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Home My WebLink About2000-P02133 - minor alterations . ` ' PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: Po2i33 , Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (612) 249-4600 Date Issued: 3isioo SITE ADDRESS: 3438 Livingston Ave WAYZATA,MN 55391 P ID: 17-117-23-43-0020 DESCRIPTION: i7Bc occupancy R3 Construction Type VN Proposed Use: Buildin Census Code 434 Permit Class: g Permit Type: Minor Alterations Permit Sub-type(s): Single Family DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 44.85 Valuation• $ 1,200.00 State Surchazge Fee: $ 0.60 TOTAL FEE: $ 45.45 APPLICANT: LANE MOORE OWNER: LANE W MOORE 3438 LIVINGSTON AVE 3438 LIVINGSTON AVE WAYZATA,MN 55391 WAYZATA MN 55391 TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII.,DING CODE REQUIItEMENTS. � "–.—� T��`j'�' ,��'� D BY SIGNATURE �� Copies:City,Applicant,Assessor,Finance Page 1 . �; I-� Total Fee: $ Date Received: Entered By: Permit#: �D�/3 3 CITY OF ORONO - BUII..DING PERNIIT 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: ��"/3 � L ' .%'� f fo.-� v� ZIP: S� � � / �U � NAME OF OWNER: L,Gv?� /(/j�j0/�. PHONE: (home) �/7� So�U� (work) a a i 3 o�L I MAILING ADDRESS: ��/3� L.�,%�y S fo� �'�Q CITY: li✓4v z�, ci ZIP: S 3�i l CONTRACTOR: v'^'�`e� PHONE: ��J- �3��'l CONTACTPERSON: LGn� a� MOBILE/PAGER: MAII.ING ADDRESS: CITY: ZIP: STATE LICENSE: # / ARCHITECT/ENGINEER: ` PHONE: MAILING ADDRESS: CITY: ZIP: NAME; ISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: ��oc% wu/�S /l/�i'I lo�� 6i°.li�.' --_ � STORIES: � SQ. FEET OF EACH FLOOR: � CX� NO. OF BEDROOMS: o� 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 accordance with the approved plan. APPLICANT'S SIGNATURE: ATE: � UCJ NOTE! Parade of Homes events require separate permit 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 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 secdon. Subd.2. Information required to be given mdividual. An individual asked ro supply private or confidential data concerning himself shall be informed of: (a)the purpose and inteaded 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 lmown consequence acising from his supplying or refusing to supply private or confidendal data;azd(d)the idenrity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigat►ve data,pursuant to secdon 13.82, subdivision 5, to a law enforeement officer. The commissioner of revertue mav place the nouce reauired under this subdivision in the individual income tax or nrooercv tax refund insductions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an i�ividual who is�e subject of stored private or public darn on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of dte content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need no[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 creaoed. The responsible authority shail 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 costs 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,Su�ays 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 addidonal 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 dara co�eraing himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the namre of the disagreement. The responsible authority shall within 30 days either: (a)correct the data fowd to be irneccurate or incomplete and aaempt to norify past recipients of inaccurate or ic�omplete data,ic�luding recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the u►dividual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to�e 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 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 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. � �_ Signawre 6 � • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3��°j C��v�•vG Stt�N �A-c.-�P PID: DESCRIPTION OF WORK: �toN �� g c�4 N� C�C�cic �,�4-f<S ZONING REVIEW BY: nJ �.�9 DATE APPROVED: BUII.DING REVIEW BY: DATE APPROVED: 4 •�• �o FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes _� No PLAN REVIEW Yes No �/' SEWER COrINECTION STATE SURCHARGE Yes � No WATERCONNECT'ION INVESTIGATION FEE Yes No , PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: /Uc� G�{?'!r/G� v 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: etland: Building Height: Def. Hgt. ak Hgt. 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 Set ack: L.ot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 . . , BUILDING REVIEW CHECK LIST UBC: ►Z- 3 CONSTRUCTION TYPE: v� Sq Footage $Per Sq Ftg Basement , x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ ( �ZDO 2 Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Permit) 0<..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 PERMI�: 8 , '��-��' 1� � v � � �-�-�� ,ti �v�, 'UU,c� �� - � � , 5 , Y -f--� , �� . � /'� � �� ;�rr:�r�� w��"=� ' - ��N� � � � � . � ..� �PY .� I ar�l�ase A��►m��,� �.- a�� - ,�� '�� X15�� t={ Cf'�`�d ,�'�--CG> !.{nG) � � ��.�''��– r�,,�''> � N} — Srot,�.� t�.G��P�I L�U(/}� C[C�`��-{ � '/ �� / �;,;ir r� �p�s�� l-�,�nf0��11 � �-'�'�- ; ,� - 2 Z r- ot� . ' � r`'"� — N�,,, 6(,��,c� ! j � � � � w�� '---� --�-.�r-=�-�-�-�-_— � �1.(� C' �'�1'l�'n�" t l d�.�. ; � �W �� ' k, Q � � �}S �� a� ��5��P�' � � �� S �.Y 1'��t�t3� �'��r...�.3 -v'v r►�. ' �C �C �� D i V��-- � �D t ►�r�"`� r�� '� � �� =t_G��P n G�tti 1N! ' � � � , �1� �� C� Vc�,k�� a��f �C�tl� F ., ----- CI7Y �F oRONfl � , �t,ti!OlN ER� T PLAhJ RE`lIEW �` INSPECTOR b�` � DATE__�=53' d f':`'. . r.O._______�.___.... �� ,� � ,,•'' {�'AP�RC��:'cJ;,�Si}u�t!'�T:-J � , ,�= �� ,:� C7 Ap��G'JE7 V`!I"i Fd��J�?F;�CTit:�:'�S AS;��•'-� � � ��\ ;1 � ��~ ❑ ��I i.�f��ti��.:�-•'�i7fif?4�,� �t11k:.C'�::�.�":Ij ` ^� � I ;•� Thess:corr�ments an3 to!yo;.i;i�d(;t;ru i0f1. AII N'.':['/,Si181;b2 d�'M � � i �� _.u� t;:�l �cmeii ca y�<f� a5 �FPl�c�t:!e biit!ding �: ';g � 't � �.n , an zon�, ,c�e. ! P.equirrrarts�r,;:!u�rig'?;`n°:n t sp;cifi�s�lyn�t!�d in this revi�w � fC�c;'1�'rii�PLAN 9� � ON�l�'E AT Ati.71MES ` ' •��% '"� :l , , , � ' �11'c5�.1 �An �t''��'�"5 � `�� - � (�.. � ��-�'=-�%C�, �,,s,eT,< � c��`' ' � ��' 1 � (J IrJU U JT (�� . � � . . . j r'" .% . . .. � . . _.._._ �.....,._....,.....�w�.r�. � ��'��--� ..... . � +...� +..�...� •�..n, '. If• � --.-."�, , � f �^�...... ` ___ __ -_�� i..