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HomeMy WebLinkAbout1998-010872 - fin/home prev starte : C � * PERMIT CI�Y OF ORONO PERMIT TYPE: ' 2750 Kelley Parkway- P.O. Box 66 :'`��'--�'��'�f� Crystal Bay, Minnesota 55323 Permit Number: :i f i.�`=r.?��,' (612)473-7357 Date Issued: i i;;'�;:�;`��i:=; SITE ADDRESS: _ ;.°�� �,;j�=�t�°�_��i�� ���; {�� . ... . fd . . _ _-� i�`-i:w;-�=::,-�i�;7�_�:� DESCRIPTION: �I��:�-���R�f�. �:�;;i��� :�;1"�:�,.;�: ���l1 �.�j�!?�? ?=':W!'fi�l'�• TyF^= `_��'—t-�t,'31'!�`.��`?9�1i�'�� t-��S: j� t :Y s� �i F"s i I �:'—,j ` �.1 i_I yi F,� { �`�i�t``�I!I 1 I — �_.. _ '�:: : �—�_ �;E. � � _. E� i;�i;� i�tr;�i��:.�;�}�_y �i—:=� l:,w+4"1Si:.y^f;� t.�_,xj 7�v�:�F i:3�� s;:�:-,:��.��� ;�+_F�}� 4::��. ��T . ��°_��'��LPaT�;=;l_ REMARKS: FEE SUMMARY: '•,.?i�l _3f�; � �3,,,1�:� y.j[)S%a :_!SltA Li:i w N !�e�k=+ •i�1 � _��I . _ . +- .'�{11'e.�IClZ'`7�" .�i.ri��t{ �}l{ �i«if..-i� �F,� ___� �i..� �_�.¢ f �� CONTRACTOR: �— �����. i E�t��� — °=�� . �—�i- �OWNER: ;:j i�ij�rF�t��i�id�i!_ [i�.y��.�I�lF',°i�j•�1 �:I:�i}=' 1;-�'-;7��'_:``�i =t ii_;;'?11=:r �;:j r�°F.i�;t;( _���[f�l �`�i i�, i;� �i T�-I W� � �1�` 1�`�7 ��E�=�i�=:;��'i��� E S�=i ��.7��'�i�i �'i3�.3 ���z'�:_:'�: :�i�i4Wi�:li I �`?�'°J �L��'-s 1 t� �` ! =:7—�'-`i�r�' �z1t.—=L�i:ii-� .���::_. - - -�- ._. - >>_• -. . . . . �"i-aF ;.!iy'L.����_=1 ta'�lE�) ���+�`�t '�E fs.:t'�_�i:_ `'��,:T'._ _ =.�;�ii� _{",_I ris�t�::;€� 1 i- �:�.. .'... _. �- .!«�'•,.+-t _�`,i i _ _.. •'_t�„'��{�1;'" �'`._'..:� -��v=� � t—�-__ �,_� s1� x'��S � {'�`�. .... . �,i�, i.� �i_4�r{ f ;` .., �i i ` .�__ _ ! �.v f_g}' ���.:..�� � � �"'f 5... *�..i . f 5�� « �-E. �.�.i'�.`E s ! E: _ i I_3�,�_i�'�4_1 �_1�-,F!E�`���',:�.�:�� ��1j� _•S!-1 t ` �,�I� {`i_:.�p.3�.�.Y€j �. �.i�1`s�L7�j;�{j :_:f_i:�1: (:ii_�_j-..;—_;'�P-,�;i t '� , ` L � � _ _ APPLICANT/PERMITEE SIGNAT RE ISSUED BY:SIGNATURE l�C. , � � , - � - ►Total Fee: $ Date Received: Entered By: ,.�� , Permit#: �'�!8�� 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: �Y� � `��u�r�L�r� lj(L�vr ZIP: NAME OF OWNER: S��`' 1-Z��e..f r�A� PHONE: (home) s`��"g60$ (work) -- MAILING ADDRESS: � y �� S��L��- �(� CITY: T ZIP: CONTRACTOR: ST�dNew��o Dvv-�.�wn,y,,� �.�p PHONE: �3 �-� .�Z-.� � CONTACT PERSON:���� Gu.�,e�-�� 1'+'IOBILE/PAGER: -7-z-� --� � -t � MAILING ADDRESS•�t�.S k�to� w 7`t f`�` s� CITY: ���.�A ZIP: Sy�_i� STATE LICENSE: # 2 O d 7� �f 3 7 ARCHITECT/ENGINEER: Nv�-�-- Cdcz- ��'�s�' PHONE e � ��_ MAII.ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# (.v��k- `�v b_�_._ c.v�.,.�l,ey1�r-� (�-�r A��O r�r�� �1-��.s s r0� �� c,e �►i �,'t'r , TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detain: Go�m w 1.��� r� �'S 1 �.�u �-�- �.��eb A� F da ���. ba p►��a2 �d.,ra.,►zr�,2 cv.�,�d�.e.�t-Q G-�����. . - STORIES: Z -+" SQ. FEET OF EACH FLOOR: � 11Z� NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .30�' d 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 ' is not a permit and work is not to start without a permit; and that the work will be in a cord ce ith the approved plan. APPLICANT'S SIGNATURE: DAT'E: �U �' t'��Y� NOTE! Parade of Homes events requ e sep e permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. 