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HomeMy WebLinkAbout1995-006970 - roof covering entry PERMIT �'CI�1( OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: -�` �° '-�'�`��� Cryst�l Bay, Minnesota 55323 , . -== ;��� (612)473-7357 Date Issued: - _ �"; " _ _ ., . t-_ . _. _ SITE ADDRESS: � . ��E.� .'t?_i'-�:' .��!�`IL' ...ri"'• :(_: DESCRIPTION: . .'_t'_'. _. _. , _��f'l��:JS i ...5.:e'�..�:Fr - -. _ ..... . . 5 i:�?E ! :'7; i"'S:^� -'a:'���'�i'� T:'!.._+'�y ,}�'= � y {"( � . . ' . !: . ,i,l�•..� ; `i'�iv�..if�F��'r*4� f:- :i_:�_.. ..'�_.��. " '_�t!�'': ev;l-e' F•. �iF::' �3...�': ; I � �i� '._..1.fii;�:�': �. ' . ._.. ._.ti�F'? , .F:"t i i f�_,�i�'� -. _si t�7�`..i��.f?.. _ iF.-1�' . .�'.... .,`,tvu� ._...r_ . , . � . . ......:1' _�_ . ... _ . . .� � 4 _�. .... . _ rr _. . _ _: ._��' ii . _ _�v.. REMARKS: . _. -.. FEE SUMMARY: ,�., __j_' .__.1:�_ . . = _ . _. _ ;i _ _.1_ . ._.: — -�= �` � _,�7 {—,r�_• � F-•�4.' �.^ '�' . _ ._ __;�',.i F�i.i': — _ '�1 �s'!F.:;. . ._.� ._.._.�......_._�.+`_.�_`�_.�:� COF�ITRA�/1—Q',i•T'r:^�.-.. ' _ . ... — ' — . o ,-�� n �C . . .; •.-.-.., : . f - ?', r < F -..., . -._ '.�.:._: . v a. : ��_: jt' . v_......___ �i -." . " " `'� i xJ! ! 6 .. _ " : '�5... V��FF{�I�s •� _ - __ . ' . . '_. _.. _ , .�� :..�_ i�. ���.. . '_ _:... ... `C'113 �F'il�� .. __ .� ,. k ' ... . .�.�" . 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L.��... ... .. .. . � . � /' \ APPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE • r ' 1 CHECR OFF LIST FOR ISSDANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3-I`'�S �I`�'0(��Z�/�'e Q(L PID: DESCRIPTION OF WORK: I�o� �v'Q'�� J'��'� _ -------------------------- -------------------- ZONING REVIEW BY: DATE APPROVED: 'S�-' S "�S BIIILDING REVIEW BY: �X�- DATE APPROVED: 5� 1 5 '`T,5 ----------------- ---------- FEES TO BE CHARGED• Misc. Fees Calculated By: PERMIT Yes � No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER ( specify) ---------------------------- ZONING CHECR LIST Zoning District: Fire Department: ' Pos Off � c • �iool District: Lot Area: Wid h: Depth: Survey Submitted: Yes b2---No Date of Survey: 6� L�- Proposed Setbacks: , I l � � � Front (�� • �N j� Right Side: I ((� Re a r (Stx-e�e't7 s ��� � ,` Le f t S i d e: �.L� �-`� Adjacent Structures: �''�'���� Wetland: /c� /y�' Pea Hgt ' Bui7�ding Height: Def . Hgt. . f Avg. Setback: L t Cover ge � Exist' Propos �' Hardcover: 0-75 ' 75-250 ' ' 250-500 ' 500-1000 ' Hardcover Variance j�equire : es No � Date of Coun il Approval : Grading: Staff Apg roval D te: jBy. Counci Approval Date: � Septic: Staff Approval Da e: BY= Zoning File• # e olution # Reso ution Date: REMARRS (in ho�se) : BIIILDING REVIEW CHECR LIST � � � pgC: � ��(/�- CONSTRIICTI ON TYPE: �� • —� Sq Footage $ Per Sq Ftg Basement x - lst Floor ' X - 2nd Fl.00r X - Garage X - x = TOTAL ��, Esti_mated Construction Value: $ ( � X� � Inspections Required: Work Requiring Separate Permits: Site P�umbing Grading/FiI].ing Footing Mechanical. Fire _�CFraming Septic Water Connection Insul.ation Firep�ace Sewer Connection Wall. Board (Masonry) Lawn Irrigation pCFina 1 (Mf g.) Other Other Well (State Permit) Electrical (State Permit) -------------------------------------------------------- REI�iARKS (IN HOIISE) : --------------------------------------------------------- RL'VIEW BY OTHF�2S: DATE: Access : Existing New Access Approval : Date BY= ------------------------------------------------------- RIIKARRS (TO BE NOTED ON PERMIT) : � ' CITY OF ORONO - BIIILDING PERM.IT APPLICATION To�al Fee: $ Date Received: ��C�� %� Date Approved: Entered By: � Permit�: AI�L INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI�N REVIEW WII�L Bg STARTED (See Check-off List Enclosed) ----------------------------------------------=_—=e------------------- THE APPLICANT IS: (circle one) OWNER orc�ONTRA�Q&% JOB SITE ADDRSSS: ? � ""� � >i5�c�/c� ��s�� �%:/' ZIP: _� S' I/ (work) �/7/ - �y,��, N� OF OWNER:�-��-��i�c-���i��C���'r� �-1���rc-� PHONE: (home) %7/ ��/�.