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Home My WebLink About1997-008800 - fire damage repair � i � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Keliey Parkway- P.O. Box 66 -�,;;^_ ;�,��.r-; Permit Number: '_{,.,._„�_;-,', " Crystal Bay, Minnesota 55323 - .= - (612) 473-7357 Date Issued: : - SITE ADDRESS: ., : _..: _. ._ _ . _. , ,; �;; _ -r; , _., . r�' - __ ;'.S DESCRIPTION: a I� w..;- - _., :. - - - �� _ �;-- ;;z; f :�� r I- : i ^ �-. , : . . . -- 4�:�: � ��_,#i 1.}`� 3�'-� i�;�?:'_."�;t •�.; �-"�".+ , i , � ., O . .__. ... . ...._ . . '.— = . . ...: ._. ..... ....�......._ '` �., . .( . . , _ _ �y �..•: ,• i.�.-.:::: �_ — �.:.i {, I i_i�I'�i LI .. _. . .. . ��L°f';.� �,L�„'��F t"e�...�..... �... �� . ... ... O _ � _ �i I.. ..j a °i:�.�! , �*t`_� S.. ... . ._.. . . _ ... _ _ ... . . . ... . . . REMARKS: FEE SUMMARY: �:- ,�� - - ;��.__ --�.= . _._;� . . _�,.��.-�w,.r=. _ ______ - - � � � I I CONTRACTOR: -- ,- _ _ ___��+. .-- OWNER: .. , - - - - - �- ,. , : : :... � �,..�., : �. ...,. _,�:.: _ _ _:_� _ _.. . .. ..: . � E�:,,;µ : �= if:-, - _ - - - , - ,� ;... ,�,�,_, , , , ,v _,. ,�.,;�., ..,.., _ . _. . _. _ . _ �- _ . ..t _ _ _ - - - _ .. . , . ...,_.. _. � _. � . .�. .. ,. 4?-<r ti��;;� S i S ; , . L _ i ..� M ..._ _,., �. . . _ � ,. i �; • . . _ ._ _. _ _ _:. .__ . __ _ ._ . , � .., , _. •�' r - ;•-..-.:--- - , _ _.. .__. . _ .��.�v,�i -t� i v '�W' . , .. ^ �,r»S. ,, . — e . . _ . . . �. ... a: ..: C...� .0 i .. .._�..: .. ., -_ s :..� ��.._..__�.. . �_: ...:�.._ . .._._ .:._. ...'�. . . _ . . .._ _ . �._ ._. . E�. 1�4_..._ t.. ... . . . t'.�__.._ t... .» t t ..v '� i+ �L.� �.1�' '�., i. �,-i'; .� f F;,, L f.a_ : � t C .... . . . r P:� f ! � i i 7'.� .F� { � �: :r ; . �� . �a i`{ �. . �� -; i« i i . � : �.r.: . i`��.: _. . . _ . _.' . . _•_,.. .. . . �. . �., _ . . :. :.. .. ,,. ..' . ,ii i � r J _. � _ _ � .. _ .. . . .. _.. ._._. . . _ . � � �� j� ICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE f. . i CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: I�u�� =�i=�. ��- F�c>r�U PID: DESCRIPTION OF WORK: (_;r�.i; �?r-��ti��}r� �:%�-�:,�'�;r� � ------------------------------------------------------------------------------------------------------------------------ ZONING REVIE�J BY: -�� DATE APPROVED: i"�-�{ • BUILDING REVI�;W BY: - --;,�t.:; ,_,_1,,..P..__ DATE APPROVED: Z -ZQ -5 7 ------------------------------------------------�----------------------------------------------------------------------- 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) ------------------------------------------------------------------------------------------------------------------------ i RZONING CHECK LIST Zoning District: ; � Fire Department: Post Offce: School District: I + Lot Area: Sq.ft. Acres Width Depth I( Survey Submitted: Yes No Date of Survey: i � Proposed Setbacks: r Front (Lake): Right Side: ri i Rear (Street): Left Side: i I ! Adjacent Structures: Wetland: ; �� ' Building Height: Def. Hgt. Peak Hgt. Lot Coverage: 1 Grading: Staff Approval Date: By: Council Approval Date: 1 � Septic: Staff Approval Date: By: i i Zoning File: t� Resolution: # Resolution Date: i � Shoreland District: � Avg. Setback: Bluff Setback: iExisting Proposed � Hardcover: 0-75' �i 75-250' �`� 250-500' � 500-1000' i ; Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 10 _ . BUII.DING REVIEW CHECK LIST UBC. /.. "'� CONSTRUCT'ION 'I'YPE. �J`�•_% Sq Foota�e 5 Per Sq Ft� Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ ��, '-'�'`'� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Imgation Insulation (Masonry) Other _e� Wall Boazd (Mfg.) Well (State Pemut) ,�= Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By� REVIARKS(TO BE�TOTED ON PER1�iIT): 27 Total Fee: $ ��; �. '1_'% Date Received: Entered By: �,r, Permit#: ` ,-;r � 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 JOB SITE ADDRESS: ;'`� ;'� ��; ;,r-�� ,��/j�� ZIP: �� l NAME OF OWNER: ,.