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HomeMy WebLinkAbout1996-008446 - add/remodel PERMIT � CI�'Y OF ORONO PERMIT TYPE: �,;;�� ;;�?��� 2750 Kelley Parkway- P.O. Box 66 Permit Number: �`��`�'���.:�� Crystal Bay, Minnesota 55323 �-�;-;� �r (612) 473-7357 Date Issued: ���7:c_}r!°��=. SITE ADDRESS: �.:_:�� ���=���i:�si� �:v = i:�-� F`. I . �d. . Ex:�~� _ ._.:—��,..'�::`—f�i=�± 1 DESCRIPTION: �; � c; i:�� �_. . ;�,„- r.. 'F;__t.. t:. .. -�t: ! 1� �:111]. .L 3�I'i?'� 1'`;�'i'f';'t i T. {y�,�, `-;�'""'t-�l.1�+'!i��_�'�;_�I���__ ��i i i� t �� � i�;i•�: VF . . �-il-,F' f [�! !�::i��i�l F �_�II �. _ f t�_. . � 'N s �1_. �I . . f.�� �L_ l"l��iy: 1 Ir C�._���=ti"!C y `�'—:�� �.:t�61l�f.s•��I[i.��li'y"1 �F�'t�: i1EJ ��=i�l ll'� �i�+'—��� ��;t.:,�lc.i{�: �,:i Ei�iN* :�.:=�:1 �i�. � . �'��'.`.-���)�.�':{! 'i r-?(._ REMARKS: `_���-"�i�°����`� �s!:i�`tt I T i;�is!ij I I'�:l_D t-��;�° E��ti:�T�?t:�Hi_ FEE SUMMARY: ��c�f_����I.€4ti yW:'�; i_lt'}{_3 i��,5!; ���� �:=;.%�.°_=+ . 7�, �-`i�:�t i !��t�`.:i F�.�!?? �1�`r'� . �:�. '��1�1'C�'1=.t1''��:=' �__..--- ���r_��T� ��,t'�..�1�. ��'�.`' T��_:_ . `'�Vi G:c�c�13�.c:ti�i:. — =;i� i T�: cSJNTRA�ZQR. - i _. . . c�.vy[��R: ! k_+�',_.���� �t?'11��'� �#".I!_�i•��`�� �[.�.;.`'�!_i`��i�_� ,�l�.�l.l _�h':-: E•� �I_�•:�4�f-�i"��t� -__. :-:�il_I�IL3�,'t�� _ .n.,._.{_3 C``'�� i(�r� �'"i�3 � }..�f!... �:���:���r��Tr�� i�E�� ����`.�1 t:i�;:��t.r•,�;i t1[�i ��:.=�°�t c;r,�.��; ::'�_s�,�=�' �: �..`i:=�—w�.;���r=: ;;._ ,'_, _Y� -is— ��.'i:ii i;- — •--- — — .4 t .:�L:��- t,��_ 7 "' � ;i4_ is:_'�E': ���' i���I._�:.li•��i'.� a�1_' t:{��i`;;F�''i� �`.i� , _W: I'� 1=-;�':.i's� I,`.„�'.�,,},{_t3 ��� �'i�•>v•,:._ 1: ._ :?�'r-?l_. i?'�i`''','�_�����_�`4�_!; � _ -��`s_(:E �i�.:_i �'lTU�) i�;t-i};�--.�.�` � E_.F i.'�_.� ,'�'�_s. �:`�..�h'�;. i iii =; f�.', 1;�:i i,:l.ii';i-"!.._�.�i['::!_-� 't%%!. i-�,k .'`! : _;s-3••� �mE�„- }.., _.,.. .. �;., :Y,.r .�__ ... . i 1 —a i L i T 7 �_ _ . _ _ __ :-. . } } [�� } (� r` { •.,.5:"t SE ,I_1 E,.3i�'i4S.L I,3"il�it.�..�._ �'������ •�� F �'2 ! I� �.��F #���t E��{„...7�_'+^�"i .� :.�.�...��_��' �.,;I,,,fi��l_ _!'�-_1;,��e�,i?�%y�`j?..'�`.,� .,. . . � � � �/�L—: �/1�N`--�c-. ��� �� �-� ) � ` , APPLICA PERMITEE SIGNATURE ISSUED BY:StGNAT E . � Total Fee: $ rl;�'`t.�� Date Received: Entered By: �,�i - Pernut#: �'�f��, CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) --------------------------------------------------------------------- --------------�------------------------------- THE APPLICANT IS: (circle one) OWNER ORrCONTRACTO$ �� — JOB SITE ADDRESS: � ��� ��, „�It�C'l,L^!1 �L� ZIP: NAME OF OWNER: ��7j��-�"1C���\ PHONE: (home) ���� - t�J`?_�� (work) MAILING ADDRESS: �3� �� 1����'1.���'1 �[��CITY: L_�r�c � � ZIP: , � CONTRACTOR: �� l.�L� � f'l)IL� PHONE: `�� �S– ��� CONTACT PERSON: ��✓ � � c. � _ MOBILE/PAGER:[ �'���°�/����/ -,a� �������,' MAILING ADDRESS: I C � ' �'£�t �%� CITY: l� ` c ? � ZIP: �- 3 I STATE LICENSE: # ARCHITECT/ENGINEER ;Zj��v�L �'`,✓!( Z' �'I�IL�PHONE: �I J'� ��%�c�S MAILING ADDRESS: �-��r�i<_ CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition� Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �� '),�r�q ��l=t�='�=� �� ��`-����'.� 'l' .`��f� /�-' /�.s%�' -� 3�`� _ STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ��-' ESTIMATED CONSTRUCTION VALUATION (excluding land): $ :`� `'(. - '� " � 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 ordinances and codes of the City and with the State Building Code; that I understand this i�� a permit and work is not to start without a permit; and that the work will be in a�co�nce with e approved plan. , , APPLICANT'S SIGNATURE: `• _� ��� DATE: ��-��;`���� NOTE! Parade o,�Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 6 .i . Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as sec fonh in this secdon. Subd.2. Iaformation required to be given individual. An individual asked to supply private or confidendal data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state aeency, poliacal subdivision,or sta[ewide system; (b)whether he may cefuse or is leeally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidenaal data;and(d)the idenary of other persons or entides authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesagadve dara, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propem tax refund instrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whethec he is the subject of stored data on individuals, and whe[her it is classified as public, private or confidential. Upon his funher requese, an individual who is the subject of stored private or public data on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the conten[ and meaning of[ha[data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed[o him for six months thereafrer unless a dispute or action pursuant to this section is pending or addioonal dara on the individual has been collected or crea[ed. 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, cerafying, and compiling the copies. The responsible au[horiry shall comply immediately, if possible, with any request made pursuant to[his subdivision,or within five days of the date of the request,exciuding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the reques[ within that tune,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,exciuding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accu:ate or complete. An individual may contesc the accuracy or completeness of public or private data concerning himseff. To exercise this right,an individual shall notify in wri[ing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shalt within 30 days either. (a)correc[the data found to be inaccurate or incomplete and attempt to notify past recipieocs of inaccurate or incomplete data, incfuding recipients named by the individual; or(b)no[ify the individual that he belizves the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with[he disclosed data. The determinadon of the responsibte authoriry may be appealed pursuant to the provisions of the administrarive 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 City 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 deternune your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the pernut or license. 3. The information may be shared with other local, state or federal a�encies to the extent necessary to process the permit or license. 4. If your requested pernut or license requires Council action to approve, some information may become public. 5. You have cer[ain 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. First Middle Las[ Address C��, State Zip Phone I understand my rights as stated above. Signature , � , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: '�3�-' S � ��'►:��.-.�.: ,�; I�..c:,A� PID: DESCRIPTION OF WORK: C�-�t,4�� ��p� � ri�;^'� ----------------------------------------�------------------------------------------------------------------------------- ZONING REVIE�J BY: � � DATE APPROVED: � �:; - 3-•�t�; BUILDING REVIEW BY: � DATE APPROVED: r� -3--�t w ------------------------------------------------r ---------------------------------------------------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ;.l� No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No v' PARK FEE SAC Yes No � SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: (a�('<-�('� Fire Department: (�,,,� (}�c�:,c. Past Offce: �,c..=r���.�Fv.`k School District: �2.