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Home My WebLink About1999-012146 - insert windows PERMIT , C��Y OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 Crystal Bay, Minnesota 55323 Permit Number: Date Issued: � (612) 249-4600 - �-- - SITE ADDRESS: _ .. � _. . _ _. _ ..'T,'�;; �,'�.j I � , :.: _.- . _ - - - - - �_.:� �;�i DESCRIPTION: . � . -�- - - - - � . z -- } _ ,: - - =��s� � .- :il�;a . �?•�•�I.:�+_ _'_.tc,r_`Y:-- ... . - - _. --.-i;�i;'::'r?;`s*?i_i;?4-.� ;�v1_�i _��'{t i: �;ei;"��'i:: £ , , _.. {—;`+:i�„. . . .�`_ "-`t:�`'_._..`.�. . I, -..��f t�'.i�� {� _ ..i._ -��_r� f'j?...«S . . .��i�f+�?�� !i'':�.._ �I REMARKS: FEE SUMMARY: , -,,_�. _ _ . '.... .. : E _ ._.��f . r ' ' " '. i:.�;=.�r° i._L v , _ . . .V_ , _'.iJ. _�:c..'`�+�� .��_.��__ idn..��.e'_;.i� t e_.i._.._ ��°". ��,i�f� . �._�. I I I � CONTRACTOR: _ _ _ .. -= OWNER: _ __ - _ �:_ .... _ - . ! . _. _. _ - - � �:;_ . ��s_. _ '�i: __.. . _ � . . . :... =�:i. �:. 4�� ._ �{W .- ��'�1 I'::�' --� ,, . : s �.: i- — — : ._. .� W_: . � .' �"' - - E .. _ _ ... __w _.� ._ _ : _,=tl�.`'_ _ .. _ _ _ ._ .._ . . . _ _.. . __ ._... _.. _ � _ _ -_, __ _ ' -:`— .i_ j t � i ; t ;—`—: f._ #_t:_! . ._t_ .. _ .* L: , �� j ... _. , _��` .. t__ ___ . . . . ....... . � s. � ; _ _ _ � ! � �� :�; .i ��s ; ��-�,_.'•�� . ..: .� r:i��. ,.. �.._ _ _ _It _ - __ , — �,. ,:: : L ,.: , , , � , ._ . .: . _ _ � . . _ __ , . . ._ _ . . � � , ,�� APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �`'/r�,� ` Total Fee: $ L��"( '�� Date Received: Entered By: � Permit#: 1 Z-��1C:; � CITY OF ORONO — BUILDING PERNIIT APPLICATION '%`�9 ' ,, ... �� w��— �,�s��, ._. All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one OWNE R CONTRACTOR JOB SITE ADDRESS: !Sf � Z�/J�T�/)lJf�� ZIP: �� 'lI/ NAME OF OWNER: �F/PfSi9 �Q�sT�i� PHONE: (home) y?�` �� (work) �/z 37/-/S<D1J MAILING ADDRESS: G'�`Q'�J'e CITY: ZIP: �'�R� r�T�-��-�'! CONTRACTOR: ��Z%�,'E� _ PHONE:�/� - �- �� CONTACT PERSON:�� I� MOBILE/PA ER: ' �� „'� �� -;�'�=,'0 MAILING ADDRESS:,j/� Q CITY: ��' L�ZI�C , IP: 55"3� 6 STATE LICENSE: # �� ARCHITECT/ENGINEER: ��/T PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/ lteration Land Alteration PROPOSED WORK(describe in detai�: �� n.�v�-� �,,�%�l �;L�.I it��-��^�L' f _� -�� 2r � �i'� C'�l'C"!� i � �,' �'1 l�..P�2E'�'1 , - STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIlVIATED 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 is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: // /d � 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 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 uxlividual 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 ot refusing to supply privare or co�fidenual data;and(d)the identiry of other persons or entides authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked ro suppty investigative data, pursuant to secuon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice required under this subdivision in the individual income tax or oronertv 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 srored private or public data on individuals shall be shown the data without any charge ro 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 informed of its meaning,the data need not be disclosed to him for six months thereafrer unless a dispute or acdon pursuant to this section is pending 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 authoriry may require the requesting person ro pay the actual cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivisiun,or within Yive days of the date of the request,excluding Saturdays,Sundays and►egal holidays,if immediate compliance is not possible. If he caru�ot 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 rhe accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible autl�ority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found ro be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incompiete dara,including recipients named by the individual;or(b)nodfy 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 determination of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating to contes[ed 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 licei�se. 