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Home My WebLink About1996-007655 (Remodel) PERMIT �-CI� OF ORONO PERMIT TYPE: 2750 Kelley Parkway-P.O. Box 66 ��T t�lG Crystal Bay, Minnesota 55323 Permit Number: ;_y�_y.��G� (612j 473-7357 Date Issued: t a a�:��fA��t�, SITE ADDRESS: �.:;_,e y ��;�;i��; ��;`d' L'��1 F' I .��. ; f�a—�. �.�—:�:_:=:—=;�—c:y+y�.�� DESCRIPTION: �:.� I 6�I�+��1'b_�a�,�f�_�I C��.��r� E��aa. l��iy�� F'F,t�ri�i�• T��N `��—H��/Fi�tli�i��L E:°a� �0�6$t,�� t��t~�-: T��°� FEF°I �C:F ��7'=;4 I��I% t dF:i: 6i,_r i!�'��i��y a�;—�� I�:e_��i;.�'4.�f�f.�e�rl� ��F'�' ��'� t-Yi��a� �:,�� .:a.�. A1_T . ��'=.I G��`�'t�L REMARKS: FEE SUMMARY: '��3L�.J�;i I i�F� �.�t.,�y4 Fc_� Lei'1.�� v=sref , s.'� :_:t�f i'C�tci i'''�� ----------��.:i 2f Y �;='�=3, �e o�.,�l i �i'� _ .;:� � CONTRACTOR: OWNER: — ��F�I �+cts��t� — �_,C•i I T�-� T&'d�d� 1�:;:i� �=��F;t_f� �_;�" i i�F i��i e �'�� _.��. E:�.�y:��.i�,—=a�� . � �'�� t.t��;;�:�;T�.�t;��.� ;�-��_� �_��z.�';:�''e� 9�`��=`'s`:��..#'tt� ��r� ��s��::� 9!-d� ��'�s�. I��=`�'�s;��l��''�� e:��:��'�� ,��°�'� ��'��'��.� ,Ti i ;�,r_s �:��_}. �:�i:g�=<f:' �t�I :a.i�a°�'�;:�' �;:�t��`��:.=� �:�I T�-f ��_�., s:�T;` ;�a� . ; ��s�c��,i ��i�i�i�'t�o�l��;�''= ��4#�, '�T�a�"E ��€� t°�3 C��vt�:��T� �.��I�� '�� ,t��.a�'�i�:��t��i`v:. � , � L,._ ._:_ . .� -- --- ----- -- -- - _�..____- __�------ ..,.--- J � / p -�----" �y�v �--�� , APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE d �� CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY anDxFss oR r�G�.: �3�o �4Rbo2 -�! PID: DESCRIPTION OF WORK: S�/�� F w�� S ZONII�IG REY�W ��: N/ BA'FE APPR4VED: . BUII.DING REVIEW BY: DATE APPROVED: 'J"�!- �r s FEES TO BE CHARGED• Misc. Fees Calculated By: PERMIT • Yes �/°' No PLAN REVIEW Yes � No � WATF.R CONNECTTON STATE SURCHARGE Yes INVESTIGATION FEE Yes No � PARK FEE SAC Yes� No � SITE INSPEC"ITON Number of SAC Units OT�R (specify) ZONING CHECK LIST Zoning District: Shoreland Disuict: Fire Department: Post OfFice: School Dist ' t: Lot Area: Sq.ft. Acres Wi th De th Survey Submitted• Yes o ace of Survey: Proposed Setbac Front ( e): 'ght Side: Reaz (S eet): ft Side: Adjace t Structures Wetland Building Heigb : Def. Hgt. Peak H . Avg. Setback: Bluff Se back: Lot Coverage: Existing Proposed _,_ -- Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover V 'ance Required: Yes No D e of Council Approval: Grading: St Approval Date: By: Conncil Approval Date: Sepdc: Staff pproval Date: By' , Zoning File: _— Resolution: # Resolution Date: P;��V�[AgI�S (in house): a,�� ti I 0 �, . � BUII..DING RE'VTEW CHECK LIST UBC: R'j CONSTRUCTION TYPE: �� Sq Footage S Per Sq Ftg � Basement R = lst Floor x = 2nd Floor x = Garage x — R - TOTAL Estimated Construction Value: � H ��°'� 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 Boazd (Mfg.) Well (State Permit) p� g�� Grading/Filling Electrical (State Permit) Other REMARI�,S (IN HOUSE): --_�---_--_---------- REVIEW BY OTHERS: DATE: Access: Ea�isting New Access Approval: Date BY� -------------------- REMARKS(TO BE NOTED ON PERIVIII�: 27 . . . r Total Fee: � �'q, oZ5 DateReceived: Date Approved: Entered By: Permit#: Il��S� � CITY OF ORON� - BUII.DING PERMIT APPLICATION EiLL INFORMATION I�fUST BE SUBVITT7`ED Pi 1�ULL BEFORE PLAi�T REVIEW WILL BESTARTED ------------------------------------ THE A,PPLIC�v'T IS: (circle one �X O`Vl CONTRACTOR JOB SI'I'E ADDRESS: �� `� zrP: �� ! �� PHONE: (home) ��" �� NAlti�OF OW�iER: � �� (work) VIAILINGADDRESS: /��9 ,�� CITY: �c;�� ZIP: �„5�..