HomeMy WebLinkAbout1996-008264 - baywindows in front PERMIT T�
CI�Y OF ORONO PERMIT TYPE:
• 2750 Kelley Parkway- P.O. Box 66 �':�3����s�`?R�
Crystal Bay, Minnesota 55323 Permit Number: �;�y;�.�,�,�
(612) 473-7357 Date Issued: f_?,��t_#_;�«��
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� Total Fee: $ ����. fa � Date Received: ,� /_�� � %���
Entered By: ; ' Pernut#: �'�,�C� y
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 O ONTRACTOR �
JOB SITE ADDRESS: ���U ��cka�.�we,Z�� G�r��{ ZIP: 55�5�%
NAME OF OWNER: �� r-�5�r, PHONE: (home)L1`�c1`-�v �
(work)
MAILINGADDRES5: ��U(> � ��c�� G�r]�� CITY: (;)r,�n�:� ZIP: ,�;`3s6
CONTRACTOR: �;vt ��b:.►,.e l� ��n�: PHONE: `'�a5,��7�1�']
CONTACT PERSON:�,�,e2 (�r;,t,,Q �i MOBILE/PAGER: ��i�r -73`��
MAILING ADDRESS: �5'(�i,; j�,�j�,< !.-�r� CITY: ��<,,�� ZIP: �j S �
STATE LICENSE: �# �1c.`�,�3c,c�
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�: c��l�� � (�� ��,v, �„ -�-fc;� �rF �'1�����c
STORIES: c.� SQ. FEET OF EACH FLOOR `�L�
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I 5;c��,�,�
I hereby apply for a building pernut 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 understand this is not a permit and work is not to start without a
permit; and that the work will be 'n accordance with the approved plan.
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APPLICANT'S SIGNAT '�� DATE: �,� c. �,
NOTE! Parade o.f Homes events require separate permit approval by Police Deparhnent and
City Council 60 days prior to the event. Non pernzitted events will not be allowed.
6
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Sec.13.04 RIGHTS OF SLJBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom[he dara is stored or to be stoced shall be as set for[h in this secdon.
Subd.2. Information required to be given individual. An individual asked w supply privau or confidendal data concerning himself shall
be informed of: (a)che purpose and in[ended use of the requested data within the collecdng itate agency,poGdcal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested data;(c)any Imown coasequence arising from his supplying or refitsing to supply
privace or confidendal data;and(d)the idendry of other persons or enddes authorized by srate or federai law to ceceive the data. This requirement shall
not apply when an individuai is asked[o supply invesrigadve data,pursuant to secdon 13.82,subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or aropertv tax_refund
instrucdons instead 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 dara on individuals,and wh@rher it is classified as public,private or confidendal. Upon his further reques�an iadividuai who is the subject
of stored private or public data on individuals shall be shown rhe data wiehout any charge to him and,'if he desires, shall be informed of the concenc
and meaning of[hat data. After an individual has been shown the privace data and iaformed of ics meaning,the data need not be disclosed to him for
six months thereafter uniess a dispute or action pursuant to this secdon is pending or addidonal data on[he individual has been collected or creaced.
The responsible authoriry shall provide copies of the private or public data upon roquest by the individual subject of the data. The responsible aurhoriry
may require the requesdng person to pay the actual cosu of making,cerafying,and compiling the copies.
The responsible authoriry shall comply immedia[ely,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the 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 rhe individual,and may have an addidonal five days within which to comply wich the request,excluding 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 conceming himself. To exercise this right,an individual shall noafy in writing the responsibla authoriry describing the nature of the disagreement.
The rosponsible authority shail within 30 days either: (a)correct the data found to be inaccunte or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data,including recipiencs named by the individual;or(b)notify the individual[hac he believes[he data to be correct. Data
in dispuu shall be disclosed only if the individual's sta[ement of disagreement is included with the disclosed data.
The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administrauve 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 pernut or license from the City of Orono or any of its departments may require you to fumish 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 pemut 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.
Your full name is required to process this application or permit.
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Address �s-�-�. yas- �s,�
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C��, State Ztp Phone
derstand my �hts as stated above.
