HomeMy WebLinkAbout1997-008880 - rebuild porch/deck PERMIT
CITY OF ORONO ` • PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _ _�i;-.,_,
Crystal Bay, Minnesota 55323 Permit Number: _, '
(612) 473-7357 Date Issued:
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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AP I ANT,'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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Total Fee: �_ ��%��-� � '1��� ' • DateReceived:
DateApproved:
Entered By: �°/�i Permit#: -��;'���_�.�"� �
CITY OF ORONO - BUILDI�i 1G PERI�IIT APPLICATION
AI,L liYFOR1VIATION VIUST BE SUB�IITTED L�1 FULL BEFORE PLAi�1 REVIEW WILL
BE STARTED
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Sec.13.04 RIGH'TS OF SLTB.TECTS OF DATA
Subd. 1. Type of data. The righrs of individual on whom[he data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information required to be given individual. r1n individual asked to supply private or confidenrial data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecang'state agency, polidcal subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requesced data;(c)any imown consequence arising from his supplying or refusing to supply
private or confidencial data;and(d)the identiry of other persons or enaaes authorized by state or federal(aw to ieceive the data. This requirement shall
not apply when an individual is asked [o supply investigadve da�a, pursuant to secdon 13.82, subdivision 5, [o a law enforcement officer.
The commissioner of revenue mav place the noace required under chis subdivision in the individual income tax or propertv tax refund
instrucrions 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 wherher ic is classified as public, priva[e or confidenrial. Upon his fur[her request, an individual who is the subject
of stored private or public data on individuals shall be shown che data wi[hout 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 hun for
six months thereafter unless a dispute or accion pursuant to this section is pending or addidonal data on the individual has been collected or creaced.
The responsible authoriry 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 accual costs of making, cerrifying, and compiling the copies.
The responsible authoriry shall compfy immediarely, 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 no[possible. If he cannot comply with the request
within that time,he shall so inform the individual,and may have an addidonal 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 individuai may contest the accuracy or completeness of public oc private
data concerning himseff. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemenc.
The responsible authoriry shall within 30 days ei[her. (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete data, inciuding recipients named by the individual; or(b)notify 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 the disclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisions of the adminisuacive 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 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 pernut or license.
3. The information may be shared with other local, state or federal agencies to the eztent 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 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.
.G/ �-��G�Z
First + Middle Las[
Address.
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Ciry State Zip Phone
I understand my rights as s�ted above.
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL:
PID:
DESCRIPTION OF WORK: , �
-------------------------------------------- ------------------------------------------------------�------ -- ----------
ZONING REVIE� BY: �j� DATE APPROVED•
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SURCHARGE Yes �L No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No � SITEINSPECTION
Number of SAC Units OTHER (specify)
-------------------------------------------------------------------n-----------------------------------------------------
ZONING CHECK LIST Zoning District: 1�--� �C'
Fire Department: Post Offce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes � No Date of Survey:
Proposed Setbacks: � �� �
Front (�.a�c}- � Right Side:
Rear (.��ct,'tJ' Z.�C' Left Side: �p��
Adjacent Structures: �� � Wetland: l�d ,
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
Hardcover: 0-75
75-250'
250-500'
5�n-1�0��
Hardcover Variance Required: Yes No Date Council Approval:
REMARKS (in house):
10
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BUII.DPi tG REVIEW CHECK LIST
UBC: � "� CONSTRUCTTON TYPE: �_
Sq Foota�e � Per Sq Ft�
Basement x =
lst Floor �� x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 2 ���
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
_� Footing Septic Sewer Connection
( Framing Fireplace Lawn Irrigation
� Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_� Final Gradin�/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By�
REVIARKS(TO BE NOTED ON PEItl'��1IT):
27
iDATE TIME
CITY OF ORONO CALLED IN �7- �
INSPECTION NOT�CE_ scHE�u�Eo ..S - ..� ��
PERMIT NO. �I�'y(" COMPLETED �.`� ��
ADDRESS __��� �"�2�d1�� �'ll���- li.�/}/z.
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OWNER �'f 2 Lf.Qi'�!'-�'c-� CONTR. t%c�.�2�C°� C t�-�Q�yz�
TELEPHONE NO. ���-I ����
� DESCRIPTiON
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADINCa/FILLING
� 02 FRAMIIQLi� 13 MECHANICAI FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�SITE 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
v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� � PROJECT COMPLETE
W (' CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
l_� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractoF'on�ifle:
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Inspector. __.' [i'��i7�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED W ��7-!7 ���� �i
INSPECTION NOTICE y ��� SCHEDULED �1�3 i-%`1 � 30�ia
PERMIT N0. �� COMrLETED 1n
ADDRESS I G� � ���-�-�, ( '� ,�,�1A, ���
OWNER ���z-�-E.� CONTR. C�e%c�C--c+►-.,
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TELEPHONE NO. � 73- 30.3�l
� DESCRIPTION L-L��z��-�
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� Ot FOOTI 11 MECHANICAL RI 18 D(CAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS
p 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z O5 FINAL 14 SEWER HOOK-U P O6 PFiOGRESS
~ 07 DEM4—SITE 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 PLUMBING FINA� 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENT :
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O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ,- pHOTO TAKEN
INSPECTOR WI�L RETURN
❑STOP OROER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
Owner/Contra si :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN '�'�'% � � � L' �"/
�;�
INSPECTION NOTICE SCHEDULED L/3 "7 � L ��
PERMIT N0. �SS�� COMPLETED �
ADDRESS �' � � � � � � �% �
�
OWNER /--���������-, CONTR. ��� �
TELEPHONE NO. �7 ��� "Y�� 7 �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
y 02 FRAMII4G�` 13 MECHANICAL FtNAL 19 LAI�SHORE/WETLANDS
Q���03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
BD:~}� 12 WATER H�OK-UP 17 SITE INSPECTION
Z OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d t ORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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O t:; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERtNG PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WI�L RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473-7357
OwnerlContractlp ,o site: '
Inspector. -
White Copylinspector's File Canary CopylSite Notice
COTOM COTTAGES, LTD.
P.0, BOX 633 -
WAYZATAMN 55391
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Flare
AS N10"TED
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