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Home My WebLink About1998-010941 - addition PERMIT GITY OF ORONO PERMIT TYPE: �. 2750 Kelley Parkway- P.O. Box 66 �"��'�"�`�`' Cr stal Ba , Minnesota 55323 PermitNumber: i�,:�t,s°�?�:��, y Y Date Issued: � � :`+::-= �'=�'= (612)473-7357 _ _ . _ _ . _ _. SITE ADDRESS: =i..,{'j .,Vf't,(;','• ;t�ir`� _�,i� �'i�i ts: —- - - _ _ �-�-- .y . I . %ti. . t 7;�.—: � �'` '`—i.��'-i)t!t 1'-E �� `� DESCRIPTION: ,:�;�'s�.:� ; �i_tE� .��..�1 �.�71 i?:� . `=i�i�;7.� . ;*'�:?"' '_;j`_'t-1�1'4.',�i�`.1-.�'�t�iif��i =.i_.{1 ! i„E g i i��: a;'�ut f"i�:: ��',.•'�'':�..: }.;:1�: 1,!�:_i(',i �_''-%_ _ _-t,�s 4��.�.;:'' . . _ �.i�l�i��.i'}1�i.�,iµ)j i . . � -• �y:i! �i_i i�1,i'r,?� '�.'"`'•''l"_3.t-� �.F_}-��_;i��: i:_ _._ ��;� i:=_ t . �.=.�� il.J�s'.;�T.'.�_ REMARKS: t �._`�;`-i`a`;:, {i= -��'�`�� 1=t`Y t,��;:��`?-�� =;�'+. i 3�i%r•t'_;4 4V'= . '.f`';.:±'1:�ii'•:;�_.�-��... �j:if�t �L.�.�;_ s�y�_.�i�_ . _ . . . . .�.! . FEE SUMMARY: {.<_�� t'-��_��v -°�. ; �=��_::; . �-�l__.�; � - - __..._._ ��.� :�:�`'=�' . .�� -` I ��i" {-:`F:=:!7 �t}I �•�W�� . _.3 _��..��'�i i�.i''�� _�_._ _ �,}!�.! � i.. ::i,� , .'`'Y ^��_ W . . _ CONTRACTOR: -� ��r��F i c��!-�j_� -� �=� . ��t �OWNER: _Ti�l:s�i�:-ii�:�`_�4� 's��r°y�s=M;��•;'�; s �?=�s��L�4. �.'.i.st_�:��:��l�r �4'� � . ._ �.'�`''`�`s- _ ,1 F S 4 i F'J S� � !_�i'v°�..i�j �'j;,iyr�; f��t�. ' S.�rEt)�`f i�,.[�J�Ll�, �.%!'. `u;f �-�� 4�s'? - - -'�-'f _,-�,;�ii:ji�i i'4F`� ��•^�� -v--- '`�' ---.___ :�is�'—'�4r.s.._ : , ~ -:-y ;�-=s;;�:;:' "';_s:t;�;=`=; ;�`= _ - ;'t�=j�! �j;-i i��:-1;�:,` E�� - �R��.:t=`t�:�y';�;°':�iv i�; ;. ,� _�_� - r- :;'s�,;;?__ i= . ;+�s::�r,;`�,j;�t,E�,._ �-s,._!-+.�._... . ?�...._ , ___ . ._ . �_. .. .._ __ - � -- . . .� -- -- — — " ;is i w�ti — z;-�:=.; ' .. _ . . . . .____ _ _ . . �w�� °- ,-�� __ :< <';t•si: .�:_;�;�_�•,:.; i 4 ra;_..+ s�:.il;`°�:. _, =; f r;°j, _ 4_lTs3�j�-` ,f,s .�, - - . , _ _. _. _. '_ -_ _ - . . _ -• - - _ , ` �; '. , ,� , {-�i�._ -, � t,'-; � `_ # i` _.�.3'-'-.1 {,tv __ .�;,1�_,= E :.}`•� 1_•'_ �ta� . ...,_ _. ._, . . _ . } i i r L _ ._ _. _' ._ _ _ _ _. _ ... __ _ . . . •-- J D / • /1�l�,L �"�/\ _ _ ; �- _ _ --=� `� �fi1 _ APPI ICANT PERti9l� �SSUcD BY�SIGNATUr^,F �__. 7 i�'r'�— � i , ' Total Fee: $ ''�(�� 1�� Date Received: fQ��j��3' Entered By: _�� Permit#: ' >/�/ CITY OF ORONO - BUILDING PERMIT 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 JOB SITE ADDRESS: �'--�o �,,;��r2Ys j r�:' ��- ZIP: NAME OF OWNER: �-7,��-�E'w'�-z- lOt�1.�}-S PHONE: (home) ��—�l�c� � (work) MAILING ADDRESS: .�� CE��y-;2y5-►O��TY: �►�; C.4�4�ZIP: CONTRACTOR: �IVt f�f�VSt�SI�� P • �Z— --7�-� CONTACT PERSON: C�..�.(��57� MOBIL /PAGER: j Q� -�.`:13 MAILING ADDRESS: .4 Z� _ . '�;c�- ��- CITY: �t,�yLi-{�-A- ZIP: �/ STATE LICENSE: # ?-�.`'JcU3�-f�3�o ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition �/ Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ��p ��r;�r2�,r�e �L�-v-�-�� .��'t ^ 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 a rd e ' the approved plan. APPLICANT'S SIGNATURE: DATE: NOTE! Parade o Homes events require separate pernzit approval by Police Deparlment 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. 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 confidendal dara;and(d)the identity of other persons or entities authorized by state or federal law ro receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant ro section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the noace reauired under this subdivision in the individual income tax or orooertv tax refund instructions instead of on those fortns. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individuai shall be infotmed whether he is the subject of stored data on individuals,and whethe�it is classified as public,private or confidential. 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 thereafrer uriless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authoriry 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 authoriry shall comp(y 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 infornt 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 sha(1 notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either. (a)correct the dara found to be inaccutate or incomplete and attempt to nodfy past recipients of inaccurate or incomplete data,including recipients 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 authoriry 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 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. ��-� �o.