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Home My WebLink About1995-007589 - remodel ' PERMIT � � CITY OF ORONO , PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: _ -- (612) 473-7357 Date Issued: _ _ . . �. .. SITE ADDRESS: _ _ - - i i --t.�-��- — DESCRIPTION: ..{ . ._�.. .�i:, __ .t � .'i t ._:.�fii�.3=1i`1 " �. !i , , ._ _. i-?`•.,"4.r> . _'.1i_!_!;�� + � . �;.+�.... ,:i.i'..._. F;t=.i. -�.'--�}.!�i'-} .. ��i':-:. _; Y Y-`F` �i�-a i'.;i_�%t. f i.�:'��.� ;�_1 z_`�L"� __�_� �_�� ..�_a'-`�...- 3'•`.--_ i:�_�..:'Y.7' :i: +.i ;� , i t'j-°=.� �;'�+� REMARKS: FEE SUMMARY: .��",�__�:�;�- _;�; . . � - - �;:a.�;w :=�:�:�.� : � : . :�� '}f.li'...I [n,i�'�� ..^�...��..�___.,.____.....� '�'j � 1_i?.G'l` ��'� .�.L.� . _ _. CONTRACTOR: OWNER: _ ,_,;�,;, �.,-�:.,-,;_ -. _ . : _ _, , ! ; :.:�: .__ _.. �»��r:, . ..._ _ �.i�-;�y';";�_.:_°?= _... . - - �-�:,;�- _ _ .,:-r-._.Tt � :'•:-:��fy�.S, : � - ..; ., ......_•. • ""_._ - � '� , ., {:_.:._t\•_+ . . � . , • : . . _.. ___, ' - - -- - �.:L:: t _. { 6..:..�� t``.. ' / : . : ? .�t _.._. _. ../ .... �!� _ , . _ � . � _ � _ _ � � . . � .. . _ ..., ;, , ,.�� .� _ _. . . . ....,.. , �,�. ..� �... � �.�. .�...._ : ,, . .. � . .: .. ;•.:. �. � �;-�. L . < �: . � s _: : �,,� � � ' lC _ , � APPLICANT/PE TEE SIGNATUf�E ISSUED BY:SIGNATURE� -C'/f, Total Fee: S�,j'7,�,�:�" DateReceived: Date Approved: Entered By: �i/ Permitn: ��`i CITY OF ORONO - BUII.DL�G PERI�IIT �PPLICATION :�LL INFORiI�IATION IItiST BE SLB1iTTTED L�t FUI.L BEFORE PL�11 REVIEW WILL BE ST�RTED -------------------------------------------------- THE :�PPLIC�irT IS: (circle one) O�V�1ER OR CONTRACTOR � , n �� `'�'� JOB SITE �DDRESS: ��-I ;,� Iv'(��"� ��`I ZIP: '� _ > �, � � ,�� NAitiIE OF OWNER: �-- � ��,�� . `-�� a� ''�� PHONE: (home) � - (work) ��! + ��' - `7`�� I I�IAILINGADDRESS: �� w'� `�-' CITY: ZII': CONTRACTOR: �t�`�� PHONE: �IOBILE PHONE/PAGER: MAII.ING�DDRESS: CITY: Z�: STATE LICEi�'SE: # ARCHTITECT/ENGli�1EER: PHO��: VIAILI�i tGADDRESS: CITY: ZIP' ��: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration,/� L.a�i Alterauon ,� , � i ' � �r� � �� /� � ��i�� PROPOSED�VORK(describe indetail): I � � ��' �� "�� ( � � " � STORIES: SQ. FEET OF E�CH FLOOR: NO. OF BEDROOI�IS: G�R�GE ST�I.LS: ATT. DET. - � � i• � ESTLI�TED CONSTRUCTIO�i V�I.L�TION(eYcludingland): S ��`.,� , I hereby apply for a buildin� permit and} acknowled�e �hat the information above is complete and accurate; that the work will be in c,bnformance with the ordinances and codes of the City and with the State Building Code; that I unc�rstan�this,Ts not a permit and �vork is not to start without a permit; and that the work wil�'be in acco�;dance�th the approved plan. , �� _ �� ' � � _ � _ APPLIC�NT'S SIGNATURE: /��_ ,"�,,�, �.� DATE: I � - � : NOTE! Parade of Homes evente event.e Von r�rmj�edi eaents willbn�beCal�wed. ent and Ciry Council 60 days pnor to th P � . . ' ,-__� _ � � � O - -� � �� I��' ��f �� : '� � :;�:- _ �-, ,i��,o� ' � � F, P�ot�saX� �'',� ,:,�ti: :� �'� cn�stal Bay,�u�u,esota»�3�-0066 ,.' : ��kESK�� DAT� PRIVACY �DVI�ORY In accordance «-ith �i.S. 13.0�. Subd. ?. "Rivhts of subjec�s or data", we would like to intorm you that your request ior a permit or license irom the Ciry ot Orono or any of iCs departments may require ��ou co turnisn cercain priva�e or confidential intormation. You are notiiied that: 1. The info�rnation you turnish «�ill be used to determine ��our qualification for the permit or license requested. ?, You may refuse to suppl}� da�a, buc refusal may require that the Ciry der.y the �ernit or license. 3. The information may be shared ��ith other local, state or iederal aaencies to t�.e extcr.t necessary� to pro��ss �ij� Pz��it �r ticense. �. If vour requested permit or license requires Council accion to approve. sorrie intormation may becom� pubiic. ; You ha��e ce;.ain ri�hts unde: �I.S. 13.0� (see fo�lo��in, paQ�) to review privzte � data on ��ourself. 6. Your iull name is required to process this applicacion or permit. PLE�,�E PRL\''T � �� Irf = � ��- � First �liddl� Last -� , � �, �,�, ,�� c�u i.� �� _�ddress �� / � � � ��I- �� ` / / ��'1 � ,� '\�(;i � �_C��'(,� Ciry � Stace Zip Phone � I understand �n�h1�'as.�taCza ��'z• � � � � ,� ,� _ Signarure " " TELEPHO.�YE-�7357• F.4X--t73-0510 .