HomeMy WebLinkAbout1996-008129 - deck - � PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 `��?��-�-''�`�`"�
Crystal Bay, Minnesota 55323 Permit Number: �';i y;=�,��;��
(612)473-7357
Date Issued: z_,;,��;_::}��;;=,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: —� �st���°�. i��.���t. —
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UCANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: /Z I GN�v�r Ct�t-�45�
PID:
DESCRIPTION OF WORK: /J c��(C,
--------------------------------------------------- --------------------------------------------------------------------
ZONING REVIEV6� BY: DATE APPROVED: �- 3• S�
BUILDING REVIEW BY: DATE APPROVED: �• �- y'l
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEW Yes c�- 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: /Z -��
���� Fire Department: Post Off ce: School District:
f��
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes p� No Date of Survey: l, •�Z.- S�,
Proposed Setbacks:
Front (Lake): /J (� Right Side: Z 5• � 'i=
Rear (Street): SS � + Left Side: 3S � �'
Adjacent Structures: /4���A-U-4'�'�.� Wetland: /v(/-1—
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
1 p. 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 Appfoval:
REMARKS (in house):
10
BUII.DING REVIEW CHECK LIST
UBC: � - 3 CONSTRUCTION TYPE: �(N
Sq Foota�e � Per Sq Ftg
Basement Y =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $�y C9(�o��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal �techanical Water Connection
_� Footing Sep[ic Sewer Connection
_� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
p�Final Grading/Filling Electrical (State Permi[)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DAT'E:
Access: Existing New
Access Approval: Date BY�
REl�1ARKS(TO BE NOTED ON PERI'�IIT):
27
� � ,
Total Fee: � DateReceived:
Date Approved:
Entered By: Permit#:
CITY OF ORONO - BUILDTivG PERIVIIT APPLICATION
AI.L ��'ORNIATION�IUST BE SLBl�1ITTED IN FULL BEFORE PL��i REVIEW WILL
BE ST�RTED
THE APPLIC��1T IS: (circle e OWNE R CONTRACTOR
JOB SITE ADDRESS: � Z�� ��3 � �
NA�I�IE OF OWNER:4�- �/t PHO1V'E: (home) � 7' �� � �
(work) 7-� -�s'a/
I�IAILING ADDRESS: ' ITY: ZIP��
CONTRACTOR: -- PHONE:
:�IOBILE PHOYE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARC�IITECT/ENGliYEER: PHO�1E:
MAII.I�i tGADDRESS: CITY: ZIP:
�;���; REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe indetail):�(�O�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET.
�
EST�IATED CONSTRUCTION VALUATION(escluding land): $ SQ��'
I hereby apply for a building permit and I acknowled�e 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 Buildin� Code; that I understand this is not a permit and work is not to start
without a permit; and that the wor ' be ' acc rda ith the approved plan
APPLIC�'�1T'S SIGNA . � DATE:
NOTE! Parade o eve require eparate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
, , � �
Sec.13.04 RIGHTS OF SLJB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom che data is stored or to be stored shall be as set forch in this secrion.
Subd.2. Information 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 wi[hin the coilecdng'state agency, polidcal subdivision,or statewide system;
(b)whether he may refuse or is leeally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply
private or confidendal data;and(d)the idenary of other persons or enaties authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply investigaave data, pursuant to secrion 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 propertv tax refund
instrucaons instead of on those forms.
Subd.3. Access to data by individual. Upon request ro a responsible authoriry,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 co�dential. 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 ia meaning, [he data need not be disclosed to him for
six mon[hs thereafter unless a dispute or action pursuant to this secrion is pending or addidonal data on the individual has been collected or created.
The responsible authority shali 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, cerrifying, and compiling the copies.
The respo�sible authoriry shall compty 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 tirne,he shall so inform the individual,and may have an addidonal five days wi[hin which to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individuaf may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in writing the responsib(e authoriry describing the nature of[he disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipients of
inaccurate or incomplete data, including recipien[s 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 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 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 wiil be used ro determine your qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that che 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 pernut 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 viiddle Last
Address
Ciry State Zip Phone
.
I understand my rights abo .
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �'� �
PERMIT NO. •���(� COMPLETED
ADDRESS � C���-'�"
OWN ER �.c��: L�f:�-Q-� ('-4-a�.,:�,�LCONTR.
TELEPHONE NO.
� DESCRIPTION _ [ ! v-C %� (=�N ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
�Q 02 FRAMING 13 MECHANICAL FINAL 19 LAI�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
Z �/�y�NAL 14 SEWER HOOK-UP O6 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINCa RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� I:WORK SATISFACTORY:PROCEED
W PROJECT COMPLETE
� � CORRECT WORK 8 PROCEED �-. ISSUE CERTIFICATE OF OCCUPANCY
W
O �CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. — pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for t e inspection 24 hours in advance.473-7357
Owner/Contra on '
Inspector. ''
White Copyllnspector's File Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO CALLED IN '� J �E
INSPECTION NOTICE scHE�u�Eo '7 r , __C �..�.r'
PERMIT N0. �3�z9 COMPLETED
ADDRESS /�/ ��.��0� Q�• � �
OWNER ��-r.� si. � �� ! CONTR. ✓l��
TELEPHONE NO. '�7 � " .-�`� �/
� DESCRIPTION C�.�-�.�.
� �l��� ii MECHANICALRI 18IXCAV/GRADINCi/FIWNQ
� 02 FRAMINC� ' 13 MECHANICAI FINAL 19 LAI�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
2 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPLAINT
J
� 07 DEMQ—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOU�ATION REMOVAL
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