���:�: � Lot Area: Sq.ft. ttic c�r,,� Acres Width [J1;�.t.s;�i,r,� Depth Survey Submitted: Yes� No Date of Survey: � '�V `11:. Proposed Setbacks: �+ � + r Front (Lake): i`7� Right Side: 'C;c: J Rear (Street): S�� � Left Side: 25�%� �' �w, Adjacent Structures: ���C:� Wetland: /t,' lr1- Building Height: Def. Hgt. �i•(�— Peak Hgt. fv} ��� Lot Coverage: �; (�� Grading: Staff Approval Date: � ���� By: OL'lt� Council Approval Date: Septic: Staff Approval Date: Iu � ��{- By: Zoning File: # Resolution: # Resolution Date: �,��� Shoreland District: Avg. Setback: Bluff Setback: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 10 . BUII.DING REVIEW CHECK LIST UBC: �� -� CONSTRUCTION TYPE: �!N Sq Footage S Per Sq Ft� Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL � Estimated Construction Value: $ � ��t�tJC% Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection i� Footing Septic Sewer Connection � Framing Fireplace Lawn Imgation _� 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� REl�1ARKS(TO BE NOTED ON PERi'�1IT): 27 � - ------ - -_- -- ::-. - :- - --- -- - --- - -- - -- - — - - - -_- : _ _ ------ � - � f "�__ � .. . . _ ;._a� _ .� . . . . .. _._ �t .,_ ...�_.-.. . _ . - -� � --�- �� __� �_T _ ��ir � _ r _ '^i_ _—_. . .. .-...�'.��� -_ . �. . . - ' �...- - - . �iw" _ �_ . ._..: i-r �Yf:7'`� # �_ ... _ _ .. _ - . . . . . _ - . _" " . . _ �__�.�,Y _ . � � _. _ ...'.'__ __ " - . . _ _ .�_ - ._ �� - � .�._.. _ ' _ _- _ '- -. . .. .. . -_ _ . . - _ ' �:.^,� ' ' - _ � ._ . . -,-v..e- - .. . ' . _ _ _ ._ -� - _ �� ' _.�- . � �-. � ' '�-. "'f.' "".. ..-,: . .. . -:._ "' _ """ � ' '.. - .., _. . ._� .__•- - •.' - "_ '" . -" ' '"' . � �" ' '._ . '..c�..�Z.� . 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"r- ,� � -l' .�/ � OWNER '�,��r �-�,>�_ CONTR. TELEPHONE NO. ,��<_�' �� �"� `> "1 / � DESCRIPTION �`-��/� ���/ � Ot FOOT1NCi 11 MECHANICAL RI 18IXCAV/QRADINO/FIWNO y 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS 0 03 INSULATION 24/25 WOOD BURNER/FIHEPLACE 34 TREE REMOVAL Z pq yyqLL gp, 12 WATER HOOK-UP 17 SITE INSPECTION �`�F��� 14 SEWEH HOOK-UO O6 PROGRESS � 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPLAINT W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER HEMOVAL v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � 2 W � W � � d ORK SATISFACTORY:PROCEED PROJECT COMPLETE W � CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex i spection 24 hours in advance.473-7357 OwnerlContra on s e Inspector. l White Copyllnspector's File Canary CopylSite Notice V DATE _ TIME CITY OF ORONO ca,��Eo iN /! �? �� .�6 '>.� ���,a,y, INSPECTION NOTICE scHE�u�Eo " �-�i"-1� //. ��'�zrh PERMIT NO. � `���` co � rE� ik Gf ADDRESS `�� G �Y�z,_ � i ��� `�'` . . OWNER I;-�'; c , ' � � CONTR. ��=;�� '.� --'t,_ : �.._ TELEPHONE NO. `� �S � ='`i � � � DESCRIPTION C� e" ��C- ��/�„'C�G.�-' � 01 FOOTINQ 11 MECHANICAL RI / � 18IXCAV/GRADINQ/FIWNQ �-: 2 FRAMINO ' 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS � 03 N�T SUL4TION 24/25 WOOD BURNERlFIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS h 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBIN�FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � j d WORK SATISFACTORY:PROCEED W C PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT C7 CORRECT UNSAFE CONDITION WITHIN HOURS. C pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspecti n 24 hours in advance.473-7357 OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO c,n��E�irv ���- � �'' - `i�- � INSPECTION NOTICE ����, scHEou�Eo PERMIT NO. /,, COMPLETED ADDRESS 7� �� � `� � % . .- �` t! OWNER i-• •: , ! CONTR. / -... <, /� .; � . �. TELEPHONE NO. `� 7 � :��-� `` � DESCRIPTION �% ��t �����..->��_ � Oi FOOTING 11 MECHANICAL RI 18IXCAV/GRADINQ/FIWNO � 02 K'fiAAAING t3 MECHANICAL FINAL 19 LAF�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UO 06 PROGRESS ~ 07 DEMO�fTE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE W � C CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL RETUHN ❑STOP ORDER POSTED.CALL INSPECTOR ''CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins tion 24 hours in advance.473-7357 OwnerlContractor ite: Inspector. � � White Copyllnspector's File Canary CopylSite Notice