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Home My WebLink About1999-012094 (Remodel) — -- -- PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway - P.O. Box 66 __ �� u�- Crystal Ba�, Minnesota 55323 PermitNumber: �;;�� (612) 249-4600 Date issued: SITE ADDRESS: ,. . _ _.� .��.t�.t- i . .?�4'L_ �-�;`•3':- DESCRIPTION: -_••..;�1 1��'_•+`�t`,� =i,f�..A.._ . .� ,. .^_ .. . ..... . .-`.�.._.i-�l,,'->�;`;+�:�s`';'=i'it_�; �a=. '_:�.�_ i,F�e3 f7�� .F;ji�Fk��: �•'' `:F":� �+_t:v1_�i`r .f.�:f��l7i...��_ .i�}��1'� i_�i~'.��_�.•!. _ { i}t.,'r—�.V aYi��'�{ . L.F''�y'�".;�..� .'.iT:i_.F=j i�.-rEs F<L._ � . . ..._�e 1 �,i'.'�',,:`.� � �C�"iL REMARKS: _ ? , _ _ - - ,, , , .. _ _ -. .. .. . _ . - - ._ . _.. . . . . _ . - _. ,__ . , ,-- , �: FEE SUMMARY: , . .,-.. _ : ,:�:,�.;;�.;3'_'.`�. . :_ _ . .. _ . _ �.-�� -,� .._=�:�� . ._.._ �.�.�� . .__ _ _ � -..-. - _r,,; �'r-°�:��_�:_ . __ - . .;i _:S j j'7 j i.'i]'� , �........�.......— i'�.{� i t(�i __ a..:.c:_u: ': 3-E�.:w� . ._.._ . _ .�_f . l�ls�� CONTRACTOR: - . . ,- _ _ .. _. -. _ -� OWNER: - ..;� .;;- - - �,.._ � . . . �:� :- . _.: :,:. , ._� . �. � r. . - u :__ :� � ..:�: �.�.�.,..., _ . � _� _ _. . . _ ___. _ µ _ - - _. .. _ _.. __... .�i _�i _ _ _.. .. .`:� €� .`:`. _... ^j I'��;�•!r=,:':;�=`+-t;__'`; :�;€�_ _ _ _ �:�=`s�i;ui-1 i°j«•; — _ �S ..... .. i .� - ... t i . ..: ,.-_.��.-.`. . ..' e _ �..; �..f � � � .. �r,_.. __. �. ... _ _.. ..__ .... ____ . ._.._ _ _ _ . _< v_: .� . � . _ . � _. . ... . _, .,., .... _ _ _ f�� :i ' { ' . - .�'' �' .� W.; .. _ _ ._•__ � .. . �.. . .. . . .°. _ , . .,. . ...._.. . .. ....._ �.�i� . `"� . .�._s.. tM.€ -.._. . ._�. �... .,. ,... �. .. . _ . . .. , . ..+ . : r. , ; , ,.;. ' _ Y t-: ' �i; t - , � �s.. -.� , i ::,. :-; . . . . . . . .. _'>_,.. _. ., . _ f �, .... . ' 7 . � � .. .. ._ - . .� .,. . . , ..., �...� . ._. . . . . :....�.., . ...... �� , . � APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE �,��,� O . � r Total Fee: $ �'`�� ` C�'4' Date Received: :�- � �-�y Er�tered By: � Permit#: ,��-=.�jC'/ CITY OF ORONO - BUILDING PERNIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �" ,1 �� ,,., -� �';, _ -� � JOB SITE ADDRESS: `�-1 � �?��-� 1-�;J�=' ZIP: �> > � { � �' � � �/ PHONE: (home) �_� -� ; .. -� 1 �� `�; NAlV� OF OWNER:��.,:> ��_ (work) MAILING ADDRESS: �`-�v g r � �-T"T ��,��:_ CITY: <..=: '-�� ZIP: t� ,; -,� '�! CONTRACTOR I-1 ��'��Z, �-� �>�� , .�f�=_, ,�•� PHONE: �i•7 . � Z`� - ( �`►�[ y CONTACT PERSON: �_�,�-r�. L;,��:°-;,r.;,-:<�MOBILE/PAGER: � 1 z _ �_�l �� , => `�3 `=� MAILING ADDRESS: 1�� o � =; : - • t CITY: ,;1.:. r, ZIP: L> `>` � � STATE LICENSE: # �> �__ �- �i ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition Accessory Structure Move Remodel/Alteratio?t�_ Land Alteration PROPOSED WORK(describe in detai�: �,��_��,:�.�� i�,�`-- L.�ti��_�� =-�-�; �'�y �: ; ��s �' ��-�-- �� i�.�:, e STORIES; SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �.� �= ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � : ; '�=U 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 understa�d this is not a permit and work is not to start without a pernut; and that the work will be�in,accordance with the approved plan. / ; APPLICANT'S SIGNATURE:`t'� DATE: J� [ i'? ��•� _. � NOTE! Parade o�'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 srored or to be stored shall be as set forth in this section. 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 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 or refusing to supply private or confidenrial data;and(d)the identiry of other persons or enriries 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 nlace the notice required under this subdivision in the individual income tax or orooertv 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 whether it is classified as public,private or conf'idenrial. 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 its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secrion is pending or additional 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 authority may require the requesting person to 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 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 conceming himself. To exercise this right,an individual shall notify in writing the responsible authoriry 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 notify past recipients of inaccurate or incomplete data,including recipienu 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 �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 shazed 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 pemrit. First Middle Last Address Ciry State Zip Phone I erst � ights as stated above. Signa re 6 � CHECK OFF LIST FOR ISSUAl�'CE OF PERtiIITS , FOR OFFICE USE ONLY - ADDR�SS OR LEGAL: 5 y u C3A R 2� �1 v t= _ PID: DESCRIP'TION OF WORK: a2w�.