9 ,- � . . � , r . • Sec.13.04 RIGHTS OF S[JBJECTS 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 confidendal data concerning himself shall be informed of: (a)the pucpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the identity of other persons or enti6es authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigaave data,pursuant to secuon 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav ulace the notice required under this subdivision in the individual income tax or propertv tax refund inst�ucdons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or co�dendal. Upon his further request,an individual who is the subject of stored piivate 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 meaniag 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 siz months thereafter unless a dispute or action pursuant to this secdon is pending or addidonal data on the individual has been collected or created. The responsible authority shall provide cop�es of the 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 authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of die request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the roquest within that time,he,shall so inform the individual,and may have an addirional five days within which to comply with the request,ezcluding 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 reSpoacible 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 notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)noufy the individual that he believes the data to be cornct. Data in dispute shall be disclosed only if the individual's sratement of disagreement is included with the disclosed data. The detecmination of the responsible authoriry 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.Q4,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 are notified that: , 1. The information you furnish will be used to determine your qualification for the pemut 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 shared with other locai, state or f�deral agencies to the extent necessary to process the pemut or license. 4. If your requested pe�mit 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. �r��-�-r�-� �'���t� ��.s�,a�-s�,� First Middle LaSt l'3 z- ti l Zfd Zp St-l� L,o N Address k.�g,�.� �irz-i��� �vr��, �S`�y 6 `�1 Z e --�1 l 7 y. �i�y State Zip Phone I understand my 'ghts tate bove. ✓ Vl� Signature � . . �� r � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: I�S ( S�f1,CL�� �(� PID: DESCRIPTION OF WORK: F'�N�S t+ 1'�,h,•e -5�7-tr� (3 y �;1�C C�,vc�?,�.�9 n ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: �� DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: /<s—i 5--�� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes No �� SEWER CONNECTION STATE SUR:I�ARGL Yes l��No WATERCONNECTION INVESTIUA'I'ION FEE I'es No PARK FEE SAC Y,;s No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: /'Uc� GE��✓� Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): _ Right Si e: Rear (Street): Left Sid : Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: ' By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: f/ Resolution: # Resolution Date: Shoreland Dist`ict: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hazdcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 26 . � y e� . BUILDING REVIEW CHECK LIST UBC: ��" 3 CONSTRUCTION TYPE: v/� Sq Footage $ Per Sq Ftg . Basement x = lst Floor x = 2nd Floor x = Gazage x = x = TOTAL Estimated Construction Value: $ �j 0 V� UE�C7 Inspections Required: Work Requiring Separate Permits: Site iX s����g Fire Hardcover Removal . 