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HomeMy WebLinkAbout1997-008810 - repair deck/stoop � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 - Crystal Bay, Minnesota 55323 Permit Number: (612) 473-7357 Date Issued: - SITE ADDRESS: . ..._.._ _�`'•"i''_:;1fi j_ _�V;`�' ;-`•`�i r'�LJ ,�; { DESCRIPTION: _ �..;.:;;.,.... . , _ '._.'F: .;... .... _.i_,. .. .' . _. �t-� �'�_� :f,.�:3 f?';.i i'Y e'Pii j, i , '':i..'i,",. _�1�'. .�.E�.1�:'�Y.y}�:�._'(iC..,'+_._ f':��= ��_[_ ���°�- .. _i}-.e.� r'L.�F-' �...7._��i it �}i :_.T-— _ .... � . !•._. .. .�.._ __.. .. . _. ." "' _ ' _I-�•—i��;—�:-• • ' �"-•'i�.�'i''_3i,.ej_ _ ... . . . `f�^�!" ty�(�� _ .._i S�".�%i�J .. _ �.._ s}.�s� i`�f.., i . f i�y�_�_.�����*�F .�.i�?_.. REMARKS: FEE SUMMARY: - � : ;,- <, -: ,.__. . . _ .��•. _ ..::.���- ;��....-- �=�r �' �` - __._._ ._ . _:�:t . . _ �;r - - - -,;�, =�t�''[S'i.j' :��:= .....------..._ =��: -. :���.�_ , .__ _:. . CONTRACTOR: OWNER: �� F:;.,;-�:; ; :_:;;'s,"'E T. — t!`;`•1�4�y .. .=_...� �-. . � .':E `-'�t`` ._. ,:.; _ =�; ... _�_,�..•-.Y-._ - - - - ,- ,4,,�_ ,_„ :� . �: i ....f i ;c •, :,.._ s :,;:•.�;-.•,, ;..��. ;_ ____ . _ {_. . _ . ._ ., ,_ ._ - ..�_�f'. �_} "''�!`�•.: . __ . . ._ .!.,. .'� . ._. . ....: f....`. i '_ _,... _.. __. _�_ — — — — —. _ . _ :�� ey, ;` : v .y +'�.�:� "' � :4.7 l.t� f ��i �id 3.�� . . r : .�. _ . �' '1?'.' ' . .. � i" 1 ; . } ...i i E�.,��?: �' i. � . I'i 1 . t �P'� l.. ,...f`.. _. .. . . . . _.._._ � .. .. _.. ._�. .. L '._fl�._3 _, i r : ' �;� .��-: f�[�,_. _ ,f t .. .., `. .__. _. ! :-? `"%t_i;�'...'1!'•3'.7 _. _. _.._ `'`.,._ .! ._ __. .... . .. . _ . . _ � � � CANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE '�—'� Total Fee: $ Date Received: 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: _� ��1 S �r[,c�, �L .[S y�-j !�O ZIP: .��7'/ NAME OF OWNER: Q�j./,.cl � fTi�-.v7�� PHONE: (home) ��/--��-1� (work) .��5=1��'o MAILING ADDRESS: �3�,LS-C'2�,�1'�-���,�ITY: O�a�o ZIP:S�SS'/ -T- CONTRACTOR: dwN «- - J/�- �� '�a'� PHONE: y7/—�,�� CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILI�i TG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration� Land Alteration PROPOSED WORK(describe in detai�: �� �� ,(d �t c,� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� 0 . O o I hereby apply for a building pernut 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 Ciry and with the State Building Code; that I understand t�-is not a permit and work is not to start without a permit; and that the work will be in acc dance with the approved plan. APPLICANT'S SIGNATURE: DA�� .3 / � 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. 6 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. T'he righrs of individual on whom the data is scored or to be stored shall be as set forth in this secdon. Subd.2. Information required to be given individual. An individual asked to supply private or co�denaal data concerning himself shall be informed of: (a)the purpose and incended use of the requested data within the collecdng'state agency, polidcai subdivision,or statewide system; (b)whether he may refuse or is leeally required to supply the reques[�d data;(c)any lmown consequence arising from his supplying or refusing to suppiy private or confidendal data;and(d)the identiry of other persons or entiues authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to suppty invesagadve da[a, pursuant to secrion 13.82, subdivision 5, to a law enforcemen[o�cer. The commissioner of revenue mav place the nodce required under this subdivision in the individual income tax or prooem tax refund instrucrions instead of on those forms. Subd. 3. Access to data by individual. Upon requesc to a responsible authoriry,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 fur[her request, an individual who is the subject of stored private or public data on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the co�tenc 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 secaon is pending or addidonal data on the individual has been collected or crea[ed. The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[horiry may require the requesdng person to pay the actual cos�s of making, certifying, and compiling the copies. The responsible authoriry shall comply immediatefy, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request,exc(uding 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 addi[ional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or complete. An individuai may contest the accuracy or completeness of public or private data concerning himself. To exercise[his