HomeMy WebLinkAbout1997-009557 - entrance gates . � PERMIT
CiTY OF ORONO PERMIT TYPE:
<"_750 Kelley Parkway- P.O. Box 66 �� � ���_ _.
Crystal Bay, Minnesota 55323 Permit Number: �:.;,:�;���,, -°`
(612) 473-7357 Date Issued: -
SITE ADDRESS:
. . _����;_�.: . . ._ �
DESCRIPTION:
... . .
. . , . . : ..t
�1 i%`I13%',`; t.+���tt'.. . ;sf=°r-' �;`� i ii�;iL�.:.._ ;;-i i e_._
! I�"<" �.1C�r�t;i�" �1._..;
:':�;•1����..�'.:�.i.�''.�• � ��s''�s �Y!*�
�.,,_� �::��_.1 �,:
REMARIC��
FEE SUMMARY:
CONTRACTOR: , _ ; OWNER:
_ , ._
_. . ., .. , .. ..'..� t� , ,
�
�
_ ; � ' . -
. , 1 ..� 1.i .:,'y( '... i� ; F ,.i� t .1 ' j d F . . �
� ' i F.�3•.i � �� � '..r � '^- , SJ � r . � . <. . . . r . . _.
t-s
�' e� . ,.� . ,.i� .. �. .. .
S �u
.. . . . , ....,.. . _ . ,... ... ....... ...� � . ..- �•., ...a . .....
, . . ... .. . �. . .... .. . . ' � . _ . � . .... ........ �.
. r �
� . . . . � � . � . . .
� C� ��- ' D
� � �
! APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
_ . �
` Total Fee: $ � `i� �3 Date Received: /D - �� �� �
Entered By: � Permit#: �'J,�5�
CITY OF ORONO - BUII..DING PERMIT APPLICATION c� `" �� �' �
5.���� . (
All information must be submitted in full before plan review will be started.
(please print all information)
--------------------- ----------- -------------------------=--�-�------ - ---
T'HE APPLICANT IS: (circle one) OWNER OF� CONTRACTO�,
� �
__
_ ___—__
i- Y
JOB SIT'E ADDRESS: �--f� `� ����,� ���-x ��' � �-e� `� ZIP: �� �`-'1 )
NAME OF OWNER: P�IONE: (home)
(work)
MAILING ADDRESS: CITY: ZIP:
C0�ITRACTOR: _! � I ��� � ��--�z-)v��'�,�� ��� PHONE: �� � � '� ���
CONT'ACT PERSON: l3�� (�_-N�Z�S b�1 MOBILE/PAGER � �t� - �6 O �
MAII.ING ADDRESS: �,� °� � - LA1�� �_ CITY: \,.,a�z�=� Z�: �S 1
STATE LICENSE: # -��'t��`3�� �i a �-,
ARCHITECT/ENGINEER: PHONE:
MAII.,ING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New �( Addition Accessory Structure
Move RemodellAlteration Land Alteration
PROPOSED WORK(describe in detai�: C��� �r 7z �-� titii G��1 ���, ����"�� '� �� �����L'�'`��'� �, ��'� � �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
,,t
�-,S'�L��1��`�;D �'O��STRLiC"�I4\'�'ALT,':�'TI�JN (excludin�;l�.n�l: �- ----
� ii� ..r� ;iri�'�1�+' iJi 3 �i11�C�ilii� T'<',i:illi P.�:�: i 2CtiI10',�'i�CG�� t}ic� t:� _7iC_:' :�rl!`C! �`;;���;�: ^s 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 unders this is not a permit and work is not to start without a
permit; and that the work will be in �cco dance w th the�pproved plan.
� �; � �`
:�PPLICANT'S SIGNATURE: �`�o-a'��-'� �. k . l.�"� `-�_, DATE: ��� l� � 7
ti'OTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
r ' '
�
Sec.13.04 RIGHTS OF SLBJECTS OF DATA
Subd. 1. Type of data. The righcs of iadividual on whom the data is scored or to be swred shall be as sec forth in this secaon.
