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Home My WebLink About1995-007448 - accessory building PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �;i:�: �� = Crystal Bay, Minnesota 55323 PermitNumber: ; :�';�:�:�``'-' (612) 473-7357 Date Issued: - _ SITE ADDRESS: - _:�_: _, ,:._ . . . .�. . .� j _�,�' II DESCRIPTION: �� i::�_!� i.'..i�ii:-s i'"�._1,f+i; _ T.,,- _ j;�.._'y��(. _; F F'1�._'�_. ;�i_��.'t- t,�E;i _;�ij,: � �S,}�_�:� . �_L�.. _.-_,.._+ e`iiti-rl�i��: i.ia`, # f i r";��r!,•s . .f 1rl.iJlt•�.'VVV :T L'l l'L17 J•:}:a 1 :� 7 �.r,:r�e*e t:�ttFr� 1i..L.LLV1il.�VL !�1 7 1 i t.! 1.'S LL11 .J�' _.�_s' _� -_ l:t tll•!1 7 i REMARKS• !1L�L.•L1 _ _ -"i4!: � TL'Tf•' " '..u- '�t1�. _. .._.j�.�l FEE SUMMARY: �:.;y,•=r? ='=+:�- °�x'-:r; f;�- � I _... ..�..€_:�',=. - .__._�_....._._ _._. - . I ' *_�t -"�' '.-k'==.' ' ." .. . s__. � CONTRACTOR: OWNER: -- - - ;,--: - - " ' ' '.. . .. ._� !P'% . . . V... -i ;...::.._' j i::�{; " . �'y; ...�v sS " _ 'j ..� i T v :�: ._ � . . .. , . � , . 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APPLIC T'PERMITEE SIGNATURE ISSUED BY:SIGNATURE Total Fee: S � � � -t ?/ DateReceived: Date Approved: Entered Bv: �-��c;' Permit;;`: � `�4`�� CITY OF ORONO - BUILD�tG PER1tiLIT APPLIC�TION AI,L L��'OR�tiL�TION l IL ST BE SLBI�IITTED P��ZL BEFORE PL��1 REV�tiV tiVII.L BE ST�RTED - ------ THE �PPLIC�tiT IS:� M (circ;e one) O`VNER OR CONTR�CTOR JOB SIT'E :�DDRESS: �� 5 �' �G ��°'fi4'� (,�.,`-`_-� ZIP: N�'�IE OF O�Vr�R: �• •:�t.� ��` .��= , �_� PHO�tE: (home) %/ ? � � � C�:• l`� " � (�i�ork) _ ) 7 u. cJ('_.Z�: L7 _y J.;��'> 1�IAILL\G�DDRESS: G.5 ��' ��C�..��:�---�<� CITY: L�-� L_ 6' - CONTR�,CTOR: PHONE: `IOBILE PHO�tE/PAGER: 1�IAILING�DDRESS: CITY' ZIP. ST�TE LICENSE: � A.RCHIfiECT�'E�GLti�EER: PHONE: �IAII.Lti G�DDRESS: CITY: Zg': N��IE: REGLSTR�,'TIOv � TYPE OF `�'ORh: �Iew Addition Accessory Sm.icture N1ove Remode'�:�lte:ation I�nd Alteration � PROPOSED`VORh(describeinde*ail): ,.��u' ��- /� �`! � STORIES: ________ sQ• �T �F EACH FLOOR: \r0. OF BEDR001�IS: G�iR�GE ST�I.LS: �TT. DET. �` �; ESTLI�IATED CO�iS'I'RL'CTIOti v�I,U�TIO�r(eYcludingland): S G�C ' '� I hereby apply for a buildina permit and I ac�cnowledQe that the information above is complere and accurate; that �he work will 'oe in conformance with the ordinances and codes of the C:tti' and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a permi�; and that the wor�y�vill be in accordance with the approved plan. � � ��- �� ' , �,PPLIC��'T S SIG��ATURE: ` DATE: � � � -�'� NOTE.' Parade of Homes events require separare permit approval by Police Department and City Council 60 days prior to the event. Non-permirted events will not be allowed. Sec.13.04 RIGHTS OF SLBJECTS OF D?.T� Subd. 1. T��pe of data. The nehcs of individual on whom che data is scored or to be stored shall be as sec for[h in this secdon. Subd.'