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2000-P02266 - entrance monuments
• PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po2266 Crystal Bay, Minnesota 55323 Permit Type: Accessory Structures (612) 249-4600 Date Issued: 4i3ioo SITE ADDRESS: 3755 LIVINGSTON AVE WAYZATA,MN 55391 P ID: 17-117-23-34-0065 DESCRIPTION: Proposed Use: Permit Class: Building Permit Type: Accessory Structures Permit Sub-type(s): Entrance Monuments DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: ��rn�.rr rr�rFi.rT crr�.T FEE SUMMARY: Permit Fee: $ g3•25 Valuation: $ 2,500.00 �.t�u���C�� 1�54�.CS' State Surcharge Fee: $ 1.25 TOTAL FEE: $ 138.58 APPLICANT: OWNER: EA�LECRESTrroRTHwEST PO 47333 PLYMOUTH, MN 55447 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � ,� �-�' ���� APPLI T I NATURE ISSUEDBYSIGNATURE � Copies: City,Applicant, Assessar,Finance Page 1 Total Fee: $ ��8 �� Date Received: ,.3/e?3/c%�` Entered By: �'� Permit#: � 0?.Z�� CITY OF ORONO - BUII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle o ) OV�J���R OR CONTRACTOR �7.r�' � JOB SITE ADDRESS: �Vl.� S ZIP: � �G��j�� Ci��" �� v�� Ni�1 NAlI�IE OF OWNER: PHONE: (home) (work) MAILIti G ADDRESS: CITY: ZIP: CO'�"I'RACTOR: I'!r � v� , � ��L A� � v1 PHONE: �i�P�""�7�Or I I�h COi�1TACT PERSON: �jri�it�✓� OBILE/PAGER: �(a�j- 6'�=j 1�(D . NIAII..�1G ADDRESS: l 13�� �/��it �vfr � � CITY:�i1u��,�(,'•� ZIP:� . STATE LICENSE: # AFCHITECT/ENGINEER: PHONE: 1��LAII,I�TG ADDRESS: CITY: Z�: N���: REGISTRATION# T�PE OF WORK: New t/ Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: Vl����l UtM-�`� ���� STORIES: SQ.�EET OF EAC�-I FLOOR: NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. ESTL�IAT'ED 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 pernut and work is not to start without a permit; and that the work will ' accordance with the approved plan. APPLICANT'S SIGNATLTRE: � - DATE: �"/ �" NOTE! Parade Q 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. [ � Sec.13.04 RIGIiTS OF SUBJECTS OF D.�TA Subd. 1. Type of data. The rights of individual on whom the dara is stored or co be storod shall be as sec forth in chis secaon. Subd.2. Informaaon reqirired to be given iadividual. ?�n individual uked w supply private or confidendal dara concerning himself shall be infarmed of: (a)the purpose and inmaded use of che requesud data within the collecdng 3ete agency,polirical svbdivision,or stacewide rystcm: (b)whether he may refuse oY is legally required w supply the requested data:(c)any l�nown consequence azising from his supplying or refusing to supply privare or confidendal daa;and(d)the idenriry of a[her persoas or enades au[horized by scare or federal law to ceceive the dars. This requirement shaIl not apply when an individual is asked w s�pply invesrigarive dara, pursuanc co secdon 13.82,subdivision 5, to a law enforcemeat officer. The commissioner of rove�u riav pla--che nodce reauired uhder this subdivision in.the individual income rdx or oronem taz refund instnicaons instead of on those forms. Subd.3. Access to data b�individuaI. Upon request to a ezsponsible aurhority,aa individual shall be infocmed wherher he is the subject of scor_d data on individuals,and whesher ic is classified as public, private o�confidendal. L'pon his fur[her request,an iadividual who is the subjecc of stored privace or public data on individuals shall be shown che dara widsout any charge to tum and:if he desires,shall be informed of[he contenc and meaning of chat data. After an individual has been shown the private data and infocmed of irs meaniag,�he data need not be disclosed ro him for six monchs chereaher uniess a d'upuu or acuon punvant to �his secdon is pending or addirional dara on the individuai has been collecud or creaced. Ihe responsibte authoriry shall provide copies of dle private or public data upon nquest by che individual subject of che data. 