HomeMy WebLinkAbout1999-012215 - 3 season porch PERMIT
CITY OF,ORONO PERMIT TYPE:
2750 14elley Parkway - P.O. Box 66 .1=�.[..-�;�'��'-"�
Crystal Bay, Minnesota 55323 Permit Number: „._�_ -
(612) 249-4600 Date Issued: _ _
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR . � ' � � � { - OWNER
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APPLICANT ERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ ��5 • 5� Date Received: �
Entered By: � Pernut#: 1 ZZ t
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER O CONTRACTOR�
JOB SITE ADDRESS: Z(.�� ( Cti%�-�- G� ZIP:
NAME OF OWNER: (� � PHONE: (home) �
(wark) (p Z S=- �'-r�k�P
MAILING ADDRESS: 7� d l CITY: D�-�-c�-- ZIP:
CONTRACTOR: �I--� � � PHONE: �f�J� a S� Z-
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: �t'-//e S7 CITY: 5��o�—ZIP:
STATE LICENSE: #T/�'(�� M��, _
� ''t:�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP: �
NAME; REGISTRATION# .� `�
TYPE OF WORK: New Addition � Accessory Structure .��
Move Remodel/Alteration Land Alteration �'
,,. �_,.
PROPOSED WORK(describe in detai�: � S P�� �� ���:�
r �
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E�
STORIES: SQ. FEET OF EACH FLOOR: ��: ,`. ' �
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �;��
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �d pp� d�
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 is not a permit and work is not to start without a
permit; and that the work will be in accordanc with the approved plan.
APPLICANT'S SIGNATURE: DATE: G
NOTE! 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 allowed.
5
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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 secrion.
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 collecring 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 wnfidential data;and(d)the idendry of other persons or entines authorized by state or federal law ro 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(aw
enforcement o�cer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request ro 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 hirn 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 infortned of iu meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this secdon is pending or additional data on the individual has been
collected or created. The responsibie authority shall provide copies of the privare or public data upon request by the individual subject of the data.
The responsible authoriry may require the requesting person ro pay the actual costs of making,certifying,and compiling the copies.
The responsible authoriry 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 authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the daha found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete dara,including recipienu named by the individual;or(b)notify the individual that he believes the data
ro 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 authoriry 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.
First Middle Last
Address
C�ty State Zip Phone
I understand my rights as st d a ove.
Signature
6
CHECK OFF LIST FOR ISSUANCE OF PER�vIITS
� FOR OFFICE USE ONLY �
ADDRESS OR LEGAL: 'z.�c�� c�i s c� Po�N-r cZo�
PID:
DESCRIPri'ION OF WORK: 3 5 c:-r-�s�.�.� Po n-�-�-�
------ — - ----------------------------___ _
ZOVI�'G REVIE�V BY: � DATE APPROVED: i � 2� -��
BUII..D�G REV�W BY: DATE APPROVED; i , � Lg -� �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
pLAN REVIEW Yes �i- No SEWER CO�TNECTION
STATE SURCHARGE Yes � No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
ZO�Z`�G CH�CK LIST Zoning District: L2 -��-
Fire Department: Yy�,o�,v,/� Post Office: w��N�� School District: �u@Srvnj k�
Lot Area: Sq.ft. 1'd,�7� Acres • �f 3 Width 1�Za�v.-� Depth '—'
Survey Submitted: Yes_� No Date of Survey: (x� S,�
Proposed Setbacks:
Front(Lake): ��'1 R.ight Side: Z`?'
Rear (Street): l'-�d Left Side: 4��
Adjacent Structures: A�i14(�{J�c9 Wetland: /�/ /✓}
Buildin�Height: Def. Hgt. �, �L Peal:Hgt. O� ��
Lot Coverage: — �
Gradin�: Staff Approval Date: — By: Council Approval Date:
Septic: Staff Approval Date: � By:
Zoning File: # ZS�i 2 ' Resolution: #� Resolution Date:
Shoreland District: u�s
Av�. Setback: vA2�w-rvc� Bluff Setback: N �/�- LotCoverage: aN cC��
Ezisting Proposed
Hardcover: 0-75'
75-250' Y Z•5 7 `�Z.y 7
250-500'
500-1000'
Hardcover Variance Required: Yes e( No Date of Council Approval:
RENIARKS (in house):
7
BUII�DING REVIEW CHECK LIST
�C� �2 � 3 CONSTRUCTION TYPE: �,1�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gara�e x =
x =
TOTAL
Fstimated Construction Value: $ '-{��p�p °='
Inspections Required: tiVork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechan.ical Water Connection
P� Footing ' Septic Sewer Connection
� � Franung Fireplace Lawn Irrigation
O( Insulation (Masonry) Other
�Wall Boazd (Mfg.) Well (State Permit)
�S F�� Grading/Filling I'_Electrical (State Permit)
Other
REMARKS(1N HOUSE): .
