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Home My WebLink About1997-009107 - replace front steps �. PERMIT ��ITY OF ORONO PERMIT TYPE: - 2750 Kelley Parkway- P.O. Box 66 'i=' ' -.`.'"�"`=' 4 Crystal Bay, Minnesota 55323 Permit Number: ;i;_�°a�i��_; Date Issued: - . (612)473-7357 - " SITE ADDRESS: DESCRIPTION: _ _. ,_ . ,__ ._ .. _ -...... ._. ....�:_ �'��.�_.:�� ;, _ . _... . ;�_-� : :i,-��a =��r�=i�. . 'r'�,.�_ `_�;=—�::;';'/````;•�,_';�'='-_h t-„1: : �`i 7 ' � F".i:�:; -4 ,f�,rs 1-i�.=`1 E,{,:�, tu;�.i��i�t�t.:� ;'r,"" �c;•.__ L!(,� €l�,t_• _ �l:L��'.�;;rY f:�,�]'y_'�.i'!1�'�.1 �tS-i ?��C;��: i-ti--:�: �,*?1l'�!�1 '_ ��!.:s�.:' t+�;.;�. ;—�!_! . . .__�1�.��`�i=;f�i_ REMARKS: FEE SUMMARY: �,;:��:�� . ._._. . .� '�;��ri-,:;.i��_;.: �. - ---------_._i..�:_.:,. j. � CONTRACTOR: OWNER:__. `,: ,- ` ; - ,-.� _ . _ _ - —:.�,^ ;;r, ; .1 ,y i i ,� 1 �` — ,— — _ — , ?_ , �-, .__ ., . ..__ `.�_ ._. .. `;f: . .. _ :t�.; : . _ ' '� _,,._. �.•;. = t = ._. .... ._._. ._s ... _ , .�� ._� : ,._`'.. ... .. ., ,_ _. �..�i L� s. ..,,,{... v e :k' .� t�1��: �� . . .. _ . . . ... .. � .. _iyi!L_,t•!'~.. ......... .. .� {�i`_ }•;: � . . �. °.: • :i�: `w{i ;'!: ( : r i r � �i : i ..�. .. " V ♦. ., y - , : ,.yj:-, .• , , `. '.J .� _ � _ . ._...--. .... , _,_.. _f I t�i _: .. ._w�j_. .._ _ ._ ., ._ . ..._ , ... .... .._. . . ._ ;'- _t ;I! .t 'r ��.'{ . . .... ._ . _. .._. .. . . i �- � �.�• _� l� CS "C-L-"� � � � PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �� • , , � Total Fee: $ Date Received: Gl/-�'i/4� Entered By: ,G! Pernut#: �1d � 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) OWNE OR CONTRACTOR JOB SITE ADDRESS: y� (�' � �/G` ��f�;,� � ZIP: NAME OF OWNER A _L , Z E 55 L E' ��. PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: SISTCrL. • l�'1 r4�-Y I.(J_, D A- �.� �. PHONE: 9 � l – Z�{ �J U CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: S��FS Con�ic..`�' ��g�ITY: S�Fi (t�c✓ao g ZIP: �5 3�/ 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�: 12 C t'G�- G C— � �,0 � T�` S %E't'-� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �C� � � �t� 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 accordance with the approved plan. �02 R� c- �GS LE�L APPLICANT'S SIGNATURE: �� DATE: /� 9 NOTE! Parade of Homes events require separate pernzit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � . , ) Sec.13.04 RIGHTS OF SiJBdECTS OF DATA Subd. 1. Type oP data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this sec6on. Subd.2. Information required to be given indivldual. An individual asked to supply private or confidentia(data concerning himself shall be informed of: (a)the purpose and inte�ed use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confideatial data;and(d)the identity of other persons or enafies suthorized by state or federal law to receive the data. Ttus requirement shall not apply when an individual is asked to supply investigative data,pursuant to secdon 13.82, subdivision 5,to a law enforcement officer. The commissioner of revenue m�v nlace the noace reauired uncier this subdivision in the i�ividual income tax or nronertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an i�ividual who is the subject of stored private or public data on individuaLc sl�all be shown the da�without any charge to him and,if he desires,shall be informed of ine content and meaning of that dara. After an i�ividual has been shown the private data and informed of its meaning,the data need not be disclosed w him for siz months thereafter unless a dispute or action pursuant ro dus secuon is pending or addidonal data on the individual has been coll�ted 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 authority may require the requesting person w pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant w this subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request wiH�in that time,he shall so inform the uidividual,and may have an addirional five days within wluch to comply with the request, excluding Sawrdays,Sundays and legal holidays. S�bd.4. Prceedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To ezercise this right,an individaal shall notify in writing the responsible authoriry describing the nawre of the disagreement. The responsible authoriry shall within 30 days either. (a)correct d�e data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or i�omplete data,including recipients named by the individual;or(b)notify the i�ividua(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 authoriry may be appealed pursuant to the provisions of the administrative 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 City of Orono or any of its departments may require you to fumish certain private or confidential information. You aze 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 permit 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. �-�IIV -- Lv u i s� ��E s S �E �- First Middle Last Address L IFk� �J d d � C� l.► Ciry - State Zip Phone I understand my rights as stated above. � .�. QESSt E��t s��n�re 6 . ,r • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE US ONLY ADDRESS OR LEGAL: � ` w eo PID: DESCRIPTION OF WORK: . � vi -------- . �- ------------- ------------- -------------------------- ---- ----- ZONING REVIEW BY• �- DATE APPROVED: (p C�I 7 BUILDING REVIEW BY: DATE APPROVED: ? FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SUR��IARGE Yes No WATERCONNECTION INVESTIGATION FEE Yes No J� PARK FEE SAC Y;:s 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: Reaz(Street): Le Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. P Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: �i Resolution: # Resolu n Date: Shoreland Disti ict: Avg. Setback: Bluff Setback: L.otCoverage: � Eusting Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' ti Hazdcover Variance Required: Yes No Da e of Council Approval: � REMARB$(in hOuse): �f��l� 5� �iU/t% � L� 0 Nk�,� �- �,� ��G � � I , - � 26 . � . BUII�DING REV�W CHECK LIST UBC: � -� ?J CONSTRUCTION TYPE: .�1.�{-- ' Sq Footage $ Per Sq Ftg Basement x = ��+y ,...� � x .. � _ \ 2nd Floor x = Gazage x = x = TOTAL Estimated Construction Value: $ �� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanicai Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) �Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMII�: � 27 .. � --tL�l � � � � . , �-4» ,.. c�TYo� a a�Q 3'-11 3/8" 2'-6 7/8" p A�PPROV�D N 5'_-3Q��fNa PUkN . [� APPROV�� WITH R ISIONS f '�"1 L7 DiSA RQVE BY ' .�.�..,,,.. 3'-5 i/8" �T a .,.._ 6' 12'-8 5/8" 19'-5 1/8" • „ 15 � . g 4 5 ---- 7 3 D� � \� �---__. � ' 0 1 6 , � � 7 .,i� , , ; - ,, ` 1 � 14 8 � 12 18 � 2 1 � 17 v\- 24 23 3 3 �- 34 32 30' 25 2 � � � 33 20 � 2 36 ir 22 s ce<4 � 2, � 2 '`' 37 39 38 2g 19 40 �1�� 11Gti��