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Home My WebLink About1997-009485 - new residence PERMIT .�ITY OF ORONO PERMIT TYPE: + 2750 Kelley Parkway- P.O. Box 66 � -. �;��_; Crystal Bay, Minnesota 55323 Permit Number: (612)473-7357 Date Issued: SITE ADDRESS: 'i� �_1r.i:�:;��•� __._ . _ : ..._t:___ . ._�-� DESCRIPTION: �; _ .��,: -,: :-. : :;.; :-::.,.; : _ _._.. . .___ ____... ._ _. ��_� �.:�:.i T; -r�`i=i= : .�.-,-:.;; :, _;..�;.. ...,._,.:. ;�,_.., . � Y€='�= _ ___ . : . .__y � .._,� �-;s�i i��,1: y-�� ;�;��i�i:. .,. i�+ c - �,�:':=?:=��.i i��;at_:t��. !_!i=�t'_. _;�� M%�i!:�.��:F�'f `+.`--.�� r•k : � l" •.-. i ih:i (_.i_iiM?"!�_ . ��_ . �i_�IS�1 � 'Ja�..•L" Yfy i_..}f�1�.i�� ... .��_ " ' "1 � � i � �� •'' �»�1a ' ' j .« �...._^i�� l...i�ii�.l�:: _ .. .. .« }��F•ir'i � {:�_ � Y•n�.�,f'e REMARKS: ;�=:-.-.:;�-;_ =�; .;:. ' ��Z`'1 i !.. q • _ .;..._ ��..,, ... , . . �, . .. . . ._.. .�'`f _ , �'t' , . , . ..-... . . `.'.]`'e�_! , . �.. ;. . � � ' : '..��. , '..: .; �; ;.� , .. . . .._ , . . . . . _ ,,�. _ _ ... " FEE SUMMARY: . ,7'.._'i_:;...5_j.._,�.��.�Y . '^a�� ' ` ' _.. .:?.']%.'.� f_:_... v a ». 1.t . �.. _::,1:i 3"i t�_'�'w�i t�:''yi+� i:f''� _i:Si .....� ��.1.l�=C"€%i i� '.��`�E� `i(�!t _ _._._.._....�_., � �3.:�_ i EW`T�_ iy....: �•t':- � .ti.._ . . � CONTRACTOR: _.. ;�,�::_, : ,: ;: .-:;-::... ,y.4. . �_:��:_: . OWNER: _�� .� .;:;:�� _ -:,: . , .,. -. ... ,_._ �,;.;,; _.�.,_�.._ .. .� .; , � . .. . __ _ .._ .. _ _ _ - _�.�� - ; �- _.�::.. . _. .� � . W . _.� i y , ,�� j _ . .... ».,._. . ... _ _i$ :L.!!W'�.. ! �.. . .��L.4�`s°'.� - .;�1°i�l= tri�v -'+ .,..... ._.�..4;- , � . . .. .�,�tt�i 9 #�'"s�. �.�!*�_.�i�::;�is�.��i„! ttr•�i}.��=�a` �'i�E,�,�.3#." 1 E- :y._ _. _. . i =_ .. ._ �rii.. t... ..r �.;a. E:;:: °�;t�'�{:I�� ,�-�'�'�.Ti 1 ��s.�,.E'."t ��,� �s� F3_--- .:..: .��:: 1��' � � �.T' .. ,'a `_._i z':� _�::. �;�.f . .. .-�....� �,�,�- . . � ��, - - ,•� -�- . h�t ..T ,.. a ; ,.. _ i�f�!�,� .`_t't.r`��' �� i :3�`.`.S.�ir: '.`�_��f.T�` , ._ _ ° � ��i- . � ri�,`,4 . w1``� , .; ... �. �, � : , ... � � � . , - =• - w , �.., � � � � �/ J APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR t Total Fee: $ " �� {� Date Received: ` � Entered By: Pernut#: `�� 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 � JOB SITE ADDRESS �� f•` % - � ZIP: - ' � � � , � /, - NAME OF OWNER: �e �,L /�,C�s�, �� ..� , PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: ,� CONTRACTOR: �� "-�� l�-v�t�<< PHONE: l�� -��/� CONTACT PERSON: i�:(� ��q��n �. �.�,�-,�/l`+�IOBILE/PAGER: __ �r`3 y -��/y'� MAILING ADDRESS: f `�l ��p � ,<S��`{-� c,�- CITY: ;=`•�'y�J�i�,�.� ZIP: .�� STATE LICENSE: # 3�y 3 ARCHITECT/ENGINEER: �.,�-Z�w•,•� �.t�,.,,.� PHONE: f _�� MAILING ADDRESS: ;�C�/,n i�f�,n�t - CITY: ZIP: NAME: J�- �'�,f�" REGISTRATION# TYPE OF WORK: New � Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �t`Nc%% �,�,�. ��S f� �� %E Ei �n'' sh STORIES: ^l SQ. FEET OF EACH FLOOR• �34> G> j rs�{ f�-11�f�� 1�% _�•-�'L�`'�'� NO. OF BEDROOMS: � GARAGE STALLS: ATT. �d� DET. �/ EL ESTIMATED CONSTRUCTION VALUATION (excluding land): $ " 7`��,�'�'�� 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 ac�ordance with the approved plan. � � APPLICANT'S SIGNATURE: �-ll >' �-t.wv-c-��--�� DATE: � — �� -� 9 7 NOTE! Parade o�'Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 Sec.13.04 RIGATS OF S[JBJECTS OF DATA Subd. 1. Type of data. The righu of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidendat data concerning himself shall be informed of: (a)the purpose and intended use of the requested data witLin 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 idenary 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 suppty invesdgadve data,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav alace the notice required under this subdivision in the individual income tax or oropertv tax refund instrucaons instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. 