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Home My WebLink About1997-009259 - change roof line PERMIT CITY OF ORONO PERMIT TYPE: : ::. : e2750 Kelley Parkway- P.O. Box 66 - =-- � �- Crystal Bay, Minnesota 55323 Permit Number: .'�.'��=��:`��`_�� (612)473-7357 Date Issued: <i��j`��=;',_��' SITE ADDRESS: :�.�.�: _, .�;�:��:�.i i•;:� �W�; .-�t-� DESCRIPTION: �::. .. ..�u:::=._ �;:M9{�:� ___. .� ....._.._ ...�.._{_. - . ._E^�7�l,a''..;'� 1 ��x .il�_"2"�i j`.i f�iL��».��L. -�_a .' ' ;..i q �—.�.s i_�:;y t�. F".il1 �,1 {'y}`i+� t,�Ji�iS'i:, i e f..�(-:e :;.�'iV�_�4�r'i ! c:f i`.'�i I�.'�.7�L._ �_�: t f��{. S I t,��g`d 2i f�j' �. _ t.i�i��i..�'�.�i i.�,{�,f:F j L..r"! �s!�w �f��.�t'� i i��.�.� r• . ' I{��l �ii �' T f��S:IT�!1� _.F•�i�•�,1 S'= _��ii�s�=? _rc. l..�� . �.`��1� �:� 4 r��_ . REMARKS: FEE SUMMARY: . .-._. _. . . .. ... . . . �-�_ _ ^:i,� �:� �°�;�� . ;'� ��i �:�,-; �.�.��,r��.;�, �=,�. . _ . :;i.�3'��'�•�1�� ______. `a:�_...��.� ��;t..�j. !_�v_ —.�;,s=..�, i i•� CONTRACTOR: O�IVN,�R;�. - `'`�=r'� ''�=''''=- �" =._ . . .._ �_�ti t? _ ,_ .`"!f_3��} �E�vL j,ii'i .... ._��'.E_� k�i� ��'�;�.�'� . ��..��.. y�PtiS'�`�'w.i y e . .. ie��._;'��lr f�: :e�v� i fii; r'�F �:.I ai ..«��E....i .,.,,..�I i . !f ta�d44�'._i�.•,.r_. �, .'._..__ . '...._.�' �i .4._.» �� , ...:• . _. . .._ _ _ _ _. . ._ . _ . .__ . . .._ . .»_ ..... ... ,—.r � '� » ,.`� .. .{.,,. �. ._. ....r...,. . ��. �. .. l. ' � r }i f 1 . �.�_. , `-��.f�' �� 1 F ,( } s- t r' � 'TM� r . . ,_._. .. _�t-. . i`d - ( . . ,. L._. . .! .__... _. . ._._. _ ,. �i` [�" «..` : ��. � �, .-.. ' .�. : -:t .:r n�r� tvi.� .Y�.., � '��~��_,�� + � ��S~�� .5_�?:�{«. !'•..i,ia.. �+., ..._. .,_i*� � r •_€t�,_t��{_� f... .._ i. ..-t.$.:';� :i�i#1 ��!ii 1 t... #_{� _. E� ...,�. . .L w.Lf.c. 3 " � � , �,,,,{ � � ' � ��i�'l?—rl�r--� APPLICA ERM EE SIGNATURE ISSUED BY:SIGNATURE . � � � T�tal Fee: � $ f��:� :' � -: Date Received: �;'�`��'7 � Entered By: � , Permit#: ', ..i •;`i CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: ��Z ��(L��l N-�- ��1� ZIP: �� ' ; , NAME OF OWNER: � i✓� � 1��' PHONE: ,�home) ¢7� a S �'�- (work) `t',�,'11 U�j MAILING ADDRESS: l�'�2 SNn��-'�� C�rz---CITY• 6i�c�ti o ZIp• �v SS.3� / CONTRACTOR: PHONE: CONTACT PERSON: MOBII..E/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: #{ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NA1V�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration �-: PROPOSED WORK(describe in detai�: �[��t,�ti� /'�--�'!�G��►-h=-- , STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'6°� 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 ermit and work is not to start without a permit; and that the work will be in ac , rda ce with#� approved plan. � � t APPLICANT'S SIGNATUR�;-�,' �� DATE: �/�/��' NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non pernzitted events will not be allowed. 5 � " � Sea 13.04 RIGHTS OF SIJBdECTS 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 secaon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data conceming himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or stauwide 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 privaoe or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdga6ve data,pursuant to section 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revernie m�v nlace the nodce rewired under this subdivision in the individual income tax or oronertv tax refund instrucrions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an icuiividual 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 shall 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 siz months therea8er unless a dis�te or acpon pursuant to this secdon is pending or addidonal data on the individual has been collecred or created. The responsible authority shall provide copies of die private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry st�all 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 time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, excluding Sanudays,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 co�emiag 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 