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Home My WebLink About1999-011403 (Addition/Remodel) � PERMIT � �CI� OF ORONO PERMIT TYPE: 2750 Kelley Par4cway- P.O. Box 66 �.lj�L�.!I��f� Crystal Bay, Minnesota 55323 Permit Number: {.;��s_; (612)473-7357 Date Issued: t jE��c�::�,� SITE ADDRESS: :_`:�(!� �2��t�{�3��_t�'� 4e;�� il•� �' � �� SD.-i^i �?�'�!.�—,�''_^'!„��_J{�� DESCRIPTION: ��'��. A�:�C��i I�_�� .a a.?o�i i-r� F`�t�l�fi 1�• T�F��= '_��_—d��a�i�:�f��'�,�L E,!�a l��i��sa 4:��4�: T�� ;C;C�I T I�:+t� i_s�;i: t=f a r t�F��p�y� l 1—d i:�cfi=.'F.y�s.��.3.o=�t� �;r'F�� '��'� � L,�tl i il� {�`.�—�.�� 4.:�'ll=t�le t:�_��s� '�� ..� . h:�•=��t-9� REMARKS: FEE SUMMARY: �z'�a�t.��TT�jC�! ��, °�;'°�: �:�,_� F;�;� ��. �:�`.:�� F'l�a-� ��+i��+� �p�_ . ��. _. _ ��4li';�'i�t',��' �'�_�l�� i'�:��1 FY� - —:,_, -------��,<< 1� CONTRACTOR: OWNER: — ��,�,� �,-a�,f. — E.;�'!��_E F��=��E#�'T i'=�:�� E�I t�Ed��w`t�4 l��a'�' -s i�i=��i�t �1C�i �5;;�� "` as�' � S' C= i � i�- �—' =�" �°—`". §� B Y� °�`� r �" �a'"' e`•' S""r 1.�. +_ �`�� i��4g 1��._�'�.��l��l ��:.�:r..�.�'� �;�f:;�:�.�=i•_ r��i°i ___� ��i i��i�-.:� T�,_ s-=:�� IiT��-`�=F�a�t'3�e�i ._� � i , � �;��s��:_; �� t� }�_�. �&i��i��: I iy 'wQ�;��:j t�:�rrT��='g�'��C:� �3�'�� `'t�� .��,�� _f�= °:��'� ��= �� .��' � �. i ;� �, � �:fr�=�;��_� :i�:;�g�v;�t4.1�� ,� ��'r��i� �..��= ��I C��s�:_;f=�� _{g t�.►�i i�;� �:�r��,tE �°�.�.��t,i 3�'��`i':�� . � � �� - APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �: , .' �g�. r'7 � Tota.l Fee: $ J 1 Date Received: �o��, l% Entered By: Permit�#: �l�b;� �— CITY OF ORONO - BiJII..DING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) � THE AP'PLICANT IS: (circle o�e) OWNE R CONTRACTOR JOB SITE ADDRESS: ��..� �-� `+�,��, �-'�� z�: �'.s � .�'� NAME OF OWNER: �o�°� a �/��`S-�i�^c, ��VE-�' PHONE: (home) �el� � �t 3 O � / (work) �'�O- 3 Z� c'i �i��-� MAILING ADDRESS: ,�.��S .��i i�9 d o��hCI1'Y: C�✓'v.�� ZIP: .�� 3 .�'(� (,��c�-(-�.�,`� -��d��, CONTRACTOR: ��P�'� TB��-�' �`�`�^rX IiONE:_ CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCffiTECT/ENGINEER: .Se�-�- O w n-��' PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition � Accessory Structure Move RemodeUAlteration Land Alteration PROPOSED WORK(describe in detai�: �c�d i�9 � 3 ra c� 9 ��9-� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION(excluding land): $ S4�`�v O � I hereby apply for a building pemut 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 accordance with the approved plan. � � APPLICANT'S SIGNATURE: �` �' ` DATE: �"C 26 � NOTE! Parade of Homes events require separate permit approval by Police Deparhnent 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 sectioa S�bd.2. TntormaHon req�red to be�iven individual. An iffilividual asked ro supply private or confide�ial data concerning himself shall be informed of: (a)the purpose a4d iabende�i use of the requested data within the wllecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any l�own wnsequence arising from his supplying or refusing to supply private or co�'idential dara;and(�the ide�ity of other peisons or enfldes audiorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative dara,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revernie mav nlace dte notice reauired under this subdivision in the individual income tax or nrocertv tax refund in.cerucdons instead of on those forms. Subd.3. Access to data by indiridual. Ugon request to a responsible authority,an individual shall be informed whether he is the svbject of stored data on individuals,and whether it is classified as public,private or confidential. Upon tris further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without