REV�W BY OTHERS: DATE: -------------
Access: Ezisting New
Access Approval: Date By;
REI�IARKS (TO BE NOTED ON PER1tiiIT):
8
DATE TIME
CITY OF ORONO CALLED IN � D
INSPECTION NOTICE SCHEDULED ,-� �� 3�
PERMIT NO. /�2�5 COMPLETED � t
ADDRESS�; O / .e�� a �--L �(=
OWNER CONTR. ���,��.���
TELEPHONE NO. '� 7 � 'j'' `� �-z�
� DESCRIPTION�y����
l� 01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� FRAMING 13 MECHANICAL FINAL 19 LAKESNORE/WETLANDS
�
N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
W
� Ci CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next insp tion 24 hours in advance. 249-460�
OwnerlContract o i
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN _�1�� � J U
INSPECTION NO/T CE / SCHEDULED ��- q D.' a o
PERMIT NO. / � ��`� COMPLETED — � �
ADDRESS �-� � � C��i'.�LCf7 �"�-
OWNER���-�� CONTR. �c�.v�..�rth25C
TELEPHONE NO. � ��-- d.S� ��,7
� DESCRIPTIO`
� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 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
� 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d ��IIIORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� �...
W ❑ CORRECT WORK R PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED_CALL INSPECTOR �7 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on sit -
Inspector.�/�Gt,�� ��� j
White Copyllnspector's File Canary CopylSite Notice
/
�7 )
�!/) DATE TIME
CITY OF ORONO l CALLED IN
INSPECTION NQT� SCHEDULED �� �
PERMIT NO. L"� �� CO PLETED `�Z` �' j�—
ADDRESS 2-(�� � �45 C�"� �T f��'
OWNER CONTR. ���I.��'�'�
TELEPHONE NO. � � � �
� DESCRIPTION
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
03 I N 24/25 WOOD BURNER/FIREPL4CE 34 TREE REMOVAL
04 WALL BD 12 WATER HOOK-UP 17 SITE INSPECTION
Q 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W��NORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.�L73-7357
OwnerlContractor on site:
Inspector.����,�_2���? _ _
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White Copyllnspector's File Canary CopylSite Notice
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���� That Dart ot aloek 1, and tt�at pazt o! Lota 14, 15 and 1E, nlook Z, and that
����� part of abandoned orono Aven�e, all in ^winshiD'e 9ubdivision of Lot 1, Bpriny
Park, 2nd Diviaion", deecribed as commenaing at thd Northaasterly aorner o!
/� j� ! linezot/sapdiLoeplalJnCdigtancerote94t5rfeet�to4thegDoint�ot�beginniapt�dtihence
� /�':`ir� :.
�,�G `.-i,� ` �-- �;�..�.- NorthWnsearly, doElectfnq co the lelt 101 dagree� 17 minutea, ao tha shorp vf
�-- l/ir�� �c i- � ,/95'S r/� �... ..< -
I hereb certi that this , tan, surv ./or se ort was JOB# Lnke Minnotonka, said lina hnreinaftor reterred to n� zin, ^A^r thence
y fy P Y P rlortherly nlonq aaid shore to the North lina ot eaid Bioek Sr thence Bnst to
SC�7�B�RV Prepared by me orundermydirectsupervision and that 1 am .�.T�� Lhe floint oE intersection of the North line o£ eaid zot id(aith a lina drawn
ND SURVEYlNG adulyRe�isteredLandSurveyorunderthelawsoftheState parallal With and 30 feae Northv09tnrly froat the NortheaACarly a�ctension of
of Minnesota. BOOk- P8g@ tho Westerly line o� Loca 14, 15, 16 and 17, Block 3, ^winshiD'a 9ubdivision
� ��, �� oL Lot 1, SDrinq Park, 2nd oiviaion"t Chenca 9out2ii.,estorly alonq said Daraliel
�NC. ' '� line to its intsrsec�ion vith tho Southeaatezly axtenalon of said Line ��An�
SCSIA / 'tltence North�aa�ter2y aionq the exten�lon o��did Line "A�� to tha poinC of
���' �' W� Date: �/C� � ,� /999 Registration No. 14700 /���3D be�innirtig, eccordinQ to the recorded plat theraoE.
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