righ[,an individual shall notify in writing the responsibte 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 ro nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he betizves[he data to be correct. Data in dispute shall be disclosed only if the individual's statemen[of disagreement is included with the disclosed data. The determinadon of the responsibfe authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relating to contes[ed 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 pernut or license from the City of Orono or any of its departments may require you to furnish certain priva[e 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 pernut 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. fi. Your full name is required to process this application or permit. � �n � � " ' ��b/t� First Middle Last 3 ��-� �2� ��-�- ��. �� Addre��/.�� / //J s✓� 7� 7 �/�/-�—�� Cih, State Zip Phone i� I understand m ri s as stated above. Signatur � ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: S�� -� �' (2�.� 5;�t (3 (� ��Zc� PID: DESCRIPTION OF WORK: �,a,rL �,,� ,—, p.e L,1� /�-rv,� (2�-�p�uz �7v�51�, ���{J -------------------------------------------------- -------------------------------------------------------------------- ZONING REVIEV�J BY: �,�.�_ DATE APPROVED: `.3 - � � �1�1 BUILDING REVIEW BY: , ��.�_ DATE APPROVED: � - i t y7 -------------------------------------------------� --------------------------------------------------------------------- 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) ------------------------------------------------------------------------------------------------------------------------ �ZONING CHECK LIST Zoning District: Fire Department: Post Offce: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: �1�� Building Height: Def. Hgt. Peak 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: , Existing Proposed �, Hardcover: 0-75' � 75-250' I 250-500' ISOO-lOOO' �-- Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): --7v�1 -;��� i� ,�.�J��'_ � �/'�t���-�-� `� � ' ';;,��;.� � �-r ��� c�r 10 � ' � BUII..DI�i tG REVIEW CHECK LIST UBC: /2 � CONSTRUCTION TYPE: �/ti� Sq Foota�e S Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = C = • TOTAL Estimated Construction Value: $ I, C��" � Inspections Required: ��'ork Requiring Separate Permits: Site Piumbing Fire Hardcover Removal Mechanical Water Connection _� Footing Septic Sewer Connection ,�C Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling Electrical (State Permit) Other REiVIARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY� REMARKS(TO BE NOTED ON PER.i'�IIT): 27 - ---- - --- — --- -—-- -._- , -- --- - --- ------- -_,_---- -- - ---- ----- -- - --- - -- --- -— --- - - , __ ,. � � ---- � -'- '-_ �---� --'-- , � ' ;--- : -,-- -, .---� , -- � ------� -��-- --� --. _ _,_._ . . � .�--�-� �-- . . . ,, . '. i � . . ' � � � � , � �. � . : . , . . . . � � ----- ---J ------- --- r-- '--- 1---- -----— -'�-�— '---- - - - ---� ----- I---L--`— -- , ,,. � , i � � l � ' � � �. � '�. s � i � � , ' ' . '. ;i . I � i , I i I � �., ', I � . 5g , , _ �_ . ; , . � . , . . . . � . 3 - . - _.'____-.. _.__ -_-_'- '_____- ____' _. ___ �-___ _ _I'_._ ___ ' '___ ._"'___ "'_ __ ' _ _.' - ' _.. __._'. _'____ '__. I i j �� i ? 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TELEPHONE NO. '�7/- 7.�� �f � DESCRIPTION ���, � 01 FOOTING 11 ME HANICAL RI 18 EXCAV/GRADING/FIWNG � 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 5 FIN 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEMQ-SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING F�NAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � �� ORK SATISFACTORY:PROCEED ROJECT COMPLETE W [' CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY O �l CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 Owner/Contr on it : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC 0 SCHEDULED � ''�'-9 1 (L �� PERMIT NO. � � COMPLETED _� � ADDRESS 33�5 C.R'1 STIq�-- (�y �'Z�a+� OWNER CONTR. TELEPHONE NO. � DESCRIPTION �-c.�� �v�r, � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG y 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMQ—SITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � W � � � O � � O � W � Q � Z W � W � j d WORK SATISFACTORY'PROCEED W� PROJECT COMPLETE W [ CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY 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 G INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance.473-7357 OwnerlContract site: Inspector. White Copyllnspector's File Canary CopylSite Notice