_. Information required to be�ven indi�-idual. An individual asked to supply priva[e or confidenaal dara concerning hunself shall be informed of: (a) the purpose and in[ended use ot�he reauested data within the collecting"state agency, political subdivision, or stacewide system; (b)whe[her he may reiuse or is legally required to suoply che;eques�d dara:(c)any Imown consequence arising from his supplying or refusing[o supply privaez or confidennal data:and(d)the idenncy of other persons or er,anes au[horized by state or federal law ro receive the data. This reauirement shall not apply when an ir.dividual is asked to supply invesnsadve data. pursuant to secdon 13.82, subdivision 5, to a law eniorcement otficer. The com.*nissioner of revenue mav �lace :ne notice reauired under chis subdivision in the individual income caz or orooem caz rerur.d instrucdons ins[ead of on chose forms. Subd. 3. .�ccess to daca by individual. lipon requesc to a responsibfe au�horiry,an individual shall be informed wherher he is the subject of stored data on individuals, and whecher it is classitied as puolic, pnvace or coniidennal. lipon his further request, an individual who is the subject of stored priva[e or public data on individuals shall be shown [ne data wichout any charge to hun and, ii he desires, shall be informed oi the con[ent and meaning ot tha[data. .�her an individual has been shown che priva[e data and informed of ics meaning, che dara need not be disclosed ro him for six mon[hs thereatier unless a dispuce or action pursuant to [his secdon is pending or addido�al data on the individual has been coilected or created. The responsible au[horiry shall provide copies of[he priva�or public data upon requesc by the individual subject of the data. T'he responsible authoriry may require the requesnng person to pay the actual costs of making, cemfying, and compiling the copies. The responsible authori[y shall comply immediateiy, if possible, with any request made pursuant ro[his subdivision, or wichin five days of [he date of the requese, excluding Sacurdays,Sundays and le2al holidays. if immediate compliance is no�possible. If he canno[comply with[he reques[ wichin tha[time,he shall so inrorm the individual, and may have an additional t7ve days within which to comply with the requesc,excluding Saturdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. An individual may con[est the accuracy or completeness of public or private data conceming himself. To exercise rhis right,an individual shall notify in wricing the responsible authoriN describing the nature of the disagreement. The responsible au�honry shall within 30 days eicher: �a) correct the data found to be inaccurate or incomple[e and aaemot to nodfy past recipients of inaccurate or incomptece data, includine recipiencs named by che individual; or(b) nodfy the individual tha[he betieves [he data to be correct. Data in dispu[e shall be disclosed only if the individual's sra[emen[ot disaereement is included with the disclosed data. The decermina[ion of the responsible authoriry may be appealed pursuan[[o the provisions of the admuustradve procedure act relating [o contesred cases. D�T:� PRIVACY �DVISORY In accordance with M.S. 13.04, Subd. 2, "Rights oT subjects of data", we would like to inform you�hat your request for a permit or license from the Ciry of Orono or any of its depanments may require you to furnish certain pri��ate or confidential inTorma[ion. 