HomeMy WebLinkAbout1999-011618 - sport court ERMIT
CITY OF ORONO PERMIT TYPE:
2750 �Iley Parkway- P.O. Box 66 Permit Number: '�"-�'=-�`-'�°"`'
Crystal Bay, Minnesota 55323 :i� -�`���=�
(512) 473-7357 Date Issued: __ _ _ _ _
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SITE ADDRESS:
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DE�CRIPTION:
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REMARKS�:
FEE S�Jf1�[V1�4��".
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CONTRACTOR: - . , ;��1 i�w�};;_ - OWNER:
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APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ ,�3 3 1 � Date Received: �,� :7Z � �� �
Entered By: /�cz,% Permit#: //(Q��
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• �
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 O CONTRACTOR�
JOB SITE ADDRESS: ��� �'�-�S'�'L �� �t) ZIP: SS 3 Z�
NAIVIE OF OWNER: ���L�}-J�� '�i^��11'� PHONE: (home) �►L ��S �i�Z�
(work)
MAILING ADDRESS: (7G� �i���r� G�� �� CITY: �,y�„v1.�'v ZIP: 5�3 z 3
CONTRACTOR � 1�8�'� C•��'�( PHONE: �SI �I��f �K S k�
CONTACT PERSON: pr'�JLr y�,,�.+� MOBILE/PAGER: b I � y�� 35 7 c�
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAIVIE; REGISTRATION#
TYPE OF WORK: New �/ Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK Sdescribe in detain: �1C��}�1� �r �����'� �
f�- S� .� 3 5 C u`�'�� �c...r1��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
�
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 6�Z�
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; arid that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: ' DATE: �' zy `�y
NOTE! Parade of Homes events require separate permit approval by Police Deparlme�at and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA
Subd. i. Type of data. The righu 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 individuai. 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 contidenaal daha;and(d)the identiry 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�lace the notice reauired under this subdivision in the individual income tax or orocertv tax refund
instructions 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 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 requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediatety,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 comply with
the request within that[ime, 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 dara 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 authoriry 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 aze notified that:
1. The information you fumish 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
Ciry State Zip Phone
I understand my rights as stated above.
Signamre
6
. �
CHECK Ok'F' LIST FOR XSSUANCE OF PER�I�iITS �
FOR OFFICE USE ONLY �
�
ADD�.2ESS OR LEGAL: I?� C,' r y s+� I C v � e k �a a c� S� S 3 'L � � � ,
Pm: 3 :���- � � � - 2 �- 3 _� �� � v � � I
TjES CRLPT'ION OF�'VORB: S o r� �}- C o ��r-� �
ZO��,.YG REY�'�'V BY: `�-� � DATE APPROVED: fc- Z `�``t`J
BUIZDS,i IG �tEVIE�� BY: . � � DAT'E APPROVED: �3 - •�-�. - � S
�'EFS TO BE CHA_RGED: • � ' Misc. Fees Calculated By: � � �
PERMIT �� �Yes �'' No . '
PLAN REVIEW � Yes �' No SEWER CONNECTION
STATE SUR`H�1RCrc .Yes � No �ATERCONNEC'TION
IIYVESTIGAZTON'�EE Yes No PARK FEE
SAC Yes No SITEINSPECI ION
Number of SAC Units ���OTHER (specify)
ZONl3�TG CFiECK Y,IST � zoning District: f� �- j 1�---�---------~----- �! � -f-
Fire Departmenc: �-- L Post Ofrice: �v .�S^��� �a�School District: ��� � �
� � . t
Lot Area: Sq.ft. � Acres � '� �Vidth a � Depth I,N�r
Survey Submitted: Yes � No Date of Survey: �� ' � �' �g
Proposcd Setbacks: , 1 f I �
— ---- - Fron[ �j• �...�/ . . • `�� =--------:- � - =� —
- — - �st Side: . ,. -
Rear� 1 �.`� � . �:
�
. Adjacent Structures: �� C' tiVetland: ---'
. ,__, _ -
BuiIding Heiaht: Def. Hgt. Peak Hgt.
Lot Coveraoe: � �
Grading: Stafi Approval Date: N�/f By: Council Approval Date:
Septic: Staff Approval Dace: --- By; • � � ,
Zoaing File: � � "— Resolution: � Resolution Date:� ' .
� . .
S�orelznd Dis[.-ict: �
Avg. Setb2ck: Bluff Setback: Lot Coveraoe: � .
' • Existin� Proposed �
Hardcover: 0-75'
?5-250'
��` 250-504' . . ' • .
500-1000'
Hazdcover Variance Requircd: Yes No Date of Cou.ncil Approvzl: __
. �
RE1�LA�ZKS ('in house): �
, �
z � � . .
• +'' . 26
. �� . •
. BUTLDING� RE�y�r CHECK LIST � � � � - -
UBC: � � CONSTRUCITON TypE: . � . -
, .. Sq Foota�e . � Per Sq Ftg .
, Bzsement x . - : �
.. . . Ist Floor . ' . . X . . — � . .
. 2ad Floor . _. — . . . . .. _ ' ..
Gara�e ' ' .x .. . � � _ . . � _ . - ": �. �
x . . .
x
. TOTAL �
Estimated Construction Value: S G� �Z5 °� • �
- — Tnspections Required: • 'Work Re uirin�
Site . q a Separate Permits; �
Hardcover R�moyal — plumbin� Fire . �. . �
� Footin� — Mechanical _ Water Connection
Framin� — Sep�l� � _ Sewer Connection -
Insulation Fueplace Laurn Irri�a�ion
Wall Board - — �M���Y) Other . . �
_o�, Final • rnlfj.) Well (Sta[e Permit) . �
Other Gradin�lFilling Electrical (State pe��)
. ��h'S (IN HOYTSE): � --------
----------
----------__----------------- �
REVIE'�Y BY OTHERLS: � ----- - -------
DA�'E: � -"
Access: Eziscing Netiv � -
---_._
• __ Access �Approval: Date
------ -------- By: .