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 informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meazung,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secaon is pending or additional data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,cerafying, and compiling the copies. The responsible authority shat(comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exctuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comp(eteness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsibie authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipiencs of inaccurate or incomplete daa, including recipients named by the individual;or(b)nodfy 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 determination 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 furnish 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 refusat 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 pernut 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 pemut. �i �a-✓-� �B �hJ �9 CvW1 �� '.e/ - First Middle Last c�11� �wr� �f�,`�1 /�-tl� Address / ��/Gr drV fYl j'll ��5� 'f��-D��% Ci�y State Zip Phone I under d my ri hts as stated above. S gnature ' CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR�OFFICE USE ONLY ADDRESS OR LEGAL: � PID: . DESCRIPTION OF WORK: ----------------------------------------------------------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: � - 5 -�,� BUILDING REVIEW BY: DATE APPROVED: � -s -S� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t� No PLAN REVIEW Yes � No SEWER CONNEC'TION STATE SUR`I-�ARGL Yes � No WATERCONNECTION INVESTIGA'I'ION FEE Yes No .� PARK FEE SAC Ycs No �/ SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: (�2-(!3 Fire Department: (��(q:�c.c� Post Office: �, �- School District: b2o�so �— Lot Area: Sq.ft. 3.�7 Acres (b�,�'1�•Z Width /�'�t,�,,�uc.4�/L- Depth Survey Submitted: Yes�C_ No Date of Survey: f3�L9 '�77 Proposed Setbacks: Front (Lake): Sg-I Right Side: I ( S .y �. Rear (Street): 3 7 c� ' Left Side: /S 3 w Adjacent Structures: /(J//4- Wetland: 6 7 � Building Height: Def. Hgt. Z�•5 Peak Hgt. 31•5 Lot Coverage: ��/}_ Grading: Staff Approval Date: � - S�5-1 By: �,. Council Approval Date: /1��/� Septic: Staff Approval Date: By: Zoning File: # Resolution: tf Resolution Date: Shoreland Dist=ict: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' N.� � �s-Zso� 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): � 26 � BUII.DING REVIEW CHECK LIST UBC: (j� CONSTRUCTION TYPE: �/N ' Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = R = TOTAL Estimated Construction Value: $ y�j�,baOb� Inspections Required: Work Requiring Separate Permits: Site ._ 0�Plumbing Fire Hardcover Removal � Mechanical Water Connection D( Footing Septic Sewer Connection _ p�Framing � Fireplace D�Lawn Irrigation _g Insulation �(Masonry) Other �i _Wall Board (Mfg.) �Well (State Permit) � Final Grading/Filling _�Electrical (State Permit) Other REMARKS (IN HOUSE): REV�W BY OTHERS: DATE: Access: Eusting New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): � 27 ..•� �w?� ry��.��.I t�t f'`�Q X.�_:.)::i`i �:��w ;i�.� ,�..�`��.�.�'�� I•-I.1. .l ��! �3�'S�:�I'•1 I l(.l r�, �<:�# P�i�F•I�. �."'a.:�"1 Li[� `>�1 ��!t�`; :��N'1.1 ;I fi.��# ,-.�U MI t:1 J..CJ 1. ;;�:�. :�;fi 8'�.f� �". �..,.� M 1�4�.�(.J�. 4,tJ v�.+'.,J�U�J -- +w[..�}„t.+ �1 1�"� ::��:: �J L+L U,L�G..t� .. ., ., .. . .. . ., _V_J i:l}�� '7 I�J..��1.:::I�.��r::��.J�.f�:] f:1��.L�J��lfla�l:[ .l :3�! `1�.�.1,�1.1. ��f £3C)0"/ .._ ��;Q"C� �(��:+� �;.�;� OGL "�iU� . � . . ., � .. . �oC�'l` ::��-�'�?��3fti��j ��:it� J'r•�:C!��:� '��!I"1��/`w�0�?� ��1 a.�C�J. 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Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract n ' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN /O /3 9 INSPECTION NOIIC��S SCHEDULED i3 97 3 .' 