HomeMy WebLinkAbout1998-011047 - addition . PERMIT
�t � CITY OF ORONO PERMIT TYPE:
2750 Kelle y Parkwa y- P.O. Box 66 ��i-'-�'-�'!'`�;�
Crystal Bay, Minnesota 55323 Permi t Nu m b er. �_,+ �{��:,��,,
(61�)473-7357 Date Issued: - _ _ _
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — F�=�°�°� �i�_��;�. —..
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PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � ,
V Total Fee: $ /, ,S13_ �� Date Received: �/ ��-�{ -`��
Entered By: �,(, Permit#: l/Q�
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 R CONTRACTOR
JOB SITE ADDRESS: �a S �b bS �o•.�..ti �� ZIP: 5 5 3 5 �
NAME OF OWNER: �pl�,.��-{-t ���rva�����.SPHONE: (home) �-7(0- ��
� (work) �7 3 • �F3 ��
MAILING ADDRESS: y85�-tu.to�,.s 3�., 2 CITY: l,.,o� L.al,c� ZIP: 553 5(e
CONTRACTOR: �(ti��_ JO C(n,�' nnS PHONE:
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CONTACTPERSON: MOBILE/PAGER: 8'� 5 - �7 z L
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: �-�,►�� 1_a--To n c�'es s�e- PHONE: y-c�F - I lo�0 5
MAILING ADDRESS: 3O"7 ,"no.x�-4 o bo- �}v-� CITY: l,J ZIP: � 5 3�1 !
NAME: REGISTRATIO
TYPE OF WORK: New Addition_� Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe irc detain: (�,GtG� GCt�G�,L. -- ..�,,�vus�
I rl
STORIES: � SQ. FEET OF EACH FLOOR: ��.,,,��,� a,�o�
NO. OF BEDROOMS: � GARAGE STALLS: ATT. X DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ IpQ,po�
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 Cin� 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: d G�NyiDATE:
NOTE! Parade of Homes events require separate pernzit approval by Police Depamnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS 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 section.
Subd.2. Information required to be given individual. An individual asked ro supply private or confidential data concerning himself
shall be informed oF. (a)the purpose and inrended use of the requested data within the collecting state agency,political subdivision, or statewide
system;(b)whether he may refuse or is legally required ro supply the requested data; (c)any known consequence arising from his supplying or
refusing ro supply private or confidential data;and(d)the identiry of other persons or enriries authorized by sta[e or federal law to receive the data.
This requirement sha(i not app(y when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav�lace the norice reauired under this subdivision in the individual income tax or propertv 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,and whether it is classified as public,private or confidential. Upon his further rzquest,an individual who
is the subject of stored private or public data on individuals shall be shown the data wirhout 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 meanine,the data need not be
disclosed to him for six months thereafter uriless a dispute or action pursuant to this section is pending or addirional 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 authoriry may require the requesting person to pay the actuai costs of making,certifying, and compilinc the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdi�ision,or within five days
of the date of the request, excluding 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 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 contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreemenL The responsible 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,induding 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 detertnination of the responsible authoriry may be appealed pursuant to the provisions of the administran��e procedure act relating
ro contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjec.ts 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 ma}� require ��ou 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 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 pri��ate data on yourself.
6. Your full name is required to process this application or permit.
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Ciry Stare Zip Phone
I understand my rig as stated above.
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Signature
6
` CHECK OFF LIST FOR ISSUAI�TCE OF PERMITS
, FOR OFFICE USE O�LY
ADDRESS OR LEGAL: -'��!`� �-t�_.��>s ,�. CL�-y �,I
PID:
DESCRIPTION OF WORK: �Q p� n o,�S
------------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED: ��- � - g g
BUILDING REVIEW BY: DAT`E APPROVED: �2-I -g g
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERiV1IT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �/ No `VATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
"LONING CHECK LIST Zoning District: Q2• (�4
Fire Departmenr. (,���,(,Q«,C' Post Office: �4��G School District: �lZ�l.Ja
Lot Area: Sq.ft. 80,(��c7 Acres /.g S Width 2(00 Depth 31 O
Survey Submitted: Yes� No Date of Survey: �-/=7 g
Proposed Setbacks: � �
Front (Lake): (3�- k Risht Side: , �
Rear (Street): �n`i� � Left Side: 53�
Adjacent Structures: � ��} Wetland: !v )�,
Building Height: Def. Hgt. D•k- Peak Hgt. --
Lot Coverage: � ��
Grading: Staff Approval Date: �J (� By: Council Approval Date: —
Septic: Staff Approval Date: By:
Zoning File: # N � Resolution: # -- Resolution Date: ---
Shoreland District: Nv
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: R• ,3 CONSTRUCTION TYPE: �(�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ ((�(��npD'"�'
Inspections Required: Work Requiring Separate Permits: .
