HomeMy WebLinkAbout1995-007558 - replace 6 windows � PERMIT
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �.�.i...{� _��=v�:�
Crystal Bay, Minnesota 55323 Permit Number: -��r,c,,_�
(612)473-7357 Date Issued: - :
SITE ADDRESS:
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DESCRIPTION:
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE ���
} 1a�24�95 1�:52 THE CITY OF ORONO 612-473-7357 902
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Totat Fee: S . 0�•�5 _�_____ Date�teceived: � � ' � � '`
DateApprovpd� � '� _
Entered Bv: Persz'c 7: �„�.•� ,—
CITX �F OR�NO''N�����'�RNfI'T APPLIC�T�ON
ATrL .�tFOR1v�i.TTON I��TUST BE SU'I31��Y'TT�;U TN FCTLL BEI'ORE PL��,N REV7�W'�'VILL
l3E S'�'�'i'CD ---•------•-----
____�-_....�.---.�____---.�__ -------
THE �'P�.�C�1�t�1T i5: _..Y (cir�te onc) OWN�,R O r_��vTRAGTO
.rox sY� a�anxEss: . z�: Ss3 Cc4
MtX��O , M�1► Ss3�y
�tAtV�4r4tiVIYER: e �f PHONE: (�ame) �Z ' �078�D
(�vo�k}
1�I�,J.LT�ITG�DDR�SS: S�� CYTY:� Zn"� �I
CONTRACTOR: F�l� C� S�f ,_,�On pxorrE: I-800_301�•Q 2
�xasu.� P�o��aG�x:
�ta�a.�t�a���ss:�. '1� �•A�. _crx��mric,�c�u n ���
sra�� z��c��s�c: # '?c�2��Qa �lt'IC
�iRc'FITI'ECTlCNGL�E�R.: P�UNE: �'�
CITY: �� Z]P: �.
�1AIY.�TG�DDR.k�SS: "—' REGLSTR�TIO�I � �
N�tiIE: �" —
TYPF OF WO�tK: New � Addition Accessory S�ucture
Move �_„ Rerz'todet'rl�tcration� �..'�d Alwr�+nnn �„_,
PROPOSEDtivU12K(describr i�ndctail):����d�_ �E�
S'Y'�R7ES: _��,� S�• br,ET O�' �ACH F'I.00R: D�T,�,_
NO. O�' BEDROnyiS: G��iG� STALLS: �TT. _ _
EST�1•"�TED COVS'TItLTC=TI�1 V`�.YIATION(.eYcludin�land}: 5 �
I hereby apply fo�r a building pe�t d�ad I acl.�nowled�e that the inf�rxziarinn above is coxrtplete �
and aecurace; rhat the work �'ill be in conforznancc wi[h th� ordinances and codes of the City
and with the State Building Code; that I understand this is �ot a perui;� and work is �ot to starc
Wl��ut a p��mit; and chat the w�rk wi�l be in accordance with the apFroved p1an.
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APPLICANT'S 5[G�IATURE:"��� .
NOTE' Parade H rne events require separcue pern�ut venswill no�be allo ed ��� arrd
Glry �'ourecil 60 days prior tn Ehe event. Nor�permrlre e
� 10i24i95 10:53 THE CITY OF ORONO 612-473-7357 003
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Sec.13.04 RIGI�ITS OF SiiB.tECTS UP DAT�.
SuW. I. Typ!o[d'ti. 171e rip,h[S of indiviCW►1 oe whnm O+c data ia seond ot to br srnr�d Eh�ll be�S sei for�h in I�is sa�tioa.