�i� �� n s�s ------ — -- ---------- . ZO.�tI�i 1G REV�`V BY: DATE APPROVED• ,es�l�-Z -g g BUILDLIIG REV�`V BY: ,,,,� DATE APPROVED; i�- z-�9 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓� No pLAN REVIEW Yes �/' No SEWER CONNECITON STATE SURCHARGE Yes � No `VATERCOi�1NECITON INVESTIGATION FEE Yes No PARK FEE SAC Yvs No SITEINSPECTION Number of SAC�Units OTHER (specify) Z0�1G CH�CK LIST Zoning District: R R- 1� Fire Department: (�o�u h V4tc,� Post O�ce: ��.�,� School District: c�� I.otArea: Sq.ft. 3�,�Vo Acres ,'�� Width 30+� Dep[h � 2`l .S`7 Survey Submitted: Yes� No Date of Survey: 3 -2�'�v Proposed Setbacks: Front(Lake): 2 S, Right Side: �� ' � Rear (Street): Ss� Left Side: `'�� Adjacent Structures: N G� Wetland: �� Buildin�Height: Def. Hgt. p.K Pea�:Hgt. �° C��''�� Lot Coverage: B•` ' Grading: Staff Approval Date: /��!/� By: — Council Approval Date: —' Septic: Scaff Approval Date: �'✓�ri9' By: r-- Zoning File: # � '��Resolution: # Resolution Date: /n•2 5 '9 9 Shoreland District: .rl-05 Av�. Setback: /11i� Bluff Setback: i✓li�- I.oc Coverage: � b Ezisting Proposed Hardcover: 0-75' 75-250' 250-500' ��- 500-1000' Hardcover Variance Required: Yes No_�_ Date of Council Approval: REMARKS (in house): 7 BUIIIDING REVIEW CHECK LIST UBC: Q•3 CONSTRUCTION TYPE: V/`1 Sq Footage $Per Sq Ftg Basement x = lst F1oor x = 2nd Floor x = Gara�e x = z — TOTAL Fstimated Construction Value: $_ �j, <<}-,�J m Inspections Required: `York Requiring Separate Permits: Site p( Plumbing Fire Hardcover Removal � Mechanical Water Connection Footing ' Septic Sewer Connection �C Framing Fireplace Lawn Irrigation �Insulation (Masonry) Ocher Wall Board (Mfg.) Well (State Perm.it) �F�� Grading/Filling ►L-� Electrical (State Permit) Other REMARK.S(IN HOUSE): . ------------------ REY�W BY OTHERS: DATE: Access: Existin� New Access Approval: Date gy; ---------- - REI�IARKS (TO BE NOT'ED ON PER�tiII�: 8 DATE TIME CITY OF ORONO CALLED IN �-� �--`�` � Q7 INSPECTION NOTICE G, SCHEDULED � '� �' e� � PERMIT NO. �' COMPLETED H ADDRESS . J � �� G�- OWNER CONTR. -�'�` �'� • TELEPHONE N0. ��y I y T� � DESCRIPTION — .�/Ir1'�. ly� 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING � FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 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 06 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: � W � � J O a � O � W � Q � Z W � W � j d W� �i' VORK SATISFACTORY:PROCEED �; PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C; ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �-, pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor si�� c Inspector. White Copyllnspector's File Canary CopylSite Notice �E T� CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �/ � � PERMIT NO. OI2� COMPLETED � �LJL'�_ ADDRESS g�O s�.�'C� `l�le� OWNER CONTR. �`�''�1"�V TELEPHONENO. �ag—�g� � DESCRIPTION l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 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 05 F 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL = 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d ORK SATISFACTORY:PROCEED ROJECT COMPLETE W � [� CORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY W O �l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT CI CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN �l STOP ORDER POSTED.CALL INSPECTOR ' ' CITATION ISSUED C; INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContr or on site: � Inspector��-�C��S White Copylinspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLEO IN INSPECTION NOTICE SCHEDULED 1 Z'10�f`� a '� PERMIT NO. v cOMPLETED �� ADDRESS �� '-2-�"�}v{'" OWNER CONTR. C�'a�'hR.,Y a ��5�°t� TELEPHONE NO. �� 1�� DESCRIPTION t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d W� �WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contrac site Inspector. White Copyllnspector's File Canary CopylSite Notice