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Home My WebLink About1999-011651 PERM CITY OF ORONO PERMIT TYPE: - 2750 Kelley Parkway- P.O. Box 66 -°-�=�--='=�- Crystal Bay, Minnesota 55323 Permit Number: -�1 �;_;.�� ;� (612)473-7357 I Date Issued: - ="i- ' —--------------_�.�_____ SITE ADDRESS: ' .�_ ; � ��;a�� _ =�,;.� -•: � _ _ { —.. _ _i : —t�;i:�'� --- ——-------- --—--- —— DESCRIPTION: ��fT. +si ��_3 1 =f�i 1 1' _... :3:,1 + f ,:�,.�, ��_;_ t':.s's 1i;� '}f+�:,'�_: t j�'?�' . _ _ __ _.. . _. :_. ._,�_. . �_i�ij:i 1�i ��...c..�..... : . �=."i��..�_'] _ �'}�F« �_. � � �. . �. . .. .. I REMARKS: _.__ r�i i-`.*•i:�__ _�.=:,�i","� -�;i'`_.._._.._. L-: i�;' _.___ _'i`"._ _•t-i� �I t,:- . �. .. . FEE SUMMARY: `�3j-��.�''•!i-i i!4_I i V ��.�-�:= �-:�;;_; `r`1��.i . - s-' i �s; :-s'__•..�: �=tr:' . _ _ . . - - ;_��'6�s€_..;':��: —————— `�'.`t �(3 -`t_tT..:*.y -�t;` —��,�.........!`s'y i CONTRACTOR: — �'�_�=�� } �� _ - — WNER: = ._�_��._ _ _'�'�'�_.�. . � �L��:`�i ' �� . = _=�v t��,��,_;. _ .: �i� ` ...;i__�;i�? 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SITE �LAN � GRADItiG PLAPa p �� p� �q �.�, P [3 t�PP�;O',i�D - J,� ,�pc ST `'� �aD�'Rt;��D 1��11T' :`R`!11S10i�S � �� p�e� aF � �Q- � pi� ��RJ�' D ,�p ,�"; S� � ii��. � �C BY � '��5� �'��9 '� O4 - _. . DATE ' - . � ��°"� S �T �' �' - � - . � �a`'� '� m �. . , \rr.. ,� � - . - � . . . ^i - '�7 . � � . J� . � . � i f�� . . � ' a i' - .,. .�i:. � � . / ' � / 1 \ � I � ,g.�,5.3 / , o� . ;'� 5. � " �f �. SCAL E I'� _ \ ` .. :5 8 � _ _ �x �, � _ � �` 40 20 0 \ - - ' ' ' � (� w i \ \ ._ 258t��,,�A`( �, �p, ��,� � 1 ..` � � '� . OR\� �{ CIOzS.►� , �_pc �` I �o�N � -�RP,L 5 C A L E i N F .... ,\ _ _ L�� . Z -- ' ( ( `' 17Ot • t ,. .\ � \ � E- . pt _ � \��._.��- � P�r �.�- l, �,az5. ,� �`�TA��\ �� ` � I ' - �, � � , s � �� —� � Q ,�8.6� ,.,,s � � ; �RONQ � , ,Z_ , . �OPY' �` 0 � �� ',I , X � �,\ . •� No PoSEp\ � Azs3 I � .� , _ _- � � �.Z . , ' � N ., la OAK r� � ti �\ `�E. � ' 1 � � 33 ^ C 1 ' �oa4K �kpAK �ou9x . � \ � ,, � ' � V'� oI o�o�� 1 -� ' „C� ,'/ � \ -� / � ioz6 � � 1 . � � �w � i��,oZs.S� gti �� SITE PLAN GRADING PLAN ---� � � + Q ' Q�� /� °Z , �� C�t-APP�OVED - Poo f , 3 � �,�� '°�'Z , ,. ,ezZ.9 � ' �� ,� � '•. '� 0 APPF�OV�D WITH REVISlOtdS ' � „ - � ;� ' o , � lV �' � �, RE� \ I ,, � / � 1 L� D►SAPFR�V' D o � � ,.� ��s� , ,oZ 4.8 x \ x a 3 � (�( PY .• � � � � r Zo,. ��T�E� � Z � p UJITE � �5 -4 9 ,A � t 1 � / b°� o I � ;. "" S..�c. Tz..�i Tr.�r 4 2 lV P.�w d► / v� G� ! � ,/ / ` � � �vT, � Q/�7�L 5 r Ti .� � i � ' �� , �. f'� / / . � / r� / '/ ,,1 \ / � j�, � � � � � � 1 hr�rPb� cc�rti fy t,tiat th � OV ti, o / � / : . N / � �� r•epres�nt.�t.i��n c�F a t.c��graph� i � � . , 0 o O � / !`. T� t � � , , .. Tract t3 and that part. � Q, � / � � \\ ,� SI.Tt\'F7' 1c�. :�-�H, c�n file / � �� I p / �-�-- \ i.he Rt��i:�t.ra� c�f Title� / 1 � • � � �� i . ON .. 0 ` � � ]��inj sc��t.h��r•]�' af' the ; ;..... — ! � \ 3� \ / � .,� ('cmvnt�ru:ino at the nort} ,,' � � �' t.}irri�•e ~u„t h��l•1�' zl on� � ' , tc1 � ` � a dist.u��f� of 4�i8.-�� f� / ' p �� i�l 'Tr�s��r. .a, �:}�ich is ; �S (_..- � � , � O Q 1 i t�e l i� t�e de�sr.ribc'ci; t � , � '� , �, r -._ miriutc�ti -�-1 se<,c�nds t� ' ��.1 v ! � , , t'��F�r. t�� t}��> ,:e�t 1,�,� ; � � l Q t.f�nnin:it ing. �� i z :1� pt•rZxir•c�c� t�� m� t.hi� ��t.h d:l �eo J 1 I � � � n , \ . � � � CHECK OFF LIST FOR ISSUAN E OF PERMITS FOR OFFICE USE O LY ADDRESS OR LEGAL: �-I 35 ��9 4 S I�(J�= PID: DESCRIPTION OF WORK: o� ( ZOrNi G REVIEW BY: DATE APPROVED: �-�s•4 y BUILDI�i 1G REVIEW BY: , DAT'E APPROVED: '1-�5-4 � FEES TO BE CHARGED: Misc. Fees alculated By: PERMIT Yes ✓ No PLAN REVIEW _ Yes v' No SEWER CONNECTION STATE SURCHARGE Yes i/ No WATERCOivNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTTON Number of SAC�Units OTHER (specify) ZONING CIi�CK LIST Zoning Districc: L2•�(+ Fire