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Home My WebLink About1999-010458 -new curb cut PERMIT CIT� OF ORONO PERMIT TYPE: �2750 Kelley Parkway - P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: _ (612) 249-4600 Date Issued: _ . SITE ADDRESS: i :=.i �i--iT=-i�—�i�i«—i-�k-it'r'. � . ... _. . ___. . .. .. _ _ . DESCRIPTION: _ .;, -:R; '..lS3:-:e' , _�iFi j; E `�;:".... _. _ . .._. ... . . t,--;��it i t.1't_T,`` "r I!-�t,: REMARKS: FEE SUMMARY: �-,.�t_. : .: �.�:,-� - . '_��....? �"tF:� `.__.�.._.».».....�__.�,{`f_:..�-'., CONTRACTOR: OWNER: , ., : `, . _ _._ _ _ ,._ _ . , : ;��IL:T'��;s�ig='r��,W . ._ _ _ �":,�t;t-i's�; �{_{i; {^:L: . .. --- ; �_{._ _'�i�.�l._. .,s ;tl,t.-,t� ..__.�� `` ..__. . _ . _.. .. . .. T:„{=. . i k ..� : � r � � .. � f�, '•::; .d ! _ .__ , _ . . �, � . . ._.___ _ : .._. . ' : : . a. : r . �. - '{ . ., _ . . , ..•..r . r:._ . ` � •_i.�":. . .y 1- { t_L' ��. �i� L .. 3. �F f v �t . .... . _ • __.-. . . ._. �.� . r. _. . , :. w .M ��. _. .. _. .....�... � �...- .....�, .. .. . .. . _ i . . �.'. ; :'. . -:� : ..: � 2� f S` : if— t!.-` } ;1+f '.�f�`.;.i�� -��4 - y�t� t , _ _ r L ... _ : � :. . ....._ _ � �-, PPLICANT/PERMITEE SIGNAT E ISSUED BY:SIGNATURE GC� � � - Total Fee: $ Date Received: Entered By: �'-� Permit#: ' ; 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 OR CONTRACTOR JOB SITE ADDRESS: ��S� �I �►{w��D ��- ZIP: 5�3E��{ NAME OF OWNER: C�t sTa�P�tC� �. �,�..E 72��ot✓ PHONE: (home) y��'- ��Z`� (work) � S-�yll MAILING ADDRESS: �I 5� ��'�tt��°.1� I2D- CITY: (��v.�J� ZIP: 5�,� CONTRACTOR: (;L�ti" G� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # 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�: �Q�,q-�i �� ,A,'!= u/ �9�C,�r�S Fo��'-- I/,�l�i�� .�FF �F 1�1�-t1-�D L�,ae,�- STORIES: SQ. FEET OF EACH FLOOR: NO. OF B�DROOMS: 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 a permit and work is not to start without a permit; and that the work will be in ordanc e approved plan. APPLICANT'S SIGNATURE: 'ti �- DATE: �' �� NOTE! Parade of Homes events require separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 . � � Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. i. Type of data. T'he righu of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information required to be given iadividual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and inteixled 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 lrnown consequence arising from his supplying or refusing to supply private or wnfidential dara;and(d)the iden6ry of other persons or enRties 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 o�cer. The commissioner of revernie mav�lace the norice rewired under this subdivision in the individual income taz or orocerCv tax refund instructions 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 svbject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon tus further request,an individual who is the subject of stored private or public daha 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 m him for six months thereafter unless a dispute or acaon pursuant to this section is pending or addirional daa on the individual has been collected or created. The responsible authoriry 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 authority shall comply immediately,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 time,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. Slibd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall no6fy in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and attempt to notify past recipients of inaccutate 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 shall be disclosed only if the individual's statement 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 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 are 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 shazed with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested pemut 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. Signature - 6 . � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: i-�`► l��S lf��(.v�ora �'��'�-r? � PID: � - < _��_, � � - ��_ DESCRIPTION OF WORK: �,r'/� C�i C`-v�' ----------------------------------------�----------------------------------------------------------------------------- ZONING REVIEW BY: � � " DATE APPROVED: �, - �w � '� BUILDING REVIEW BY: — DATE APPROVED: ------------------------------------------------------------------------------------------------------------------------ FEES TO BE CHARGED: �;�Misc. Fees Calculated By: PERMIT Yes�� No PLAN REVIEW Yes No SEWER CONNECTTON STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear (Street): Left Side: �'� ' Adjacent Structures: Wetland: � '�� Peal:H t. � Buildmg Height: Def. Hgt. g Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: I..ot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 . BUILDING REVIEW CIiECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: S ite Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permi[) �Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIE`V BY OTHERS: DATE: Access: Existing New�_ Access Approval: Date � - ��7 - �' `� By: �►�-�=� (v�� <��'� ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT�: 8 � � � �1� �pY � D ._._ �r��t�� ,�� , . � _� � � � , , � � � Q �� , � � � � �, � � ,� � � � f `� � I1 m,�5� � �V , � � � � � � � � � � � �� ( ��s�D) � � � � I_ � ) � ; / �"� �-� - �__ �--- GITY OF flfl4�4 S1TE PLAN o� GRAD�NG PtAt� Igtt��'f��V�{) - C'.t/lt.3 G�T p�✓�.y d �PPR�VED WITH REVISlUUflttS ' � D�SAPP E � BY i D,�TE !�- Z� _ S� � i I ,