��f CONTRACTOR: �' �t--� PHONE: 1�10BILE PHOi�iE/PAGER: MAILINGADDRESS: CITY: ZIP: STATE LICENSE: # ARCHTTECTJENGINEER: PHONE: vIAILINGADDRESS: C�Y: Z�: N��: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move RemodellAlteration � Land Alteration I � c��d'� ��{�� e�,�[c�� A PROPOSED WORK(describe indetail): ',��v� r a P g � • �`r �,. • V�f;:.>c..A � 1 � /< �-I�...t��(Y-�y�G;,K- � . CC �� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. ESTIMAT`EDCONST'RUCTIONVAI.UATION(escludingiand): $ y 000�- 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 ordina.nces 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: /� � � �' � Np�! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event: Non permitted events will not be adlowed. . o. . o . . ,j'' � ` . .� � � - o `_ � --- , �+�� O� � '1 .�_ ,9y �iunicipalO�iices ,�,e�. ,+'� .« �� , - fy Post Office Sox 66 � ��'� '�°�� _. �'�' Crysral Bay,tiiinnewta 5a`32'i-OOG6 . „' •� � �� 1 . � '� , 9j��, DATA PRIVACY A.D'VLSORY In accordance with ��f.S. 13.0�, Subd. ?. "Riahts of subjects oT data". we would like to inform you that your request for a p�rmit or license from the Ciry of O:ono or any of its departments may require �lou to furnish cercain private or confidential information. You are notified that: 1, The information you furnish will be used to determine your qualification for the permit or licensz requested. ?, You may refuse to suppl}� �aca, but refusal may require that the City der.y the �ermit or �icense. 3, The i.*iformation may be shared with uther local, state or federal a�encies to the extent necessary t� p:�c�ss «�z permit or license. :�. If your requested permit or license requires Council action to approve. same inf'ormation may becam� puolic. �. You ha��e cer.ain ri�hts under M.S. 13.Q4 (se� follo�i�inQ p3Qe) to review grivate data on yourself. 6, Your full name is required to process this application or permit. PLEASE PRIl\rI' � c9DD � �� . First �1idd:e �t ! 3 � � � S�. Address �� ( _ �7��S 7.5� (��IJ� State Zip Phone Ciry I understand my ri�hts as staced above. �v . ignature ��o*rE-a�r3-r3s�• Fax-a�-osio � . • . . .� �.p.� RIGSTS OF SIIBJECTS OF DATA � - gubdivision L Tppe cf dat�- The rights of individuels on whom the data is stored or to be stored shall be es set forth in this section. Subd. 2. Information r� to be given in�i.��• An.individuel asked to � � su ply private or confidential data concerning himself shall be informestat aaency, P purpose and intended use of the requested �t whether hee ma�erefus or is legally political subdivision, or statewide system; the requested date; (c) anY 1cr►own consequence arising from his required to supply and (d) the identity of supplying or refusing to supply private cr confidentiel data; other persons or entities authorized by state or federal lew to receive the data. This. 1 when en individual is esked to supply investigative data, requirement shall not app y to a law enforcement officer. pursuant to section 13.82, subdivision 5, The commissioner of revenue ma lert tax re�und instructio uinsteadh°S subdivision in the individual income tax or r• on those orms. . - --- - � . Ac� tp �� by ��, Upon request to a responsible Subd. 3. authority, an indi�dusl shall. be informed whether h r vateeor eonfiden ial.e Upon his individuaLs; an d w he t he r i t i s c l a s s i f i e d as public, p u b li c d a t a o n further request, an individusl v�►ho is the subject of Se to himrlande if he desires, shall indiviauels shall be shown the data witho Of�t at