HomeMy WebLinkAboutvariance info Christine Mattson
Subject: Call Win Stevens 612-308-5733
Location: 350 Crestview Ave
Start: Thu 10/30/2008 2:00 PM
End: Thu 10/30/2008 2:30 PM
Recurrence: (none)
Had a variance for a proposed home, but variance expired. Is wondering if they can build on top of home
instead? Do they still need a variance because they are with 75' of a creek?
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Total Fee: $ �� �✓ Date Received: "���� � �` � C
Entered By: Permit#. � i –'� G �i`-%
TY OF ORONO = BUILDING PERMIT APPLICATION
All infor ation must be submitted in full before plan review will be started.
(please pf•i,zt all infor�rnation) �'
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THE APPLICANT IS. (circle one) OWNER OR CONTRACTOR �
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JOB SITE ADDRESS: S� C�C sTU�C'kr c�G ZIP: �S�L
Will this be a Parade of Homes Remodelers Showcase Home or other splay Home?
❑ Yes � NO If yes, a special nt pe�-mit is required witli Police Depa��tm t nnd Cih�Cocrnci!approvaf
60 days prior zo the ent. Shuttle bus se�vice wil(be requir d culless applicnnt derno�zstrates
su�cient on-site parki ��available. Non pernzitted ev nts will not be allowed.
NAME OF OWNER: w���'.e-c��. ti,�.,�� S µ� PHONE: (hoine)�iszy�yo �07
(work)
MAILING ADDRESS: 3�T a E w Y:�►^��-r}�c.� ZIP: SS3S'�
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CONTRACTOR: ►�.�e S PHONE: (,r Z s a S S�33
CONTACT PERSON: �,,� ,� , ,*..� OBILE/PAGER:
MAILING ADDRESS: 3Z z o .d ITY: Lo�6�c,� ZIP: SS3 S'�
STATE LICENSE: # _ EXPIRA�'ION DATE:
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ARCffiTECT/ENGINEER: w� 5 � �+.R \, PHONE:
MAILING ADDRESS: CITY: �,, ZIP:
NAME: / REGISTRATION: #
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TYPE OF WORK: New � Addition Acc�ssory Structure
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Mo Home Remodel/Alteration \
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PROPOSED WOR describe in detai�: �1��,r Co � a rn�,ex �r: -- +�a� �!
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STORIES: SQ.FEET OF EACH FLOOR: ZSd o �'
NO. OF BE OOMS: 3 GARAGE STALLS: ATTACHED Z. DETA HED
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ESTIM TED CONSTRUCTION VALUATION(excluding land): $ � � �f;:6v o
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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;ar_d that the work will be
in accordance with the approved plan.
APPLICANT'S SIGNATURE: — DATE: �/ /9 �
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Sec.13.04 R[GHTS OF SUBJECTS OF DATA
Subd. L Type of data. The rights of individuai on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Infonnation required to be given individual. An individual asked to supply private or confidential data conceming himself shall be
infoRned of: (a)the purpose and intended use of the requested data within the collecting state a�ency,pofitical 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 requiremenc 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 commi�sioner of revenue mav place the notice reauired under this subdivision in the individual income tac or proneRy tax refund
in ructions instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be infonned 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 wiHiout any charge to him and,if he desires,shall be infonned of the content and
meaning of that data. After an individual has been shown the private data and infortned of its meaning,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 piivate or public data upon request by the individual subject of the data. The responsible authority may
require the requestin�person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shal!comply immediately,if possibie,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 infonn the individual,and may have an additional five days wi[hin which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accuiate or complete. An individual may contest the accuracy or completeness of public or private data
conceming himself. To exercise this iight,an individual shall notity in writing the responsible authority describing the nature of the disagreement. The
responsible authority shall within 30 days either. (a)con�ect the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate or incomplete data,including recipienLs named by the individual;or(b)notify the individual that he believes the data to be con•ec[. Data in
dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The deteiYnination of the responsible aufharity may be appealed pursuant to the provisions of the administrative procedure act relating to
contested cases.
DATA PRNACY ADVISORY
In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforni you that your request
for a pennit 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 detennine your qualification for the permit or license
requested.
2. You may refuse to supply data,but refusal may require that the City deny the pennit 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 becoine
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 perniit.
LJ i���� �c.> !� S/i� �f�--S-
First Middle Last
� 770 �47s�i» �
Address
C.an < <,�-��� G�_ �'s 3.SL �i z 3�-53�
City Statc Zip Phone
I understand my rights as st ted ove.
Signature `-
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