'Ihe responsible auchoriry may require the requesdng person ro pay the aca�al cosu of making.cerdfying,and compiling the copies. The responsible aurhoriry shall comply immediacely,if possible,wirh any request made pursuant to[his subdivision,or within five days of the dace of the requesG excluding Satucdays.Sundays and legal holidays,if immedia[e compiiance is noc possible. If he cannot comply with che requesc wiehin chat time,he shaU so inform ehe individual,and may have an addidonal five days within which to comply with the request,excluding Samrdays, 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 pri�•ate- data concerning himself. To exereise�is righc,an individual shall nodfy in wririn�et►e responsible aurhoriry describing rhe nacure a£the disagreemenc. .. The responsible authoriry shall within 30 days ei�:r. (a)correct the data found to be inaccurare or incomple�e and aaempc to nadfy past recipients of inaccurate or incomplete dan,inciuding recipienrs aamed by rhe individual;or(b)aodfy the individual[hac he believes rhe dara to be correcG Data ia dispuce shall be dise:osed only if ehe individual's stacemenc of disagreemenc is included wirh[he disclosed data. The decerminadon of the msponsib(e auehoriry may be appealed pursuanc to the provisions of che administrarive procedure act reladng to contesud 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 ics departments may require you to furnish certain private or confidencial information. You are notified that: 1. The information you furnish will be used to detemune your qualification for the permit or license requested. ? You may refuse to supply data, but refusal may require that the City deny the permit or license. 3, The informacion may be shared wi[h o[her local, sta[e or federal a;encies 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. �. You have certain riQhts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this applicacion or permit. Fint vtiddle �I Address , Cicy Srate Zip Phone I u d m� righ stated above. Signacu ' � CHECK OFF LIST FOR ISSUANCE OF PERI�IITS FOR OFFICE USE ONLY • . ADDRESS OR LEGAL: � � ss L��,N srv.^f o�T c�'�- c,oT r3 Q4xx I PID: � 7 ��7 - 'z� 3�1 vo6s/�3 DESCRIPTION OF WORB: SI c�N ZO�G REYJE`V BY: DATE APPROVED: 3 -2 tl-o 0 �. BL'ILDL1iG REVIE`v BY: n� � � � DATE APPROYED; � � � FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓ No pI,AI�i REV�W Yes r `No SE�YER COYI�'EG1�ON _ STATE SURCHARGE Yes ✓ No WATERCONNECTION INVESTIGATION FEE Yes No P��E SAC Yes No SITEItii TSPECTION Number of SAC•Units P�,, s�nw P�'"OTHER(specify) t=� P�R v r3c: ----- _�______ zo`�G c�.cx LisT Zoning Districr. c.2-�� . Fire Department: NI o v�✓J Post Office: �� School Dstrict: • s�K� — � Lot Area: Sq.ft. /�►� Gt,� Acres ' Width Depth Survey Submitted: Yes o� No Date of Survey: s����v�su� PCur f�„ (L,gt...t o�- w a�• Proposed Setbacks: � ; � Front(Lake): Right Side: � � (�/�'� ��� ��� • +�� �=rt�e� ^-� Reaz(Street): Left Side: Adjacent Structures: Wetlaad: Building Heiaht: Def. Hgt. Peak Hgt. Lot Coverage: ' Grading: Staff Approval Date: By: Council Appro�zl Date: �� Sepdc: Staff Agproval Date: By: Zonin�File: # � Resolution: # Resoludon Date: Shoreland District: Avg. Setback: Bluff Setback: I-0�CO���e' . . Ezistmo Proposed Hardcover: 0-75' . 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�+IARKS('in house): � 7 BUII�DING REV�ti� CHECg LIST �C� — . � CONSTRUCTION TYPE: — Sq Footao°e $Per Sq Ftg � Basement . . , x . _ � •. lst Floor • x _ � 2nd Floor x _ . Gara�e x _ x = TOTAL Fstimated Construction Value: $ Z,��o`z Inspections Required: Nork Requiring Separate Permits: Site � Plumbing Fire Hazdcover Removal blechanical Water Conaecdon Footing ' Septic Sewer Connecdon � � Frazning . Fireplace Lawn Irri;ation Insuladon (M�o�y,� Other Wall Boazd . (Mfg,) Well(State Permit) —�.F�� Grading/Filling Electrical(State Permit) Other REI�IARKS(1N HOUSE): � � , �. REY�tiV BY OTHERS: DAT'E: --- --- - Access: Existing New . Access Approval: Date gy; � REI�IARKS (TO BE NOTED ON PER1tiII'1�: � ~ � 8 � �t ����� • I'" �� ���� , _— —`__` � —'-`f_�---��.'_.____--� — _ .._....�,�,-� �J , ;;-� ;-✓ �_ ��-, 'fi,�f'-� '!/ ' ,' ----�_ > /, ;,:; ,,, -- r-��'' ''/�` �/��/�' ` %/ , �`` � - -- -..__.., (1 -� `.i �..,.; � .� , , ->�/�� �.r� ��.�_� , � �"�_ C.7 . _ w`~'' , r� r.._.. - �" "` 4 �. _. � "1 � �:- r-- ; ���," :_� �- �,;,:1 ���� ,, ( � f,� � � .� () 1 .1 �1�� �.,h' � (_)� I r� � l �:. � -�`� �� --�� 1 G—=, (1--��_>>�_.��__._::._�;� •� I�.__�'�_ t—��.___;i__�l__7� �- .� __...� __---�_--- - � �� � __�:---.,-� z-__� � � , ` �, ;,,...� ,,._-� ,�_., , ;__.v� � �� �n �,j , , . , ., � c�... , j. , � C! 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