azry charge to him and,if he desires,shall be informed of the wntent and meaning of tLat data. After an individual has been shown the private data and informed of it�meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to d�is�cdon is pending or addidonal data on the individual has been collected or created. The responsible authority shall pmvide copies of the priva�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 malti�►g,certifying,and compiling the copies. The responst'ble authority shall comply itnmediately,ff possible,with any request made pursuant co this subdivision,or within five days of the date of the request,excluding Sawrdays,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, excluding Saturdays,Sundays and legal holidays. Subd.4. Pracedure when data its not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exerci�this right,an individual shall notify in writing the responsible authority descdbing the nature of the disagreeme�. The responsible authoriry shall within 30 days eidier. (a)wrrect the data fwnd to be imac�uate or uicomplete and atxempt to notify past recipie�s of ifficcurate or incomplete data,including recipients named by the individual;or(b)�tify the individual that he believes the data to be correc� Daha in dispute shall be disclosed only if the individual's so�teme�of disagreement is inciuded with the disclosed data. The determination of the responsible authority may be appealed pursuant w die provisions of the administcative procedure act relaang 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�ity of Orono or any of its departments may require you to furnish certain ' private or confidential information. You aze notified that: 1. The information you furnish will Ue 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 precess 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. � �i��S-{-i''� �iu-�✓� (` � � ✓'v C-� First r o Middle L.ast `�i 2f�.� �"J1 it� ��ri ��a/ �p�� o /�,� s',� 3 S-� �l�t � �� 3 c� ( C�ty State Zip Phone I understand�ny rights as state a ve. r � � � $lgD'dtUIC 6 . � . � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z,2 0� A r3�nr C,a w.� w rA.�., PID: DESCRIPTION OF WORK: ��.6cr /tn,o� 310•—� ZONING REVIEW BY: DATE APPROVED: 5=` -9 9 BUII..DING REVIEW BY: DATE APPROVED: .�-` -5 g► FEES TO BE CIiARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLAN REVIEW Yes v' No SEWER CONNECT'ION STATE SURCHARGE Yes �/ No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: (L2-�Q Fire Department: (�Nfo �.�IIGE Post Office: l.o�u Schaol District: (j /Le�.vO Lot Area: Sq.ft. �v ��s„�Acres -- Width — Depth — Survey Submitted: Yes� No Date of Survey: p�/ �=�1,,ts, /n•�j•�j Proposed Setbacks: Front(Lake): ��S� � Right Side: 1�—O� ± Reaz(Street): I Z5� t Left Side: !5b� + Adjacent Structures: /�-rtykc.(-t-cy"� Wetland: �J �14 Building Height: Def. Hgt. D�(� Peak Hgt. — Lot Coverage: �� Grading: Staff Approval Date: -- By: Council Approval Date: Septic: Staff Approval Date: — By: Zoning File: # — Resolution: # — Resolution Date: — Shoreland District: �n Avg: Setback: Bluff Setback: Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-10�' Hazdcover Variance Required: Yes No Date of Council Approval: REMARI�S(in house): 7 t ,r � BUII�DING REVIEW CHECK LIST UBC: u-t CONSTRUCTION TYPE: �!� Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage �1 Z x I`1•d� = S�'� Z-� R = TOTAL Estimated Constcuction Value: $ S 5 2SB Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) �Final Grading/Filling �c _Electrical(State Permit) Other REMARKS(IN HOUSE): � REV�W BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMII�: 8 DATE TIME CITY OF ORONO CALLED IN "7�`s�'i— `�' '�� INSPECTION NOTICE SCHEDULED -7�-a'9 �� 3C� PERMIT NO. o��y�� COMPLETED ADDRESS �'�� b`hGc�Otel l.v�.