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1997-008954 - deck
PERMIT -� CITY OF ORONO PERMIT TYPE: - - -- 2750 Kelley Parkway- P.O. Box 66 - ��:' ���'`'"-�� ' Crystal Bay, Minnesota 55323 Permit Number. :V:�::'`__�•=� (612)473-7357 Date Issued: :::.�,i i;7;'°;:? SITE ADDRESS: ,__..... . _. .�=i:�:==�. .� � .. _. _-. 1.._`w�°�� _ _ . _._.. - - - ; -,� , ,: ;__; , ,. , ,.. _ . --- e' ,� . _: . . ,: . , .-;;.''- _ _ _ , . ... . . _ ! . _.., . _ oC DESCRIPTION: ,� a w: -. � i=1.11 L=":I.i��� . �'��'E'i1i`1,�.,N.:1 :c-� �� `- ... _ _,_ o �:1_.�f? .I.i�7.i""=; '',e�.'�Y�i'f,: � ��,.�;. �'�=.(.;' -. t ij=�t_: '��C�I�(;=°.�;'7_y i'�'��_.- ; � i_:rci i•�{.3�t.;r f.i ��as t 1 y��.� 'vC�s �r_)��i t��� `ti:i1�1 t=� r �:rsf 1'��..i•=: t_,�w�;:1W:, Ls,:�� �'-t�, � . �i-. W F�7��� i i F•?�.. REMARKS: FEE SUMMARY: . . ...�`.i:"" . .v i�iti :�,_ .:��ii_i �-r�,• tt i�:-3� . (_)1_! t=�_._._ . ._ • �'i �c{i �S��::�3 i,:��%i ct"�. . �t S .`r:f..�l''-_i i:�1'�;�+ ._�.»__......__ '+�.....'—�'��'' �S�},�-��, �;_�rs �`.b `� , ';�7.'� CONTRACTOR: OWNER: ` }��'��'= - - - ��'�- � ..._. ._.._�,['1. �;°;`;'!;::��_;� _ - _- _ °�,�-!r��j!_i�a,�i�li�►(;3 [ii;' ��i;iE�f�,:`s�l i•���{ r`�.'�`� u;� _.} -. a-- ��•- ,,, � _ _ _ _ Y � ` -�` ,,; � . E�•.=� -�w•� _ -;_::; . �! !;__ �_€�:�,.. _ '�.. ..1;`3`�..l� t'f�'t�...._�Y .__ _ _'. . . �_� ;';!'1._ ._ ._ .. ... , _ .. .._ ._ ..._. .._ '}':s . ._ ._. �..i`+i i_. _ __ �. _,_y,�^.�._ j'� _ , _. . �V.1'"C . :�.'".t � ik i�...' f"`t�...li'F�i'�'._'• '!!_f 'i_. �','.._._.. `.'�_, .. . . . ... . . '_�.. . ..`'f.�. .. ._ _. �:°.. . . ._..._ .. x . _ . . . . .: . .._....._ . .. . ��;�s.1�1�V'.'t ��,3;i���`•�;—$?`•�:��''� s'-ii`�I,.. '`��. . . __ _. !"'I. . ,.__� ,_ _.-� ... _ _.._._ _. ._ L•=—'•��'»_ �''•`.'r••�'�'�. .__. ...?';°_ , L _I c���� .�.�o� ��� APPLICANT/PEFMITEE SIGNATURE ISSUED BY:SIGNATURE � . ^ Total Fee: $ �� �5 Date Received: J�✓a — 9�0 - Entered By: ,Q� Permit#: �f 9.5� CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must he submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNE R CONTRACTOR JOB SITE ADDRESS: �� C� `S i���.�-,cr� i�'�u�. �,�'a,�ZIP: ��5�5�,� NAME OF OWNER: ���, 1��, �.e, h�c�i_ PHONE: (home) �173�d 5�8� (work) L%9'�/- �G�� MAILING ADDRESS: �c�r�� CITY: ZIP: CONTRACTOR: Q � �,e h���� 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�: 1��� � STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �',���n_ l,z, 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 I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: G�",�'�OLe4��'��`'� DATE: S-/-�'7 NOTE! Parade o,�Homes events require separate permit approval by Police Department and City 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. T'he rights of individdal on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Infom�ation required to be given individual. An individua►asked to supply private or confidential data concerning himself shall be informed of: (a)the puipose and intended use of the requested data within the collecdng state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identiry of other persons or endties authorized by state or federal law to receive the data. This requirement 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 commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or nronertv ta�refund instructions 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 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 shali 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 individual 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 acaon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority 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 costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,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 dme,he shall so inform the individual,and may have an additional five days within which to comply with 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 notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to bc correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determinadon of the responsible authority may be appealed pursuant to the provisions of the administrative 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 City of Orono or any of its depaztments may require you to furnish certain private or confidential information. You aze 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 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. �AL'L� ^�h-�L1 W'�-"/1�2` �/� First Middle Last �. 