HomeMy WebLinkAbout1996-007813 - detached garage PE� _
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CITY OF ORONO
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE:
Crystal Bay, Minnesota 55323 Permit Number: ��{� �:�,F�i'�{�
(612)473-7357 Date Issued: {}'���_- �:-
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR:
OWNER: — �;�..�.� ; ��s�-��:. __
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APPLICANTiPERMITEE SIGNATURE � �"���'� �����r? �
� _ L
- --——---�,���� „ SIGNATURE `
�" '_— _ --
�
' CHECF� OFF LIST FOR ISSU�`'CE OF PERI�IITS
FOR O:�CE USE ONLY
�Di)RES� OFtLEG:�i..: � k��'�5� ;��,.r�u � ��c r"=�PID�
-�y� -+i,r- t=�4 c�-
DESCRIP"IZO\ OF j�'ORI�: =�+� �`�'''���' ( `��
i�-�— DATE APPROVID: => z�. y�
ZO\Z�G REti�Y BY: —� � DATE ?�PPROV�: � z� -�:,c�. .
BLZI.DL�G REv�tiV BY: / .'� �,�;�t�--.=_
FEES TO BE C�-L-�RGED: �`. �o
Viisc. Fees Calculated By:
PERti1IT Yes
SEtiVER CON��CITON
PL.��I REVIE�v Yes v" �0 �IA� COv-�,-ECITON
ST?�TE Sli RCH.-�RGE Yz5 ✓ vo P�K FEE
INVESTIG:�TIOv FE� Y�s `� vo
S�C _Yes No r./" SITE I�i tSPECTION
OTHEK (sDeciiy)
Numbe: of S�C linits _______. —
ZON�G CHECI� LIST Zonins Discrict: ��� '� Shore?and District : �'� S __
Fire Departmenc: LL- �PostOffice: �--�—
School Districc: �" %�_�'�-�:.% —
Lo��rea: Sq.fr. ��� �--�Y��'�cres --
Wid;n — Deoth -
- �:
Survey Suomi�ted: Yes �
�To Date of Survey: �` `1- �
i
Proposed Setbac!cs: ,
�efic �La�:e): l 3`� Right Side: �' �'— ���' �
R-e� (Streec): i ��'� �= L.eft Side: ���� � �
Adjacenc Structures: `��'� ���e:!a�a: ti�`�1
Buiiding Heighc: Det. Hgt.
;>� (� Peak H�t. v. (�-_
AvQ. Secbacic: �`''`-' � �� Bluif SeLback: — _
Lot Coverage:
r Exiscing Proposed
Hardcover: �-%5� � ?,�_
75-�0' � 3 y
zso-�oo� _____—
500-1000' _—
Hardcover Variance Reauired: 1'es :�'o � Dace or Council Approval: .
Gradin�: Staff ?�pproval Date: ii.' � �°-� B�. Council :�,Dproval Date:
Szocic: SCaiT �pDroval Da[e: /��' °/� By:
j �Z.i � V Resoiucion: �
R:solution Date: _� �� "�T�
Zonin� Fiie: .__-- ,,�
� 1-L'�'� i1i L. ('_'�'� c�T ��-e�i�vn �i— ��� '�� ��Y".; �
xE;.tir�xbs (;.n no�): (� r- Z —
r �
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26
,
BL"II.,DL'rG RE«�j' CHEC� LIST
UBC: �' _ l COYSTRIICTION TYPE: V�
Sa Fao�age 5 Per Sa F�Q
Basement t
1 st Floor t
?r.d Floor r
Garase �
r C =
TOT?,L
,,
Estimated Constnlction Value:
g '� c:o�, �
�Vor�; Requirin; Separate Permits:
Inspections Required: . p!umo�Q Fire
Si�e Water Connection
Hardcover Removal Mec��ica1
Seotic Se�.ver Conne=tion
FoocinQ Lawn Irri�acion
Framin� Fireplace
(vfasonry) Ocher
Insula�ion Well (Stace Permic)
(�1fg.)
Wall Board Eleccric:l (Scace Pe:mi�)
� Final Gradin7�Filling
Other �_
xEyrAxxs (�r xoL�sE):
_---
REVIEtiV BY OTHERS:
DATE:
Access: Ezisting �_
New �_
Access Approval: Dace
By:
—r-----
�-I�Rb'.S (TO BE�iOTED ONPERIII'1�:
27
_ ,�_.�
Total Fee: S '� ��"��" � �� DateReceived:
DateApproved:
Entered By: i-, _ Permit7: � Qt -=
CITY' OF ORONO M BU�.�1�YU�PER�I�IIT APPLICATION
, .... . �.,,.
AI,L I�i tFORtiI�TION`itiST BE SLBl�1ITTED �1 FUI.L BEFORE PL��i REVIE�'tiVII-L
BE ST�RT'ED
------------------------------------------------
THE �PPLIC:�vT IS: (circle one) O�VNER R CONTR�CTOR
`f�% ZIP: �I�J �� �
JOB SITE :�DDRES� -�,�,�'4—�'' NGN l.A���Ab,
N�tiIE OF O`�'YER: ���r nA-�`t"oN PHONE: (home) ��21 ���01
. (work) �j •"1(�1
�IAILING:�DDRESS: ON� Ft��Nc�-! �AI�� �►� CITY:o(�pNO ZIP: Gj I
CONTRACTOR: � oW N�� PHO�tE:
_IIOBILE PH0�1E/PAGER:
MAII.ING ADDRESS: CITY: Z��
STATE LICENSE: #
ARCHITECT/ENGLYEER: h1pr.1F PHON�E:
MAILING ADDRESS: CITY' Z�'
Nr��`�IE: REGIS'I'R�TION �
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration L.and Alterarion
PROPOSED`VORK(describeinde�ail): ��V J�A`IvV I��L ����'�C'T�'��� �'�'
STORIES: o�J� SQ. FEET OF EACH FLOOR:
NO. OF BEDROO�IS: GAR�GE ST�I.LS: ATT. DET.
