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Home My WebLink About1998-010656 - add/remodel PERMIT CITY OF ORONO PERMIT TYPE: r�. -� ¢750 Kelley Parkway- P.O. Box 66 '�'�_`��.'�'=��`� Crystal,Bay, Minnesota 55323 Permit Number: i+i s::r��,�,, (612)473-7357 Date Issued: �_;_„�_;`:�°_;:u. SITE ADDRESS: 1;:�i��i=:� ��=�;E's5,�+�� ;=i`s�= �� [:�-I � = t� --_� i �— =—:1;_—t_)ti{k�. DESCRIPTION: r;i,�?s T:,�ii;€.`�°��!��i iE:i- `��i l. �t�3.l�'—� �'`3:1�i1'f•3.}, ��;r:;� _:;—�i�;'•..'r`t��"i!;4;�,`�.4— t,i�i 1 ��i s-y�� i,��r L:; T y r,,�, �i:i::T 3 T:�='�i ;i�;t�. f I:'i I{L'�.�j st_`. (-ti—.� � ' �iT.f Z�.i�S�i��.��_{{':.�,_Fij � �j��:.�Y? . . . .�.3 1��.��'„� f!Z.^3 i'� i::�j-��f.(= t:i��sRr� c'�},.'-;;�. l-;L_ ( . t+:;`'•�:},l.I�,^�i.�f-�=- REMARKS: _�t'`f-il=�`��i�1= �`ii i�`�T i=: �%{,?;��s i�'s.3 !=i!:,` �'��tr'!��s('�;= , ;•�;;_�'rty-i�'�►T��i-�L.; �3i�'..°�`S.1�i'�� ;+ ._�.�='-:j`ti j'�'�t— (,':-; 3 F-i��_t . FEE SUMMARY: �.} ?=F�i1 �J'^� I �E_i{±{ SiII.!� t II 3i_! �;.�.�t=� i�+r-_., :•4�=4 . . _ i-`1 �F� �`.�'�i�4� x�.'l �, , ii'� — ��'i;� i�i:�i _'={�';_�'�,>'_�w' ______ ;'� _$ —� i �—+3._�.t�. �a�F�.�j, (--�•� . — • CONTRACTOR: OWNER: — ��:�:� ��'��t � ��_._._:;=;:_� .�,�E� i::i-,,;r �.��:=:�::�.a i-;i; �� ;�;�;;^,�,�;^� ,�•ti� _ _ � _� ;:3.1 3:1�-'�S L.ii t. - �..��5�. r`_ _ �_ . `j:^;:i's ;�_ " .=�4_�t.' -�:� ;-g _�..t_ :`1�-�i��.i� :�`= i�:�� f.. ,�E�,'•(:.'=,'`t{_:,`'��'� �` , �:�, _, .1__. . L t�= s ,j=i; Y s 4 � � ,.i 4 1�W�,_=i _�`•�I _ � �L _- F t � I E •t_I f.�_I._ li.'t , '�i.; � . .;�i. 3 _.I_I€ Er `G-.. .. :t:�: 1 " � -__�,'-�,tf 3-!'- '" :`"_ r _` _. , _ ,� - - '' _ p• S :.'•.is-=t_f},,''-} - }j i 4.1:y,i�,,E-, � fj�.i r .�.�i��_;� w I'*�};�'V! `» . � - --:-' T: : :';i i-�1'�!'•.� =:�� i v.. f..t` : t s _.. _ _ _ ___ . .._, • L ,_�:�.._ '_': i[ - . _ ._ . .. .___ _ . APP PERMITEE SIGNATURE ISSUED BY:SIGNATURE � , . � � � Yotal Fee: $ $/q, 8� Date Received: �'�j��y�' E Entered By: ��Q Permit#: /6�5� CITY OF ORONO - BUILDING PERMIT APPLICATION = All information must be submitted in full before plan review will be started. (please print all information) � ------------------------------------------------------- ---r--�---- --------------w--�------------ THE APPLICANT IS: (circle one) OWNE CONTRACTOR ;� Q � � JOB �ITE ADDRESS: CPD ., CJf OW�� c�. ZIP: ��S �p NAME OF OWNER: C�'S�� lC�-S PHONE: (home) L/C�L�— �SyZL � �` (wark) �'7 E:�-R H D 3 MAILING ADDRESS: C�CPb {V . ��f�� CITY: ZIP:_�,`;3�� CONTRACTOR: �� c PHONE: ��(�3 CONTACT PERSON: Sa� � MOBILE/PAGER: �2 •- 1:,1 ��8�� MAILING ADDRESS: f�l�� Rt�c,�,,�.,� CITY: ZIP: STATE LICENSE: # -�� AIZCHITECT/ENGINEER: PHONE: MAILItii TG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteratio Land Alteration PROPOSED WORK (describe in detai�: ��1��a� ��O _ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTI'�TATED CONSTRUCTION VALUATION (excluding land): $ '��, �� I here��y 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 Ciry and with the State Building Code; that I understand this ' not a permit and work is not to start without a permit; and that the work will be in accorda e with the approved plan. APPLICANT'S SIGNATURE: DATE: - V 1 C�,-l-<.�-- NOTE! Parade o Homes events uire separate permit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. S . , � , . J . j Sea 13.04 RIGH'I'S OF SUBJECTS OF DATA Subd. l. Type of data. The rights of individua]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 known consequence arising from his supplying or refusing to supply private or co�denrial data;and(d)the identiry of other persons or entiries authorized by state 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 enforcement officer. The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or oroaertv 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 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 acaon pursuant to this section is pending or additional 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 authoriry may require the requesting person to pay the actual costs 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 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 authoriry describing the nature of the disagreement. The responsible aurhority 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 administrative 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 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 private data on yourself. 