HomeMy WebLinkAbout1999-011432 - replace stairs/landing ' PERMIT �
, CITY OF ORONO PERMIT TYPE: - -
2750 Kelley Parkway- P.O. Box 66 `��- �=.-��_���.:�
Crystal Bay, Minnesota 55323 Permit Number: r.;��.�,�:�_=;:`_
(612)473-7357 Date Issued: : _ ^ _
SITE ADDRESS:
DESCRIPTION:
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FEE SUMMARY:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE .
' ' Total Fee: $ / � Date Received: J ��� - y
Entered By: , � � Permit#: // 3%� � �
CITY OF ORONO - BUII..DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICAI�'T IS: (circle one) OWNER OR CONTRACTOR
JOB SIT'E ADDRESS: �1� ����rc� � ,. ZIP=
NA1�IE OF OWI`�R: � PIiONE: (home)
b ��,�rs �-�r�-r (work) CPcz- 33 7 _ ��,88
�iAILPi tG ADDP.ESS: �oo S. ���-�r+ -�s�. CITY: ZIP:�
�n� 25a�
CONI'RACTOR: }�"Gor-1, �,-IL-. PHONE: �o(z-�S�co-/8�0
CONTACT PERSON: MOBILE/PAGER: C�o-334 I �iZ
MAILI\i'G ADDRESS• 111 f c,�-r��� ,J CITY: , ZIP: ��53►�
STATE LICE�tSE: # z.oi cP��3'�
ARCHITECT/EI�TGItii'EER: / PHO�TE:
�ZAIII�ING ADDRESS: j CITY: ZIP:
N�,�; / REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure �
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: �_�`-�,—��- �r�tR-� �`-�� �--�-���
�� � ��� �
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET.
�
ESTI�i IATED CONSTRUCTION VALUATION (excluding land): $ 2-��� �
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 Buildin' Code; that I understand this is not a pernut and work is not to start without a
pernut; and that the work will be in accordance ith the approved plan.
APPLICAi\�'T'S SIGNATURE: � .-�;��ATE: � �o
NOTE! Parade o�Ho�nes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events wi11 not be allowed.
. � . �
Sec.13.Q4 RIGHTS OF SLJB.fECTS OF DATA '
Subd. 1. Type of data. "Ihe righ�s of individual on whom che data is stored or to be stored shall be as sec for�h in this secaoa.
Subd.2. Information reqirired to be givea individual. �1n individual uked to supply private or confidendal dam conccrning himself sha]!
bc informed of: (a)che purpose aad in[ended use of the requuted dara wi[hin the collecang Statc ageacy,polirical subdivision,ar statcwide syscem;
(b)whe�:ec he cray refuse or is.legally tequired to supply[he r:quesud data;(c)any 3rnown coasequence arising from his supplying or refusing to suppty
privsce or conndenda!data;and(d)[he idenury of other persoas or enddes auchorized by s[a[e or fcdersl law to receive che data. 'Ihis requiremenc shall
noc apply when an individual is askcd to supply iavesdgadve daa,pursuanc to secaon 13.82,subdivision S, m a law enfoczemenc o�cer.
The cc^tmissioner of revenu- mav Dlac- che nodc- r-�uired und^r rhis subdivision in the individual income tax or orovem taz refund
instcucdons inscead of on those forms
Subd. 3. Aecess to data by iadividual. Upon request to a responsible authotiry,an individual shall bc informed whacher he is che subjecc
of scored dan on individuals,and whecher it is classiFi:d as public, privace or confidendal. Upon his furcher requesc, an individuai who is the subjecc
of stoced private or public daa on individuals shall be shown the dara wi[hout any chatge to him and;if he desires, shall be informed of the coacenc
ar.d meaning of that data. After an individual has been shown che private data and informed of iu meaning,the data need not be disclosed ro him for
six mondu[hereafter unless a dispute or acaon pursuan�to this secdon is pending oc addidonal data on the individual has been cotlecced or created.
