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HomeMy WebLinkAbout1997-007716 - 3 season porch PERMIT , CIT•Y OF ORONO PERMIT TYPE: I " 2750 Kelley Parkway- P.O. Box 66 + Crystal Bay, Minnesota 55323 Permit Number: I (612)473-7357 Date Issued: SITE ADDRESS: DESCRIPTION: I . ,_ .. .. _ _ . _ . - __- :... .. .,:: . � .._'l..r..::'r� i�v i'•i F"',,��' . _. ._. _.. . . ..,. ���i.Lii..j�ej�.:.� .""'y..aZ��j#� �• � r�f's_..�a .,�.'- . . . . . . ... . _ '.W:f' _. _a� i f_.=1 i+_.: Irt�if:j'i:, � � __ ��i_ . . . . �.�'�_ ivj���j�ri Y,ti i_:�. ... REMARKS: FEE SUMMARY: '!-,'v_ _:F:'_.�f-:�:i �c:i — . .. L,e:�.l i..�}.�� �-�.y;] �3�,..i�.` . . _ 1"� i � :i 1�5�'1 i F r�.� —,GZ M:%:�!�!.,'."'j.YE�':. `.e .. . .£' ''._ . .�.-. : : . ,.:�- .•: • ..___�..__ �}. .ai::s�.' _ i_f' i� 'rM S? �S.�. _y�_��.} . CONTRACTOR: _ ,.�.�.,�:. �. .;. _ .::,,_.- _:�, . :... _,=: . OWNER: _ ._._,._.. . ._ _ - - - - :, . . � _ :_•`- 1 :_;.; . .., . .. _' ' : �'--�_..i'4_�.;:i,_ _ _. _ .,. . _. . . . .-_� i� ._ ... J =_.- . .. .. . ..� . _ fs. _' t W ... .. _.. _ . _ � . 4'.' .{��� v `- ._ . _ "��:` � �;C,t _ ;'` :'t T�:_ - -- _.__. _ i . . _.._ _ _ _. _,. __. . . ..' _. . _ ._ _ . . ._ _ ..., ;,. . .r - 4:: ' -- - '- -• � - - - t � ,� s .. �'; � � - 1 � , ;.:;; '" � ..: : i�'-- -'�'�3._ __. ._ .:�.�;��:'_�_: t a=._t ....,... t ..... _,_ ._�� i = i ?-_. ".*Q�. _. �� 's ... , _ i. .. .»_ i% .,._ . ..._. ... _. , ... . .._. ._ . ._ _.� �.,_.,_ r_.._. _ ._ - - - - - : - � - - _:_ ,_ , ...: : r r " ' ; ?�.- i 6'.i .(��l� � �J , �_:_.. �. ::'� . . � ; { . _ . � e_�: , . , . � :.t�..t =. ; ;_: ; 4. . � . . � :. : . , w ,- _,.� .... _ ? . _ . . .. _. ...... .. . _. . .. _.. `.+: _..�. . .. _ . ._ _. . _. _.. . ,. _- .. ... ,. .. a., . . . .�.. _„ .. _ . . _. '{;� `s s 1' . �t'• -. I : f f. i 1 r +1=;$`.rs,`� .r �-,W. . ' , r' ��. ,': ; , . ; ;; r , L ._. .. ._. ... .. . _ . _. . . .�.. -.� . . . . .___.�_ : . .�_._, _. .. _ _ _ ._ .... . .. .�_. _, . , _, . � � `` .,-' , �.. � o ��e�� APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE Total Fee: S � - DateReceived: ' Date Approved: Entered Bv: Permit�: ; �;�. - . � CITY OF ORONO - BITII.D�1G PERNIIT APPLICATION �I.L �"FORtiIATION I�ItiST BE SL�Bti1ITTED L11 FULL BEFOFZE PL��i REV�W tiVII�L BEST�RTED ---------------------------------------------------------------------------------- THE :�,PPLIC:�\T IS: (circle onej O�VNER OR CONTR�CTOR JOB SI'TE �DDRESS: � /�J ��C'���,�.,v ��c4;I.-- ZIP: N�ti1E OF O`VNER: �,��F /�+"'"�'`y`�� PHONE: (home) ( ork) 3� - �f � �I�ILL�'G:�DDRESS: �y 1�� ��sf= ����`S�CITY: ��'�✓ ��Ifi�ZIP: S� ---. CONTRACTOR: ,��/�-�✓�� PHO�iE: /:�%�� �`�_ MOBILE PHO�iE/PAGER: viAILING ADDRESS: �/'�'� CITY: Zg':_ ST�TE LICENSE: � .�RCHITECT/ENGliYEER: j�(,-i,'�I�c nvw ���� PHO�tE: S��.�'���..�� . `ZAILII;G�DDRESS: CITY: Z�. ���;�: REGISTR.-�TION # TYPE OF WORK: New � Addition� �ccessory S�ucture vlove Remodel/Alteration Land Alteration PROPOSED�tiORh(describeindetail):�� ����5�'w' `�����'�� -�����L STORIES: ___�____ SQ• �`EET OF EACH FLOOR: �q�Sj �� NO. OF BEDROOI�IS: � G�,R�GE ST�i.LS: ATT. DET. ESTL1-1�TED CO:�'STRUCTION V�-Lti�TION(escluding land): � �f7�� I hereby apply for a buildin� permit and I acl:nowled�e that the information above is complete and accurate; that the work will be in conformance �vith the ordinances and codes of the City and with the State Buildin� Code; that I understand this is not a permit and work is not to start without a permit; and that the work w� be in accordance with the approved plan. L�' :�PPLICANT'S SIGNATiTRE: �, � � DATE: � NOTE! Parade of Homes events require separate permit approval by Polzce Depariment and City Council 60 days prior to the event. Non permitted events will not be allowed. � � � � - -: � ON(� ��'��' of O� ,� : �> i;�;�,:- _ �, �t��►ot� .