HomeMy WebLinkAbout1998-010646 - ent monumts/bsmt rem � PERMIT
C�TY�F ORONO PERMIT TYPE: _ ;:. �
275�Kelley Parkway- P.O. Box 66 `�-'�=�?=�'v��
Crystal Bay, Minnesota 55323
Permit Number: ;:;j�,;�,�,�,
(612)473-7357 Date Issued: ;_;_;f=__�,��^;;_;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — �;���=1 i f�a—tt. —
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APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERII�IITS
� FOR OFFICE USE ONLY
� ADDRESS OR LEGAL: `�-� S���.. ��,,,J
PID:
DESCRIPTION OF WORK: ��L,v-ew�a..,, L�.�► , �,-�...��
ZOVING REV�W BY: DATE APPROVED: E� -J4 -�'�
BUII.,DI�i G REVIEW BY: � DATE APPROVED: ��, c� `%`�o
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _� No
PLAN REV�W Yes No �� SE`VER CO�TNECTION
STATE SUR:HARCr� Yes ��No WATER CONNECTTON
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST zoni.ng District: _ _P''ic; �'__l-f-t�_u _
Fire Department: Post Office:. School District:
Lot Area: Sq.ft. Acres `Vidth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): _ Right ide:
Rear (Street): Lefr S de:
Adjacent Struc[ures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zonino File: # Resolution: # Resolution Date:
Shoreland Dis�ict: .
Avg. Setback: Bluff etback: Lot Coverage:
� EzisC Proposed
Hardcover: 0-75'
75-250'
250-500' �
500-1000'
Hardcover Variance Required: Yes �' No Date of Council Approval:
REMARKS (in house): _
• 26 .
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BUILDING REV�W CAECK LIST -
�C� ✓� �� CONSTRUCTTON TYpE: i�/'/�
� Sq Foota�e $ Per Sq F[g
Basemen[ x _
lst Floor x = .
2nd Floor x _
Garage x _
x =
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection "
Fram.ing Fireplace Lawn Irrigation
Insulation (Masonry) Ocher
Wall Boazd (1�Ifj.) Well (State Permit)
�F�� Grading/Filling Electrical (State Perm.it)
Other
-----------------------------
---------------------------
REMARKS (IN HOUSE):
-------DATE --------------
--------------------------
REVIEtiV BY OTHERS: .
Access: Existin� New
Access Approval: Date BY;
---------------_--____
REA�IARKS(TO BE NOTED ON PERitiiI'T): � ���
27
. ��.!' c a . .
� Total Fee: $ Date Received: �
Entered By: ' Permit#:
CITY OF ORONO - BIT]I�DING PERMIT APPLICATION �
All information must be submitted in full before plan review will be started.
. (please print all information) .
� T'HE�APPLICAI�"T IS: (circle one) O�NER OR CONTR.ACTOR���� � , . � .�
JOB SIT'E ADDR.ESS: „���� �.�;���,eJ,r,.., �i�� ZIP: ��3S�
. ,
� NAME OF OWNER: ��w �1�`"e,�,, PHO�tE: (home) y�9`-0�7�'b
� � (work)
MAILING ADDRESS: ��8-�.� CITY: Z1P:
COtiTT'RACTOR: � . , PH0�1E: . �
CON'TACT PERSON: � MOBILE/PAGER: �
MAILING ADDRESS: CIT'Y: ZIP:
STATE LICENSE: # . .
A'E'.CHITECT/EI�'GINEER: PH0�1E: -
IYIAILING ADDRESS: CITY: ZIP:
NA�ZE: REGISTR.ATION#
TYPE OF tiVORb': New �/" Addition Accessory Structure
Move � � RemodellAlteration Land Alteration
PROPOSED'4�'ORK(describe in detai�: ��i�,.�;�.. �7ilo�H.�e�l1 ��t-a��rew` _
STORIES: SQ.FEET OF EACH FZ.00R: • � -
NO. OF BEDROOMS: GARAGE STALIS: ATT. DET.
� .� .
ESTIi1�A'I'ED CONSTRUCTION VALUATION (excluding land): $ _�'�.�"'
I hereby apply for a buildin�permit and I aclmowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Buildin� Code; that I understand this is not a permit and work is not to start without a
perm.it; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNAT'URE: �Z���-� DATE: :� /� 1��' _
�
NOTE! Parade f Homes ev s require separate permit approval by Police Deparhnent and
� City Council 60 days prior to the event. Non pernzitted events will not be allowed.
,T .,5
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA - .
Sabd. i. Type of data. The ri¢het of individual on whom the data is scoce3 or to be scord shall be as set forth ia this seccon. •
Subd.2. Informatioa reqirired to be given iadividual. �1n individual asked to supply private oc coafidenaal dara concerning himself shall
be informed of: (a)the purpose aad inrendcd use of the requesr�daca wichin the collecdng Etate ageacy,polidcal subdivisian,or s�acewide rystem;
(b)whecher he may r_:vse or is legally requ'urd to supply�he requesud dac�;(c)aay Irnowa consequence arising from his supplying or refusing ro supply
private or eonndendaI dara;ar.d(d)[he ideaary of osher peaons or enddes auchocized by snte or federal law to receive the dam. This requirement shall
not apply when an individua]is asked to supply invesdeadve dan,pucsuaac to secdoa 13.83,subdivision 5.to a law enforcemeat offuer. •
The comr.issioner of rvenue mav vlace rhe noace r_ouir.d under this subdivision in the individual income taz o�prooertv taz refuad
insRueaons inscead of on chose forms. _ __
Subd.3. Access to data by indir1dual. Upon rcquest to a responsible auchoriry,an individual shall be informed whaher he is che subject �
of stored dac�on individuals,and whe�her it is elassified as pubtic,Qrivat:or confidenanl. Upon his further requcst,an individual who is the subject
of scored privace or public dati on individuals shall be shown ehe data wichouc any charge to him and;if he desires,shall be informed of the content
and meaning of chat dara. Afur an individu�i has been showa the privare data and informed of iu meaaing,che data need not be disclosed to him for
siz monchs�hereatser unless a dispute or accon pursuant to this secdon is pending or addidonal dara oa the individual has been collecced or erearcd.
The r:sponsible au�horiry shall provide copies of the priva�e or public data upon requesc by the individual subjeu of ehe dara. The responsibie authoriry
may require che reques3ng person to pay che acaiai cosu of rnaking,certifying,and comp�ing the copies.
'Ihe responsible au[horiry shall eomply immediacely,if possible,wich any tequest made punuant to this subdivision,or wichin five days of
the dace of�he requcsc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy wi[h the cequesc
w'uhin chac tine,he shall so inform the individuai,and may have an addidonal five days wichhin which to comply wi[h the cequesc,excluding Sanirdays,
Sundays and legal hotidays.
Subd.4. Procedure vshea data is not accurate or eomplete. An individual may contest the accuracy or compieceness oPpublic orprivate
daca eonc�rning tivaself. To ezercise this righ4 an individual shall nodfy in wriring the respoasible au�horiry describing the nature of the disagreemeat
The tesponsible auchoriry shall wi�hin 30 days eicher: (a)corr.ct the dan found m be inaccurate or incomplece and aaempt to noafy past recipiencs of
inaccurace or incomptece dara, inciuding recipients namcd by�he individusl;or(b)noafy the individual that he believes�he data to be coaect Dara
in dispute shaIt be disclosed only if[he individual's sc3cemenc of disagreement is induded wi�h the d'udosed dara.
The dececminadon of che responsible au[horiry may be appealed punuant to et►e provisions of che adminiscradve procedure act reiaang to
contested eases.
DATA PRIVACY ADVISORY .. � �
In accordaace with M.S. 13.0�, 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 iu departments may require you to furnish certain private or
confidential informacion. �
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 Ciry deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the excent necessary to process
' the permit or license.
4. If your requested permit or license requires Council actlbn to approve, some information maq become
public.
5. You have certain rights uadec 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 J Snte Zip Phone
I unde 'gh as stated above.
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BUILDiNG R T PLAN AEVtEW
iNSPECTOR � ,4� Pc�Mil'NO•_...----�" ��s
pATE 4 -�------`
PPR4VED AS SUE�J�ITT�D `a�'uR�/�r�`�°
c'�10tED
Cl APPRO'��D VVl i H CO�RECTI�JNS A..�
p P:G�f A�FF10'J��---GOI�F;EC7 a nESUB�,4iT
T h ese ca!mm��'•S are t�r your�1'`u b le b u i i d��g II d Zcu�'�9 a°�
in S�ii compiiancs wi.h a1t a�`'
�e KEEP TH►S P,�1..�'+N SETt�N S�IT�E AT ALI.TIM�S
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DATE }p c,JIME
CITY OF ORONO CALLED IN �/O �"j�d"
INSPECTION NOTICE SCHEDULED ' '���' �>�5' '�0 u
PERMIT NO. COMPLETED
ADDRESS ' ����� �� �f ��' I ��
OWNER CONTR.��-.�.c�
TELEPHONE NO. � �� - �-�� �
� DESCRIPTION k:�L2-.�-�-r�-E'-,.��
l� 01 FOOTING / 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� AMW ,/ ���1D �3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 TION 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL ��y,1 15 SEPTIC INSTALL. 22 FOLLOW-UP
PLUMBING RI � `� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContr r`q�p site:
Inspector. U
White Copyllnspector's File Canary CopylSite Notice
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CERTIFICATE OF SURVEY FOR � �j��,'" � F���� '
� M �r���� JOHN AND DONNA CROTTEAU ��`'�Y� `'""' �"�`•?-��
^��� �� ����,� Ld'f 8, BLOCK 1 , MEYER DAIRY ADDITION
(d `�� HENNEPIN COUNTY , h1INNESOTA �
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LEGAL DESCRTPTION : 3) co�Ff� r-��o�c = ��r-'_"'
Lot 8, alocl: 1 , P�eyer Dairy Addition
This surv�y shows the location of a proposed house in relationship
to the above c!�scribed property . It does not purport to show
any other improvements or encroachments .
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''����,' e ; ' , � � r I hrrrh�'rrrtil)' th,�l this sur�����' u�,�ti �ir��E,,in��l h�' m�� ur iin�irr ni�� �iirrrl �ii�,��i �,:��i �,-�_.��;_q
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