inaccurace or i�omplete and attempt to notify past recipients of inaccurate or i�omplete data,including 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 deternvnadon of d�e 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 departments may require you to furnish certain private or confidential information. You are 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. J�n��s �P��sa►�I ��Y��LS First Middle Last l�2 s�16��r� f�R- Address G�/a vzArP ,n��1 �s��/ ¢ � 6 Z�j Ciry State Zip Phone I understand 'ghts as state ve. igna re 6 � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: � �t�t Z �i-}-�;(u-:c�,v� p�`� PID: DESCRIP'TION OF WORK: L f-�-��,�,,�,�� (��; ��.��; --------------------------------------- -------------------------------------------------------------------------------- , ZONING REVIEW BY: � '� - C�(.-�..��—.. DATE APPROVED: :' _> -�i� 7 BUILDING REVIEW BY: ' � T,�,Y,__._ DATE APPROVED: �' ��'--S 1 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes f No PLAN REVIEW Yes �-- No SEWER CONNECTION STATE SUR`I�ARGL 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: '�-��-�� Fire Department: �'�� G�`b�i,,t Post Office: — School District: ` Lot Area: Sq.ft. �, Z S� Acres � �� Width `��' Depth �; '� Survey Submitted: Yes No Date of Survey: S:u :+.%r,N`� .�, �� Proposed Setbacks: � Front (Lake): _ �I' Right Side: ' � Rear (Street): Left Side: �-� � Adjacent Structures: �'�' �✓� Wetland: Building Height: Def. Hgt. � `�`` Peak Hgt. Lot Coverage: N� ��– Grading: Staff Approval Date: /v' � �- By: Council Approval Date: Septic: Staff Approval Date: �'"`�n' By: Zoning File: # L� >Z- Resolution: # Resolution Date: � -Z� 7 ��} Shoreland Dist:ict: y-ZS Avg. Setback ;, .N.M--c.c Bluff Setback: t`' �� Lot Coverage: 1✓ �C. Existing Proposed Hardcover: 0-75' 75-250' �{ , 250-500' 500-1000' Hazdcover Vaziance Required: Yes No Date of Council Approval: REMARKS (in house): � 26 � BUII.DING REVIEW CHECK LIST UBC: tZ- "� CONSTRUCTION TYPE: �/�e,' ' Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ �. ��?��- Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection _� Framing Fireplace Lawn Inigation 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 PERMIT): 27 �x �,� Z � � � � � � � � �1 � �---- — -- --�-t- ,-----_. � � � ��l .�_�.__,�,�_ ,�,�_. � "� i � ' � � � / � o � � � I ! �� _ �,, � y � � � � � `� 4::� � Z, � � tJ _ � r,�, �1 �i � � / " �� f � p_,� � r_.� � ; � �� :� o / � ' � � '-� � � I ` `c� � �l � I / ; �� j�t �-.—__-- � x � � � � � 8►��,P- I _ .---_- ------_ _ _.. . _.__ __ .� � / �. �� --� � ` . � a� �' i � x � � � �� - ° :� ,� N � � `� � .t,,_.. . � ;�� ,a y; � v,� '��0 \ r• � � � :�. �? � a � i � Q� �\ , �� c �� a = ~- � c:� � p `° '(� (� \ -�- �j.�' � `t3 � •-. k � N rn `,�3 N `M`u rn r• l/'j� � � (-� X '�� l ' � � (a '�� .ro C ,a.�., 7y �� 4 � � �D� � '�' __=�� -r+, � �J °�� I -P- _� °� oo � w� C.'° � t9) �t� ` � :`s " 6' ° E C� E�1 � �� .<� � r^ / �` /` ' o�' ' '� ;� � � N � ,__ � ��. � � � . � rx � �, � � � , � ��—� oe �; A� � � � � _� n cv .�, I"e'I �ti � ( � �� C_3 �°`f.,-_;r � �z�+ � ��: � � � � . Q � c •:`_ .��a D �° U� 7a � c',. �0' E �� f�rl� � �"�� .,.. -� �► � �' : . � � c � 4 ;�; _ - p .� � � uo o �� 3 �. ; -f % ��.. d Y�' N D� �`� ;, �� =s cma ��,, ,2� i \ ` � � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMIT N0. COMPLETED � -� � �1 �� ADDRESS I� 4 Z s�� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTINO 11 MECHANICALRI 18IXCAV/ORADINO/FIWNO � 02 FRAMINO /3 MECHANICAL FlNAL 19 LAI�SHOREJWETLANDS Q �SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = p5 FlNAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 27 COMPLAINT J W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBINf3 RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL v 10 PLUMBIN�FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED = PROJECT COMPLETE W �CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOPORDER POSTED.CALL INSPECTOR �=:CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor n ite: Inspector. White Copyllnspeclor's File Canary CopylSite Notice