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HomeMy WebLinkAbout1997-009064 - gazebo . • • PERMIT � tCITY OF ORONO . � ., ' ' 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: � � � � � �"' �_•.c_.� w:'v.� Cr �tal Ba , Minnesota 55323 Permit Number: �:�'t{`y�r=�� y y Date Issued: ���.�r����"�%� (61��Y►73-7357 ' ` ' SITE ADDRESS: ....,_. � . � _��:`�����' �b's.w�:�� _,.�. L...jJ�'� DESCRIPTION: t_ar'w __'�_; �.Eaii=�i���� (.�=r�,F; t. �y�,„.� :�,;—���:�: °=�T�t��.:�'�!t��v �i��: .�,i��i j_� iidi�i l��:. ��'�s�.] L�}+�ti;�'�f'if�� 1;��(_. i+l f_t�I�S t��:.,-1�'E 3"V �t•—�, �.�—t��+�,:�.�'w�;'�.'i i i1'} �YC�t :.%�1� :i'�:'� � �s�i' �_=�'?�t�i� {:��,�;; _ _ �_�T�'I._i't`. ��i_ftv��_.�� , REMARKS: FEE SUMMARY: . .°:'- -.-. _ _ . . �' , � " _ __7.��' I=�=_ . . ; . t�a:_� �'"�i^�'.!1 �t E'..'M t F-a+4y+t rS V*�f _'r L «'�i�r�ri,�}�i=.'�= `......�.��....��... .....«a.,a.��:a !;_3T _'� �:'n' �•;'� , 1_�l_! CONTRACTOR: O�IILN�� ` � r'�'�'� '=='''�� — ...,. ... _. . . _..f��.- .�+�r-�tt� _:.... _ _ ='}��,4:!�'�i; �.;T_W ii� �ws'�i,EtS�i �it� ��•-i�iw, -• •; .—: . ; • -. — : :... . . , .: .;�._,_.r j t�::_�� i� .,.,._,_,._, . _ �f-!._ t .;; �L..i w_ ._ 4: ` 'w .,�C.;4 ;. � s' . _ .. <<�t�;it.S i i... .. .�_ �.'`.`t ". 1,'�+� ' — . , .:. .___: . �._._. � ._, .._.._ a 3 t...ar.:p.._. , M- t,�{'�.,*, . :� ... � .�:.�eL. �.t s .�.#k i__�3...{: . � r_.....,-. . . . _ _ '.�����. _` a.�L�� t''..�M= f i{��' � �".... _�t� � :��� ''r'ii..� ;s9_t{ ,°�: :i;� �, . . _ � .�?`t, _�� . .. _..... ��.. '�t'# }'';:..._._ _: , _�h` ._... '��" t.i E f '^'r i i t � ,=•� . � — -- f -- � ,t i�{, , -- �. _ �_.: .��:..� � -,-.r,- . . 1,1za, :. � . .1 .�.:�_�W� --�,,_ :-� ': ';��� -.��,' ?'1�4�� � _.., � �i-1 i' , iL`s_.f�.'�,� .. _. ! �;;�r�s�lc``.•',.�? '1'«. L J � PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Zl:�L' >�Ly�.►�v� � t.w f�;� PID: DESCRIPTION OF WORK: Lr�Z�. i�G ---------------------------------------------------------------------------------------------------------------------- ZONING REVIEW BY: <.— ' �..�w. DATE APPROVED: �; �� -�7� BUII.DING RE'VIEW BY: - � DATE APPROVED: L; `r-� y� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes c/ No , PLAN REVIEW Yes �/No SEWER CONNECITON STATE SUR`HARGE Yes �/ No WATERCONNECITON INVESTIGAZ'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST zoning District: K�-� ��� Fire Department: �� - Post O�ce: (.�_�C-�-r�-� School District: �(�1:,�'v� Lot Area: Sq.ft. N :: c�� Acres � Width -- Depth —" � Survey Submitted: Yes_� No Date of Survey: �v ,�,� Proposed Setbacks: , Front (Lake): . Z i��� �`= Right Side: 1 [> � � Rear(Street): �{U� '— Left Side: i �' � Adjacent Structures: ic� �-c d���: ` Wetland: N i f� Building Height: Def. Hgt. �, ,�L Peak Hgt. — �Lot Coverage: 1 � Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: f� Shoreland Dist:ict: ,�} r' Avg. Setback: Bluff Setback: L.ot Coverage: 1 Existing Proposed Hardcover: 0-75' 75-250' 250`500' 500-1000' Hardcover Vaziance Required: Yes No Date of Council Approval: REMA]EtKS (in house): • 26 BUII.DING REVIEW CHECK LIST UBC: �c � i�t CONSTRUCTION TYPE: �jt�J � Sq Foota?e $ Per Sq Ftg Basement z = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ t, ��%� `�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �� Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) v< Final Gradin�/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS(TO BE NOTED ON PER1viIT j: 27 � . Total Fee: $ 1 r� L' � Date Received: Entered By: _,� �- � Permit#: �'G�f� � 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 o - JOB SITE ADDRESS: ��Sb �y�JN.,�I//CGt� R•!v °�. ZIP. S.S3.�� NAME OF OWNER: �oh�„J 1- �ph���}- ��0,0+,� PHONE: (home) .-O � � (work) �'�/'O OY MAILING ADDRESS:�`,S'b Sj� U/� �CITY: ZIP: CONTRACTOR: �Q-!�F PHONE: CONTACT�ERSON: MOBILE/PAGER: MAILING A��RESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: �� PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��,,,�°,Q �,�Z,p�p STORIES: SQ. FEET OF EACH FLOOR: �.3D �,toK . NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�3�,� 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 will be in acc da e w' h the approved plan. APPLICANT'S 5IGNATURE: DAT'E: � NOTE! Parade of Homes event equire separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 � Sec.13.04 RIGHTS OF SIJBJECTS 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 secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose 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 known consequence arising from his supplying or refusing to supply private 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 investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revern►e mav olace the notice reauired under this subdivision in the individual income tax or nrouertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual..Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of stored data on individuals,ancl 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 infortned of the content and meaning of that data. After an individua!has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action_pursuant to this section is pending or additional data on the individual has been collected or ereated. The responsible authoriry shall provide copies�of the private or public dara upon request by the individual subject of the data. The responsible authoriry may require the requesdng person to pay the actual cosu of making,certifying,uxi compiling the copies. The responsible authoriry shatl 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 imme�ate compliance is not possible. If he cannot comply with the request within that time,he shall so infortn the individual,and may have an additional five days within which to comply with the request, excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may aontestthe accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shalt notify in writing the responsible authority describing the nature of the disagreement. The responsib(e 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)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 determinaaon of the 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 fumish 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 shared 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. 1bl►.� �Nce«�T C'�0�� First Middle ,\ Last 0?6 S'� ��j�iJeK. tJ�e rJ i��- Addre�7hl v . �� ss3sL �yy'��P'r �City State Zip Phone I unde y r' as sta above. S tur 6 .. . .. . _... _.`�__,�._...��-:=i:�.�:i . . 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P ���ry i � �_ -,� � :1C'���la i ,', C ,. � R�'� rz����c,►' (io��.�) , � � ❑ Gk;;���� ;:3'`:;;�" I � J`'� ' �� gY _.__ �� - � . -_�.__ —_ I'- � t� - —r�� �...� c 5 ;-VFIAiFJAGL* t u r�yr7 Y ��—_�.—_.._�:_:::..:�'__:_�__.....�-------�- � a} � � �A�,�M��"f�� � � -� R4N0 �� i � �.. . CITY 0� 0 : � � � S1TE PLA N __ G R A p I N G P L A N `�� ^,..-, �'A�QF�i�V�D - !s+-z�c�3o � ��, ' �'`�.. � I ❑ APPRO��.� 1JV'T1� K;�UI��GNS c�� • �'_\ -�' � � ❑ D1SA�PH � �,. - � � � ,��,.-. �1 , BY _ „ � �.. �` � ~X� -��� � '��. ( DATE 6 -s- s� � '-�-�,� , �. � � I -- . � ��;,��p�. �y ,-w�, �\_ � � � 4 '� ,� � <,� �� � � o ( �;� ,�y �'.� „� �"� � , � � 0 � � ? � � � o o ��° - �__ � I .g � . �. �G � � ' $ ���' I � ` , � \ Q r r f ' � '�o �" Gl9Ze�o0 I � ;_i �' �f.� 9�''-`-1 t. r � ;+f� � ` 3� 0 - --- - - - ---- -�- ' � ���f '� � q , ,•tio��.�? ` I �v �,,,� � I �aQa� '•�ti�,q.�) I .d.. � � �5 , 1 I .. ,,._.._---.—�t�r ( O � J� ��1�'�°� � �;�� t�;��;:,�4"�('���(?S � rh � 4 '�) . !: ; 'tu:� O � P i�.4'•.��� � .::. = . ... �� .ti�rL'�u f �y ' [t (�' ,i � ., j�i k� }k`''� �tl�� ��1:f � � i;,, -i. .L. � �.�V � l��..} .. . . i � i* r �,I i.�. .u�.� .. .��. 'u.i,. �1� �.:� �',E � � ,�` :'. i� ' ��� ��`.� _ � � , 1F,.� � � ;}��� � �� - � � - ��y� �'ty ��:,e�t�t'U�:.�.'.� t;.' �� � �, (c .� �,.: Z.�8��� I • . � � �� 5h"1.1 g' 1 Ko o.a ` � � � � ti,�o o�' �z'+ � Ou-r t-D�r G, 01 .� ' A� � ti 0 � � �,,�o�.. � F . , �b� : �_ _ .��.� _ .. DATE TIME CITY OF ORONO CALLED IN -s�G�z INSPECTION NOTICE . scHEou�E� � 9 7 �-/J PERMIT NO. �C��� COMPLETED ADDRESS �'�� 5 D , �i�`r'�)"l/,.,c�� OWNER ��.,J CONTR. TELEPHONENO. 'S�i�Ic-D7�� � DESCRIPTION � � FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/F�WNG �Q 0 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTiC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � �d ORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR FiEINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN INSPECTOR WILL RETURN G STOP ORDER POSTED.CALL INSPECTOR 'CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne inspection 24 hours in advance.473-7357 OwnerlContr�n si : Inspector. White Copyllnspector's Fil Canary Copy/Site Notice