HomeMy WebLinkAbout1999-011418 - building permit (deck addition) PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: � � {'3 ' '�4''
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Crystal Bay, Minnesota 55323 � = =�='= _
(612) 249-4600 Date Issued: ; ; _
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -� , -- .. _ - = - -�
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATUFE
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' Total Fee: $ /4,�. � `� Date Received: AP R 1 y 1999
Entered By: �_ Permit#: //�f/8
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CITY OF ORONO - BUII.DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started. �
(please print all inforncation)
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: /3S� �EST �D��j C�RC C� ZIP: SS3�� �
NAME OF OWNER: �ft i�1� � '' ,I�� 1'�. fC N[t"8CE',C PHONE: (home) �/7�-�8��
(work) 9a� - �7� �
MAILING ADDRES.S: /.3.�'�/ �E"�T PG/�►i C/RccA'CITY: v��,v a ZIP: ' �
CONTRACTOR: /Y� /7o/dlE�oc�n/c�C PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAII.ING ADDRESS: CITY: 7Ip.
STATE LICENSE: #
AREHITECT/ENGINEER�. PHONE:
MAII..ING ADDRESS: CI1'Y: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure ��'cK
Move RemodeUAlteration Land Alteration
PROPOSED WOItK(descr�be in detain: �,?�x %' (,�r�,,�d C���c� d Pf�c.�e� t.vocu✓ _
deck
STORIES: SQ.FEET OF EACH FLOOR:
' NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.
ESTIlI�IATED CONSTRUC'TION VALUATION(excluding land): $ S�o•'`�
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 permit and work is not to start without a
permit; and that the work wi�.. ' / ce with the appmved plan.
APPLICr�NT'S SIGNAI'UI�E: .p�TE: �l 9 9 �
NOTE! Parade of H�ome_s e�ents require separate permit apprnval by Police Department and
City Council 60 days prior td, the event. Non permitted events will not be allowed.
� 9
Sec.13.04 RIGHTS OF SCTBJECTS OF DATA
Subd. 1. 'l�ype of data. The rights of i�ividual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential daha conceming himself shall
be informed of: (a)the purpose at�intended use of the requested data within the collecdng state agency,political subdivision,or statewide sysum;
(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from 6is supplying or refusing w supply
private or wnfidential data;and(d)the identiry of other persons or entides authorized by state or federal law w receive the data. T6is requitement shall
not apply when an individual is aSked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The cocnmissioner of revenue mav olace the no6ce required under this subdivision in the individual income tax or vrovertv tax refund
inswcdons ins[ead of on those forms.
Subd.3. Access to data by individual. Upon request w a responsible authority,an individual shall be informed whedier he is the subject
of stored data on individuals,and whether h 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 infom�ed of the content
and meaning of that data. After an individual has been shown the private data a�informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuant W this secdon is pending or addiaonal data on the individual has been collected or created.
The responsible authority shall provide copies of�e 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 costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediatety,if possible,with any request made pursuant to dus subdivision,or within five days of
the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. ff he cannot comply with the request
within that time,he shall so inform the i�ividual,and may have an additional five days within wtuch w comply with the reqaest,ezcluding Saturdays,
Sundays and(egai holidays.
Subd.4. Procedure when data is not aecurate or complete. An individual may concest the accuracy or completeness of public or privau
data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority descn'bing the nature of the disagreement.
The responsible authority shall within 30 days eithee (a)correct the data found to be inaccurate or incomplete a�auempt to notify past recipients of
inaccunte or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data w be correct. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disdosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the adminisuative procedure act nlating 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 aze 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 shazed 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 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.
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�R �.�-✓ � �Cy��l C�_
First Middle Last
�S/ �ic��� �c�N% C' ,,ecccr
Address
, ��a�� ��✓ S"S 3 v �/ `�7� -�SrU 6 �
City State Zip Phone
I und�rsiand.�y rights as stated above.
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SignaWre
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �`35�-I f?x si P o i rv z C� 2 c�.�.
PID:
DESCRIPTION OF WORK: ���-��
--------- ------ — -------- �
ZO�'G REVIEW BY: DATE APPROVED: S - � - 5�!
BUILD�'G REVIEW BY: DATE APPROVED; S- �• -95
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes i/ 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 CH�CK LIST Zoning District: LQ- I(3
Fire Department: VVI,��rr� Post Office: W�v n.,/� School Dis[rict: w�e S��v (��1
Lot Area: Sq.ft. '�1,Ze�J Acres ,"12 Width � �Z 1 Depth
Survey Submitted: Yes d� No Date of Survey: o�r f=�1.�,
Proposed Setbacks: i
Front(Lake): �3 Right Side: ZS�
Rear (Street): I(2 � Left Side: l� �
Adjacent Structures: �4�'�c�l,/ Wetland: —
Building Height: Def. Hgt. /1/ �� Peal:Hgt. —
Lot Coverage: c9��.
Grading: Staff Approval Date: n��/a By: — Council Approval Date: —
Septic: Staff Approval Date: — By: —
Zoning File: # Z'-l�1-� Resolution: # Resolution Date: y-Z� -��l
Shoreland District: P
Avg. Setbac : 0,(,�- Bluff Setback: IvU LotCoverage:
Eusting Proposed
Hardcover: 0-75' ��� y' �
75-250' `i� `��• 7
250-500' I 2.S�B �Z- �g
500-1000'
Hardcover Variance Required: Yes_Q� No Date of Council Approval:
REMARKS (in house):
7
BUII.,DING REVIEW CHECS LIST
�C� 2'3 CONSTRUCTION TYPE: V/J
Sq Footage $Per Sq Ftg
Basement x _ _
lst Floor x =
2nd floor x _
Gazage x _ ,
�� 12x�a= t°tL x Id•4o = 1977�
TOTAL
Estimated Construction Value: $ �,�Zp =
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical � Water Connection
_�Footing ' Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boud . (Mfg.) Well(State Permit)
�-F�� Grading/Filling Electrical(State Permit)
Other . �
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REMARKS(IN HOUSE): .
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REV�W BY OTHERS: DATE:
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Access: Ezisting New
Access Approval: Date By;
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REMARKS (TO BE NOTED ON PERMII�:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT SCHEDULED � -1��
PERMIT NO. I���� COMPLETED 2 r
ADDRESS /�� �5� �a� � � '�Gl�
OWNER ��-�,�� CONTR. ��'�
TELEPHONE NO. ��a—�d�
� DESCRIPTION ��QP'X�
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BURNER/FIREPtACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i 09 PLUMBING RI 23 SEPTIC FtNAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� �/ORKSATISFACTORY:PROCEED �OJECTCOMPLETE
W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN �
i-� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr tor on site:
Inspector. C�-�
White Copyllnspector's File Canary CopylSite Notice