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Home My WebLink About1999-011486 - replace patio doors A PERMIT CITY OF ORONO PERMIT TYPE: F.i i T 1 D'N 2750 Kelley Parkway- P.O. Box 66 Permit Number: 1.4 "t-, Crystal Bay, Minnesota 55323 (- c):--; i Ci C? (612) 473-7357 Date Issued'. _)!D/ _1! -'_1 SITE ADDRESS: A I x. DESCRIPTION: Cf.r- r Bu J I d J F I Wor i V2JE/RD1LH)____ R-3 c: t jA 7' 1 J 4 4 ALT' . j� REMARKS: FEE SUMMARY: till) VP�i t 1;:1 T'11 1-1 N `4 h ----------- & CONTRACTOR: Appi , t. =T . T C -OWNER: -) L_.-RI _J h t- F�4' IR Y :v M,F R F N 1 C --,,A t-,.., C�:l i N I R, ,7A ULU tE J Ri LD "'n B h.I L) IH !Ait I M t.-j �,!;:,:tC, 47 1 42 c',n!m 1--i —lir-E- IWITH t y Al 1,j j-1tint- 1 fj p-1 ;;f-f._ _. '.t.. i t%j i f F4, j L < APPLICANTPERMITEE SIGNATURE IV ISSUED BY:SIGNATURE CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSOR LEGAL: Z 5 N 4�s v i-o n3 znct-k ( ).,i-o PID: DESCRIPTION OF WORK: ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No cam— SEWER CONNECTION STATE SURCHARGE Yes L/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: NO (- 14,AWO e Fire Department: Post Offi School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right S de: Rear (Street): Left Sid Adjacent Structures: etland: Building Height: Def. Hgt. eak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: y: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setbac Lot Coverage: Existingb Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDING REVIEW CHECK LIST UBC: -3 CONSTRUCTION TYPE: Yl\, Sq Footage $Per Sq Ftg Basement x — 1st Floor x = 2nd Floor x — Garage x = x = TOTAL Estimated Construction Value: $ 'SLC:[icy Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection 'C Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) —.,2�, 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 PERMIT): 8 - CITY OF ORONO 6 6124730510 09/24/96 14:00 5 :02/03 NO:522 Total Fee: $ 1421. ).5 Date Received: 7V EP Entered By: Permit#: // CITY OF ORONO - BUILDING PERMIT APPLICATIONaay or-oi�®N® All information must be submitted in full before plan review will be started. (please print all ilormation) THE APPLICANT IS:� cBrcle one) OWNER OR }-� JOB SITE ADDRESS: ZIP: 3�/ 9� NAME OF OWNER: Ply IJ02 PRONE. (home) qjj-QL&a (w ) MAILING ADDRESS: CITY: ZTP: ,o� 00 -£ONTRACTOR: RENEWAL BY ANDERSEN E VE; CONTACT PE =N: 350 - 73RD AVENUE ; FRIDLEY, MN 55432 MA1IJNG AMPS-- (612)502-4777 ZIP:a. STATE LICENSE: # LICENSE# Z004G&N � $3 ARCH MECT/ENGDWER: h PHONE: MAILING ADDRESS: CITY• ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROP ' •WORK(describe indgtai!):R-1 4210 t 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 odes 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 in ce with the approved plan. APPLICANT'S SIGNA i 4DATE: / a3 h10TE! &=jk of Hates events regWre separate permit approval by Police Department and City Councg 6o days prior to the event. Non perp iffed events wig not be abwed. Received Time Sep. 24. 1 :42PM Print Time Sep. 24. 1 :43PM - CITY OF ORONO 6124730510 09/24/96 14:001J :03/03 NO:522 v Sm.13.04 RIGHTS OF SUBJECTS OF DATA subd. 1. Type of dots. The rights of individual on whom the dam is stored or to be stored shall be as set forth in this section. Subd.2. Wormation riqudred to be given indioid=L M Individud asked to supply private or confidential dam concerning himself shall be informed of: (O the purpose and intended use of the requested dam within the collecting State agency,poUdW subdivision,or statewide symem: (b)whether he may mAtse or is legally required to supply the requested dam:(c)any known consequence arising from his supplying or refusing to supply private or cooftdewW dam,and(d)the identity of other persons or entities authorized by state or federal law to receive the data. Thisrequirement shalt not apply when an Individual Is asked to supply investigative data.pursuant to section 13.82,subdivision S.to a low enforcement officer. the commissioner of revenue may mace the notice rccrailgi under this subdivistorLin ft individual income tax or ororunv taxarck id WWatiohns(unstated of on timso forms. Subd.3. Access to data by Individual. Upon request to a responsible authority,in individual shall be informed whether he Is the subject of stored dare on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is rhe subject of stored private or public dam on individuals shalt be shown the dam without any charge to him turd;if he desires,shell be informed of the content and tpftniug of that dam. After an individual has been shown the private dam and informed of its mesning.the data need not be disclosed to him for Az months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authertity shall provide copies of rhe private or public dam upon request by the individual subject of the dam. The responsible authority may requite the mquesdng person to pay the actual costs of malting.can iffing.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 Saardays.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=additional five days within which to comply with the request,excluding Saturdays. Sumtays and lags(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 fight.an individual shall trodfy in writing the responsible authority describing due names of aha disagreement. The responsible authority shell within 30 days either. (a)cornet the dam found to be inaccurate or incomplete and attempt to notify past recipknes of Inaccurate or incomplete dere,including recipients named by the lndividual;or(b)notify the individual that he believes the dam to be comet. Data is dispute shall be disclosed only if the individual's statement of dingreement is included with the disclosed dam. 31te determination of the responsible authority may be appealed pumesm to the provisions of the administrative procedure act relating to contested cases. DATA PRTVACY ADYtSORY In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data", we would like to inform you that your request for it permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You aro notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You pray 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 permit or license requires Council action to approve, some inibrmatlon 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. Pier Middle Last Address tyry Smte zip Phone 1-understand my rights as s ve. signaare Received Time Seo. 24. 1 :42.PM Print Timp San 94 1 -4ZPM