6. Your full name is required to process this application or permit. ..�.�;, � �-��c.A-� First Mid Last (C�� Address �� 1� S� 3 � City State Zip Phone �7�- 8�� 3 I tand my r' ts as stated above. � Signa 6 � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: G(�(�0 yU 0 R� (�IL�W�N (�� PID: = DESCRIPTION OF WORK: Q i Ty�� /��- ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: � - ?� -�g BUILDING REVIEW BY: DATE APPROVED: €3 -'z a-S� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes � No SEWER CONNEC'ITON STATE SURCHARGE Yes f No WAT'ER CONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: L2�1/� Fire Department: (�c�u4 (A.��_ Post Office: (.� School District: ��,g.,v� � Lot Area: Sq.ft. "�°t�$y� .S Acres �. '� 3 Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: �r �. � Front (Lake): L bS Right Side: �j Rear(Street): Zlti� � � Left Side: / 7 S Adjacent Structures: iQ.-TTY�ctfic.� Wetland: �✓��- Building Height: Def. Hgt. O. �L- Peal:Hgt. `� Lot Coverage: S'_� � � Grading: Staff Approval Date: it/�C/d- By: `' Council Approval Date: Septic: Staff Approval Date: it/ (�-- By: '�- - Zoning File: # 23�� Resolution: # Resolution Date: �•t� -qQJ Shoreland District: �� Avg. Setback: Bluff Setback: I.ot Coverage: S� 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: �L- 3 CONSTRUCTION TYPE: V/� Sq Footage $ Per Sq Ftg . Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL Estimated Construction Value: $ '�{Q�Od'0�—"' Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removai Mechanical Water Connection �Footing Septic Sewer Connection �0 Framing Fireplace Lawn Irrigation Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Permit) Final _��Grading/Filling �Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 CITY OF ORONO CALLED IN ��AT� �M� INSPECTION OTICE SCHEDULED � _ fD,��f�� PERMIT NO.O O � COMPLETED � �_ ADDRESS ��0 D �0 OWNER CONTR. TELEPHONE O. �J�. o�S C � DESCRIPTION � 01 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � ULATION 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 v 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO Z fl COMM NTS: � a �G � J 5 � O � � O � W � Q � 2 w � W � j d �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � [; CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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 ne t inspection 24 hours in advance.473-7357 Owner/Contr r o ite: Inspector. White Copy/lnspector' File Canary CopylSite Notice �n /�'� DATE TIME CITY OF ORONO ��W� CALLED IN < <' � INSPECTION NO C SCHEDULED � -' %'� �� 3 a PERMIT NO. coMP�Er� ADDRESS �C% ��% .�rr� dn. �l OWNER CONTR�"�� (.°� �,�� , TELEPHONE NO. �G'�� - �iS`�� DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING`' 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 3 INSU �� 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 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 � � O � � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED u PROJECTCOMPLETE ��CORRECT WORK&PROCEED ,� ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN INSPECTOR WILL RETURN i CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for ihe next inspection 24 hours in advance.473�73rJ7 OwnerlContract �it�: Inspector. �� White Copyllnspector's File Canary CopylSite Notice DAT'O TIME CITY OF ORONO CALLED IN �"�'�O/�� INSPECTION NOTICE SCHEDULED �� :.'U PERMIT NO. �<%��:�� PLETED � t� �y 1 � � ADDRESS__ ��C�`�'7• �. � a/� ,� � OWNER CONTR��,-? r�_�.�.Y-:� TELEPHONE NO. ��'� ' o�J�O / � DESCRIPTION Ct..�'.�f� �i s r� � � �g�`�E��l� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q AMING 13 MECHANICAL FINA� 19 IAKESHORE/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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED C, PROJECT COMPLETE W ❑CORRECT WORK 8,PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. i_ pHOTO TAKEN INSPECTOR WILL RETURN l, CITATION�SSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next spection 24 hours in advance.473-73rJ7 Owner/Contra i : Inspector. � White Copyllnspector's File Canary CopylSite Notice .�.�-�-.�-�-----��• � _ . � _�,,,,�,,...,�,.�..._. .. � � . 9- � 4.; . ;y rl ' _ � � :1 � } 1 I _ � _ . . . . t �•.�\ . a � .4.. ,�� ,;` __ -�-'