7 0�c7 �S �C���'aC. ,f�^YP � /��t(J�P Address O�J�,o �i� � �r,�.�-ti �i��3-s� yX C��y State Zip Phone I understand my rights as stated above. ,�,i ir�//.( L���°�i�,c1.. Signature 6 CHECK OFF LIST FOR ISSUANCE OF PERMITS . FOR OFFICE USE ONLY ADDRESS OR LEGAL: �jc;c; �,_.�;��.�� j�. ; PID: DESCRIP'TION OF WORK: L7��1< :�n.�.>�.t �,�� d,'��,�y.�.-�..;z;,� -------------------------------------------r--�---------------------------------------------------------------------- ZONING REVIEW BY: ������-- DATE APPROVED: �=1 -`�7 BUILDING REVIEW BY: 't: _ DATE APPROVED: �,-G `i 7 ----------------------------------------�-------------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE S UR�HARGE Yes �' No WATER CONNECTTON INVESTIGA'I'ION-FEE Yes No ✓� PARK FEE SAC Yes No L- SITEINSPECTION Number of SAC Units OTHER (specify) ---------------------------------------------------------------------------------------------------------------------- ZONING CHECK LIST Zoning District: f��-1 t3 Fire Department: ��- Post Office: (..�- School District: U�,-^��"�' Lot Area: Sq.ft. /Uc C I���Acres — Width '- Depth — Survey Submitted: Yes ti No Date of Survey: 1 2 -2 3 `7(� Proposed Setbacks: Front (Lake): �1c�c -t Right Side: t Z`�' ��- F�e� (Street): ��n � �- Left Side: � 7 � � �-- AdjacentStructures: 147'7�t-�ft--� Wetland: ��'� � 1= Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: � ' Zoning File: # Resolution: # Resolution Date: � Shoreland Dist:ict: 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): • 26 BUII,DING REVIEW CHECK LIST UBC: �' � CONSTRUCTTON TYPE: Vt`� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL c= Estimated Construction Value: $ c-' �1 , v���� Inspections Required: tiVork Requiring Separate Permits: Site . � Plumbing Fire Hardcover Removal Oc Mechanical Water Connection �r Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation �� Insulation (Masonry) Other � Wall Board (Mfg.) Well (State Permit) _� Final Grading/Filling � Electrical (State Pemut) Other REMARKS (IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS(TO BE NOTED ON PERiVIITj: 27 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ;j��c..� PID: DESCRIP'TION OF WORK: 2 s� :s���'J��,.,,.;;;�,� �; ___----------------------------------------------------------------------------------------------------------------- ZOiVING REVIEW BY: � � , DATE APPROVED: �-�. 5 � BUILDING REVIEW BY: � ,.,` DAT'E APPROVED: -;-E. -`7� -------------------------------------------f= --------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes r/' No SEWER CONNECTTON STATE SUR`�IARGE Yes �/ No WATERCONNECTION INVESTIGAZ'ION-FEE Yes No PARK FEE SAC Y�s No SITEINSPECTION Number of SAC Units OTHER (specify) ----------------------------------------------------------------------------------------------------------------------- ZONING CHECK LIST Zoning District: ,/'U�-/la Fire Department: C- ' L' Post Office: �--�-- School District: Q('�;.4�(,� Lot Area: Sq.ft.�� � cf✓Mt� Acres Width Depch Survey Submitted: Yes ;X No Date of Survey: i Z •5'—9�-( Proposed Setbacks: Front (Lake): I 7�t>� } Right Side: (,�y � � Rear (Street): j �i S � ± Left Side: � 7� �� Adjacent Structures: _ d�-77�1C�Eft�� Wetland: .:f�6�� Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: ,p` Shoreland Dist:ict: ° 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): � 26 BUII..DING REVIEW CHECK LIST UBC: � � � CONSTRUCTION TYPE: �.7N Sq Footage S Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gara�e x = l��S-�-IK- /Z xl��-/ x i!