Site �Plumbing Fire
Hardcover Removal �_Mechanical Water Connection
pc FootinQ _�Septic Sewer Connection
�C FraminQ Fireplace , Lawn Irrigation
� Insulation (Masonry) Other
�Wall Board (Mfg.) � Well (State Permit)
_�Final Grading/Filling � Electrical (State Permit)
Other
----------------------------------------------------------------------------------------------------------------------------------------
REMARKS (LV HOUSE):
------------------------------------------------------------------------------------=-----------------------------------
REVIE`V BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS ('I'O BE NOTED ON PERMIT):
8
DATE 71M
CITY OF ORONO CALLED IN /� '�d '�/Q ���
INSPECTION NOTICE SCHEDULED /�-/ /'9� •`�S
PERMIT NO.�//�SL7 COMPLETED �� �
ADDRESS L �
OWNEB ���7.�/�S CONTR. �
TELEPHONENO. _ SCj'D �57�-�
� DESCRIPTION —
� TING 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
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLT ARRANGEACCESS.
Call f r the xt in tion 24 hours in advance.473-7357
OwnerlContra` site:
�
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN � -/�'�-l `J �G �Cz ct��
INSPECTION NOTICE SCHEDULED ,� -// " �l`7 //:�c2�
PERMIT NO. �%� � �'��7 COMPLETED ��
ADDRESS � `����-�b� � /`G���
OWNER�T �' �Gir� 5 CONTR.'���- �z'�'''`—��'�
TELEPHONE NO. �� � � � C i ;�
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
QFRAMING j 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI K 23 SEPTIC FINAL 35 HARD COVER REMOVAL
�y b 'E�- ����a�LLj 36 FOUNDATION/REMOVAL
�OW�AERICQNTRA"��OR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
f� CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContr s e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN `"�
INSPECTION NOTICE SCHEDULED � �Z 95 / . _3Ci
PERMIT NO. �� � 't-�� COMPLETFaD � �?
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ADDRESS �-� 2-t.. � '� r
OWNER CON� R.
TELEPHONE NO. �`��I� '��_`��c�
� <�E�C �PITION ����_��'ri
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance.473-7357
OwnerlContr o s te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN 3-3= ` �� '��
INSPECTION NOTICE . scHEou�Eo��/-�����=",.F �'�� O
PERMIT NO. f D - � COMPLETED
ADDRESS �� �
OWNER n � " � � ,t,�,CON . .��✓`e- �-��
TELEPHONE NO. � 7,3 ��c �i �
� DESCRIPTION
ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA� 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL � 15 SEPTIC INSTALL. 22 FOLLOW-UP
_ �NG RI ?r 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J i INAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL tNSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next�nspection 24 hours in advance.473-73�J7
OwnerlContract s'1t�:
Inspector. ��
White Copyllnspector's File Canary Copy/Site Notice
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DA E- TIM
CITY OF ORONO CALLED IN t � J�
INSPECTION NOTICE SCHEDULED -�� , Z�
PERMIT N0. � COMPLETED �
ADDRESS � �-�� � � ��'
OWNER �`'��Lt/Y�'t� CONTR. �x'-m-���
TELEPHONE NO. � ,Z� � �' ���
� DESCRIPTION
l� 01 F G"'--• 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�- 02 FR 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOL�OW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the xt inspection 24 hours in advance.473-7357
OwnerlContr site:
Inspector.
White Copyllnspecto s File Canary Copy/Site Notice
DATE IME
CITY OF ORONO CALLED IN �-� ���3�
INSPECTION NOTICE SCHEDULED �- 7-�l,'� 3z-'
PERMITNO. d ���' �7 COMPLETED �� �
ADDRESS ��'� .� ,�=tt /��a
OWNER �� CONTR. .�rC- ��-��"
TELEPHON�NO. ���c; _- � G� ��
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
�MING --- 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL �15 SEPTIC INSTALL. 22 FOLLOW-UP
= PLUMBING RI l! !�23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 INAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.
White Copyll�spector's File Canary Copy/Site Notice
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SEC. 32, T.�'T1'8, R. 23. �
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' ri �iSn`�^ 11 L ORAWN DRAWit�:G
1 HEREBY CERTIFY THAT THIS PLAN,SURVEY,C'R � ^ r.�p,
. S i REPORT WAS PREPARED BY ME OR UNDER MY � �'�
- Z -Cj DIAECT SUPEFiVISION ANO THAT I Ah1 A DU�Y ��C' �U
' RcG�STEFED LANO SURVEYOR UNDER THE LA4VS OF cHECK RIEKE • CARROLL • MULLER 1 Of I
THE STATE OF MINNESOTA. .
. ' �. '• i.� � pS ASSOCIATES INC.
�.�-' � �j-'�7 �y'�..=-�--�.
� —•---- SURVEY ARCHITECTS • ENGINEERS • SURVEYORS Fl�Erro•
t B�' Hopkins Gaylo�d Fa�rmont St.Cloud '
. D.aTE s. �'� �L _,_pEG:STAATIQNNO ��','� � �•�SN• Brainerd Mankato Worth�n9ton