HomeMy WebLinkAbout1999-011818 - move deck stairs PERMIT
CITY OF ORONO PERMIT TYPE: -
27.� Kelley Parkway- P.O. Box 66 Permit Number: i':.sf i =i��:=; „�`
� Crystal Bay, Minnesota 55323 : - "� _= " -
(612) 473-7357 Date Issued: _ °=:�s:�=,i��r�
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - t::::_::::, ; ;_._;�;;_ _. - . . ..._ - OWNER:
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APPUCANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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, Total Fee: $ Date Received:
` Entered By: Permit#: `/.�'% �
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER`Ol� CONTRACTOR
JOB SITE ADDRESS: �� �� �;u�,�rC,�S-, ;�� i�)�- , ��� ZIP: �3"��s—�
NAIVIE OF OWNER: (.�/I , :-��' �L�,' �- �� / PHONE: (home) Ll � ��- �,C� �
(work)
MAILING ADDRESS: :.,��� t CITY: ZIP:
.
CONTRACTOR: �--_. �--�-s,��--� '� ���;� l, PHONE:_ `%7 E �> �= � /
CONTACT PERSON: ����y ��, ,S���-��_ r MOB�/PAGER: �c���/�-�' � � �
MAII,ING ADDRESS: � s2_s- ���,,:� ;,;/� ,� �� CITY: L �-���, L-��/� ZIP: ��s��-�-�,
STATE LICENSE: # _s-� s�
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: N�w Addition Accessory Structure
Move Remodel/Alteration �`' Land Alteration
PROPOSED WORK(describe in detai�: . � �: �- t y ��-: ,4 � �-�,: �- . , �.�<� r ��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED 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: 1 Z,�.:�,:-=� � -- -v DATE: `% - -�- 5 y
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.
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Sea 13.04 RIGFITS OF S[JB.TECTS 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.
Subd.2. Information required to be given individual. An 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 collecting state agency,poli[ical subdivision,or statewide
system;(b)whether he may refuse or is legaUy required to supply the requested data; (c)any known consequence arising from his supplying or
refiising to supply private or confidential data;and(d)the identiry 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 propertv tax refund
instructions 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 confidential. Upon his further request,an individual who
is the subject of stored private or public dara 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 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 authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of tke 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 shal]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 notify
past recipients of inaccurate or incomplete data,including recipienu 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 determu�ation of the responsible authority may be appealed pursuant to the provisions of the administrarive procedure act relaring
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 aze 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 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 Middie Last
Address
C�ty State Zip Phone
I understand my rights as stated above.
Signature
6
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� �' CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS OR LEGAL: --�,�, � �� ti ��'-�,�,,,�� ��_�- �-:.% -
PID:
DESCRIPTION OF WORK: .-��-�-e ���-�� -�'�i,�LS
----------------------------------------------- -----------------------------------------------------------------------
ZONING REVIEW BY: � '(; � DATE APPROVED: �f- 7 -4�
BUILDING REVIEW BY: � DATE APPROVED: y Z -�� 4
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FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �� No
PLAN REVIEW Yes �-- No SEWER CONNECTION
STATE SURCHARGE Yes +� No WATER CONNECTION
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: r�ti�� � �+Y��c�{
Fire Department: Post O�ce: School District:
Lot Area: Sq.fr. Acres idth Depth
Survey Submitted: Yes No 'Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side: �=r' �`
Rear (Street): Left Side:
Adjacent Structures: Wetlan :
Building Height: Def. Hgt. Peak gt.
