HomeMy WebLinkAbout1998-010657 - signage and awning _ _____ _ __ ,�.-
PERMIT
! C�YY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �_'�`�``'
Crystal Bay, Minnesota 55323 P e r m i t N u m b e r: i i; i�=r=�7
(612)473-7357 Date Issued: i;;�;,�'��::'�s:�;
SITE ADDRESS:
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DESCRIPTION:
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REMAI�KS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — �:_���= ?c=i'�t. �--
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APPLICANT�PERM EE SIGNATURE ISSUED BY:SIGNATURE _ �
: ��. ' .< e� . .
� T:;�;l Fee: $ /.3 7. �� Date Received: ���_ �I ��
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Entered By: �, � Permit#: /n��
CITY OF ORONO - BUILDING PERMIT APPLICATION �
All information must be submitted in full before plan review will be started.
� . (please print all information) .
THE APPLICAIti"T IS: (circle one) O�NER R CONTRACTqR���� � . . ��
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JOB SIT'E ADDRESS: j � � S `" ' 1 � �
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� NAME OF OWNER: �'�/�►�q�"r�. ��ct r�►�,:/�_ .Z-�1c _ PHO�IE: (home) fi'7%-9/� c�
� (work)
MATLING ADDRFSS: �_ l�-0� • l;a� �� CITY: �1+`a✓c�rre ZIP: S����� � �,-��� � .
��` �y �� � �- v c��S-���-���� . : . . �.
coti�crox: Cra�� �cK�� . , pxo�: �f7��s��1
CONTACTPERSON: � MOBILE/PAGER: �'j ��,3�' 22- �
MAILING ADDKESS: Z �v S N c.�S�h )Zd - CI'TY: ���lc��� ZIP: S5 3 L ,
STATE LiCENSE: # ��q G .
S�y�v��/�4w��4y iKSla�l�.d b`j ' ���w s'�n (-�'e
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T pxo�: �55-���3 .
NIAII�ING ADDRESS: ! 3�7 3� �e���n 5 f ._CITY: L�t �E ZIP: �;�3�C Z
1�`A1�ZE: REGISTRATION#
TYPE OF ti�ORb': New Addition Accessory Structure
Move � � Remodel/Alteration�_ Land Alteration
PROPOSED tiVORK(describe in detai�: R����°.e �x�St, .Y.a ��;�►�n� �=,�;;� �� '='��'`F�,�� ,
� L r r .
� C� 'L#' J'� Icl.l) • J'�� ff+�l� /�k.'�'l.� �1����L `f' 01 LV11!�, l�f'�� �i^Cl N/i�l� �/1 S�ZI S I ��-���r�
f-� co�•�% ares �,.�,,�,�e EX�sr�,�i �;w.t,ny �s l'ew�ov�� ,
STORIES: �_ SQ.F'EET OF EACH�I.00R: • - -
NO. OF BEDROOMS: GAI2AGE STALLS: ATT. DET.
' ,r . �r�J1�t���G wn�,o.- • -� �g�C'>
ESTIiIZAT'ED CONSTRUCTION VALUATION (excluding land): $ �r�ol�t�,� � y77sc%
I hereby apply for a buildinJ permit and I aclrnowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of ihe City and with
the State Buildin� Code; that I understand this is not a permit and work is not to start witho�a
permit; and that the work will be in accordance with the approved plan: .
1 9 ,
APPLICANT'S SIGNATURE: �, DATE: ��/9 -`1� �
NOTE! t'arade �Homes events require separate permit approval by Poliee Deparhnent and
� City Council 60 days prior to the event. Non permiited events will not be atlowed.
�, - - .
. � . ,
Scc.13.04 RIGHTS OF SUBJECTS OF D�TA
Subd. 1. Type of data. The righcs of individual on whom che data is stored or co be swrd shall be as set forth in this secrion. -
Subd.2. Informaaon reqirired to be givea iadirldual. An iudividual asYed W supply private or eonFdendal daa eoncerning himsdf shall
be informed of: (a)[he purpose and in�eaded use of the requesr�dara wichin the collecdng Ytace agency,polidcal subdivision,or satr.wide rysrem;
(b)whe[her he may mfuse or is legally requircd ta suppty the requesud dac�;(c)aay lrnown eoasequence arising from his supplyiag or refusiag to supply
privat-orconfideadaI daa;ar.d(d)ehe idendry of ocher persoas or endd:s aachorized by srate or fcd:ral law to receive[he dara. This requ'uemen�shall .
not appiy when an individual is asked to supply invesrigadve dara,pursuanc to secdon 13.82,subdivision S.to a law enforcement officer. •
'The comnissione�of revenue mav olace the nodce r_�uird under[his subdivision in the individual income taz or orooectv taz refuad
insm►cdons instead of on chose foans.
Subd.3. Aecess to data bv tndir7dual. Upon requcst to a responsible au�horiry,an individual shall be informed whecher tie is che subject �
of scnr.d daci on individuals,and whe�her it is etassified as public,privat-or confidenual. Upon his furcher request,an individual who is the subjecc
of scored private or public dae on individuals shal!be shown the dara wichout any charge to tiim and;if he des'ues, shall be infocmcd of che comm�t
and meaning of chac dara. Aher an individua!has been shown the privam daca and informed of iu meaning,the dara need not be d'uclosed to him for
six mon�hs chereaicer unless a dispuce oc acaon pursuant to chis secaon is pending or addidonal data oa the individual hu been collecced or creared.
The msponsibie aa�horiry shall provide copies of the privace or pubiic data upon requesc by che individual subject of ehe daa. The responsible authoriry
usay tequire the rcquesang pecson to pay the accual cosu of rnaking,cerrifying,and eomp�7ing the copies.
