HomeMy WebLinkAbout1997-009547 - rebuild deck �- PERMIT
, CI�Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 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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A PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ^�� �
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• Total Fee: $ �1� (o, y 9 Date Received: �`�z/�Z 7
Entered By: ��J Permit#: �S�,� 7
CITY OF ORONO - BUII..DING PERMIT APPLICATI4N
All information must be submitted in full before plan review will be started.
(please print all information)
TIiE APPLICANT IS: (circle one) OWNE R CONTRACTOR
JOB SITE ADDRESS: 111 D SNAAY�JA�� �.01� ZIP: SS341
NAME OF OWNER: �W`�� P���" PHONE: (h e ��-�ID67
(work) •� D
MAII.ING ADDRESS: ��1� S�1iQ�� � CITY: �,� ZIP: � I
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRFSS: 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 detain: QC+� ���.
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
EST'IlViATED CONSTRUCTION V UATI (excluding land): $ �
I hereby apply for a building permit an I acknowle ge that the information above is complete and
accurate; that the work will be in ce wi the ordinances and codes of the City and with
the State Building Code; that I u der d this is ot a permit and work is not to start without a
permit; and that the work will He uv' nce ith the approved plan.
, ��7
APPLICANT S SIGNAT ��=��TE:
NOTE! Parade of Homes event requ e separate permit approval by Police Department o�
City Council 60 days prior to the e Non permitted events will not be allowed.
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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 forth in this section.
Subd.2. Information required to be given individual. An individual 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,polidcal subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or
refusing co supply private or confidential dara;and(d)the identity of other persons or en6ties authorized by state or federal law to receive the data.
This requirement shall not apply when an i�ividual 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 incomb tax or nronertv tax refund
inscruccions instead of on those forms.
Subd.3. ACcess to data by individual. Upon iequest to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on i�ividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or�blic data on individuals shall be shown the data widiout any ct�arge to him aiui,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 iu meaning,the data need not be
disclosed to him for six mondLc thereafter unless a dispute or acrion pursuant to this secdon is pending or addiaonal 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 w pay the actual cosu of making,certifying,and compiling the copies.
< Tt�responsible authoriry shall comply immediately,if possible,with any request made�rsuaiit to this subdivision,or within five days
of the date of the request,ezcluding Sawrdays,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 additional five days within which to comply with the request,
ezcluding Sawrdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An uidividual 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)cornct the data found to be inaccurate or i�omplete and attempt to notify
past recipients of inaccurate or incomplete data,i�luding recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relaring
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 fumish certain
private or confidential information.
You aze notified that:
1. The information you fiunish 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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First iddle Lasc
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Ci State Zip Phone
I und i as stated above.
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
" FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /77C� �S'HAO�(.voca/.� �2oi4,0
PID:
DESCRIPTIOY OF WORK: O CU�
ZO'vING REVIEW BY: DATE APPROVED: �o Zf � S7
BUII..DING REV�tiV BY: DAT'E APPROVED: !o� Za - y7
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes v No SEWER CONNECTION
STATE SUR`HA�G� Yes ✓ No WATER CONNECTION
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONIlVG CHECK LIST Zoning District: L�- 1 C.
Fire Deparcment: WLt)v�v+� Post Office: w/,.t,'L�nq School District: pRpNp
Lot Area: Sq.ft. t 2,041'1.ti Acres • Z $ Width GO' Depth Zod �4�-t
Survey Submitted: Yes X No Date of Survey: 8'L�-� 7
Proposed Setbacks:
Fscat (Lake): . b�o� �' Right Side: (�7. 3
Rear(Street): (00� Left Side: K•1
Adjacent Structures: /�r7'V�u�ct� Wetland: /V/�
Building Height: Def. Hgt. N �A Peak Hgt. /�(A
Lot Coverage:
Grading: Staff Approval Date: /tJ IR By: — Council Approval Date: � —
Septic: Staff Approval Date: /V/A By: —
Zoning File: # 2Z�') Resolution: # 9?�i Resolution Date: in-t 3-q 7 �
Shoreland DisL-ict: YtS .
Avg. Setback: upR�qN�,c: Bluff Setback: /U 1/� L,ot Coverage:
- Ezisting Proposed
Hardcover: 0-75' 2�,�► Z.� -t,
75-2So' l0 3.v � 3 K�(, .
250-500' .
500-1000'
Hardcover Variance Required: Yes_ � No Date of Council Approval: /Q��3���
REI�ZARKS (in house):
• 26 .
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BUII�DING REV�W CHECK LIST �
trBc: IZ • 3 covs�xvc�ov�eE: yN
� Sq Footage $ Per Sq Ftg
Basement x _
lst Floor x _ . .
. 2nd Floor x _
Gazage x _
e �- �/�b0 z �c�.c�0 = _ �ll gvU
TOTAL
Estimated Construction Value: °�' -
$ �,�C�
Inspections Required: � Work Requirina Separate Permits: .
Site Plumbing Fire
_�C Hardcover Removal Mechanical Water Connection
_�c Footing Septic Sewer Connection
pC Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
��� Grading/Filling Electrical (State Perm.it)
Other
REMARKS (IN HOUSE): -----_---__ - -- _ �_�__
REVIEW BY OTHERS: ____ _____- DATE: ` N �-------- --------------
Access: Ezisting New
Access Approval: Date gY;
REMARKS(TO BE NOTED ON PERiI�II'1�:~����w~w~ �� _
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Design Works (R); Knox Lumber, # 210, Phone # 533-2185
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DATE TIME
CITY OF ORONO CALLED IN ��,�'i�o-`�l,8 �—
INSPECTION NOTICE SCHEDULED ��� +- �v
PERMIT NO. �Is `/�] COMPIETED UI N�
ADDRESS o �
OWNER ���� CONTR.
TELEPHONE NO. � �� •— I 8 �
� DESCRIPTION � �
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� 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. -
W p9 PLUMBING RI 23 SEPTIC FINAL ��r 35 HARD COVER REMO�
J10 PIUMBING FINAL `— ��F DATION/REMO�
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PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
' INSPECTOR WILL RETURN
C: CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.�73-7357
OwnerlContractor si
Inspector. L
White Copylinspector's File Canary CopylSite Notice
'D� TIME
CITY OF ORONO CALLED IN � I L�'�SU Ct/))
INSPECTION NOTICE 5 y� SCHEDULED /1L�1� �
PERMIT NO. COMPLETED
ADDRESS �U " � t����
OWNER �� CONTR.
TELEPHONE NO. � 7� " cf��� �
� DESCRIPTION_��,� C,'�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANiCAL FINAL 19 LAKESHORE/WETLANDS
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Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
�5���F�INA�L �� 14 SEWER HOOK-UP 06 PROGRESS
� O�FIv10-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTHACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIflED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra�r site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE �J�/ SCHEDULED fe-Za-�? � -PN
PERMIT N0. �� r I COMPLETED �•� �
ADDRESS i??° S��`� wcf�c�
OWNER Ptn-�ZSo� CONTR.
TELEPHONE NO.
� DESCRIPTION I.��
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� 02 FRAMIN� 13 MECHANICAL FINAL 19 lA1�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= p5 FlNAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 07 DEMa—FINAL 15 SEPTIC INSTALL. 22 FOLLOWUP
2 09 PLUMBINCi RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
v 10 PLUMBINd FINAL 28 CEDAR SHINGLES 36 FOUNDATION HEMOVAL
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INSPECTOR WILL REfURN `
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
Owner/Contract i e:
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