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Home My WebLink About1998-009922 (renovate/remodel) • - PERMIT CITY OF ORONO PERMIT TYPE: r �, �; 2750 Kelley Parkway- P.O. Box 66 '�'`��`;'�°�� Permit Number: '•-'�;`-�`='�'�� Crystal Bay, Minnesota 55323 f;�`t�t_,s��_�;`; (612) 473-7357 Date Issued: - SITE ADDRESS: r {� ��_�i�� i�•��J L i.+f1 �'�V v� 1-'` . � . �'� . . t7�—1 i i—_'�:—'_'._:—(�:i si_1`—; DESCRIPTION: .iT F'�f;�=,;;�� *3 _ �:F��r ��1 ''s E::;z lZ�� f=r"_°1'ji;`j,F. �`i�'>.;' '=�t'—£-?f��.1��=��'!__��'[:� ;:s.{7 i i�i i"1'_—``.'. �:'•�_�!`��: Z j�''!' �'.��`!!rf y�r��:�%s'-E�f�i� :�)�! ;!��t_ ) t�i=!1F��;j':[� �"'-; i`:�t�1"I��Y.:��:f.i :��t� l":F�►Y �.}j`� s_-�?ii'�1..�'J s_��7F�,� i�:��. Hi__� . �`.��_��i1�.�4��r��... REMA��; - -- �: �r �.� T:L 'Lj•i I "", --�'�;��`�;°�i..F:� i:`� �:� _��; ��-.�r�i` �'��+`.f�_f`; .,�i;�E r�F`�[. �i::�; �`�..�_i�iF�j.�t;, . i�..�-� .!=,t�J,,i:r�� Ht'v�, _ -��'�:;-�--- , FEE SUMMARY: ;,�'��i��T i i=�t� �:,�.�: , {:�f_��:} =�r�=ti �`:�•,� �i=��;.'� , �.�, i��;=3{f !i�`v a.H'le`f �'1 i.i. . .�i?} '��3'�i-�ar=a� ____ __�_.��.tati �f�3�..��, �-'Nr., ��'i j } �;_i'W` , (_;t'_-3 C WTR C�4R• T y _' +.��ir°_ i r:a�—.t. — °_: , : _�E i: (�� :�5}fY�-, ? If��=+i i I�f�_• i f`=��:i= i��It.!`.,_=�/ � f�•.• ��Y !'1 E.3+.G �,�.'=��.�� v`1 ��t;`F �� _ _:�_!L F:r��{•`_:T!�)� �;ii �`E_�'��°jf_l�:��"� ;'�f+� `_��4t` f_G<;S_ii.�._I �'�[� ��t�:.LF_� i,f-,1 '?.3 �i�i�—'=i.c��;'i=, !kr't«�—.'F,,�'1 _t � .-, -- : ,�;._, _ r. . _ ._. _ , — , G — , -- '' '`' _ "-- --� ,t _. . ;_, ,., ._ ; , ._.M;'�.;"::;_ "• ' T t" ':• i�� _1�`,�i J,,_;"t._�t?�3t"�,I . ..`._��•.`_'�Y i'i.�;::yi:{�`_�j .� - >.,�j i ._�.,_�j t_;F•y }�S_� i't�i`..�` � {.�� t'.�.?�� ";;'"'�:.f_'Y��".��_'� I �'.. .��_�._ _.. _ , � f - � .. � � -t, � � y j �-;- - �.:F`=::_�i� i t.�.r ��r.�i; ��;iri�:�_:-� [ ,_1 [�i_i �-t�:.. �,{s'i#-�.`;�:, I �3 �_��;:,�: i i,i��(`r�'__:r-„J,_;% �� i�-� :�C_L. i:_ . , i E�- iNi�;s E;�;_i �-��s r:,�i=�;�v�?_� H.�.� ��S .;Ti� �,,'s,= �`I l.'I•`4i�;��i j��; �;i J j,i t�7 t�:�, r_-_i!.,#� ,�.�'�.!� �i :��"E;`.��`_� . L , ; � � � � / ��U� _.. ,._ � PLICANT%PERMIT NATURE ISSUED BY:SIGNATURE� Total Fee: $ l,/G %>Cc' �� Date Received: ��'�� Entered By: �'�, Permit#: �r cj,�;2., CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be svbmitted in full before plan review will be started. (please print all information) • ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �'��S /,�Q��i'5,�� ZIP: NAME OF OWNER: �� .Q �Z�1l �i9vi! � ' PHONE: (home)� - 7�c'j7 (work) MAILING ADDRESS: �'� CITY: ZIP: CONTRACTOR: ��' �uv"i L� � ,v PHONE: 7S L� '�� 7�0 CONTACT PERSON: ' MOBILE/PAGER: �{- MAILINGADDRESS: ��!��/�,5" c�/ s�i�}v�� CITY: � z ZIP: �y�� STATE LICENSE: #t�D t? l�� '�� ARCHITECT/ENGINEER: PHONE: MAII,ING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration�_ Land Alteration PROPOSED WORK(describe in deta'n: . t -1 s. � :,r � ` �� , ,� � iK;t�l�� L-�j�r�.y �s _s��e �s aw��- ��;1. STORIES: SQ. FEET OF EACH�OOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. r� ESTNi IATED CONSTRUCTION VALUATION (excluding land): $ �� t�.