�/ OWNER CONTR. �vG�S TELEPHONE NO. Ll�-1,R��01 � D IPTION 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 NG 13 MECHANICAL FINAL 19 LAKESHORFJWETLANDS 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 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 � OWNERICON7RACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � � �� J O a � O � W � Q � Z W �c W � � :;.=�- � W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE RRECT WORK&PROCEE ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the nex " 4 hours in advanc -7357 OwnerfCon r n, ' inspecto White CopyMspector's File Canary CopylStte Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED ,�7� PERMIT NO. co PLETED ADDRESS O ' OWNER CON . TELEPHONE NO. � DESCRIPTION 01 OTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING�, � 02 FRAMING 13 MECHANICAL FINAL , 19 LAKESHORENVEfLANDS h Q 03 INSULATION 24/25 WOOD BURfVER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��„ COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLETE W � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next in pection 24 hours in advance.473-735 OwnerlContr ctor s Inspector. White CopyMs r's Flle anary CopylSfte NoB� DATE TIME CITY OF ORONO CALLED IN INSPECTION N9 ��r SCHEDULED l�� s� '�-= PERMIT NO. �L�"��3 � co PLETED �- �9 �'� ADDRESS � � OWNER��V '�— CONTR. TELEPHONE N0. 7� '1^��9 � DESCRIPTION LL 01 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADING/FIWNG 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATEA HOOK-UP 17 SITE INSPECTION 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 � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COM ENTS: � u � tT�e 11't �'t �v�-S�S a o �-S o� � ��- G 3 � c ��l,e�� . � ° � r l G �G C � ��.�, W � Q � z W � W � � d 0 WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � ORRECT WORK 8�PROCEED p ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIWG PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector..��/ 1 � Whlte Copyllnspector's Flle Cenary CopylSite Wotice �� A TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �` SCHEDULED -,�c�� —� PERMIT NO. C�,� `IG� COMPLETED L�'' �' �±�%G ADDRESS �� 77�«�� OWNER ��= CONTR. TELEPHONE NO.��f� �J��I � DESCRIPTION �dY �V"4�p�- L� 01 FOOTING 11 MECHANICAL RI 18 IXCAV/GRADING/FILUNG 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS y LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c�„ COMMENTS: � a � j = y"U i/I�` � 1�''c:��G� 5 C; --- o l � c � ' � �` `�-5 c?`z —s` a 4"- ' � 4 I �) r° 't � s �C' / G�e�I G�Z �d Q G� �G'�7� ��f�Ss �� ' .S ti Z W � W � � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RERJRN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advan�.473-7357 OwnedContractor on site: Inspector.�,��•C..�r.s! -� Whlte Copyllnspector's Flle Canary CopylSRe Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �a�' '.� PERMIT N0. o11N��3 COMPLEfED � 1 �v ADDRESS �a'�S ��c� �'"' OWNER YV('�C., CONTR. � TELEPHONE NO. � DESCRIPTION -�ti`1c� oF'� �a-✓�c��1.2. Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y O 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 � 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 MEET YOU:_YES_NO y COMMENTS: � W C � C O a � O � W � Q � 2 W � W � � W�IORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE �� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cj pHOTO TAKEN INSPECTOR WILL RETURN I� CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4s0� OwnerlContractor on site: Inspector. ��^�t/L� White Copy/lnspector's Fite Canary CopylSite Notice