__._-- - " � . Si3.04 RIGH15 OF SIIBJF•CTS OF DATA � - gubdivision L Z� of ��- The righ secti n viduals on whom the data is stored or to be stored shall be as set forth m th�s An.individuel asked to Subd. 2. Information r� to be given individuel- � � su 1 rivate or confidential data concernina BmWi�in the collect g state agencY, PP Y P uested v refuse or is legally purpose and intended use of the req tem; (b) whether he ma„ political subdivision, or statewide sys �oWn consequence arising from his required to supply the requested dat8; (�) �Y �d (d) the identity of supplying or refusing to supply private or confidential date; other ersons or entities authorized by state or federal law to receive the data. This. p 1 when an individuel is asked to� supply investigative data, requirement shall not app Y to a law enforcement officer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma l8rt tgX re�und instructions�nste8dh°S subdivision in the individuel income tax or r• e on those orms. . - -— - - . Subd. 3. Access to �ata by ��' �Pon request to a responsible authority, an individusl shall be informed wh blic hPrivateeor confidentiaLe Upon his individuels; and whether it is classified as p � ublic data on e to him and, if he desires, shall further request, an individusl who is the subject of stored private or��u� � been individuels shall be shown the data withou�fan�y ��ta. �ter an indi fie informed of the content and meaning the dats need not be �isclosed to shown the private dats and informed of its u��action pursuant to this section is him for six months thereafter unless e d�SP � endin or additional data on the individuel h� ateeor public datarupon8request by � responsible authority shall provide copies The hres nsible authority may require the the individual subject of the data• F° �lin the certif n , and comp' g requesting person to pay the actuel costs of making, Yl g copies. 1 immediately, if possible, with any request The responsible authority shell comp y S of the date of the request, made pursuant to this subdivision, or within five day excluding Saturdays, SunagYS �d 1Q� holid�eys�ni�ha��8he hall so nfo m the possible. If he cannot comply with the request with the have an additional five daYs within which to comply individuel, and m S t�� 5�� d legal holidays• request, excluding te or complete. An individual maY Subd 4. Procec�ae when data is not eccura �mself. To contest the accuracy or comQleteness of public o lnri�t�t�he°r�o�ible authority exercise this right, en individusl shall notify �ible euthority shall witiun 30 describing the nature of the disagreemenL ThQ r�P° days either. (a) correct the data f ound to be i e�e a tae i°ncluding�ec pients namedt by notify past recipients of inaceurate or mcompl � the individual; or (b) notify the individual that he believes the data to �ement is Data in dispute shall be disclosed only if the individual's statement of disagr • included with the �isclosed data• ealed pursuant to the ' The determination of the responsible authority to contes ed cases. provisions of the administrative procedure act relating �� ' CHECIi OFF LIST FOR ISSUr�iNCE OF PERI�SITS FOR OFFICE USE ONLY �iDDRE�SS OR LEGAI.: ,Zi e� �vt�-��"-t- c�-,� PID: DESCRIPT'ION OF WORK: �'!��-�--p}-� �- -------------- --------- ZONING REV�W BY: iti �� DATE APPROVID: BUII.DING REVIEW BY: -"�; ` .tiv�.� DATE APPROVID: r z- i� `r `� - --------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No PL?�N REVIEW Yes No � SEWER COi�tNECTION STATE SURCHARGE Yes �� No WATER CONv'ECT'ION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ---------------------------- ZOivING CHECK LIST Zoning District: t Shoreland District : i Fire Department: Post Office: ,�chool District: � Lot Area: Sq.ft. Acres Width � Depth � Survey Submicted: Yes No Date o;f Survey: Proposed Setbacks: � � %� Front (Lake): Right Side: / � � Rear (Street): � L,eft Side: � 1 � i Adjacen[ Structure�'s: Wetland:/ ' / Building Height: Def. Hgt. Peak H�t• � — - Avg. Setback: Bluff Setback: Lot verage: E�isting j I� Proposed Hardcover: 0-75' j � 75-250' ,.T— 250-500' 500-1000' �_ j Hardcover Variance Required: Yes � No Dateiof Council Approval: Grading: Staff App roval Date: � By: Council Approval Date: i Sepuc: Staff Approval Date: i By� Zoning File: # Resolution: 7 Resolution Date: R;�;�N[ARI�,S (in house): . � , BUII..DING REVIEW CFIECK LIST � UgC; 9� - � CONSTRUCTION TYPE: �(�'� Sq Foota�e S Per Sq Ft� Basement x — lst Floor � — 2nd Floor R — Garage c — x = TOTAL A� Estimated Construction Value: � �, �C'" -� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal �Iechanical Water Connection Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) Well (Stace Permit) _� Final Grading/Filling Elec[rical (State Permit) Other RE��IARKS (IN HOUSE): - ----------------------- REVITW BY OTHERS: DATE: Access: Existing New Access Approvai: Date BY� - ------------------ REviARKS(TO BE NOT'ED ON PERti1I'1�: 27