��' _ � �: � �, TOTAL ��� Estimated Construction Value: $ ! ��v r Inspections Required: �Vork Requiring Separate Permits: Site . Plumbing Fire Hardcover Removal Mechanical Water Connection �_ Footing Septic Sewer Connection J� Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _� 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 PER1l�IIT j: 27 /�� � ,� �' =� w � �� a>�� ' .. � � N � q � � � � � . , � _.��_. _�_ � � � ..� _ .,� _ � � � �� �� ` � k � 'r' � � U � � �� w � � ,� � � � � � :� � � � .� ,� � ,� �� C.� � �1\ � N �� � � !t� 4� � o � . � w�° (�y � ' ';.� �� � ti �\ � � p �� J �1 'v \ $� � �� � � � r Q� � T� � � �h � vv�\ � � . :J - .`�: �c � � `se� � � lW � ° � 'S s.l�N �'S �� : ,� � .� � _� W h ty� �( Q Q .� � ,�d -o � nl '� N N c�l N -� � ;� �- �r 3 ,�jf �a � S"r � �w = -= � �'� - �_ _ _ _ _ _ I � � ' � ia � � � � 4—_` � � � N � � �_ • � �► � va w X� �' S'�Q S N�dO TltRla?! 9 � ;; ;� �c �+�� <c I� a, °�'y � ��' �� � � i r y y 1, N 'h � � '� ���� .� � '�Y�t9�. ��P� i�� Ce���c� IN er4 � Y� � '� a �, � , '�' 1� I X - ���� � .��I'� ;w � - ._.. r _ � � - --- - - - r + _ �_ ' �- _ ��; _ __� _ _ _ _ i � l � `a 4' Q/iC 3 �� � � ` { �� ,.t ry � __ _ __ _ �" � ' _� � �� —� �_� '� ?�T — — — � �• — — .� J� ' � . y,. � � �� 4 ) � � �a . � � 5 �r � � �1 '�. _ , 1 �1�T � t' S }�� 1 _ .7 . � ��� � �� �.f, . 3:; � � � ... � �� �•� � � Qi� �� .. ` � .. � . - � � ` �_ O� �z � � � � ` � � � .'� �_ Y — w � _ � � � 1 � � — a� � .�� Q�.k�...� �� �� ?� ,� `� � �_+ o � � � ��,� J ��� --� ¢i x ' � � _ � _ CLl�'� — _ �.e�� � _.._ ,._. _ �� --� — �— — ��� . — �`9��� � °� � _ �, ' a� x � � � J � / � � � � � `� . � Q��� � � � . ` v �. � �� � .� � �� rr.� +� ' \ ,T�1� � V — '1� . O/x Z ��� -S-� , �- — — -- — �!XZ �� � . ..� .� � _a �, � � i ��� �� � - �, ,� j - . . � T� rt � � F � �0J /�� ATE TIME CITY OF ORONO CALLED IN 7 INSPECTION NO�I��� SCHEDULED -c�� � PERMIT NO. COMPLETED � ` ADDRESS OWNER � CONTR. TELEPHONE NO. _ '�7E� p J�4�d � DESCRIPTION . W 01 FOOTINO 11 MECHANICAL RI 18IXCAV/GRADINO/FIWNQ y 0 INf3 /3 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � t � 1 0 � �.�- 0 1� << < ✓l, � � 0 � W � Q � � e � � r � � � . W � � d C WORK SATISFACTORY:PROCEED � � PROJECTCOMPLETE W �ORRECT WORK&PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPOFARY 0 BEFORECOVERING PERMANENT ❑CORHECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR =CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor on ' Inspector. White Copyllnspector's File Canary Copy/Sfte Notice � �, ,�.. , z ro • 'M . _ , t—�,�,� � — — - — — �iti,� �• _ . _ — � �' �. , � � � o - � �c rv `� � .� Q . op� � ,� - . 4�'°� 1 r. ! _" c�°'p'.�1' ,�,. _ ��s l�' . � -- -- � 1 � �-- .. — ,s -�-- � � . .� . � � � ,�,� , �, � r . � � �, ? � '���f. �� ��� — _ Zx�a , — — - — ? -� ��� _ ��� . . � - � T. � �� X o :..-� � � - � zn �o � � � ,,; �`:;� _� ;; �r � ��`� � ; '';� �n � � ��,. ? a t'� � ` .::: 7?^ r� � �"".�. �` � � � ��� � '� � � � � � �� �� � � � � — — � � — — — �" �s'-.��' � :�-c'� r,;, � �-- � � �' V�i,, �'� o� � C9 C:l � �. o�o ...�i � T/ �-.`" r:, , - — — — �— — --�.. � ��° �;.,J s�` ', �i� r — �— — 4 _...�J.,�.. � — •— — — — — — —_� ��r: , � , — -- — . ��!qr� � ;: � i �� k ���►��� �! ��'� �i y�ti.; � �n rrf �t � �I i:'y `�� � � � �� " �� µ' .`'r ''i '' � � � � . �, ..r.. � � � !� rJ'1 "ti f\ �t�.�E,a oH� w�ea��r�,���. .c�uiRE� � �� � � =' � ;� � Z .��,G RDRAJt OP£N S DES � �� � � � � � � . m � C � — — � .._ = r� a.._.� � _ _ M . � i —� , - � � . , < < , _ . . . ` ....F. _�y . 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(rotc.c) ( � � � � � rxisting Lcgal Description ' �f?, \ / - ' �� � \ / Lot 2 , Block 1 , SFiADOW00D FARM. . � / This survey shows the location o£ . � � �s' a proposed house and driveway on the ���y,i� ,;•2�0�° �� above described �roperty . It does �L not purport to show any other im- � .�, ' provements or encroachmEnts . •9 � � , ' ror6.8� N o . Iron marker � (�ou,o� : I;xisting elevation . 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