Depar[ment: (,�jNl� (J�c� Post Office: �vG �i4-/� School District: pCtC�/�/l� Lot Area: Sq.ft. No cl+��C Acres �' Width Depth — Survey Submitted: Yes 'X No Date f Survey: D� ��% Proposed Setbacks: .,�_._. ��_,_. c�7� Fcont(Lake): Z 3"1 n.a„��uo. Rear (Street): I 3� Left Side: Z`{� Adjacent Structures: 2S' Wetland: Building Height: Def. Hgt. � �/4- Peal:Hgt. Lot Coverage: '� Grading: Staff Approval Date: — By: Council Approval Date: Septic: Staff Approval Date: "�-� � -q 5 By: • /Lew �9-� 3�� Zoaing File: # — Resolution: # — Reso tion Date: Shoreland District: ti0 Avg. Setback: Bluff Setback: L.ot Coverage: Ezisting 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 �C� _ �6�P N(/i CONSTRUCTION TYPE: N I/'� Sq Footage $ Per Sq Ftg Basement x = lst Floor � _ 2nd Flaor x = Garaae z = R - TOTAL Estimated Construction Value: $_ �(��Vp " Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection _�Footing ' Septic Sewer Connection Framing Fireplace Lawn Inigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well(State Permit) � F�� Grading/Filling _�Electrical (State Permit) Other REMARKS (IN HOUSE): ---------------------- Di v'�`y �i� �ii'f�'..�S: LA�' : Access: Ezisting New Access Approval: Date gy; --------- RENIA.RKS (TO BE NOTED ON PERMI�: . 8 Total Fee: $ ,� �`�• (,�� Date Received:� Entered By: Permit#: CITY OF r RONO - BUILDING P RNIIT APPLICATION All information must be submitted in full b fore plan review will be started. (please print all info ation) ------------------------------------------------------------------ -------------------------------------------------- THE APPLICANT IS: (circle one) OWNER R CONTRACTOR R�. JOB SITE ADDRESS: ,S' ,S' C`� ��ZIP: NAME OF OWNER G . S,S PHONE: (home) ��Sp- .3�%�,�' (work) MAILING ADDRESS: 3.� " CITY: ��l� ZIP: CONTRACTOR: P�c_ ,�' G��G PHONE: �f-7� ll�S� CONTACT PERSON:_,��s" �c.�z�.�c-,� BILE/PAGER: ��-- '{�3 _� MAILING ADDRESS: ��4tr !.�/�`l � ITY: �St��c�P�P: �j`!,l• STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: N�w � Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �G STORIES: SQ. FEET OF EACH OOR: NO. OF BEDROOMS: GARAGE ST LS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (e luding land): $ ,V,Ci��, �� I hereby apply for a building permit and I acknowledg that the information above is complete and accurate; that the work will be in conformance with th ordinances and codes of the City and with the State Building Code; that I understand this is not permit and work is not to start without a permit; and that the work will be in accordance with he approved plan. APPLICANT'S SIGNATURE: `"�' � DATE: � � NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzi ed 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 to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within 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 Irnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)the idenury of other persons or enudes authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law e�forcement officer. The commissioner of revenue mav Dlace the nodce required under this subdivision in the individual income tax or orooertv tax refund instructions 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 confidenrial. 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 meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secaon is pe�ing or addidonal data on the individual has been collected or created. The responsible authority 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 cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,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 tune,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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authority 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,including 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 determinaaon of the responsible authority may be appealed pursuant to the provisions of the admioistrative 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 �ity 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 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. �'t�SS �/��.