PERMITS FOR OFFICE USE ONLY �DDRESS OR LEGAI.: l c�s� C3c��-t�cs Po t►v� PID: DESCRIPTION OF WORK: '(�ou< Au�u+ ------------- ---- ZO�tING REVIE`Y BY: � (Q�-_ DATE APPROVED: r�-i��5 S BLTII..DI'�i 1G REVIE�� BY: DATE APPROVFI): �o -�9 -S s - ----------------------- F'EES TO BE CHARGED: Misc. Fees Calculated By: PERIv1IT Yes � No PLr�'v REVIE� Yes � No SEWER CONIVECITON STATE SURCHARGE Yes ✓ No WATER CONNECTION INVEST`IGATION FEE Yes No �- PARK FEE SAC Yes No �'- SITE INSPECTION Number of SAC Units OTHER (specify) ----------------------------- � ZOYIlVG CHECK LIST Zonin District: L2-13 Shoreland District : YL S Fire Department: st Office;/� S o strict: � � � Lot Area: Sq.ft. Acres `"� id Depch Survey Submitted: Yes x No Date of Survey: Z-3-4 5 Proposed Setbacks: � �_��e). v Right Side: � Rcar (Street): SUO��= L.efr Side: 3� + Adjacen[ Struccures: /HD � '� Wetland: N/�4 Building Height: Def. Hgt. �Y ,' ,! '� Peak Hgt. ' � ; �. Av�. Setback: v�lu�f S��back: Lot Coverage: Exis[ino Proposed � Hardcover: �-�5' �z� 5 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes � �o Date of Council Approval: �-i�- `� -�� Grading: Staff Approval Date: �- By: Council Approval Date: Septic: Staff Approval Date: � By= Zoning File: # ��2 Resoluuon: � Resolution Date: ��'`�� �5 RE.'�ZARI�.S (in h0use): BUII.,DING REVIEW CHECK LIST UBC: N �/+ CONSTRUCTION TYPE: N�� Sq Footage S Per Sq Ftg Basement x = lst Floor Y = 2nd Fioor x = Garage x = x = TOT�L � Estimated Construction Value: S "2-,� Inspections Required: �Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Vlechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrijation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _� Final Grading/Filling Electrical (Sta[e Permit) Other RENiARKS (IN HOUSE): --------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY� RE�IARKS (TO BE�TOTED ON PER�IIT): 27 --- ---_ _____ __ ---- - i i � - -----__._— � , , , , ; , � ---- -- � � - -- ._-- _ ---— ,--, ----------- -----�;-i�.."�=�'�--�-- -- - -- ---- - --- ---------�- -1----- --- -- -- - --- > � _--- --- � ------- -- �• T------ - �-- $�� m � .r' --- __'�_ ----- -- - - ----------- --- � � ' �� �_ � � � "' -� ,.,�_'�i 'U tG �' - _.___—------ - -- - ___ _-..__ -- - --- - -.. -�t'� �� -� _�,�a,.,, _ _._ � � �' U �- '" ,� ----- ? , --- - Z x � . � c ��_ __ _ - _ ___ _ _ _ -_ -- - - - - __ __ - - -- -_� � ,--z7 �- - -- - . ,�, �G W � o c ,..r� � .__ _. __ -- _ __. __ - -_ - _ - _ _ -------- � � .. . � ---- - - -- - -- - �/ (� {�� /� �� r^ r" � � tf � /� �J � _ � l� `'� - _ _ _ __ : �_ .---- . t; - - 1 "�- -= -.�- ___ �.�;___ _ _- - ------ __-- _ -�1--- _ �, _r� .,�; �� �' - - � ., - � � .�a `, E_. � ��� ,-_ � .-�..�_, -----— --— --- - + _ , ,.. �- — ; _ � s , ..:�r` a -- � _ — — — — � � �, _ _ ___ _� , . ._,_: — x — __ -- -�+d ..-r �.._f. � --- -- -- ,�+� :�, `J ` y 1 o - �; �. : - u _. �.:. ; ,;�`-�� j 1 1 � c� t '1 _ _ i � -- ------- - .-: 3� � '__--� '�'•- ---- ---- -— - --- � � • � �., I -'� ; � C - __ _.-- r�y,.,��sF: <`- D =-'; i s! c'�' - - _._ S�'e 'p� - -_ .. . �-'iAj.�-� �., _�. 3_ .. .� f��_.____.. __ ..____". _.. ._" C"l �•, ,r„ \' ; E . __-....'_'_' .. r �' _ _ __ _ __ ._ _ ____'__ "___'- _ . ___ ..G.�,+' � . . __.,._ - � / -!� � -�_f"'.__��,-'-_ . . __.__' .. � � F� �, ,.,,� � " .. �t _._._._._.___ ___ -__ _ _.-._ _�"_____.._.-_____ _.__.- .--.____._,-.-_ �- L- . 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