�� First Middle Last Address Ciry State Zip Phone I underst y rights as st ted ove. � Signature 6 , " CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2�$c�0 Go��.szrt�5�� 2 PID: DESCRIPTION OF WORK: ,qpo 17�aN ------------------------------------------------------------------------------------------------------------------------ ZONING REVIEW BY: DATE APPROVED: /�-z�-�+43 BUILDII�'G REVIEW BY: DATE APPROVED: ��• z7 -t�s FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/' No PLAN REVIEW Yes �/' No SEWER CONNECTION STATE SURCHARGE Yes v� No WATER CONNECTION INVESTIGATION FEE Yes �No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONIl\G CHECK LIST Zoning District: �R - I g Fire Department: (p a � - Post Office: Go School District: Qf1��'� I.ot Area: Sq.ft. /Vp 4rv Acres Width — Depth � � Survey Submitted: Yes X No Date of Survey: (0 •30-9 43 Proposed Setbacks: Front (Lake): Z�' � Right Side: 33•S Rear (Street): Zl5 � � Left Side: Z�{$� � Adjacent Structures: �q TT�AC t-1 c:.� Wetland: /�((/�- Building Height: Def. Hgt. � •t G � Peal:Hgt. — Lot Coverage: /�l(/} Grading: Staff Approval Date: — By: .— Council Approval Date: � Septic: Staff Approval Date: —' By: '" Zoning File: # '— Resolution: # — Resolution Date: —' Shoreland District: t�(� 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: �2- 3 CONSTRUCTION TYPE: �� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL do Estimated Construction Value: $ Z�-1, (�c�O " Inspections Required: Work Requiring Separate Permits: Site OC Plumbing Fire Hardcover Removal oC Mechanical Water Connection OC Footing Septic Sewer Connection _o�Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other _�Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling �Electrical (State Permit) Other a� REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT�: 8 AT�. �-�j TIME CITY OF ORONO /� CALLED IN �l / �' �'� INSPECTION NOTICE � "1�`' SCHEDULEO _�� : �' PERMIT NO. COMPLETED L ADDRESS .2�YOO � ,2��' � , ,� � JL�,� C,1��..� , OWNER V� CONTR. ,��-n�-��1�� TELEPHONE NO�� z � � � � C L f%% � DESCRIPTION � 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 Z04 WA 12 WATER HOOK-UP 17 SITE INSPECTION Q 5 FI}�� 14 SEWER HOOK-UP O6 PROGRESS � 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q ti Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- PHOTO TAKEN INSPECTOR WILL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUtRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr�foyor�site: inspector. � .� �L/?�Q/t I White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN /��.3�� .�t'� �LC INSPECTION NOTICE scHE�u�E� , �� ) PERMIT NO.T�� COMPLETED (�l _tL= ADDRESS C� C�. � OWNER �,� �� CO R. �-L%CG(�i TELEPHONE N0._ �7 :3�� DES TION � �� TI ECHANICAL RI � 18 EXCAV/GRADING/FILLING � �FRAMING �� 13 MECHANIC INAL 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 1, � 27 SEPTIC MAINT. 21 COMPLAINT Q 07 DEMO-FINAL '�lJ� 15 SEPTIC INSTALL. 22 FOLLOW-UP = PLUMBING RI �� 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 P ING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d �ORKSATISFACTORY:PROCEED �-; PROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ' ' CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContr or n e Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED PERMIT N0. cOMPLETE ADDRESS � �'�� ' OWNER CONTR. l TELEPHONE NO. . � � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W � � J O � � O � W � Q � Z W � W � � d WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �-, pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the nex 'nspection 24 hours in advance.473-7357 Owner/Co a o ' e: Inspector. White Copy/inspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN ` INSPECTION NOTIC SCHEDULED /% S r /D �0 z� PERMIT NO. � COMPLETED �� ADDRESS � �- OWNER CONTR.1LKY-��-�z.�� TELEPHONE NO. '�7� -- .��Z JZj � DESC��ION �?.��-i 01 FO � 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG � 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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP Q i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � �KSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN 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.473-73�J7 OwnerlContractor n si - Inspector. White Copyllnspector's File Canary Copy/Site Notice