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Home My WebLink About1998-010805 - screen porch ' PERMIT CITY OF ORONO PERMIT TYPE: 275�0'Kelley Parkway- P.O. Box 66 �:_��..C31 ivj:�: Crystal Bay, Minnesota 55323 Permit Number: --..� - %ijii,_,(;•� (612) 473-7357 Date Issued: _ Y -N^ �` _ ;ITE ADDRESS: _� y:C Ti—?�'Ic_�� I �_E`u:E�'�E ``!! II .Tt-: �::` --i i — - _—fiti: _ DESCRIPTION: :=:t_:i,°�'�—tw �`i_��:°f:F-j �:E,,fl ��ax��'z �'�;�°1'Fif7 �• � `�C•_ `._��--�-}�si:��;"�`{_�}1 {L,�� l-�::i j i�},i"'s�=s l:_'-��i:'i�:: I r�=F? �`;_I!-i:_.F—j ' _��-`�_ _;�=i_�.�,'��.��;F,� �d—=� ;_.t.it I',�..'1lt�t.3 t�f�: 1 �C�t= ,':`J ;_!1'S)5�� !`l"�'_� _ __..�i_S; l.i�s�w{t,W .a_;;:..s i-;�...� . �.t�� !%'�+� � .t I—:! REMARKS: FEE SUMMARY: 4t�y�_i�i,'=�j j i;f�! �.;��, �.�t_�!_•t _�.�•,�� ;�� :''-'��. . ?� 1—' I _s:j t;`_',:i t��c,+ �•�;`i i , [}'-� -:,��~=_i-.:�.t'=�:= ______ �'��..`s ��_,�.:�i ;�N ��.:" . ��<� ' CONTRACTOR: _ �:;�,�:; ; ;.:,-��. - s-;,� . ��._: ,OWNER: �»��'��.L F_�4.�. �re�S_'�� _��f��!t�!"�E��'i i��.i_�4�}Z.}�._.i .�.!._ia:. �i��{!fs!,� �. �4'i t.�E 1 f"j�� _ :«:{i.: i;i�it;:;-sr;:1 `:�`y'F 'r`1 :_ _ �'�-';f*i�'�;'{�,:;!,�r.,E i=i:�; ; 1 i ! 14::—� {'�y.��., i'il`.i _ -:.i�.::,'t; 't 1�'i_�i'Ji f � .. . _ _ _ _ � " '-7'�'��—;)f i:2=` ' ;��s-,c�r.: - _;L�,� - ; _ - ,,; �-f ;�;. - _ - - -, -F� - i'�-�i- _. ....._.. .-��;��'•:�,;; . .�.h.�_F�`.` . .__ ;:i=`.��'�:-� F'�,r-:.'e a. _ ��i.i_t;,, T,_, . ..��.�'. �us'- h;r_�=;=.- -�=_�-`,`-:;�f��='�-., t#�:;.,:,•µ.- �,., ,.. , . . . _ ..,_ _r,--�, - - - - p :W�!—...__ ?,.` i=4� ri `' ''"-::i� — '�,_ f��*_� �.__.. °:�'f_'i,`�:. _. � . . . E �. � _1�.`f'=j '—?4 .�� .. i , . . . ...___ . _: _ . ._. .....�`._, I ! ._i� .1 ! � . .�... ::.;.:.. ___. - t ; ��v:;:�," ;_I:i i 1�t'.ii-;;`yt __— :',;s�S 1 i a�: i : '� �z�`�:�{:yF•_,} .y `—'�; +�_i I', F`,::: �'U.!»_�.:4,�y';_ L _F:_�=._ ___, . .. ._. .. . , . _. _ . . ._.. __. _. . . . _. _ � _ _�:�� `�_. ..�._.. _ . � �,r /YL _ APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE , _ Total Fee: $ `� �� Date Received: �'��'��' � Entered By: � Permit#: /U �� 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 O ONTRACTOR JOB SITE ADDRESS: ��1�� .Jnr�i?��'�� ZIP: NAME OF OWNER: L-u��1. PHONE: (home) (wark) MAILING ADDRESS: �i��.�.��s CITY: �v�� ZIP: "2J V.�r7--> /�, CONTRACTOR: l� �-1 o��t= (;.I�� C-� . PHONE: �2�1� ��3 CONTACT PERSON: ��,,,1 �-„�� MOBILE/PAGER: �/q- 2�-I y(v MAILI�IG ADDRESS: �:� -�-�,,, G�,�-,-.;,�a,� /�_,�.. . CITY:4-r,(�;;�.�-"i�,� ZIP: s 2-i� STATE LICENSE: # j��2_ ARCHITECT/ENGINEER: ��,��.�t PHONE: �2 y - �� MAILING ADDRESS: =�'s L�u C��:z��-._ ��,�.� CITY: �� --•�' ZIP: �s��2�, NAME: REGISTRATION# TYPE OF WORK: New �/� Addition Accessory Structure l Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��2��.�t �t�v��-� STORIES: 1 SQ. FEET OF EACIi FLOOR: NO. OF BEDROOMS: �-- GARAGE STALLS: ATT. -�— DET. -- ESTIMATED CONSTRUCTION VALUATION (excludingJ�land): $ 2� , (�l� L,�Ac i��- ��`C✓--� r�t �r�2L C'_L-��' `�u.� y! - I hereby apply for a building pernut 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 witli 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. APPLI�ANT'S SIGNATURE: � • � DATE: �(��4� NOTE! Parade of Homes events require separate permit approval by Police Deparlment�n�' Ciry Council 60 days prior to the event. Non permitted events will not be allowed. 