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Home My WebLink About2002-P04877 - accessory structures �� PERMIT �CITY OF ORONO permit Number: 2750 Kelley Parkway- PO Box 66 P04877 Crystal Bay, Minnesota 55323 Permit Type: acoessory s�ucrures (952) 249�600 Date Issued: 2�ai2oo2 SITE ADDRESS: 3925 North Shore Dr Mound,MN 55364 PID: i�-ii�-23-22-000� DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Permit Class: Building Census Code O/S-Building Permit Type: Accessory Structures Permit Sub-type(s): Accessory Structure DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 26.55 Valuation• $ 600.00 Plan Review Fee: $ 17.26 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 44.31 APPLICANT: Lynn Christane OWNER: Lynn Christine MN 3925 North Share Dr Mound MN 55364 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 BUILDIN CODE REQUIREMENTS. , � r � C��Y�'L�C_. APPLICANT PERMITEE SIGNATURE I S BY SIGNATURE Copies: 1-File(SiQnitures Reauired), 1-Apnlicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � � ~ � � -� �. �.�-- Total Fee: $ ��, 3 Date Received: �;. �'�� Entered By: �'�� a h' Permit#: __� G� r'�g�� ,, , �� n � CITY OF ORONO - BUILDING 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: ��r �'S �'� • � �1 �' ` �� %�/'�, ZIP: �� ' �� NAME OF �� / < ��i`f � %%��`'; ! f 5-.�- � ��i OWNER: j PHONE: (home) � / (work) MAILING ADDRESS: S/¢"✓�� C/ CITY: �j� D ��t� �,°� ZIP: CONTRACTOR: �� 1 F�' ��'%6��4'�� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure ��., Move Remodel/Alteration Land Alteration � ., , �; PROPOSED WORK(describe in detai�: �'�lf ��' C��-�c� �� ,�� i'/� // � ��;�� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: 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 Ciry and with the State Building Code; that I understand this is �ot a permit and work is not to start without a permit; and that the work will be in accordanc� with th approved plan. / �APPLICANT'S SIGNATURE.�� '� ,//�/ i� �� DATE: ��C /% C' ,� � NOTE! Parade of Homes events'require separate permit approval by Police Department and Ciry 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 fortr�in this secrion. Subd.2. Information req�rired to be given individual. An'v�dividual 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,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shali not apply when an individual is asked to supply investigadve data,pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revernie mav nlace the twtice rewired u�er this subdivision in ihe individual income taz or orocertv taz refund instrucdons insuad 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 confidential. 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 charge to him and,if he desires,shall be informed of the content and meaning of that data. After an ic�ividual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acdon pursuaru to this section is pe�ing or addirional data on the iiulividual has been collected or created. The responsible authoriry shall 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 cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursvant to this subdivision,or widvn five days of the date of die request,excluding Saturdays,Sundays 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 addi6onal five days within which to comply with the request, excluding Saturdays,Sundays and legal holidays. Stibd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or privare data conceming himself. To ezercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority shall widun 30 days either: (a)correct the data fou�d to be inaccurate or i�omplete and attempt to nodfy past recipients of inaccurate or i�omplete data,including recipients named by the ic�ividual;or(b)notify the i�ividual that he believes the data to be correct. Data in dispute shall be disclosed only if the i�ividual's sratement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the 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 Giry 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 fumish 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�y rights as stated v . � � �. Signature - 6 � , 1 CHECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: _ 3y z 5 /v o��a s►+-� r� �p2 PID: DESCRIP'rION OF WORK: ,� o�� rqc.t�- 0 2 � X,sr� ------------------------------------------ ----- - ----------------------------------------------------------�_�o ZONING REVIEW BY: DATE APPROVED: -a �- c,t BUILDING REVIEW BY: DATE APPROVED: Z.� � -o Z FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes �/ No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: Na G E-ix�-i•rC.� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres W' th Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland Building Height: Def. Hgt. Peak H . Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: {t Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): � 7 � . BUII.DING REVIEW CHECK LIST UBG � ' 2J CONSTRUCTION TYPE: V/� Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = R = TOTAL F,stimated Construction Value: $ G 0 O�` 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) oC Final Grading/Filling Elecuical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMI�: 8 _ -_.r----,�-�, u��,t a,� � � � Q ��-s l� 3/ ' � ' � , , /� � � dwoo� � � . � , � � '� � � � ,. w � , � ��/�.�,,,�,�e � �-' , / ., Y, � ' ��' � ` �D�ST � C-o/�/�Qy. ,," � . � � � M .' � ' � ---.`J ., ' ,'� � �p k N D � � P�� " � � . S� �N r��1e�'�� C 6 '� c � � j!t G�u [. � �SG r e.�✓ �-�+�'e 2e� \ /�7- rro�' � / � ,�a� �� / � � � P�Q-l`�. / � ,� e �-�- i - �..._.._._._ 7--,p� o,fi � x � - �osT L �� p(�'7-S "'+,f CITY OF QF30N0 � flUILDIIVG P i,t Pl_AN REV'c'�l INSPEC70R - DnY� Z-� �°z _r�Ft�nn!��r.o. — L{�.^r�,,;,'!�')F.S S'.i�'y?I�i L) �� t r,_;� � }�,� i -•• r .�ti,_.J �r� �;��_u ,:,�,; c�._,:-„=�:�cr;r,;;;,�.; �, T�- ❑ � �. �r�'1Y�J"'C`��ji':�'('� {�� n�A' E•`OT F t:�j ; , :.,� .� ,.:.':1.:��:,T �'C'.;:0.'71f',7:?:i;S c.;? .:i yCU'I(7�1i�.��!iG.�. C,i�L`h,^.f\Shdii GJ(�0'10 in �LIl� CiL'?r)�;t;t1�? 1'lI":�: ai� ii�3(1i'CCC.'i!; i?UiiGdl�j u!ltai L��n^y C�Id@. Rrc:�;i�;r,G:!:`,i C:C�!i'II(!Cj�:d!^i i.0'.;;N2CiLi,":ItV f:0i9Li iil ii!;S!c':ieW. 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