'Ihe respotuible au[horiry shall provide copies of the privace or public data upon request by the individua!subjecc of[he dara. The responsible authoriry
may require[he reqcesdng person to pay[he accual cosu oi makinz,cerdfying,and compiling the copies.
The responsible au[horiry shali comply immcdiacety,if possible, wich any request made pursuant to this subdivision,or wi[hin five days of
the dace of the request,excluding Sanirdays,Sundays and legal holidays,if immediate compliance is not possibte. If he cannot comply with the roquest
within d�ac ame,he shatl so infornt[he individuai,and may have an addirional 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 concest the accurdcy or completeness of public or private
data conceming himself. To exercise this right,an individual shall nodfy in wridng�he responsible au[horiry describing the nature of the d'uagreemeat.
The responsible authoriry shall within 30 days eitf:er: (a)correct che data found to be inaccurate or incompiece and aaempc to nodfy past recipients of
inaccurate or incomple[e data, including recipiencs named by the individual; or(b)nodfy the individual thac he believes the data to be correcG Data
in dispuce shali be disclosed only if the individual's statemant of disagreemenc is included with the disclosed data.
�e determinarion of the rosponsible auchoriry may be appealed pursuant to the provisions of[he adminis�arive procedure act reladng to
contesmd 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 Ciry 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 perm.it or license.
3. The information may be shared with o�her local, state or federal agencies to the e�tent necessary to process
the permit or license.
4. If your requested perm.it or license requires Council action to approve, some information may become
public.
5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this applicatio❑ or permic.
�� � ����
First �fiddle � Last
�I`i f � —t-�-�s
Address
�3c to/z —�j7co—�81�
Ciry Sate Zip Phone
I understand my ri;ht stated above.
S
' nature
� � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: t��� 5t+o�2Gt�t rv� 02
PID:
DESCRIPTION OF WORK: I�P�c� s7r4�2s r�� v�rb�n�6 �C-a�n►+u, I��sR)
ZO�tING REVIEW BY: DAT'E APPROVED: s'•�3•S�
BUII.DI�i 1G REVIEW BY: ` DATE APPROVED; �-�3 -9�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes �/ No
pLpN REVIEW Yes _� No SEWER CONNEC'TION
STATE SURCHARGE Yes � No WAT�1tCONNEC"TION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SIT'EINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: Nb c�-�
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 Sid •
Rear(Street): Left Sid :
Adjacent Structures: edand:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Sepdc: Staff Approval Date: By:
Zoning File: # - Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff S back: Lot Coverage:
Existin Proposed
Hudcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
� 7
r
BUII.DING REVIEW CHECK LIST
UBCt �L` 3 CONSTItUCTION TYPE: V/v
• � Sq Footage $Per Sq Ftg
Basement . . x _
lst Floor x _
2nd floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ Z,YUv o`
Inspections Required: Nork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
._ �_F���g � Septic Sewer Connection �
��Framing Firepiace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
_�,F�� Grading/Filiing Electrical(State Permit)
Other
REMARKS(IN HOUSE): .
-------------------------------------------------
REV�W BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy;
-------------------------------
REMARKS (TO BE NOTED ON PERNIII�:
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D;�E TIME
CITY OF ORONO CALLED IN -�//� 9
INSPECTION NOTICE SCHEDULED �� �7�
PERMIT NO. y COMPLETED
ADDRESS ��o �
OWNER CONTR.� -�or
TELEPHONE NO. �'1� ^° %8/D
� DESCRIPTION ,,���� at ��1��
ly FOOTING ' 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�-73rJ7
OwnerlCont o .
Inspector. 1
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �asZ��
INSPECTION NOTICE SCHEDULED !4 :c�0
PERMIT NO. 1�y 3�- COMPLETED n "
ADDRESS �7d 6 � � �
OWNER a CONTR. �YI C���
TELEPHONE NO. S�CO — � �� �
�, . .
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 1 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FINA 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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�WORK SATISFACTORY:PROCEED �PROJECT COMPIETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI 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 inspection 24 hours in advance.473-7357
OwnerlContractor o site:
Inspector.�a'�r
White Copyllnspector's File Canary CopylSite Notice