Subd.2. Information reqirired to be givm individual. An individual asked w supply privare or confrdendal data concerning himself shall
be informed of: (a)the purpose aad inunded use of the requesred data within the collecang ttate agency,polirical subdivision,or statewide system;
(b)whecher he may iefuse oi is legally required to suppty the requesud data;(c)any lmown coasequence arisiag hom his supplying or refusing w supply
private or conSdendal data;and(d)the idendry of other persans or endaes authorized by stace or federsl law co�eceive the dara. This requirement"sha(1
not apply when an individual is asked'w supply invesagadve dara,punvant to secaon 13.82,subdivision 5,to a law eaforcemenc officer.
The commissioner of revenue mav olace the noace rewired under this subdivision in the individual income tax or oropectv tax refund
instcucdons instead of on those forms.
Subd.3. Accas to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject '
of stoced data on individuals,aad whaher it is class�ed as public,priva[e or confidenaal. Upon his further request,an individuai who is the subject
of stored private or public dara oa iadividuals shall be shown the data wirhouc any charge to him and:if he desires,shall be infotmed of the content
and meaaing of that data. Afur an iwdividual has been shown the private dara and informed of ia meaning,the dara need not be disclosed to him for
six mondu thereafter unless a dispute or acdon pursuanc w rhis secaon is pending or addiaonal dara on the individual has been collecud or creared.
The responsible authoriry shall provide copies of the private or public data upon mquest by the individual subject of the data. The responsible authority
may require the requesdng person to pay the acaial costs of making,cerafying,and compiling the copies.
The responsible authoriry shall comply immediatety,if possible,with any tequest made punuant w this subdivision,or wichin five days of
the date of the request,exctuding Saardays,Sundays and legal holidays,if immediate compliaace is noc possibie. If he caanot comply wi�h the request
within that time,he shall so inform che individual,and may have an addidooai five days within which to comply wirh the request,excluding Sanudays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accurscy or completeness of public or private
data concerning himself. To exercise chis right,an individual shall nodfy in wridag the respoasible aurhoriry describiag the nature of the disagreemenc
The responsible authoriry shall within 30 days eichee (a)correct the data found ro be inaccurate or incomplete and aaempt to nodfy past recipients of
inaccurau or incomplete da[a, inciuding tecipients named by the i�ividual;or(b)noafy the individual thac he believes the data to be corcect Data
in dispute shall be disclosed only if the individual's statemenc of disagreement is included with ehe disclosed data.
The determinaaon of the responsibie authoriry may be appealed pursuant to the provisions of the administradve procedure act reladng to
contesced 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 aze notified that:
1. The information you furnish will be used to determine your qualification for the perm.it or license requested.
2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license.
3. The information may be shazed with other local,state or federal agencies to the eztent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public. .
S. 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.
����2� �. �1�u2�5o� —
g�i Middle I.asc
a3�, C �p� ��_
Address
1��� 2�a-�n Y��1 S�S�°J � �}6y- 4� Od•
Ciry State Zip P6one
I understand my ri ts as stat above.
a��-�-Xl
s�s�a�«
�
�� �a,, , ��.„.��
S�, ;; � '�� ��1�j ��i�S„=`�n.��'z�v�.�
�:�f�\ °� '�. '' -
a `��. .3r � y���'# '•�.:��1 �'� -, ,- ,;
� ' ��//
i��]'� � `�'�i 1������� �L �
1//���.µ�— � s�a +���0/
-'S� �'�'�:-���r«. .-.r G -..w���2:-.n;.^��*�+-+�"'".-.. �,..�+.nsrn+-rs>"so""" . , ��'k lA� �F�' 4c�� R
:.7'. �� '2 Z�/ ....�...��.,.,, I�L-f2{:"Ir`t diP✓• ..,.. ..�- ` �xs' C
�:.s 1 ...-..-..--..-r: • �� ��
. r� �d� 2
, -�� a �',t� �,�3 � z
t � �'li��'+ F.�t� +:'. .�,'�)a9 �:� ;�'�'� '�.�
� � * rU — Cr�::��`i c� R�`��-'� �`' i
, , r;:�, .. . . �.�.;
• ' � �c�. inf�rrr�atlon� A«I �r'^�:.,� :":�'= • ..
, V..� •e:�±C9�lE C.i:��if`.�, 3i C•�. �ks
, �� ' note� : � r
� 'Pr.l, l�,�.�l.i��t. �12o1Y1 :7t SjJeCItiCBq)I :fi 15 �F�.
i�„ � ]' 1� !.