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��e,��s�- �/U� �1/��sT��7 First Middle Last � � Addre � �J �s"<39� �l �37/-/� C�n, State Zip Phone I understand my rights as stated above. _1��/��/%�� Signamre 6 . � • CHECK OFF LIST FOR ISSUANCE OF PERNIITS FOR OFFICE USE ONLY • ADDRESS OR LEGAL: Z g 1 t C�s� �orrv-� �.o�,� PID: DESCRIPTION OF WORK: L.►,��v spo�,,�s r� Po�'�-�.� ZO�iG REV�`V BY: DAT'E APPROVED: //-i 5-15 BUILDL�IG REVIE`V BY: DATE APPROVED: i�- /S-5'�i FEES TO BE CHARGED: Misc. Fees Calculated By: PER�I�IIT Yes �/ No pLAN RE�:�W Yes C� No ✓ SEWER CO�INECTION STATE SURCHARGE Yes � No WATERCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No STTEINSPECTION Number of SAC�Units OTHER (specify) ZONJ..��1G CH�CK LIST zoning Districc: �o C(-i�4�v�,;C Fire Depar[ment: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Si : Rear (Street): Left Sid : Adjacent Structures: Wetland: Building Height: Def. Hgt. Peal:Hgt. Lot Coverage: � Grad:ng: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zonin�File: # Resolution: # Resolu[ion Date: Shoreland District: Av;. Setback: Bluff S back: L.ot Coverage: Ezisting Proposed Hardcover: 0-75' 7�-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: RENIARKS (in house): 7 BUII.DING REVIEW CHECK LIST usc: R � CONSTRUCTION TYPE: �'N Sq Footage $Per Sq Ftg Basement x = ist Floor x = 2nd Floor x = Gara�e z = z — TOTAL Estimated Construction Value: $ �1� �p p� Inspections Requirec�: `Vork Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection Footing ' Sep[ic Sewer Connection � aG Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _�F�� Grading/Filling Electrical (State Permit) Other REMARKS(1N HOUSE): REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date gy; REI�IARKS (TO BE NOTED ON PERlvIIT�: 8 _ e �� ►/�� ( � � �ii��-� i/%��'i�" �-' i//'C��%C./ � f/ ��j G%� �� /' C�/ �� / ��'�Eti � �� , ,�� GZ�� 2 Y �9 � �� ,��o � �� /3 �� , �d�� ' pATE TIME CITY OF ORONO CALLED IN //3%00 INSPECTION NOTICE SCHEDULED � ' 3 0 PERMIT NO. r� �� C MPLET /' a' �=j�� ADDRESS � � " � / • OWNER CONTR. TELEPHONE NO. �%L� - `�.�.-'�G � DESCRIPTION -��E_-�-�,ry� ��i L� 01 FOOTING 11 MECHANICAL� 18 EXCAV/GRADING/FILLING 02 FRAMING 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � C M�FNTS: ^� ^ , � , ��`'�y�/� �j � 5c,� c�. ' � � O � � O � W � Q � Z W � W � j W �.WORK SATISFACTORY:PROCEED ! PROJECT COMPLETE � CI�CORRECT WORK 8 PROCEED '. ' ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN Cl STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED Cl INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector. ��P ��G G�v� � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ^-.��U� � PERMIT NO. d L2)�I�P COMPLETED � Z�� ADDRESS S? I �C�S�D PQ� Yl�' �oI OWNER CONTR.,nl P�'��IM TELEPHONE NO. LI�`"�JD�]3 � DESCRIPTION o ('i ��"�7 t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESNORE/WETLANDS � Q 3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W� �Q�VORKSATISFACTORY:PROCEED - PROJECTCOMPLETE W�❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN L;STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContr ctor on site: Inspectorii� � White Copyllnspector's File Canary CopylSite Notice