suDd.E. Ialaru�rlivn�sq►dred to be�cn iisdi�4duo1. An ihcEiVidU�l gsk�'d OD suPVIY Pdv�tt o�Co�dentiel d�1s COOCemiud hirt�lf shill
Ls info�oi: (�l the purpose and inaisdcd usa of�e roqussld d��s withio�6e Ca�ieCO���tat��gtnCy.yolitEc�1 suDa�v�swa,or sn�wids bya��j,:
{b�wluekcr n�m■y Rrs,.s or is l�`�Ily Kaui,sd to supply�be sequesca+f daa:(el eny Imowa sonsequence ui�i�g from his supplyin;or rolUsins co suppty
pTt�tC Or conliQtllCR�dsti:ifb(d)Ih0 ill6n�in of W�Ict fltfSOffS o�tH�Csf llli�lOnf.Ed bY SmW uI Cc11GCJl�law tp fCCsiv�da�CAp. 7fus p+q��irement�1l�tll
aot epply whea�n iadiviGwl is aaksJ w supply invosogsa�s dors,pursuant m sccdon 13.8Z,subdtvision S, to a ltw eMois�u�ent ottleet.
' s'to reve e v i n e i u e bd ' In i� v' ai m ro
�uWCAons in1�}�uC vu d�Ass torrt±s. .
Suhd.3. Access to daea by individusl. Upon roquea�to a responsibie�uzhoriry,an icdividu�l sbs11 M intormsd whamer no is�hm subjec�
ot atotsd data oe individttals,anci whttlur it is¢iassitied as yublie,pevatE or cotltltlenwd- Upon hi�iursi��t cequeet,a,a��AividuaE wifa i��he subieee
of uond privus or public d:a on indiv;duats shalt be shawn she da�a wid►ouc any ehar�a�o him and.if he desires, ah�li be infocmed ot�he canceuc
�nd otqnin�of tl1�t data. Atiti an in4lvlQuu has Incc,�show��ho privve�da�+and infnrtnad ot its mEaDinB.the data Be�d nol bt disClosed t0 hi�for
six moelhs theret[ter unless a dispuu or acuort pursuuft w�his secdon is pendi�oB a�addi�nal dzn on ths'u+dividpat has been coile�ed or createG.
'jyc�wpon�iblc awhority zhall provide copirs of rhe privaee o�publiC data upon reQuest by the ieyd�vidual tubjeet of ihe d�ta. Tht fespo051b1e�uetqriry
as�y rpuirc tha requesant person ro pay rhe accuai costs of m�ki�►g.cecdtY�nQ.9nd comP��Y the cop�es.
71u raP�ibte authonry shell comply imrnediauly,if possibla.wr�h zny requesc+nade pursuaac eo dtis subdiv�aion,or wi�hin ftva daya of
�he dau of the reques[,e:cluding Sa�ucdays.Saadays and le$a!holaays.i[fmms0i■u aompliu�ao ia noe paarible. If ha csnnol COsnpIY Wlfh thE t�quest
w;sht�rhae ume.ha thall av infornl�he iedividu�l,and may heve an addidon�l tive days wi�hin whkh w comply with�he rcqaes�,excludin�S�mrdaYs,
Suadaya aad kial holiCaYs.
Subd.�1. Prooadu►k whrn data it tlOt accltTAt�or COD�pletE. An ieldividwi!maY Conmst U1e�c�uracy or complcs�ness�f publie or p�ivAre
da�a concemit�himself, To exercise�his d�h�,etllndivlQtli�sh�ll�Olil�171 wntl0j dm tlSpOn9ibi!euthurity�os�:ribiaS��dn of th�d KC ieocs of
The tespoasibla audforfry shaU wi�hin 3U days ti�her: fa)co�tect the deta fout�d�o be inacweau vr ineomptata And:dempt o�nodfy pas[ �p
inucut�te or incompletc dan.inciading recipwnts named by vu ir�J�•idwl;er(b)noti�Y w��nd�vid"�1�hat hs bAlltves thA dlls t0 bt�Or!!CG Dar�
in dispuu shail be disc{osed oNy if�h�individu�!'s snumene of disa$raemene is inctuded wi�h ihe diuiosed da�a,
fhs tletensww��iun u[ihc ra�ponsibb aud+eriry mAy i+r,�Rpealed putsu8tu to�he pi�ovisioes oP 1he�dminism�[iva ptocedune aci rel�til��to
eomesoed caxs. `
V '
In aecordance wi[h M.S. 13.Q4,Subd.2, "Righes of subjects of da�a", wc would like�o iafuriu yuu thse your req+i�st
fo= a p•c�sic or �icens� trnm �he CitY of Orono or any af its dep�utrnents rnay require you to fumish cercain private or
conf�dential inforn►ation.