'i ou are r.o�i:;ed that: i. The information you furnish will be used[o decemune your qualification for the permit or license requested. ''. You may refuse to supply da[a, buc refusal may require chat the City deny the permit or license. 3. The information may be shared wirh ocher local, state or federal a�encies to the extent necessary to process the permi[ or license. 4. If your requeste� permit or license requires Council action to approve, some information may become public. 5. You have certain rigbts under :vf.S. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process this application or permit. �i ,� ��C'/ � Li /�r �� First �tiddle Last ��G G�cr l<a�� L'� .-�ddress Ll��y �-�� -, � �s� ,;�, �;;� - ,-�., � Ciry Sta[e Zip Phone I underst my rights as stated above. � e�. � '�- Si¢na[ure CHECIi OFF LIST FOR ISSUANCE OF PERtiIITS FOR OFFICE USE ONLY :�DDRESS ORLEG:�L: ti� P"�� PID. DESCRIPTIO\ OF «'OR�: ST� �� '''� � ZO\�G RE`�j�' B�: DATE APPROVED: �o -16-�5 BLTII.DL1 G RE«tiV BY: DATE APPROVED: t�-�� . `�S- _______-- FEES TO BE C�L�RGED: Misc. Fees Calculated By: PERti1IT Yzs `� �To �o v- SEtiVER COv�tECTION PL:�N RE`ZE�V Yes � �ro `�IATFR CO��t�tECTTON ST:�TE SL�RCH:�RGE Z'zS p�K FEE INVESTIG:�TIO� FEE YzS �o SAC Yes :vo SITE I�i tSPECITON Numoer of S:�C L''nics OTHER (specify) ___ w_� ------------------------------- ZO`I:`G CHEC�i LIST Zoning District: Cr2-I/� Shoreland Discrict : �t s Fire Deoartmenc (. C-- Post Office: C�-�-- School District: 0�� Lo[Area: Sq.n. N� G•Fi�/1��cres � Width — Dep[h — Survev Suomicted: Yes �,�o � Date oi Survey: IY��S �XCa�1?�''� Proposed Se�bactis: � i W Front tL�e)� � `�� RiQnt Side: �� i Re:r (Street): 15 Leit Side: SS � .�djacea� Structures: 3� � `�-- Wetland: �1(R Buildin� Hei�t: Der. Hat. D -{� Peak Hgt. O �__ :�v�. Se[back: — Bluff Setback: — Lot Covera�e: G•� Existin� Proposed � Hardcover: 0-75' 75-250' p .� 250-�00' �00-1000' Hardcover Variance Required: Yes No � Date of Council Approval: Gradins: Stati �PProval Dace: — By: Counc:l :�.pproval Dace: `— Septic: Staif �pproval Date: — By: — Zoning File: ;_ �__ Resolucion: ,;"' — Resolu[ion Date: RE��RK-S (in house): 26 BL'II.,DL\G RE«��' CHEC� LIST LBC: U - I CONSTRUCTION TYPE: vN Sq Foota�e S Per Sq Ft; Basement � lst Floor � 2nd Floor r Garage z Y - TOT:�L Estimated Construction Value: � Inspections Required: �Vork Requiring Separate Permits: Site PlumbinQ Fire Hardcover Removal �techanical tiVa[er Connection Footin� Septic Sewer Connection Framin� Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (Sta�e Permic) �C Final Grading/Filling Electrical (State Permit) Other RE;�It�,KKS (L�i HOtiSE): -------------------- - REVIEW BY OTHERS: DATE: Access: Existing �eW Access Approval: Date BY� „_ ------------------- REI�i�RKS (TO BE NOTED ON PERti1IT�: 27 �.-- R� ._- VJ�,�o� ---. _ - - _-- '�_,.. /��'..._ . �-....�� j� ��a.r� �f t a �� f k ,.f M? � 4 x SET� �� , :.,;F;.;� F�l�N � � p � A�r%�+r,'', ' • PRo�u.�,�0 x�L Slf�"� (V � ❑ AF�;=;: ...��; ;`��` , , 'l n�.. �, '� ❑ Di��i=�;-R�:�;�, . .�:.� , . . _, .�s � SY � DATE � �� _ I �a� - Pr�p�� ____._ .. . � .. __._._.__...._._. .___._.. (D x i2 SHC� �� 16v` � ��, _ 30