'S a PERMIT N0. `� COMPLETED ADDRESS � 5 OWNER C�. ✓ CONTR. TELEPHONE NO. �4 7- �I/89 � DES PTION �.�>�„�a� � 01 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADING/FIWNO � ING 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 06 PROGRESS E` 07 DEMQ—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 � 10 PIUMBINO FINAL 2a CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � 2 W � W � � d ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � C CORRECT WORK 8 PROCEED := ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContract sit : Inspector. White Copylinspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �� t `�� INSPECTION NOTICE ,/ SCHEDULED �-I ;` � �� PERMIT NO. �/ '7 `��S COMPLETED � _� ADDRESS '�� .�"i'�Zc � ti� � �'�':- OWNER �v�<: `_�4�:�.�tr c�. CONTR. TELEPHONE NO. b"� �� 5 °= �� DESCRIPTION f_":; ., � , :<� r_�Y ,, " i c G; �., � ' G. �� ( � Ot FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 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 = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 70 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � 2 W � W � j �d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. – pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OflDER POSTED.CALL INSPECTOR – CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the t in ction 24 hours in advance.473-7357 OwnerlContrac or it : Inspector. � � White Copyllnspector's File Canary CopylSite Notice DATE . TIME CITY OF ORONO CALLED IN � ��[� �l` �-��« ��j INSPECTION NOTICE ��S scHEou�E� '�� '� ` -S, /L �(�` ��<�i� PERMIT NO. COMPLETED ADDRESS� =-�(/ i:� � - � � . /, • _ . - OWNER � � �.� : �� ...tC Z: �-.- CONTR.��. �� ; ';c ��_ �l, , <� 4� TELEPHONE NO. ��--� -� �� DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 �', _ . 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMME T : � � C9c9✓` � U.0 S � J 0 � � 0 � w � Q � z W � W � j d � ❑WORK SATISFACTORY:PROCEED : PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i�spection 24 hours in advance.473-73�J7 OwnerlContra� on s te: inspector. , White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN �__L'�'� : Q�'j INSPECTION NOTIC�j / SCHEDULED ��-�i.� �3 ' � PERMIT NO. 7 �S COMPLEfED ADDRE 7 � OWNE�� L2,a� CONTR � ��he.� TELEPHONE NO. �y��.�,�/3 - 7iZ� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 0�2 FRA-M—ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y I'03 NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL . 12 WATER HOOK-UP 17 SITE INSPECTION Q 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 � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � J O a � O � W � Q � Z W � W � � d �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRA E ACCESS. Call for the next ins ctio 24 hours in advance.473-7357 OwnedCon a i e: Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIMFy CITY OF ORONO CALLED IN � �S `L INSPECTION NOTICE � SCHEDULED � " V PERMIT NO. �� COMPLETED � ADDRESS S '� � ' OWNER ,..X--��1 �'�`�--�- CONTR. TELEPHONE N0. �a �3-c� � I l � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 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 � 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 � COMMENTS: � SeoT-i c. Fi..t c►L � � , n. .,..,��.�S � o ` -r�a-P c_./J Co e c�ce 5 0��-�� i•�r (�A�1la c� � �" �"�(p�J 1✓1.� ��1^�1'�(�J��L. C�A�II A-C��.�' S��/L 5 � O � W � Q � Z W � W � j d � ❑WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W � �EE� ❑ ISSUE CERTIFICATE OF OCCUPANCY ��t,ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V B �_PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; pHOTOTAKEN INSPECTOR WILL RETURN �, CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor it Inspector. White Copylinspector's File Canary CopylSite Notice