--_________
REiI�IARX'S (TOBENOTED ONpERitizIT�; , -
� . � • • -
Y .
_.. _. . ..�:-., . : - - -�- ---_._ ..._ _ _ . .� 27 . .,_ ___ . • ' , �. ' -._- _-. -
�. .. ._. � _ � `. - :_. ..----- .. . . _ __ .__.. . � _ .. . ... .--.. ;_ ._ . .. .. ... ... ..�- -- _ ..• �
. -- _. .._.. . ._: _ _ . _ . .�, .---- -- •- . . _.. . . _� : _
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.
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- - - . . - -- � LE�'AL DES�'R�P�/ON.• _ :,�
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- �' ...: .- �� ' . . . . . . _ .. .
. ' .� � � � :.�. . -' . . ._ �- .
.. . - . -, � . �. � � . . . . -
. - .; . . _ N -
. . - - - r � Lot 5,. Bfock .c� CRYSTAL �'REEK, � o2"�or�
- � - .
. - _. ., sas°�o�"w �:�o , _ .
. � ; � ,a/af thereof, `Henne,oin County, _ A�lrnnesot�
-. . , ... . , �: . _ �= .: - — � .
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. / �.`. � Droi�oge a�d—�► � N _sb. ..
t �
/ � � uti�ity Eosement � t f�-APi;
� '_�— ent � ! - ❑ r,;:�
� !n � —� � �
_ � �it=�r° �� � �a a �t �� ❑ D�
� _ � .�� v �Y _
/ � �� Q.� s4.o �;� i pATE
/ . � � � � .�"Z?�2CZ °�
/ .,�� �� s� �` � 30 �\ . � , o
* -:� � � 1 � ���, �� ,S'eptzc �
�- � esfed deeA � � 17.5 t ,�.7 Z�e � �" „!
o�' �� otron r r�r,k � � ELEVA T/ONS
�, , �, �_ � �� 2 y, � �
_ �� s, i��� �� � � �,2 �^` y Lowest floor e1ev. = 88.2
- � � � �
`� s�.a �� �' � �\ � 39.5 � ' �, Top of foundaf ion elev. = 96.9
V' �o �� ,g m �aav�� - �' � G o e = .
� � �� $ icY \ �ost se,pric t \ � n Q
� �� � �li O f
� ,, �^ � � � SITE PLAN GRADIi�G PLAN (
� � :
� �,a' _ ___ -
"� `y �-APPR�JVED -sPoQr Go.►r�-r'
�� . ��i �s ry8 � c`�t �tic �anks Vl �. ► �, ❑ AP�'�t'J`J�D U�l!TH REYISIOt�lS .
� 'o sa.7 �Qti� � � . � � R� - �� ❑ Di�#i�F�O��'E
� � D � \ � �
� � � � � � o � �- I l �Y
� . ;'� °`' pt� ,r,�ti� \�„ o n sb. �. '� D,ATE -� - 4 S ----
.� / �o �' c°�a�° `y $� � � ; ��
�
Q 20
� °� c�,o' .S �D"� . ,.' �'��� � �� � ------�--; Primary Mound C,?uan titie
� O Q _ OQpBC� yb ��#S 8!. � `�l 4� \ Q � » n �, 4
C
_ °'i rf� � . � 5 � e�� 3�4 -2 1/2 ctean roc.. .^r �p�lr
2S �'�' � ► � ;. \ o , � _
Z,�i � � ' : - � � � Cleon Sond .fill 140t cub�c yar<
-� � ��/� - : , . , � . - \ �
. : . - � -� � - � tapsoii' for covec � 70t . cubic yo;:
_ %f . . - , `� � � - .
r, � a, � �, � � 2
. � ,o� s5.s - � f Locimy sand for cap - 18t cubi�
�, � � � � ' �
�� �° j � � � ` - �' � r Quontities do nat inc�ude w.os�e �
, .` . , .. � � � � }
5 . - � � �. . / D� � � .
- i �� \
_ � I oirlp . _ p .
.
_ ` . 1 9� and�fi/it\�c-os� i p
, . �-Benchmark.• ,n \ - _ .- . .
Top of rebo� �I �. - \ o -
. . . . _� � \ \ f .
- . . - - e%Y=740.O� _ r . o � :-�.. \ _ . .
� . - � ��� -- � � � M - . .
` � - � � .
4T� -� � \ '� - . .
.- . - . 38 � ` _ � o � -.. . �
. . LEGE/VD _ . � . � — `-- � Notes• .
. _ . . . -_ . _ . � . .
. . -,� << f �� :5 �' �
. Q perc%fion tesf ho% . �U � _ >. Avr�id�compbctiur� `of mound dred be�
`� ��j Z S L� after consfizfcfion
- . - , soil bo�ing
_� ... - �;� ��-F�-L 2. Verify before dri!/,v�g tfiot rro septic g
� . - � ------ eXisting e%vcxtion contour 1►-2� are wifhrn o �50 foot rodrus of p�opose�
�- 92+�4 : . existing spot ele�otion (100 feet for s�ia//ow weI/)
92+►4 ,oraposed spot e%vation 3. tie�ify before construction thot no si`