d�a a. After an individual has been �e informed of the content and meaning t� �� need not be disclosed to shown the private data and informed of Its ut��action pursuant to this section is him for six months thereafter unless e �SP � ending or additienal data on the individual h�BteQor p blic dataruponarequest by ' P require the responsible authority sha]1 provide copies o t P �ible authority maY �n the the individual subject of the ciata. The resPo requesting person to pay the actuel costs of malcing, certifying, and �°mp g copies. lmmediately, it pessible, with any request The responsible authority shall eomQly ' made pursuant to this subdivision, or within ag e �f Simmediateatcompliance eisu�°t excluding Saturdays, SundaYs and legel h YS� ossible. If he cannot comply with the request within that time, he shall so inf4orth the P haye an additional five daY5 Within which to comply individusl, and may request, excluding Saturda}'s, Sunda3's e�d legal holidays• . Subd. 4. Proced�ae �►hen data � �blic o�p ivate datma lconcerning himelf• To contest the accuracy or comQleteness�of p the respensible authority exercise this right, an individuel shall notify in writing describing the nature of the disagreement. The responsible authority shall within 30 days either. (e) correct the data found to be �nae a�ae�°�udingree�iPl��namedtby notify past recipients of inaccurate er ineomp the individual; or (b} notify the individual that he believes the data to be ementc� Data in dispute shall be dis��ed cn1Y if the individuel's statement of disagr • included with the disclosed ealed pursuant to the ' The determinstion of the responsible authority may be aPP provisions of the administrative procedure act relating to contested cases. rA J DATE TIMC CITY OF ORONO CALLED IN —�/ � � �� INSPECTION NOTICE �- SCHEDULED ' ��I PERMIT NO. 7�0 5 S COMPLETED � � ADDRESS ��$d ��' ��• OWNER ,X��-e%�� CONTR. �'"�2�� TELEPHONE NO. `�` � �O - �.59 5 � DESCRIPTION � 01 F 11 MECHANICd1LRI iBIXCAV/dRADIN(�/FlWN� iQ FRAMIN� 13 MECHANICAL FlNAL 18 LAI�SHOREIWEMNDS p 03 WS ON 2M25 WOOD BURNERlFlREPUICE 34 TREE qEMOVAL � p4 WqLL gD. 12 WATER HOOK-UP 17 SITE INSPECTION � p5 FlNAL 14 SEWER HOOK-UO 06 PROQRESS � J 07 DEMO—SITE 27 SEPTIC MNNT. 21 COMPWNT W 07 DEMO--FINAL 16 SEPTIC INSTALL ?2 FOLLOW-UP = 09 PLUMBIN�RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL v /0 PLUMBINO FlNAL 36 FOUNDATION REAAOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO ��„ COMMENT • � � Cl � . S o -- fi�"s � `� '�` P''r a �_ � 0 � W � Q � W C W aC � d �WORKSATISFACTORY PROCEED ❑PROJECTCOMPLEfE W � ❑CORHECT WORK�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RERIRN ❑STOP ORDER POSTED.CALL INSPECTOR O CRATION ISSUED ❑INSPECTION REWIIRED.CALL TO ARRANGE ACCESS. Call for xt in pection 24 hours in advance.473-7357 OamedCo on e: Insp�tor. VYhite Cop�rQnspector's Flle Canary Copyl5lte Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIG /�-�-+ SCHEDULED '- `� PERMIT NO t� J.� co LEfED -- -- -- --- - - ADDRfSS-- - �_— �� OWNER �� CONTR. TELEPHONE NO. . � DESCRIPTION �o� � �ooG� I,� 01 FOOTING 11 MECHANICAL RI 18 EX /GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 INAL 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 y COMMENTS: � W a J O � � O � W � Q � 2 W W � � a � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY 0 ❑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 ins n 24 hours in advance.473-7357 Owner/C ract r o sit : inspector. White Copyllnspector's Flle Canary CopylSRe Notice