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Home My WebLink About2003-P06776 - frame up new wall for roof support CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po6��6 Crystal Bay, Minnesota 55323 P@1'1711t Typ2: Addition/RemodeURepair (952) 249-4600 Date Issued: 9n8i2oo3 SITE ADDRESS: 322o Navarre La Wayzata,MN 55391 P I D: 17-117-2 3-44-005 8 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Pernut Class: Building Census Code 434 Pernut Type: Addition/RemodeURepair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: � '�'--'---- --- --------n r'------r---"--'.� :�..::::� ::�-::c'.: '-' t. ...�:::::: .::::::.::j:i;:;::. FEE SUMMARY: Pernut Fee: $ 69.25 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.50 TOTAL FEE: $ 70.75 APPLICANT: Owner/Self OWNER: Robert Ritchie M� 3220 Navarre La Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT MPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQ[lYREM S. % /� � _ � z L��1�,17 �c� APPLICANTPERM E NATURE ISSUEDBYSIGNATURE Cooies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 Total Fee: $ Date Received: Entered By: Pernut#: CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � ----------------------------------------------------------------------------------------------------------------- TI3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB STTE ADDRESS: � v�� f��JGrre L�� ZIP: N�ZE OF OWNER: I�G b �,`�e-�. i PHONE: (home) `l Sa - y�Y- 5'>�,5 : (work) ��,�- � l— 5��6 MAILLIIG ADDRESS: t�t u 1 ��.� ��--� CITY: �.�:-� - ._ ZIP: 5.5�3`� 1 CO\'TRACTOR: PHONE: COI�TACT PERSON: MOBILE/PAGER: 1VL4ILING ADDRESS: CITY: Z�: ST�T'E LICENSE: # ARCHITECT/ENGINEER: PH0�1E: MAII.,I�i 1G ADDRESS: CITY: Zg': �J�`�; REGISTRATION# TYPE OF tiVORK: N�w Addition Accessory Structure Move Remodel/Alteration ) � Land Alteration PROPOSED WORK(describe in detai�: %r�.� v� -�� hl� '� r��'f -��,y�� STORIES: � SQ. FEET OF EACH FLOOR: l�'O. OF BEDROOviS: � � GARAGE STALLS: ATT. D�T. EST�IATED CONSTRUCTION VALUATION (excluding land): $ � c:cC "� I hereby apply for a buildinJ 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 Ciry and with the State Building Code; that I understand this is not a permit and work is not to start without a peruut; and that the work wiR be in accor e approved plan. APPLICANT'S SIGNATURE: /r- DATE: `� " / �—�' > . NOTE! 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. 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 forrh in this seccion. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,polidcal subdivision,or statewide system;(b)whzther he may refuse or is legally required to supply the requested data; (c)any lmown consequence arising from his supplying or refusing tn supply privare or confidential dara;and(d)the idenary of other persoru or enriues authorized by srate or federai faw to receive the data. This requirement shal( not appty when an individual is asked to supply investigacive data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revertue mav lace the nocice re uired under this subdivision in the individual income taz or ro ertv 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 daca on individuals, and whether it is classified as public,private or co�dendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any char�e to him and, if he desires,shall be informed of the content and meaning of that data. Afrer an individual has been shown the private data and informed of its meaning,che data need not be disclosed[o him for six months thereafrer unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been collected or creaced. The responsible authoriry 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,certifyin„and compiling the copies. 'Ihe responsible authoriry shall compiy immediately,if possible,with any request made pursuant to this subdivision, or within five days of the dace of the request,excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply wi[h che request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request, exciuding 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 disagreemenc 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 incomplete dara,including recipienu 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 individual's statement of disagreement is included with the disclosed data. The determinacion of the responsible authority may be appealed pursuant to the provisions of the adminisQaove 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 City 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 pernut 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. Firsc Middle Last Address C�ry Srate Zip Phone I understand m s tate bove. . __--- = . �'" Signatu e 6 r CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY . 'ADDRESS OR LEGAL: 3 z-au fl/�Iv�l�r UA-,�•.P PID: DESCRIPTION OF WORK: ,(Z ZOi�TING REVIEW BY: ic/ DATE APPROVED: BUII�DING REY�W BY: DATE APPROVED: 9—l8 -d 3 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No pLAN REVIEW Y� No ,�- SEWER CONNECTION _ STATE SURCHARGE Yes �/ No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION. Number of SAC Units OTHER (specify) ZOti�TG CHECK LIST zoning Districr. 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: Wetlan Building Height: Def. Hgt. Peal:H . Lot Covera�e: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: . . Shoreland Disuict: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Vuiance Required: Yes No Date of Council Approval: REMARKS (in house): �� 7 . � . ' BUILDING REV�W CHECK LIST � � �C� � CONSTRUCTION TYPE: \!/v Sq Footage $Per Sq Ftg Basement x = lst Floor R = 2nd Floor x = Gazage x = a = TOTAL Estimated Construction Value: $_ Z,�,v r+ , Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection F��g Septic Sewer Connection Framing Fireplace Lawn Irrigation - Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) -�F�� Grading/Filling Electrical(State Permit) Other RENIARKS(IN HOUSE): . -�w _______------------------------------------------------------- REVIEW BY OTHERS: DATE: Access: Existing NeW Access Approval: Date gY; --------------------------------------------------------- REMA.RKS (TO BE NOTED ON PERMIT�: . g .