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Signaarc
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: "��' �- .���C = 2-c � �, � . ��;�
PID: L���� %/ % - •�-�� �3 � �'3
DESCRIPTIONOFWORK: �iz,.c�� �—�� ;;:i _ Npy�-G�c�o�FGHV3'��' ��A� wc��Do�S
------------------------------------------------- ----------------------------------------------------------------------
ZONING REVIEV� BY: DATE APPROVED: � -13-9�
BUILDING REVIEW BY: DATE APPROVED: $ - f3•`� (�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes e/' No
PLAN REVIEW Yes 1/ No SEWER CONNECTION
STATE SURCHARGE Yes � No WATER CONNECTION
INVESTIGATION FEE Yes No � PARK FEE
SAC Yes No _j� SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: Post Of:ce: Scho 1 Di trict:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitt : Yes No Date of Su vey:
Proposed Setba s:
Front ( ake): Right Si e:
Rear ( treet): Left Si :
Adjace t Structu s: Wetland:
Building Heigh : Def. Hg Peak Hgt.
Lot Coverage:
Grading: Staff Approval Da e: By: Council Approval ate:
Septic: Staff pproval Date: By:
Zoning File: Re olution: # Resolution Date:
Shoreland Dist ict:
Avg. etback: Blu Setback:
Exi ting Proposed
Hard ver: 0-75'
75-250
250-50 '
500-100 '
Hard ver Variance Required: Yes o Date of Council Approval:
REMARKS (in house):
10
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BUII.DING REVIEW CHECK LIST
UBC: �-3 CONSTRUCTTON TYPE: �II.I
Sq Foota�e S Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �S,�0 �i
Inspections Required: `�ork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
DC Footing Sep[ic Sewer Connection
� Framing Fireplace Lawn Imgation
� Insulation (Masonry) Other
� Wall Board (Mfg.) Well (State Permit)
Q Final Gradin�/Filling Electrical (State Permi[)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By�
REMARKS(TO BE NOTED ON PERI�IIT):
27
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DATE TIME
CITY OF ORONO CALLED IN `�����l�'
INSPECTION NOTICE SCHEDULED c���'�'�� ��'
PERMIT NO. ,��� �.'r=� `�� connP�ETEo ���_ �_
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ADDRESS - �'✓����t� .��'-�<--�=�-�-�.�.
OWNER ���r CONTR. '-_/��J�j��,_(_�.;%__;
TELEPHONE NO. �.��" �S ���7
� DESCRIPTION .�i �,��_�f�_��,
W �-��
� A1�OOTINCi 11 MECHANICAL RI 18IXCAV/ORADINO/FIWN(3
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATEH HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
� 07 DEMa—SITE 27 SEP11C MAINT. 21 COMPIAINT
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� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
r 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d C WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
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WL CORRECT WORK 8�PROCEED �, ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContr si
Inspector.
White Copyllnspeclor's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN /D' �- 9�
INSPECTION NOTIC ,/ SCHEDULED r0- 9 ;,3 a
PERMIT NO. ���` COMPLETED �_ �_
ADDRESS 3�� �� �
OWNER �G!-� CONTR. � O ��6�,uPp �
TELEPHONE NO. ���� �S!7
� DESCRIPTION
� 01 FOOTINd 11 MECHANICAL RI 18IXCAV/(iRADINCi/FlWNO
�Q 02 FRAMINO 13 MECFIANICAL FlNAL 19 LAI�SHOREJWETIJWOS
03 I ULATION 24/25 WOOD BURNER/FlREPLACE 34 TqEE pEN10VAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SRE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROORESS
~ 07 DEM�SITE 27 SEPTIC NWNT. 21 COMPLAINT
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W 07 DEMO—FlNAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL
v 10 PIUMBINQ FlNAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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u PROJECT COMPLETE
W CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOPORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION RE�UIRED.CALL TO ARfiANGE ACCESS.
Call for U�e next spection 24 hours in advance.473-7357
OwnerlContra it :
Inspector:
YYhite CopyAnspeetor's Fils Camry CopylSNs Notke
DATE TIME �
CITY OF ORONO CALLED IN //"�/ -�;�;
INSPECTION NOTICE SCHEDULED ll -� � �-.5�'
PERMIT N0. �� �' � COMPLETEO
ADDRESS .�/l�� �GC�c,t�-�� �� C�ti
OWNER ���c-a-�t�,, CONTR. �4-c-�� �i �G��ii-�-c-Gf
TELEPHONENO. ��-�� �S � � ���`d�
� DESCRIPTION �� ��`�����'''�-'
� 01 FOOTINO 11 MECHANICAL RI 18 D(CAV/(iRADINCi/FIWNO
y 02 FRAMINQ 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� 05 FINAL :? 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMO—FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINCi RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d �WORK SATISFACTORY:PROCEED �CPROJECT COMPLETE
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� CORRECT WORK R PROCEED �� ISSUE CEFTIFICATE OF OCCUPANCY
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� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-73rJ7
OwnerlContract r it :
Inspector.
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