{�.�i{� �=1 F.P, �r, � �<. .
�
� . �
—- -- �
-- �
r — -
� �
_ .� - �-}UN=t�{�2; � �
�� ' �
.�, � �
.� ` � �
�c � n
;'' -- - , — `v �
1 lt ;� �{ - � \
�-� i �� °; ' � �
� � ` ' ' �
� . _ -- , C� .�
�.� po
� `'
�
2��'► �
r? '
1 � r' _
� r - -- -
� �
— ,5 E-(.p�r 1�/�`�
��� � \ � - ' �
( � '
�. �:
;
� , ��- . �
�
, _-
' F
. �:���. � � � �
;�:� ; �`�-� -� ;
, �� f � 1
, , �;, .
;� . ; . i i. . ,;�:.- - -- � ;� .
1 t _' � �� � ,! -_ �� -----
� �� `' ' � �, ,
� ` '�� � �'->� � ii
� t � �:�_ %� �
. , - �`,_.���=� _.....__ __'��r._r.._,_�..._�
i � � —
.r� _�--- _._._ __ ._.. .. .___.----__-`__,.. -
- __ - �,_.
�;���_. �-��i ..�� � (�t`-�fi"L �3��� �-�-;-��_
/I � ll�. <<��11 ��I1�
L
r�c rL- r� � t O - t 3 � �( �
' " �' • -- . 1�����lr�i V ��.L�I�l�c � � �
�� ��. �
i �� � � I
i� � �
� � ` '� � �
. . . . • -- � Crl(�1J(� �n(__��(N�. I
� r TY G �A ^• � N 89•47'40" E 1075.96
'-' ....��.
Y0 Or�O ; ;----------------- ------------------------------------- -
---------------------------------------------
�9 �\.� -----�,i,
e�� s��.F. � ���f j\ .�� /��.
� 'g ��'�,�•/��--- >,\� /i��'/ A 3J
;hbb, 1 �•;.: __ -- ;�4 F T ca�'�'� ` ��
,. I �ti,v' .*�kry. �'�\�. �' � ,S '��'�,�\Qo
� � "� `�`? � •'�J\\ �+�� N _. `,i `����r
� {'� _ q� j a\ O /'_'^'--
, ;; � 1� _` ";
> ��_'�a� _s�ab4aky,` `• g�,i_�so --:.le`� ��"Na,'\ � �
� 'JJ �ey�,:, " 'r'" s p,.� J
I � W, `E �1r�- rr-:i�hi-�.. \` jy A�
�\� .M� S��<J ��� .��O7' i��23'b'�. �a � y��;
� __ "I, °n ' ''`~l"""'A j��, M• � �a �' y
; .� �`a '" � v� .'. �
`�\\,S- 1�_��� • M70 �R�,7p�.pp ��P*J,�S�yTt.��!�'�V�a,�10?i�'-.
� �� �-
i .
� � �1 `r' __ t•.5LY36'b"E� G.� �j� TrOv . _.
°° � �`\�; � s�sti�4�o'w�„ e '�Wrse•.7o"'��_�tii�ao �°,w �Sy1�����p.19' � 0 1
. I � , ""' ` "'`" �� . y�.
id � .\° / �3°i t•e�eo � �' �:� • °''�- -'' �' p•�- � � 1 ('�i/V �
n i 1 L� �i�C. � �_I_��_ �� ��1� '•. `S�. .�K
/ rn � � ��/'-. ) � ?7. ���SL'�S� R��.'Q'T.i.. ' 'T' A '• �i5�.�
. . _. \Z� i Q ``',.-.�+N ^-V " _' ��d-71'� � � �``RO�.po d-oy�.lr�.(lJ�Z��O�S��y�µ0..1�'�: ti��'
�
V I .�
� � _o
� W � � C g� I; ;^ �/ ��v$ . „"�'__""� �Sby��� 'pTb /��
F J C 3i. . "1 � g' � / ^�\
� � n ��.,� e �P/ � O o;,�/� �� �� �• ��! ----41 00 ,- V�
t�v i u l ,n';,'^.^l.. q,.� ,'Q`i� 589'47'40"W�
I � �.� ��� 2 = {� � _ 5' � �
o ' o h;' '��} I
. _ ' ry '� `'���.� '- 3 7 S �
/N l,
� % , � � � Vl
eJ'.� ' ,/3 ,,,�, �; 4 I �'
, � I ._�" .;� � � I O
� �iO � � � � ���� ~ �,�' �
o,
J � / - r�� �� �
� � ,'N ♦. , � 'y I fV
I 'V ,Y � '` • .