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 Setbac : Lot Coverage:
Existing Proposed
Hardcover: 0-75' �
75-250' t
250-500' �
500-1000' _��
Hardcover Variance Required: Yes NQ Date of Council Approval:
REMARKS (in house):
7
.+a' �
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BUILDING REVIEW CI�ECK LIST
UBC: /=' ��� CONSTRUCT'ION TYPE: V`+�'
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
ct
Estimated Construction Value: $ � ;�%�%�
Inspections Required: Work Requiring Separate Permits:
S ite Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
�_Framing Fireplace Lawn Irrigation i
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�:
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�D,[aT TIME
CITY OF ORONO CALLED IN �,
INSPECTION NOTIC ��� SCHEDUIED j�•
PERMIT NO. � COMPLETED J Zt G�'
ADDRESS���� �-CS� S GL-� �L/
OWNER CONTR. l�Y���l'�'L� �]
TELEPHONE NO. ��( � � ��D�
� DESCRIPTION ��
l� 01 FOOTWG 11 MECHANICAL RI �8 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 L 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECOND�TIONWITHIN HOURS. �—i PHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
� �
Inspecto���=r �� �-�
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE / SCHEDULED � ��
PERMIT NO. v�I�! � COMPLETED �' o����
ADDRESS ��� �C�'`�.��t:� � .�� �V
OWNER CONTR. Cr��'1 �t�-+'�t
TELEPHONENO. 1-�t_r1 �� � C9��1
� DESCRIPTION
L� 01 G 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� �
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� LATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA� 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
fl COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. �-, PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.��C_�-C '�. �
White Copyllnspector's File Canary CopylSite Notice
C/ DATE TIME
CITY OF ORONO CALLED IN / �°� y�
INSPECTION NQ�I��� SCHEDULED � ��G`�
PERMIT N0. �� COMPLETED !� 9'" �O
ADDRESS ���S C.�`-���'�l���+� �'L �'L�
OWNER jL�l2c�Z� CONTR. ���5 T_e-�c��
TEIEPHONE NO. �7�c- C..�''�' S�
� DESCRIPTION �-�� '�'���'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 2 RAF M NG` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� TION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. i=l 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.473-7357
OwnerlContractor on site:
Inspector.���/C�sZ�.2-vf.(
White Copyllnspector's File Canary Copy/Site Notice
���� �� �r������.,��, �!< <.�_1 ����� ����I'� ;
Eatabliahed in 1 82 44694
LOT SURVEYS COMPANY, INC. F B N'OE N0. 748 ��
LAND SURVEYORS SCALE: 1 " _ � 50�
� REGISTERED UNDER THE LA1�8 OF STATE OF �[INNESOTA o penoc•. ron i�orxxnenc
7d01 T9rd A�enu• North 012-6d0-90�3 o D�nota Wood Hub S�t
!'az No. 660-3622 for excwatlon only '
� Yfna��po11�, lL1nn��ota 66428 x000.0 D�not�• Exitttnq ENvation
� �i u r u r�o�r s (�r r t i f i r tt t r ��o �Dsnote• Propo..d Ew�a�r�,
---+�— D�note• Strfx� DrafrwQs
����� Propo��d Top of Bbck
EIDEN CONSTRUCTION q91� 'L pr��ed CoraQ� Floor
Rg3,D propo��d Low��t Fbor
Property located in Section Type ot eutwirp
4, Township 117, Range 23, ��u,�S�M�►�T' WAI.I[�uT
Hennepin County, Minnesota
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I �=� APPROVED WITH REVISIOfVS
��' Dl�� Oy',�
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Lot 5, Block 3, OLD CRYSTAL BAY ROAD ADD Tl�A��___��'�-- 9�
-�
C1TY Q� OR0�0
� SITE PLAN v� GRADING PLAN
�AP�'ROVED -ticc� f�5
❑ APPF�OVED WiTN �E�`1SIONS
� L7l?f�/�P ROb�Q
• � BY (v�".�`—
Pruposed building �nformotion musl bo checked with approved buitding p^TE �V 'Zy56
plon before excavation and construction. „
The only eosemcnts shown are from plats of record or information
provided by clienl. '
We hereby certify thot this, is a true ond correcl representation of
a survey o1 the boundories oI the obove described land and the
iocotion of all buildings ond visible encroachments, i( ony,(rom or on _ ,/�. �•��
soid land. $)�d '
Surveyed by us this 9th day of October 1g �6 ChCrIM F. MM�wn„ AMrxt R�¢ No.Z17�3
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