�
ESTLI�I�TED CONSTRUCTION VAI.ti:�TION(escluding land): � S,o0 0 —
I hereby apply for a buildin� permit and I acknowledge 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 Building Code; that I unaerstand 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.
:�PPLICANT'S SIG�tATURE: DATE: ��''�l�'I g'� �k�
IVOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
// � _ � �
� �
O O �
� ��T�'" of �R�N
� ':�.- _ ,,., .i���ot�
r�'� �_ P,N Post Offic�e Box 66
� , ,` ;ti- - `.�. �j�' Cn�stal Bay.`tinnesota»3230066
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�9kESHa��
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DAT:� PRIVACY ADVLSORY
In accordance «�ith `i.S. 13.04, Subd. ?, "Rivhts of subjeccs or daca", �ve �vould like to
inform ��ou that your request ror a p�rmit or license irom the Ciry of O:ono or any of its
deoartments may require �rou to rurnish c�nain pri��a�e or contidential in=ormation.
You are notified chat:
l. The info�na�ion ��ou rurnish will be used to determine ��our qualification for the
permit or licensz requested.
?. You may refuse to suppl�� da�a, but refusal may require that the Ciry der.y the
pernit or �icense.
;. The i.�forma�ion may be snared �;�ith other local, state or iederal aQencies to the
e�ten� n�cessar}' to p.'o�ess «�� P���;t or licer.se.
�. If vour requested permit or Iicense requires Council accion to approve. sorrie
intormation mav become puolic.
�. You ha��� ce-:ain ri�rts unaer �I.S. 13.0^ (se� fo�lo���in, paQP) to revie�v privare
data on ��ourself.
6, Your full name is required to process this application or p�rmit.
PLEA�E PRL�'T
��►���T I�f��'T�N
First �1idd;e Last
�N � �� �
a ddress
o�oNo MN ��3�l I �'l�•��l
C itv
State Zip Phon�
I understand my riQhts as srated above.
Sianature
✓ TEL.EPHO!V�-�'7�%357• F.AX-�73-0510
573.04 RIGflTS OF SIIBJF�TS OF DATA
Subdivision L Type of data- The rights ° tion�viduals on whom the data is
stored or to be stored shall be es set forth in this sec
Subd. 2. Information �d
to be given ir►divi�uel- An.individuel asked to
su 1 rivate or confidential data concerning �gmW hin the collecting state agencY,
PP Y P
purpose and intended use of the requested da from his
olitical subdivision, or statewide system; (b) whether he ma� refuse or is legally
p the requested datg; (c) any known consequence arising
required to supply rivate or confidentiel data; and (d) the identity of
supplying or refusing to supply p
is esked to supply investigative dats.,
other ersons or entities authorized by state or federal law to receive the data. T zS_
p 1 when an indiviaual
requirement shall not app y
pursuant to section 13.82, subdivision 5, to a law enforcement officer. d under this
The commissioner of revenue mav place taX re°und instructions instead o
subdivision in the individual income tax or Rroperty
on those orms. - _
t� �� bp ����, Upon request to a responsible
Subd. 3. Access
authority, an individusl shall be informed whether h r vateeor confidential.e Upon his
individuels, an d w he t he r i t i s c l a s s i f i e d a s public, p u b l i c d a t a o n
e to him and, if he desires, shall
further request, an individual w'ho is the subject of stored priva te o r
individuels shall be shown the data withou�f an�y ��tg. �ter an individual has been
�e informed of the content and meaning the data need not be dzsclosed to
shown the private data and informed of its meaninS� ursuant to this section is
him for six months thereafter unles-s a dispute or action P �ta u n request by
endin or additional data on the individual has ateQor pu lic ed or �eated. The
� P g. rovide copies of the p reauire the
responsible authority shall p
the individual subject of rie gc��'�os h of mak ng,l�Qrt fyingy end compiling the
requesting person to pay t -
copies. ssible, with any reQuest
The responsible authority shall comoly immediately, if po
mgae ursuant to this subdivision, or Wit�lid8 e �f Simmediateat ompliance eisu not
P g Sunds and le�al ho y5�
excludin Saturdays, �With the request within that time, he shall so in�or h the
possible. If he cannot comply Wit�n w�ich to comply
individuel, and may have en additio� Ie aldho days.
request, excluding Saturdays, Sundays g
dure when data is not accurate or complete. An individual may
Subd. 4. P� ublic or private data concerning himself. To
contest the accuracy or completeness of P in ti,yriting the responsible authority
exercise this right, an individuel shall notify
describing the nature of the disagreement. e nacctu'a e or incomQlete and att mpt to
days either: (a) coM'ect the data found to b
notify past recipients of inaccurate or incomp�t he belie esdthe datalto be correct
the individusl; or {b) notify the individual eement is
Data in dispute shall be disclosed only if the individusl's statement of disagr
• included with the disclosed data• e�e� p�rsuant to the
� The deter aam��trat ve pro�dure act relat ng to contes ed cases.
provisions of the
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