'cal Water Connection Footing Septic Sewer Connection 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 PERMIT): 27 DATE TIME CITY OF ORONO CALLED IN �'� � INSPECTION NOTICE �2sCHEDULED 10-3a �iP9 ��— PERMIT NO. � COMPLETED ADDRESS �`��f � S�O'!1'��'~`e ��Z. OWNER �� k'ei^f� CONTR. TELEPHONE NO. � DESCRIPTION YJU,S EiWl,l'Lv�� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG � �FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 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 06 PROGRESS � 07 DEMO-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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � 0 a � 0 � W � Q � Z W � W � � d �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73rJ7 Owner/Contractor on ite• Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO �CALLED IN INSPECTION NOTICE G;� � SCHEDULED �� ��`3D PERMIT NO. oMP�ETEo l� � ADDRESS I`'� "I�� 5 �r°�.�tN� OWNER��'►^Gl�t CONTR. TELEPHONE NO. � DESCRIPTION L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 0 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 INAL ��'�=���Q,� 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-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 J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO �� �YES�NO� ���� \ � COMMENT : ''" � � -r a. �1Z � �� . o T- S r�� r� ✓vta' � o � , � � 0 � W � Q � Z W � W � � � d ,ef WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE W � ❑ CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the ne inspection 24 hours in advance.473-7357 OwnerlContr�?o ite: Inspector. �� White Copyllnspector File Canary CopylSite Notice / DATE TIME CITY OF ORONO CALLED IN 'fy� • G�� Q/!'J INSPECTION NOTICE 'O�lI�'' SCHEDULED /a� � /Srl'S .'c� C� PERMIT NO. COMPLETED � � ADDRESS � OWNER CONTR; � TELEPHONE NO. �3 S " 7 3 � � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING ` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �3 INS�TIpN, 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECT�ON Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � - J O a � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN ^ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance.473-7357 OwnedContrac Inspecto White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO ^�CALLED IN INSPECTIONNOTICE �� � SCHEDULED �''Z-� `t� O•'l� PERMIT NO. COMPLETED "� �' ADDRESS ���� ��`���-��'-� OWNER CONTR. TELEPHONE N0. � DESCRIPTION % n� �� V�-o.� = � 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING Q �FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 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 Q ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � �ci�,v�..�( r�-,P�.�w� /�( Y'�y "`�.�� o.�.� o �'� -�-,� in,�� �.e ���.�-�(� a � � " /L�� /�-CGQ 6 5 � �:'f�'l�'t�,� �_�c v�(� � (�(� � /I�;��.�-��� Q � z W � � W � � d U WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473�73�J7 OwnerlContractor s' • inspector. White Copyllnspector's File Canary Copy/Site Notice O rn N DO z+; r��ji .I m I El :] . o! n IJP El li :111IJP [I El El ►,.�.� I cr) Z 33 k NZ I El :] . o! n L7 �J :111IJP [I El El z 'Ell.[] 33 k NZ 4 IF o! n L7 �J [I [I El El z 'Ell.[] 33 k NZ O CJ) L _.--- 4 IF o! n o C-11 a 7 , z D D _ z 7 Q p ii ,. - _- rr- Z z O z z i I i I m z C O rn � r e —► North Plymouth, Minnesota 55446 © M x cl) O w cn 0 i U3 i it { M O CJ) L _.--- iv 4 IF o! n o C-11 a 7 , D D Q z Q -- ,. m rr- Z z O CIS _U Z C ®C) I Q 15625 49th Avenue North Plymouth, Minnesota 55446 M M x c O w z 0 O U3 a _ 0 { W w _ 5 z t7J CJ) o w z 0 0 11l � D = r— it M fTl M� 11 w �mj a n = 0 V -r7 M z w > © orti O z a zm Gal M z vI a � [ = ca-cn M M K a M __q Z O o n c (n cn zr O c z iv 4 IF o! n iv o! n o C-11 I (D Miff no i�l 1HER , KIERNAN RESIDENCE i 3 a -- -- ,. CACI Drafting & Design 9 9 (voice}559-3512 491 SHORELINE EL C , I (fax}551-1103 OL R��i� � a� c3 ®C) { + 15625 49th Avenue North Plymouth, Minnesota 55446