��-� ,�i�� PHONE: (home) ��,��G�'i (work) MAILING ADDRESS: ��G� C�a- �� f('� CITY: �''�'�'�,��_ZIP:�s�a� CONTRACTOR: � f . � � K - -s PHONE: ,C, �/�G�� J'� CONTACT PERSO�:�j"'�� ,<<,;�� MOBILE/PAGER: f�_ ,(p � �,B MAILING ADDRESS: � �A �� '/,7v� �k CITY: ZIP: �"�L� �2 STATE LICENSE: # ,s"��l� ...,--`'"''... ARCHITECT/ENGINEER: � PHONE:--�'�r MAILING ADDRESS: ,,�'' CIT�:--~""�� ZIP: NAME; j� ISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPQSED WORK(describe in detai�: _ 9�' ��2` . � � � � ..,a' - .ec�-' -� �- �- STORIES: �_ SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. - �t-� 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 acc��nce ith the approved plan. / APPLICANT'S SIGNATURE: ` •;�%� � DATE: ��-G2 j—�� ,,J,,. NOTE! Parade of Homes �ents require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 6 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The righcs of individual oa whom the data is stored or to be stored shall be as se[for[h in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or confdenual data concerning himself shall be informed of: (a)the purpose and intended use of the requested data wi[hin the collecring'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 co�dential data;and(d)[he idenary of o[her persons or enriaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigaave dan, pursuant to secrion 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or propertv tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsibte authority,an individual shall be informed whether he is the subject of stored data on individuals, and whecher 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 individuai 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 ac[ion pursuant to this section is pending or addidonal data on the individual has been collected or created. The responsible authoriry shali provide copies of the privace 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, cerafying, and compiling the copies. The responsib(e authoriry shall comply immedia[ely, 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 within which to comply wi[h the request,excluding Saturdays, Sundays and legai holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreemen[. The responsible authoriry shall within 30 days either. (a)correc[the data found to be inaccurate or incomplete and attempt to nodfy past recipients of inaccurate o�incomplete data, including recipients named by the individual; or(b) nodfy the individual that he belizves 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. Tne determination of the responsible authoriry may be appealed pursuant to the provisions of the administracive procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we wouid 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 deternune your qualification for the pemut 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 eetent necessary to process the pernut or license. 4. If your requested pernut 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 pr ss this application or permit. ! �� tst . iddly�' Lasc i ,��.� a C� Ad �� `� ��,_ `�� iry State Zip Phone -� .�3��a�� I understan�/m �ghts as stated above. Si — � DATE TIME CITY OF ORONO CALLED IN 3'"/G ' �� INSPECTION NOTIC y SCHEDULED 3 - i/ ! � �' PERMIT NO. �o�� COMPLETED �_ �_ ADDRESS G� y4 �L�-yr� �� OWNER �'( `�.� CONTR.` �� TELEPHONE NO. �� 7 � DESCRIPTION �-� � � 01 FOOTINO 11 MECHAN CAL RI 18 IXCAV/GRADINd/FIWNQ Q 02 FRAMIN 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS y ,_._--...,._ 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q BD. 12 WATER HOOK-UP 17 SITE INSPECTION = OS FINAL 14 SEWER HOOK-UO p6 PROGRESS ~ 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPLAINT J �Q 07 DEMO—FINAL 15 SEPTiC INSTALL 22 FOLLOW-UP = 09 PLUMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINa FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O >. � O � W � Q � Z W � W � � d ORK SATISFACTORY:PFiOCEED � PROJECT COMPLETE W � C CORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G GTATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next' spection 24 hours in advance.473-73�J7 OwnedContract r o si • Inspector. - White Copyllnspector's File Canary CopylSite Notke DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �� SCHEDULED ' —� iG�w PERMIT NO. coMP�ErE� �-� 71 � �� ADDRESS 1u4 u C�.,c C--A�M,,,� 1��u,� OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 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 Q Z O5 FINAL 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 2a CEDAR SHINGLES �FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � CQMMENTS: � �1 � � � �C?<�i 1�r�-�_� t3�v +--�,.�a.P ('� .S- f�% � ' � O � � O � W � Q � Z W � W � � � fL�/00RK SATISFACTORY:PROCEED �OJECT COMPLETE W `/CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUEO ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73J�7 OwnerlContracto�on site- J Inspector. C- � � White Copyllnspector's File Canary CopylSite Notice