� MAILING ADDRESS: ��yj`�� �.�v✓'� �n� � CI�: ZIP: 5��,.5�'� �,�'�" ,�,..-,t ,,�faa,r CONTRACTOR: �U/4� ��r� �`��a�l�� PHONE: ��o� "/az�S� MATI�ING ADDRESS: �i��� <."�]'/T� „�G� CITY: i��vL�� ZIP: .��� � STATS LICLNSE: � �'S�S ARCHITECT/ENGINEIIZ: PHONE: MAILING ADDRBSS: CITY: ZIP: N�: RBGISTRATION A TYPE OF WORK: New Addition Accessory Structure Move Demo Remodel/Alteration L�-�-'"f Renovate Land Alteration PROPOSED WORK (describe in detail) : ��y»O ciC �'i5�� ��v�L� ��'"� �rat•e'r �c� � G•-�-c� /��ld F �c'�or» c�..-:�G'/'"�'.���►�� E'�'`�z.� ��f`i�, l Ec���� �r:��f-- / . STORIES: SQ. FEST OF EACH FZ�OOR: NO. OF BSDROOMS: CARAGB STA�I�S: ATT. DET. �' � ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ ��C���� 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 permit and work is not to start without a permit; and that the work wil 1 be in accordance with the approved plan. ,�/� � � � T'S SIGNATDRE: �/ -Clz� _�/� DATE: s- �'- � � APPLICAN - . t� - . • . � s�; �� �.,��' '� ' �� !=� � � � `�� C ITY of ORONO � ; '' •�^� { Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices - t� _� � ��9 y k�""" � On the North Shore of Lake Minnetonka • � e � DATA PRNACY AD�TISORY 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 Iicense 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 wil.l be used to determine your qualification for the permit or Iicense requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or I.icense. 3. The information may be shared with other iocal , state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or Iicense requires Councii. action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 �o review priva�� data on yourself. E. Y�,ur full name is required to process this applica�ian or permit. �(.��1.�i�� �i J\Q(r"C�� ��� 'r�/�_ First Middle Last � tl �����i' �/rL',� b�y rrC� Address ' �y�`"�� y ,�i'//G c:1 ,�// ''� City State Zlp 1/7�� - �it� S_' Phone I understand my rights as stated above. � // �� ignature BUILDING&ZONING—473-7357 • ADMINISTRATIOIY&FINANCE—473-7358 • PUBLIC WORKS—473-7359 ASSESSING �� � � r ' � � �.04 RIGHTS OF SIIBJF.CTS �F DATA . Subdivision L Tppe cf dat�- The rights of individuels on whom the data is stored or to be stored shall be as set forth in this section. gubd. Z, Information r�d to be given in���L An.individuel asked to � ' su ply private or confidentiel data concernina BmWi�in the collect g state agency, P uested purpose and intended use of the req tem; (b) whether he may refuse or is legally political subdivision, or statewide sys �own consequence arising from his required to supply the requested date; (c) anY �d (d) the identity of supplying or refusing to supply private or confidentiel data; other persons or entities authorized by state or federal law to receive the data. This. 1 when an individuel is asked to supply investigative data, requirement shall not app y pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mg le�t t8X re°una�structi ns insteadhos subdivision in the individual income tax or r� on those orms. . � --- - - . Subd. 3. Access to data bY �n���' Up°n request to a responsible authority, an individuel shall be informed whether h=VBteeor confident al.e Upon his individue2s, and whether it is classified as public, p ublic data on further request, en individual who is tbe