5 . � Sea 13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polirical subdivision,or statewide sys[em;(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 confidential data;and(d)the identity of other persons or enades au[horized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigadve data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individua]income tax or aroaertv 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 co�dential. Upon his further request, an individual who is the subject of stored private or public data on individuals shail be shown the data without any charge ro 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 to him for six months thereafter unless a dispute or action pursuant to this section 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 authority may require the requesting person to pay the actual cosu of making,cectifying,and compiling[he 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. 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 notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomptete data,including recipients named by the individual;or(b)notify the individua]that he believes the data [o be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The detemunation of the responsible authoriry may be appealed pursuant to the provisions of the administracive 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 �iry 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 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. First Middle Last Address I City State Zip Phone I understand my ights as stated above. �� _ Signature 6 . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY AnnxESS OR LEGAL: �I'3 5 �v`ti�'�'��-o�„-� ►�✓a,� PID: DESCRIPTION OF WORK: ��,," P��-e.l� ------------------------------------------- --------------------------------------------------- ------------------------ ZONING REVIEW BY: DATE APPROVED: 4- 2- �'� BUILDING REVIEW BY: DATE APPROVED: � - z- y � FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLAN REVIEW Yes �" No SEWER CONNECTION STATE SURCHARGE Yes �i No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: (Z R � f� Fire Department: �,t�iv b l A.r(,� Post Office: �o nr c� (i(�-//1,c�School District: [�� Lot Area: Sq.ft. /V'c� C�1�4-ns�Acres Width Depth Survey Submitted: Yes /� No Date of Survey: o�v (�r C�.r S'--i'-t-£'',�( Proposed Setbacks: F�(Lake): Z"2�� t Right Side: (gS� } Rea�(Street): +q(�� Left Side: I gs� 't Adjacent Structures: �S � t Wetland: �(D � Building Height: Def. Hgt. (� ,�� Peal:Hgt. - Lot Coverage: (� �K Grading: Staff Approval Date: ^' By: '� Council Approval Date: — Septic: Staff Approval Date: �-- By: •-- - Zoning File: # Resolution: # Resolution Date: Shoreland District: y�P 5 Avg. Setback: (��I�- Bluff Setback: c��}< Lot Coverage: N �,r� Existing Proposed Hardcover: 0-75 75-250' 250-500' 500-1000' 4, (� Hardcover Variance Required: Yes No G- Date of Council Approval: REMARKS (in house): 7 E---"�� BUILDING REVIEW CHECK LIST UBC: /�-� CONSTRUCTION TYPE: � Sq Footage $ Per Sq Ftg Basement x = ist Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ z'3,�� 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) _�Final Grading/Filling �_Electrical (State Permit) Other � REMARKS(IN HOU5E): i REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ RE1�IARKS (TO BE NOTED ON PERMI�: ' � i � � 8