�. i_ £y Posc oi�ce sox s6 `'�,� ,• ,ti- - ��. �ti Crystal Bay.�linnesota=532�0066 , . L�kESH�4� ��_��.� DAT� PRIVACY AD'VISORY In accordance «ith `i.S. 13.0=�. Subd. ?, "Ri�hts of suojeccs o� data". we �,vould like to inform ��ou �hat your request ror a p�rrnit or Iicense from the Ciry oi Orono or any oi i�s departments may require �-ou to iurnisn cenain pri��ate or coniidential inFormation. You ar� notitied that: l. The info�nation ��ou furnish will be used to determine }�our qualification for the permit or license requested. ?. You may refuse to suppl�� da�a, but refusal may require that the Ciry der.y the pernit or �icense. 3. The information may be snared «�ith other local, state or federal aaencies to the exten� n:.cessary� to pr��ess �.1� Pe:mit or license. �. If ��our requested permit or license requires Council action to approve. some inrormation mav bec�m� �ubiic. �, You ha��e ce-ain ri�hts under �I.S. 13.0^ (see fo�lo���inR paQ=) to revie�v private data on yourself. (, Your full name is required to process this application or permit. PLE�SE PRL'�'`I' . � —.I�1�til� e'�c:t��'J�r. ��{�' ���� L,3Si First �1idd:e .. � �,� �,- � -_7 " .�, dress � ��� � �� ���� ��Q�v �1'��r�� �'I .��� g Ciry Stace Zio Phone I understand my riahts as staced above. � � S ianarure V T'ELEPHO?V�-4'7�7357 • FAX-�373-0510 �.04 RIGHTS OF SIIBJECTS OF DATA Subdivision L Type of dat�- The rights of individuals on whom the data is stored or to be stored shall be es set forth in this section. Subd. 2. Information required to be given in���' An.individuel asked to � su 1 private or confidentiel data concerning gm� hin the c�llect ng state agencY, PP Y purpose and intended use of the requested �b� Whether he ma� refuse °r fromhis political subdivision, or statewide system; the requested datg; (c) any known consequence arising required to supply rivate or confidential data; and (d) the identity of supplying or refusing to supply p other persons or entities authorized by stete or�e�kedlto svpplyeinv st Sat ve datg requirement shall not apply when an individual pursuant to section 13.82, subdivision �, to a law enforcement officer. The commissioner of revenue mav la�t taX re°und instQ��teonsu nsteadhos subdivision in the individual income tax or proper V on those orms. - - . Subd. 3. Access to �ata by in�vi�ual- UPon request to a responsible authority, an individual shaIl be informed whe b�c h ri�rateeor confident al.e Upon his individuels, and wt�ether it is classified as p � P ublic data on e to him and, if he desires, shall further request, an individual who is the subject of stored private or individuels shall be shown the date witho of�hat da a• After an individual has been �e informed of the content end meaning the data need not be disclosed to shown the private data and informed of its meaning, 'm for six months thereafter unless a dispute � b enn c llected or crreatedtioT�e � , pending or additional data on Lhe individual u��� �ta uQon request by responsible authority shall provide copies of the private or p y require the the individual subject of rie ac��•�o� of making,l�ert fYing� and �ompiling the requesting person to pay t - copies. if ssible, with any request The responsible authority sha.11 comoly immediately, Pa made pursuant to this subdivi.sion, or wit olide e �f Simmediategtcompliance