�� -�Z�c�'c!I" First Middle Last �' tf f.S� L-�l-�' ��'"1,r �L L(, Address � t�-� , Gc �� ic � !'�� SS�2 � �?d��-l/S f City State Zip Phone I understand my rights as stated above. '�,� �� a Signature 6 , ,� • � () •�j � "' i...�..�. �•' { ti _ �i �� . 4 . a \ �',. ',a ' �` . — ,� ' � ... i. 4^''•. •. `_' �J x 'J `�. , . _�=,; r p. a. � '.. � 1 \ � �� ` :. ��r.^J,%Jl; �. � '�-s"`�`� � �. . �'''`. � ' / w. �/ ' —.. _�—�-----� _.�` �+ J`u I � / , . �I • � '� w.. • 1 " 1 1 � ^ �' � -� ` � a zry}� . �/ ,� � , , i r �� J9•�—.��1,��'�1• 'O ,� ' ' � / �� _�. 4 t '�C� i.�'-d i - ='-'3�� :�:��• ��'` ��-J _, i , � .. �C�1 I J:D y� �'�-.� � � . �( � ' � � � , �i � � � y�' o �I� "°�+�.' �,J� , �,, . �. _:, .��% �'°� ; .� � � � ;�'r / ':�; �. ' ------------ ` � �`''�°' � , � - i, i ,� -: .Y `? �;� � �„� , . '� `' � v i '.� � � �� - � `�.� . , � --____� � ; r . �� _ • '� �. j � . . '�� "',, G �..� } . , � '' , ` 4 r` .i , I ' . s � � '��1 . i :�� , "� . � . � • �J'� ` ��'-�S'sti'� " "-� I : ' � �� • ..^;y, �,. `` ' - � �"-:.,� C�' f . � . ' ' • f� i, �.� ��t ` , �'{�` , `�_ ii.• , "� ` '� ` ^ • -.' ��(•r •�j l • _�_,�• Y� � �� . � � .. .-!1� .- � ��/1 ' �'. ' � ., ' . ! '� ��r ' . y ' .. . �� f { � - ... ~ �- . - ,� , , r' 1 � , �� . . �, � �%� { f' � _..Y w �; � � , •�' �1� �� - t^.. � /J J . � r �t ,- 11 . ' t y. , r � � �� ., . . .}� �� . . � � ' b ° � � � � . _ � , � y" � ' . _ �� . ! ',1 I �1 „_. .. ,_ . 1 �- �� __�_. �- ./ .. . . � ' / .i ��' 'l� -( .� � . .., ."I ; `. " � :. . . �� . . � '�;� - � , . � . . �� .. � . � � � . . .. . . � � DATE IME CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED � PERMIT N0. � COMPLETED ADDRESS ! OWNER NTR. TELEPHONE NO. � SCRIPTION � 01 OOTING 11 MECHANICAL RI 18 EXCAV/GRADIN FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WE LANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTIO Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP I ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER R MOVAL J 10 PLUMBING FINAL 36 FOUNDATION/R MOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ' � W � � � O � � O � W � Q � Z W � W � d WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W � ❑ C RECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCC PANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL WSPECTOR �� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next' 24 hours in adv .473-73�7 Owner/Contr to on si • ' Inspecto White Copyllnspector ile Canary Copy/Site Notice DATE TI E CITY OF ORONO CALLED IN 9��ZLrI'�4 INSPECTION NO��E SCHEDULED �l/.Z3/99 %/ % a PERMIT NO. � �� COMPLETED ADDRESS '� � OWNER CONTR. TELEPHONE NO. �� ` � O � D ION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING FILLING � 02 G 13 MECHANICAL FINAL 19 LAKESHORE/WE LANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL , Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTIO Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAIh1T J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD CO�/ER R MOVAL J 10 PLUMBING FINAL 36 FOUNDATION/R MOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � W � W � � d � ❑WORK SATISFACTORY:PROCEED G PROJECT COMPL�TE W `❑�CORRECT WORK&PROCEED C ISSUE CERTIFICAf E OF CCUPANCY � �p CORRECT WORK,CALL FOR REINSPECTION TEMPORAR � ��"`FORE COVERING V � �F PERMANEN ❑CORRECTUNSAFECONDITIONWITNIN HOURS. r- pHOTOTAKEN ; INSPECTOR WILL RETURN I ❑STOP ORDER POSTED.CALL INSPECTOR -. CITATION ISSUEDi ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73 7 OwnerlCo r tor it Inspector. White Copylinspector's File Canary CopylSite Notic