HomeMy WebLinkAbout1999-011292 - building �'ERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - -� �� -� �•
Permit Number: `�'r���-"�`';_:
e,rystal �ay, Minnesota 55323 i; i �°���:
(612) 473-7357 Date Issued: _ _ . r _:
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE S�IMMARY:
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CONTRAGTQFi: '� OWNER: _ ��:�,i ?, :;;.��t. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ �/, j�: Date Received:
, Entered By: ;�� Permit#: ,' �� i:'
CITY OF ORONO — BUILDING PERNIIT APPLICATION `�'E�-���>-;�"�-�;�:���
All information must be submitted in full before plan review will be startec���� � S 1999
(please print all information) �;i��7 �::.�-�;;=;��,ti�
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: d9 O �.�.p ZIP:
J PHONE: (home) le�a—�!78'�6—S 9�
NAME OF OWNER: �„�Q,,Q ���
�W�,rk� �...
MAILING ADDRESS: 1e5�l o'� �}«( � e � CITY: �f q�yJ e. � ZIP: Sv �
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
N�,ME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: f� )C /6 S�c�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /d 1 D� a�
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: i����f ' " DATE: .� 9�9'
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 section.
Sabd.2. Information required to be given individual. M 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 collecting state agency,political subdivision,or siatewide
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 confidential data;and(d)the idenaty of other persons or entities authorized by state or federal law to 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 law
enforcement officer.
The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income tax or�rooertv 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 furrher 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 its meaning, the data need�ot be
discbsed to him for six months thereafter un(ess a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or pubiic data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,ceRifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or witltin 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 data found to be inaccurate or incomplete and attempt to nodfy
past recipients of inaccurate or incomplete data,including recipiencs named by the individual;or(b)notify 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 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
City State Zip Phone
I understand my rights as stated above.
Signature
6
G �
CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��U �i C, i SUkrw'�
PID:
DESCRIPTION OF WORK: 5;��✓�
---------------------------------------------- -----------------------------------------------------------------------
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ZONING REVIEW BY: ' DATE APPROVED: � ��� -y`�
BUILDING REVIEW BY: ! ,�,� DATE APPROVED: 3 z S - S`j
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes _� No SEWER CONNECTION
STATE SURCHARGE Yes _�- No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: (�' -`_�
Fire Department:(�,s� �� Post Office: �'1;�� .v -� School District:
Lot Area: Sq.ft. ��,i �,�j� Acres <C7 �� 3 Width �� � Depth � /` )
Survey Submitted: Yes „� No Date of Survey: ch� ;=i �;
Proposed Setbacks:
�rent(Lake): ct`t Right Side: I �� �
Rear (Street): `f`�j Left Side:
�5 �
Adjacent Structures: ��S Wetland: � ��
Building Height: Def. Hgt. �-� k- Peal: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: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
� �
BUILDING REVIEW CHECK LIST
UBC: tU ' � CONSTRUCTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
c�✓
Estimated Construction Value: $ �� �O
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 Grading/Filling Electrical (State Permit)
Other
REMARKS(IN HOUSE): �
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT�: - ct:N�'f'` �_> . c�ti-s` ����-�= '�
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COPYRIGHT, MENARDS C. AUGUST 1996 — ,
indow Nvt luded, �� '�
lx6 Standard Pine �� �d as an Opt10 ' S --��� / �
Fascia Trim
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1. GENERAI, ___� � _
Prior to beginning construction, the area selected for the shed location
must be leveled and cleared of obstructions. �
2. INVENTO Y - � .
__._- .__.�
Separate all lumber, hardware, etc. into individ��al stacks of like items.
3. FRAME PREPARATION , ��9. ��
Unfold each frame, setting aside --�._-------
two frames to be used as end �`igure 1. Z Nominal Sizes
walls. From 1"x4" Pine boards, cut 45-��
Gusset plates 6" long �iHigh Root
• 24 pieces for a 12' building 1��x4��xs��
• 32 pieces for a 16' building long gusset -/�w Roof
• 40 pieces for a 20' building �� plate at top s
Apply gusset plates on each side �� 2�x4" Upper folci location
of the top and bottom fold and Lower Overhang 12'
locations. Frames to be used as Roof Frame
end walls require only one gusset �$ Member 11�-0�•
plate top and bottom on the side
opposite of the metal plate, and to
the inside of the building. Use 2-x4"Side Wall
four 8d nails on each plate. See Frame Member
Figure l.
PLF,ASF.NOTE: Thle ehed canatructlon Nd la Inlended Z�reated 2��X4�� j"X¢"X6" 64"
soley lo provlde general knowledge�t to one of the waye Bottom Frame long gusset plate
a shed msy be conatructed using materiale avallable from
MENDARDS. We suggeat rou check with your local Member at bottom fold
building offlcl�la reg�rding atte locatlon, permit
procedurea,��fety regulaUona and apecificatlona of loeation
materlalr used to coostruct your new stonge ehed.
Auildera who utllize this aid must proceed at thelr own , ,,
risk and are aoley responalble for complyln�wlth all ', ""
, bulldlnq codea whlch pertain In thelr community. 12�-0" -�►�
MENARDS hereby di.ulalme all Ilabllty for�ny dam�g�
whether coneequenHal,Inctdentd,epectd or otherwise, 1-1� �� EZ BUILD BARN FRAME 1-1�2"
whfch may result from following this do-lt yourself ald.
t�����^���:��.. � .suf�� �ro��( f'���. �
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DATE TIME
CITY OF ORONO CALLED IN /o/ab//�
INSPECTION NQTICE SCHEDULED �� 07:�
PERMIT NO� �� ` Z CO PLETED � �' ��G'L�
ADDRESS
OWNER � CONTR.
TELEPHONE NO. "Y-��� • (o5�7C�
� DESCRIPTION � �i� -
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q FINA 14 SEWER HOOK-UP 06 PROGRESS
� O-SITE 27 SEPTfC 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
� COMMENTS:
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�/L�NORK SATISFACTORY:PROCEED .�-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 RETI}RN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
�wne� ontractor on site:
Inspector. i/� �iC '
White Copyllnspector's File Canary CopylSite Notice