eisu not excluding Saturdays, Sundays and legal h Y5� ossible. If he cannot comply with the request within that time, he shall so inform the lndividual, and maY ha�e a.r► aaditional fi�e daYs within which to comply with the and le al holidays. request, excluding Saturdays, SundaYs g Subd. 4. Proced�u'e '�►hen �ata is not ecc+�ate or comQlete. An individugl may contest the accuracy or completeness of public or private data concerning himself. To the res onsible authority exereise this right, an individual shall notify in writing P describing the nature of the disagreement. Tnacciu�pa e oren�mplete and at pt to days either: (a) correct the data f ound to be notify past recipients of inaccurate or incomp�t ri a b�e esdthe datalto be correct the individual; or {b) notify the individual eement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the disclosed data• � appealed pursuant to the � The determination of the responsible authority may provisions of the administrative procedure act relating t� contested cases. ' CHEC� OFF LLST FOR ISSUr�ii�iCE OF PERMITS � FOR OFFICE USE (�NLY � . ADDRESS OR I�EGAI,: �'% �� - 1 /t� --1f� �� � � PID: �':. N - �� � � � �3 � 3 � i� DESCRIPTION OF WORK: � � ;���� �� ------------- ------ ZONING REVIEW BY: � DATE A.PPROVED: L - i Z -'�� BUII.DING REVIE`V BY: _^ DATE APPROV�: z -�z -4 b - --------------------------- F`EES TO BE CHI-�RGED: �1isc. Fees Calculaced By: PERMIT Yes �' No PLAN REVIE� Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No v� SITE INSPECITON Number of SAC Units OTHER (specify) �w � ----------------------------- ZOiVING CHECK LIST � , � cn c: Sh eland District : .�- Fire Department: o O� e: Sch 1 i ' t• � l Lot Area: Sq.fr. Acres W idth Depth Survey Submitted: Yes p� No Date of Survey: ON C�'«-L.S Proposed Setbacks: � ,� Front (Lake): /U (� Right Side: �[�O Rear (Street): Zc�O� +' I.en Side: /�« :�djacent Structures: �TT�C�t-4ec� Wetland: N I� Building Heighr. Def. Hgt. (�_ � Peak H't. Av�. Setback: Bluff Set ack: t Coverage: Exist' roposed Hardcover: -75' 75-25 ' 250-5 ' 500-10 ' Hardcover ariance Req ired: Y s . o Date of Co cil Approval: Grading: Staff Approval Date: By: Coun il Approval Date: Septic: Staff Approval ate: By� Zo � g File: # Reso tion: � Resoluti Date: RE.'�TARK.S (in house): BU'II..DP�1G REVIEW CHECK LIST trBc: R -3 co�srxuc�o�v�rE: v� Sq Foota�e S Per Sq Ftg Basement � — lst Floor c — 2nd Floor R — Garage � — C - TOTAL a� Estimated Construction Value: � � i��v Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal �lechanical Water Connection _� Footing Sepci� Sewer Connection _Q� Framing Fireplace Lawn Irri�ation Insulation (Masonry) Other Wall Board (Mfg.) Well (Stace Permit) _�Final Grading/Filling Electrical (State Permit) Other RElVIAR'.KS (IN HOUSE): - -------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approvai: Date By: ---------------- REI�iARKS (TO BE NOTED ON PER�IIT): 27 ', / _ .. , � � �� � �T �°' ��� , �48 ��3 �` ...:;. � Y �� C�..�: � _x_ ���� �� �`�4 -- ..�, , ,��..�;r� t S. ;h, t-�j.,� r. S i�g�'� ti ,� � � !� �'�� tilp�7'T� °�,;r ,;-, , �-�� PO�, o"j � ��� � � _! �'�� .�_ '` .. '.-: ;+:. -:r',r.. ,N .,,�a`p6L '� ' � .i ' � � ��' v a ; �,J1�Hi': '�`1�.i, �.�� f �p'EA� `� Sno/;' � � •r i �Y � _ __. a . ___ _� ___ �A�� ?," �Z- �l�'.. . --- ,�.- ��� a ��s�d°� uti '•0�� ,....,.,. __._..___�._._ . .._.e _f�,_,_ �7� re. J'ri ��%i � `' � ° � c I � 4 v � / � `� D � � �y �ooi�'Y r�� od� o�i� � � e � I � t /\ 1 � � '' � \ � .s� i � � �, ! ��� / f% � r . 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