The responsibte aurhoriry shall eomply immediacely,if possible,wich any request made pursuant to this subdivision,or wi�hin Bve days of
the dace of[he requesc,ezcluding Sacurdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wich the request
wi[hin that time,he shall so inform the individuai,and may have an addiaonal five days wichin which to comply wi�h the request,excluding Sanirdays,
Sundays and legal holidays.
Sabd.4. Procedure uhen data Ls not accurate or complete. An individual may coatut the accuracy or completeness of public orprieate
dara conceming tiu:�self. To ezercise�his ri¢ht,an individual shall noafy in wridng ehe responsibie authoriry describing the naaire of the disagreemeat
The responsibte au�horiry shall within 30 days either: (a)correu the data found ro be inaccurate or incomplece and attempt to nodfy past reeipiencs of
inaccurate or incomplece daca, inciuding re:ipien�s named by[he individusi;ar(b)noafy the individual that he believes[he data to be cocrecc Data
in dispuce shali be disclosed only if the individual's sc;cem�nt of disagre:ment is included with ch:d'uclosed dard.
The decerminadon of the responsibie auchoriry may be appealed punuant to the provisions of the adminisnarive procedure act relaang to
contesced eases.
DATA PRIVACY ADYISORY _ � .
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 deparcments may require you to furnish certain private or
confidential information. �
You ue 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. 'Ihe information may be shared wich ocher local, state or federal a�encies co the extent necessary to process
' the permit or license.
4. If your requested permit or license requires Council actlbn to approve, some information may bocome
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 permic. . - _
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Address
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Ciry Srace Zip Phone
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I understand my ri;hts az stated above. . .. . . . .
Signamre .
, , CHECK OFF LIST FOR ISSUANCE OF PER.11�IZTS
4 �
FOR OFFICE USE ONLY
ADDRESSORLEGAL: _ 3'tv0 SNc�c2EC.rwc: �2�v� �
PID:
DESCRIPTIONOFti'VORK: _ SldNid�G►� � �¢.s,,,,v��
----------------------------------� --------------
ZO�iYG REVIEti� BY: + DATE APPROVED. �- Z — 98
BUII.,DT�i tG REVIE�� BY• DATE APPROVED: �?-� Ze�-9P,
� � -------------------------------=-
�EES TO BE C�-iARGED: - Misc. Fees Calculated By:
PERMIT Yes t/' No .
PLAN REV�W Yes� No� SEWF..�t CONNECTION
STATE SUR`H�,�G� Yes �' No WATER CO'vNECITON
INVESTIGATION-FEE Yes,,,�� . No v. PARK FEE
SAC Yes No � SITETNSPECTION
Number of SAC Units OTHER (specify)
------------------------------------- ----
�O�tING CHECK T�IST zoni.ng Districr. g ��
Fire Depar�ent: Post O�ce: ���� School District;/�„r,�.�Q
Lot Area: Sq.ft._/1rU ClFAnlfs� Acres tiVidth Depch
Survey Submitted: Yes No�_ Date of Survey:
Proposed Setbacks:
Front (Lake): . N��- ht Side: �
Reaz(Street): Left ide: r� �
Adjacent Structures, tiVetland:
Yv
Building Hei�ht: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: $y: Council Approval Date:
Septic: Staff Approval Date: gy; •
Zoni.ng File: # Resolution: # Resolution Date: •
. � �.
Shoreland Dis[:ict: � � �
Avg. Setback: Bluff S tback: L,ot Coverage:
Ezistin Proposed �
Hardcover: 0-75'
75-250' . - �
250-500' .
500-1OQ0'
_ Hardcover Variance Required: Yes No Date of Council Approval:
�
RE1I�ZARKS (in house):
� � � �
, ' � Z�. .26 :
. i
� � � - � .. . . . - ' � � . i
. . . . . . ' ♦ .i
BUTLDIlVG REVIEW CHECK LIST -
�c: N �� covs�xUcz�ov�E: ���- �
� Sq Footage $ Per Sq Ft�
. Basement X � ;
.. . lst Floor . � X � � _ . i
2nd Floor . � .. . � . . x . . _ . . • �
Gara'e X _ . . .
X �
TOTAL � �
Estimated Construction Value: $ -� � ? 84�.�
Inspections Required: • Work Requiring Separate Permits:
Site Plumbing Fire `
Hardcover Removal Mechanical �
Foocin� Water Connection .
Septic Sewer Connection '
Frami�� Fireplace Lawn IzriQation
Insulation (Masonry) Ocher �
tiVall Board (114f�.) Well (State Permit)
�O her Gradin�lFillin� Electrical (Scate Permit)
--------------__
REiI�IARKS (lN HOUSE): ' � ---_-----___
--------------------------DATE
------------
REVIEtiY BY OTHERS: - ------------------
Access: Existin� New �
• Access Approval: Date �
---------------------------------------______— �y•
�2E11�IA R�iS (TO BE NOTED ON PER�I�IIT): �u r -�-�p S�b,v�q��; �s 7- G�
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DATE TIME
CITY OF ORONO CALLED IN l -� �G�.�..3U C1'i/?
INSPECTION NOTICE /� I_��� SCHEDULED % �� /� /�
PERMIT NO. �� COMPLETED
ADDRESS � � c �-� ^ �
OWNER� Ie�PCONTR.
TELEPHONE NO. ��/ ' C7/L'-7�
� DESCRIPTION
� 01 FOOTING 1 MECHA I AL RI 18 EXCAV/GRADtNG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 12 WATER HOOK-UP 17 SITE INSPECTION
Z
O5 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
fl COMMENTS:
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d WORK SATISFACTORY:PROCEED �e�PROJECT COMPLETE
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❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVER�NG PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL REfURN ❑ PHOTOTAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73rJ7
OwnerlContractor o ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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