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Home My WebLink About1997-009538 - grading for driveway PERMIT CITY �F ORONO PERMIT TYPE: 27�i��Kelley Parkway- P.O. Box 66 Permit Number: �_,�_ ,_•�� ° `.... Cry al Bay� Minnesota 55323 - - (612�473-7357 Date Issued: SITE ADDHESS: ' . . ., .�S.�...,s, ... ._ ......E �:�� „ . . .. . . ..��. _ � ��..—�.... . - . .. i '� _- ' .-.. �'.... � : _ _: DESCRIPTION: � I REMARKS: � FEE SUMMARY: � CONTRACTOR: I OWNER: - - -„� . :�;. - _ :-�, �; - _ = _ _ _. _ _."r� ... - - -,; E" :; : � 'i �Y . ._.__.`,`...�.� � ,..t .�r� _ '�'. , . `5_ . �#;. :`.._ .C. f ', ..s' .t .`.,.i� ? �� > , ._ � < _ _ ..__ . ,_.� . � �.y, ...- i �, — —T = � 'i� 4 s i ,�•�-� p_{�.; .i'L ��. T _ : ��t _ .:.t: __�,� .�a. ...� t .. � . _, — ..t.� ±� �..�._ 4 . . .�'�. �. . .., , .. ? �. ..�_ ¢. �_ �"'t . ._.t_ _ _ F N �_� .. #..�;..7 � �� ,—.„ , r` ,: �� =Ea `r. E �;".�• � 1�l�t3;��{�5�1_# l�h�S t[ . .#�_i..�y,,. �^�`-�s�.�' `_ �,��i� . .�� ''.�4 ��i?� ._� � _ _•, _. _� � _ �:��._ ' ,.. ..��_ ...,:f .. ..i ,_q+� . : . � /�. � i �� PLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE Tot�l Fee: $ �� ' � ��-� Date Received: Entered By: ;i�y�' Permit#: ��%.; .�� CITY OF ORONO - BUII.,DING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: "�(C� 8� /-��1'� l.�c�c� (�G� ZIP: �5,��/ NAME OF OWNER: . �.S'c�n %�P t S PHONE: (home) ;�`'%�5�(;.�.5 (work) MAILINGADDRESS: f(�8 �'�iwov�;� � CITY: /��..�cl ZIP: S� CONTRACTOR: s'� /'�' PHONE: <`� •� CONTACT PERSON: '' MOBILE/PAGER: �','Z-522Z MAILING ADDRESS: - � CITY: ' ZIP: STATE LICENSE: # �-200- 373-��i�� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration ; ` PROPOSED WORK(describe in detai�: ��a�r� 7 {��' ��r��a��.� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 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 permit and work is not to start without a permit; and that the work will be in acco a c i the approved plan. ,�, APPLICANT'S SIGNATURE: ./� '�~ DAT`E: ��`��" �Z NOTE! P rade o H ts require separate permit approval by Police Department and City Council 60 days p ' to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SLJBJECTS OF DATA Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secaon. Subd.2. Information reqirired to be given individual. M individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested dara within the collecdng"state agency,poliucal subdivision,or sratewide system; (b)whether he may refuse o'r is legally required to supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidenrial data;and(d)the idenriry of other persons or entides authorized by state or fedeial law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve dara, pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav pface the nodce required under this subdivision in the individual income tax or propertv tax refund instcuctions instead of on those forms. Subd. 3. Access to data by indiridual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public,private or confidenaal. Upon tus further request,an individual who is the subject of stored private or public dara on individuals shall be shown the data wi[hout any charge to hun 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 acdon pursuant to this secrion is pending or addirional 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 cosu of making, certifying,and compiling the copies. The responsible authoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Sarurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal 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 data concerning himself. To exercise this right,an individual shall nodfy in wridng the responsible authoriry describing the nature of the disagreeme�t. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipienu of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes the data to be correct. Data in dispute sha(1 be disclosed only if the individual's stacement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administradve procedure act relacing 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 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 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 pemut 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. _ �Nl�;�{�n�w � �� t 5 ._� �s�� First Middle Last t�l(. �o �- I ' I,��,�.,C c>c� I�C� — Address /'�� ', %-,j'� �,Cf Lf�� 7�' �5 � l!C'i� � Ciry State Zip Phone I understand� r' � stated above. ,� i ture� � CHECK OFF LIST FOR ISSUANCE OF PERNIITS • � FOR OFFICE USE ONLY ADDRFSS OR LEGAL: '�(d�d 1�}�bH Wc�ob 2orµp PID: DESCRIP'I'IONOFWORK: C�2��J�N(, Fo,2 ip�Z�vcrw�4u ZO�tING REVIEW BY: DATE APPROVED: �c�-1�-�i 7 BUII.DING REVIE�'V BY: (/�- DATE APPROVED: FEES TO BE CHARGED: �/GaQ�y Misc. Fees Calculated By: PERNIIT Yes � No PLAN REV�W Yes �`" � No SEWER CONNECTION STATE SUR`HAI�G� Yes No WATER CONNECITON INVESTIGA'I'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONIlVG CHECK LIST Zoning District: L�-�3 Fire Deparcment: /yL�cr.v�✓J Post Office: lyu�Jn.t� School Disuict: -c��n�.f Lot Area: Sq.fr. I�;V3� Acres . 3 l Width /Rlz,�o�c�t-,� Depth " Survey Submitted: Yes� No Date of Survey: _ y-2 7- 9 7 Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: N1•� Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: /t�-1Jv- 97 By: ��- Council Approval Date: I v-�3-5 7 Septic: Staff Approval Date: /✓(/1- By: Zoning File: # Z 2 Resolution: �# Resolution Date: !��3- 9 � � Shoreland DisL-ict: Avg. Setback: Bluff Setback: Lot Coverage: - E�sting Proposed Hardcover: 0-75' 75-250' � 250-500' . 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REI�ZA,RKS (in house): • 26 . BUII.,DING REVIEW CHECK LIST � UBC: N/�3 CONSTRUCTION TYPE: N/•� � Sq Footage $ Per Sq Ftg Basement x _ lst Floor x _ . 2nd F1oor x _ Gazage x _ , � x = TOTAL Estimated Construction Value: $ /�/�/d. � Inspections Required: � Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace � Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) � F�� Grading/Filling Electrical (State Perm.it) Other REiIZARKS (IN HOUSE): --M_�-- ------------ ___��_�-- ---- DATE ` _ _--------- ---------------- REVIEW BY OTHERS: , Access: Eusting New Access Approval: Date BY; REMARKS (TO BE NOTED ON PERiI�IIT�; �!_��_�-~---- _�'��'��'�_ 27 _ _ � . •"�: �i: �6'o/�oSa� (7��ut � � / . 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