�� _ I hereby apply for a building pernut 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 Ciry and with the State Building Code; that I understand this is not a pemiit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATLTRE� 4 �� _�� DATE: C�f' _�!� — � � NOTE! Parade o�Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. Sec.13.04 RIGHTS OF SUBJECTS OF DaTa Subd. 1. Type of data. The ri¢hts of individual on whom the data is stored or to be scored shall be as set forth in this secdon. Subd.2. Information reqirired to be given individual. An individual asked ro supply private or confidenrial data coacemiag himself shall be informed of: (a)the purpose and in[ended use of the requesred dara within the collecdng"state agency, polidcal subdivision,or sntewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence arising from his supp(ying or refusing to supply • private or confidenrial data;and(d)che idenriry of other persons or enriaes au[horized by state or federal law to receive che data. This requirement stiall not apply when an individual is asked to supply invesdearive dara, pursuanc to secdon 13.82, subdivision 5, to a law enforcemenc officer. - The commissioner of revenuz mav place the noace reauired under this subdivision in the individual income tax or propercv tax refund instrucdons insczad of on[hose forms. Subd. 3. Access to data by individual. Upon request to a responsibie auchority,an individual shall be informed whe[her he is the subject of s�ored data on individuals,and wherher ic is classified as public, privace or confidendal. Upon his fucther request, an individual who is the subject of stored private or public dara on individuals shall be shown�he data wichout any charge to him and, if he desires, shall be informed of the content and meaning of�hat data. Afcer an individual has been shown rhe private data and informed of iu meaning, the data need not be disclosed to him for six mon�hs thereafter uriless a dispute or acrion pursuane to chis secaon is p�nding or addidonal data on the individual has been collected or created. The responsible authoriry shall provide copies of the private or public data upon requesc by the individual subjecc of[he data. The responsible authoriry may require the requesdng person to pay the actual costs of makine, cerrifying, and compiling the copies. The responsible authoriry shall comply immediately, if possible, with any request made pursuant to[his subdivision, or wi[hin five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediace compliance is noc possible. If he cannot comply with the requesc within that time,he shall so inform[he individual,and may have an addidonal 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 pri�•are data concerning himsetf. To exercise this right,an individual shall noafy in wricing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days eicher: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipienu of inaccunte or incomplete data, including recipiencs named by rhe individual; or(b)noafy the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's sta[emenc of disagreement is inciuded with the disclosed data. The decerminaaon of the responsible authoriry may be