subject of e to himrlan�if he desires, shall individuels sha]1 be shown the data witho of�hat da a. After an individual h�s been �e informed of Lhe content and meaning t� �� need not be �isclosed to shown the private data end informed of its meaning, u��t to this section is him for six months thereafter unless a disPute or action p � � ending or additional data on Lhe individuh h�ate or p blic dataruponarequest by P responsible authority shall provide copies o t p y require the the individual subject oftrie actual.costs of malcing,i certi ying, and compiling the requesting person to pay . copies. immediately, if possible, with any request The responsible authority shall comply ' made pursuant to this subdivision, .or with��e �f Simmediateatcompliance eis not excluding Saturdeys, Sundays and legal S'S+ ossible. If he cannot comply with the request within that time, he shall so inform the P heve sn additional five daYs within which to comply with the individuel, and may request, exeluding Saturdays, SundaYS snd legal holidays• Subd. 4. Proced�a'e when data is not aecur8te or complete. An ind�m�. To contest the accuracy or completeness of public or private � the�respensible authority exercise this right, an individuel shall notify in writing describing the nature of the disagreement b T,naccurpa e ori n flmplet and att pt to days either: (a) correct the data found to notify past recipients of inaccurate or incomp�t rie t�e esdthe datalte be correct the individuel; or (b) notify the individuel Data in dispute shall be disclosed only if the individual's statement of disagreement is • included with the disclosed data. ealed pursuB�t to the ' The determination of the responsible authority may be aPP � provisions of the administrative procedure act relating to contested cases. i I —. "__ �_ .__ __ I . — _-__ __. _. _"__ _ — _-'__ — -_ i I � —_ f -. 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' I � ; - -_ __ _ :�_ ---- - ---- - ----� - - - _ _ � �� � �-- � - ��7-- _T_ __ --- x =� � �, �� � _ ' ��- * _ ,... , i - - - — -�_- - - - '-- - . - '-- --- - - -_ } _ _ _�, - {-.- - --- --t- �—� ,—-- — � } - I � , � , ; �, i � , � , I ; , , �' � � I � I , I � -�--{--j_ --E--r--i � —l�i �--- - , ,ol cs��..; � i DATE TIME CITY OF ORONO CALLED IN ��'�� %1 � l INSPECTION NOTICE scHE�u�E� �i; 3/� �� i l- � �v PERMIT NO. - ' ���� < � COMPLETED , ^ � � ADDRESS `�` '�-�� �� �'r_ _�i.�,_: `� 'z , OWNER�/�>='� l ,�-�ii�-c� CONTR. _ ��X �1 ,�P=•-,-� TELEPHON E NO. ``f��-� ��`--��`- ��-� � DESCRIPTION .�'�./:=��-�-��:.�'- W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q �02 FFiAMING� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � �3 1R7SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP O6 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED C: PROJECTCOMPLETE � C CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN INSPECTOR WILL RETURN r CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContrac r e: � Inspector. White Copyllnspector's File Canary CopylSite Notice i: � , • ,., ' e ` � "° +.i, p ..; ��,}3 � � � ''� _ 6. a��,�- � 3 � ' 1 `4 �. , �j . { � • �:, �,x� �, � � . � � � , .. . � �,. ' � ,0 ��'St • . ,t: �� '�� ;. �� ,� i � r S',1+,O . / � = Q7{ ' " � •��r r ' ' , + . . � ., ���j� ' ' ' L/ �� ` r. , ' ' � . � `i'� . ! .. ♦ " � . . . ' . � 1,4 . ., � . �� f_Y^r 1-1 ` r5 . ! f. ' 1 (� \ }4 V �. - 13'r �� � ��� �F�^� �j ��.�n .,v. , � ' . ' ' , .t y� r � �v��� ' ,iA ^'�,y ..t!���� `e..Y� ,� `r � � ,, � ,. . � \� � . '� G � . �ia � � e �, t�� � , . . . � .. . � . ��.q� `"� '. ' '-';`,D . ' , 't�• � � � �V � ` , 1 . . . .. a�� . .. 'yi�'. 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