''��`�� _ , Q � I
S� �'O I O i
. � � „ .. ��. O `� I .
� � �,
� Z b . �• '�•r + I 2 , I
. HJ'. 2 ^ra�v,.+r�V++-or-•,r H,. r Kcsua r+a a �
SS'�O'E .P t 4 o eec,,.a.a o e�2 er�cy�.a vw�, ;� I
., �
...,
...
. ...
.. . •SS't0'F ' ;'
. � ,pog� 1. r�cordsd'n Cr vK�of th.Rrj+tr�o/Titk�'�
--� ' �_' 36a,aD
�� �'�.... ' . '. '_""""""'_' "'e"""'
�
� �i
r
�' 205.09 �i ib5.00 � �
""_""�""'"'_"""' """_"" i :
"""_"' '
.. d.I.fl ....... � �.1 : !'••' ��� G AO•A7'a!1^ W �SF cP .�� """�""""""__"_"
� r
...r �
_ ......... �
.....
...., ioa,. .
2 ......... S�e
._.......
�'a'10�r �
— •'
3 3 ...... �' _� s ... ., � 30A.A3 �.y.W,,� �7..
. i � ��_
� �1' � '
300.yS �.6•0t•�y.
! .
�I�� �� ��i���� - ��•e1 �E.4J .
� �,•Q, :�
°� S1TE FU�;� ���v�i<G �l�N �`��
C�,�6'P�;:�V�:i� ��v-r�Ncc ✓►�w�,�a- z� 3 S G� (
-- -- -- -- -- - �i�--r�{���4.1,'.�� ;�j�r� i �•�.���il� -- -- -- -- -- -- A � ; - �
�,� 0 QiJ�a'�� ;;'►/�= � � �
� . BY �� � � 4�
DATE ��� 22 - � .�• '' �a �, .
� � ce�
' (�c�E�-r. Pn.o p�, co�c.w� P�.�.� ~ \.� / _
��.. �� .�. � , ,
� --l��� �r,n� ^. /tv t �a� �A-i 1�h�1r`i/� /�"t� , . ••• `
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: t/Z�' f-}un�T��2 Pi4 s s
PID:
DESCRIPTION OF WORK: CN�(j,q.,ycQ �iVo,v � „,,,�-�
ZONING REV�W BY: DATE APPROVED: �o�2.2- .S'7---
BUII..DING REVIEW BY: N i�- DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓� No
PLAN REVIEW Yes �- No SEWER CONNECITON
STATE SUR�HARG� Yes � No WATER CONNECITON
INVESTIGAT'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZOi�TIl�1G CHECK LIST Zon.ing District: �R •t t3
Fire Department: Post O�ce: School District:
Lot Area: Sq.fr. Acres Wid[h Depth
Survey Submitted: Yes No Date of Survey:
roposed Setbacks: �
Front (Lake): S Right Side:
Rear(Street): Left Side:
�(� Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoaing File: # Resolution: # Resolution Date: -
Shoreland DisL-ict:
Avg. Setback: Biuff Setback: Lot Coverage:
- Eusting Proposed
Hardcover: 0-75'
75-250' . .
250-500' .
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
• 26
BUII.,DING REVIEW CHECK LIST � -
UBC: {J— C CONSTRUCTION TYPE: __�
� Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _ .
2nd Floor z _
Gazage x _ � �
z =
TOTAL
Estimated Construction Value: $ (o$-b o�
Inspections Required: � Work Requiring Separate Permits: _
Site Plumbing Fire
Hardcover Removal 11�echanical Water Connection
_,�i Footi.ng Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_� F�� Grading/Filling Electrical (State Permit)
Other
REiI�ARKS (1N HOUSE): ------ _______�_ _��� __
_--____ - -------------__---
REVIEW BY OTHERS: DATE: -------------
Access: Existing New
Access Approval: Date By;
REMARKS(TO BE NOTED ON PERII�IIT�: ����N wM� � _
- 27 _ . � - _ •, `�;