appealed pursuanc co the provisions of[he adaunisaarive 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 Ciry 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 fumish 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 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 permit. ._._U�cq�tS �y"I',�� /� Z Lt✓^,l� First Middl Last 11��t`�-5 ��s� ,�v� 1�� Address � � � n� ��`�7 � L —�%� �� i� �v ��y State Zip Phone I understand my ri;hts as stated above. / � � --- v CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: �f-3�� F3 V4� �( ►�(� (Zov� PID: DESCRIPTION OF WORK: Kc C.l+e� l`?-C—�s dv2 t Z Q A�1-� S ----------------------------------------- ZONING REVIEW BY: N ( (/� DATE APPROVED: BUII.,DING REVIEW BY: DA'I'E APPROVED: Z- s-g8 FEES TO BE CHAI2GED: Misc. Fees Calculated By: PERMIT Yes ✓� No PLAN REVIEW Yes ✓' No SEWER CONNECTION STATE SUR`HARG c� Yes _� No WATER CONNECTTON INVESTIGATION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZO�ING CHECK LIST Zoning District: . Fire Department: Post Office: School District: Loc Area: Sq.fr. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Leh Side: Adjacent Structures: Wetland: � � Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: #� Resolution Date: Shoreland Dis�ict: _ Avg. Setback: Bluff Setback: Lot Coverage: � Ezisting Proposed Hardcover: 0-75' 75-250' 250-500' � 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): _ • 26 . BUILDING REY�W CHECK LIST � ��: R • 3 covsTxtrcTTo�r�E: VY� � Sq Footage $ Per Sq Ft� Basement, x _ lst Floor x _ 2nd Floor z _ Garage x _ z = TOTAL Estimated Construction Value: $ (o Z�p�p o`—' Inspections Required: � Work Requiring Separate Permits: Site .�_Plumbing Fire Hardcover Removal o� Mechanical Water Connection ' Footing Septic Sewer Connection " _�c Fra.mino Fireplace Lawn Irrigation �C Insulation (Masonry) Other Wall Board if�. —� (�' ) Well (State Permit) —� F�� Grading/Fillin� �Electrical (State Permit) Other ------------------------------------_______------------------ REt1�IARKS (1N HOUSE): - --------------w_�______---_ - --------------- REVIEW BY OTHERS: DATE: Access: Existin� New Access Approval: Date By; --------------------------------------------- RE1I�IARKS(TO BE NOTED ON PERiti1IT): � 27 `---�C �� ur��9yIST TH c ;/1�? ' � c�� L��r�,��e f��/�� ° �e.s,�� j�.� .:�, :.�fr'�} �.. ,e3�e.,�,, .M � /� �� .3b7�y #e��'mTy ,d'1ri�''�7�- e,. - � � � � :��=�� s �� s,�e �� , �� /� � �' 4 e��a+t�-.:n^. .,.r,►-:. .��.'a.�_-„'.a .�.i^a.�a.>�x>.,,.::.s. .. _.... �{7 . ?�•5 �� - --_ ��.'v��w <�;;�. . • Ce =�7/ �� .,....�_ �....�, . _ / A / �� w '+.l"sat r�. ��,� �v� �«GJ�'e��kd'��Y 1�� .._ ...,...-_.,..... . . f--�L�M�II�ri'f �6Di� � �''�r�t:��+�.D 1+1s`9�r-i Cl��;�to ; a.� ,s "�. '�t"��=L ' ��'��I�,.�. ��T� ./ �:'';� ,�;��F2c�VE� Ct:�z� �'� �� ,�.:�!�`�•z ' �: �.,.�►,,; 3�r.ta dY@ fOf N01R I.fiP4^ff�i�..f3}, �� .si� ,4�; t �: .`; �' ? ". �n u �,.� � G< as�� wlth a! ap�',;r:.& • .. t, ;�.:�i.�, `�'+°ta� ��L.. 6 � ��r".:. , .>__. 'E. � n. e, ti � .�c __�.n •��^s r�;��a, �.y�w•� ;� ,. , �.__�__ - ''.f ,l 4- ii l. :l,' ��4� s�191l.t::. OET�C�t�12 - , , � . .. �� .�.::�a� ..,__.��..w.