You ar� nocified chat:
�, Tb;e infOrmation you furuish will be o5ed to detcrmine your yualtfisation tor ttie perm.tc ar llccnsr ►�qveeccd.
2, You may refuse tn supply daca, buc refusal may requirc that tb�e Ciry deny the permit or license.
3, The in�formaeion may be shazed with ocher local, acace or federai a$eneies to ch�exten�aeces�suy �o pro��gs
cho portnit or llcsasr
4, If your requssccd permit ar lfcxase raqufsea Council aetion to approvc, som�e iaiv�necion mxy La.a�tu
publia.
5. You have ccrtain righ�s under M.5. 13.04 (avaiiable upon request) to review privaze daia on yours�tf.
6, Your full nams is requir�d to process this appllc�tion or permit.
,� �« t��e �s�r
F�� �3r d d�� N . Su��'�` �2
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"��.���A�..� 1��1 SS t�po� • r2
ciqr s�a z�p ..Phoae
I underst:�d my rights as strued above. .
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Si�namm
- n CHECK OFF LIST FOR ISSUA�`iCE OF PER�tiII'TS
FOR OFFICE USE ONLY
:�DDRESS OR LEG:�L: i Z�� No�n-� A�/�--- PID'
DESCRIPTIO\ OF �j'ORh: �^�' `^'�o'�^�' ��-''�'�"� `�'''�
7.0\�G REV�ZV BY: J'Jl� DATE APPROVED:
BL�.DL\G REVIEtiV BY• DATE APPROVED: //- z z-ss
FEES TO BE C�L�RGED: Misc. Fees Calculated By:
PER�IIT Yes � �o
PL�� RE`�E�V Yes No f SE`VER COiVv�CTION
STATE StiRCH.-�RGE Yes � No �VATII� CONiVECTION
INVESTIG?�TIOv FEE Yes No PARK FEE
SAC Yes No STTE INSPECTION
Number of S�C Uni�s OTHER (specify)
------------
ZO\L\G CHEC�i LIST Zoning District: Shoreland District :
Fire Department: Post O�ce: S ool District:
Lot Area: Sq.ft. Acres Width D pth
Survey Submicced: es No Date of S rvey:
Proposed Setbacks:
Front (Lake) Right de:
Rear (Street : Left ide:
Adjacen� ructures: Wetland:
BuiIdin� Height: ef. Hgt. Peak H;t.
Avg. Setbacic: Bluff Set ack: Coverage:
Existing oposed
Hazdcover: �-��'
75-Z50'
?50-�00'
�00-1000'
Hardcover 'ance Required: Yes No Date of Council Approval:
Gradine; S aff Approval Date: B : Council :�oproval Date:
Sepcic: St ff approval Date: ��
Zoain� Fi e: ; esolucion: � Resolution Date:
��, (in hOuse):
26
BL�,DL\G RE`�`�' CHECI� LIST
LBC: �' 3 COVSTRUCTION "I'YPE: �/�
Sq Foocage 5 Per Sa F[a
Basemen� c
lst Fioor �
2nd Floor c
GaraQe Y
V C
TOT:�L
Estimated Construction Value: S c.,t�g Y ou
Inspections Required: tiVork Requiring Separate Permits:
Plumbin� Fire
Si�e Water Connection
Hardcover Removal ylechanical
Sepcic Sewer Connection
Foo[in� Lawn Irrigation
Framing Fireplace
(Masonry) Other
Insulation Well (Sta�e Permic)
Wall Board (Mfg.)
_� Final
Gradin�/Filling Electrical (State Perm.it)
Other
____________�---------
���5 (�i HOUSE):
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REyIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Da[e B�� �_
_�r�----
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RE�1ARbS (TO BE NOTED ON PERti1T1�: /�c��'o"� cr'"`'�°�5 rrw-s'
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