�_.,$ • �745��w I7C+�9-�2 ��'� _�� a�r� r� b�. � � �.��..� � �` � �� . .�,: � .� � �el��fi��. .( �.� � �,, ;'� ��,�!� �� ----�---- �� cc�a; �c�o�;� � , �_ �a.��bfE 13enc�� t�o��C��' ot��5 � � � o r .� �`�� .� �'9 � =+- .,�,--m�,�c y. J,a�Q. �` �'�. /i"�� ,�' i � , � �� '�°�¢' �`�� '�� `-� �0�J '+ ��,� ,� -- — — — — — — -� �.,r �"'� •� (�"� n � �!��1�'�'Q .,-'' � � ��V`., ��"� � �__., D /� i �n21� ! � �. �.l�t��/ "�i? ' � �. � DATE TIME CITY OF ORONO CALLED IN - s �j� INSPECTION NOTICE SCHEDULED .�f.�T�1� <^' : �o PERMIT NO. � � � COMPLETED �_ ADDRESS c � �� OWNER CONTR. TELEPHONE NO. �SC - �J4� 7(0 � DESCRIPTION l� 01_FO�lI� 11 MECHANICAL RI 18 EXCAV/GRADING/RLLING Q � FRatinin�' 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y _AP� 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 � 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � � w � � J O � � O � W � Q � Z W � W � j d WORK SATISFACTORY:PROCEED I PROJECT COMPLETE W � ❑ CORRECT WORK 8 PROCEED C- ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT =� CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN INSPECTOR WILL REfURN ❑ STOP ORDER POSTED.CALL INSPECTOR '�! CITATION ISSUED ❑ INSPECTION REQUIRED.C LTO ARRANGE ACCESS. Call ex inspection 24 hours in advance.473-7357 OwnerlCo t r o si e• Inspector`` � White Copyllnspector's Fil Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN r,2/•Z3/��' INSPECTION NOTICE SCHEDULED ��G�� :� � �y PERMIT NO. �r'`�1.L�- COMPLETED � �_ ADDRESS � OWNER CONTR. ��/� TELEPHONE NO. `�J[% � %`,�7� � DESCRIPTION ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRA 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � �� 3 INSULATI 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 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 Q � 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w a � J O � � O � W � Q � Z W � W � � d �' ORK SATISFACTORY:PROCFED C; PROJECT COMPLETE W � C7 CORRECT WORK 8 PROCEED i-1 ISSUE CERTIFICATE OF OCCUPANCY W O C�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN INSPECTOR WILL REfURN C; STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for t n in ction 24 hours in advance.473-73rJ7 Owner/Contract r 'te: � Inspector. � White Copylinspector's File � Canary CopylSite Notice DATE/ TIME CITY OF ORONO CALLED IN 3// INSPECTION NOTICE �� SCHEDULED ��_ 'S� �=� PERMIT NO. � COMPLETED ADDRESS � ^��.5 . .�- ..�y- � OWNER CONTR. �`.�Ct2�� TELEPHONE NO. �5C1 � g� I� � DESCRIPTION . /'�'��a.�r� � l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING 13 MECHANICAL FINAL ��'C� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLAGE 34 TREE REMOVAL � 04 WA L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � O-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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �c ti�— �� 0 � � 0 � W � Q � z W � W � � W �DRK SATISFACTORY:PROCEED �"PROJECT COMPLETE W�/❑CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑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 REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance.473-73rJ7 OwnerlContracto� it Inspector. ,�' - ��----- White Copyllnspector's File Canary CopylSite Notice