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HomeMy WebLinkAbout1996-007759 - alteration , � PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: ���-�� ������`=� Crystal Bay, Minnesota 55323 �:�s:�77���! (612)473-7357 Date Issued: _ _. _ _ _. i}:;�r li:�.."-fC SITE ADDRESS: i��i�°Y'��T;�;! �;�1`� ":i:i �-;-.E t�' f � —�.:=_--�=��.::`��� DESCRIPTION: "� ' T�:"i ! I 'r':l._ i �.��t-� � _ _.��`� ��!�1 �.;�11l°� E�`�?`t���T. Ty�'°!=' �+�"-'i-�?+tj��-iFJi'�! t}_�� �;I;E=. ],i i j.�':�� l4��:i;';.;, su� ;;,�-s k t',i'J i.1 v F-i i e�'...i'E-:`1=,('i i_il_?�'.�.,.. [�i-;�� a_�='{�{�!-'.:�.11�Y !"'�"_ {::�;':�-��:i:.i'3J��'�,.5 �;,i;s i'V�::i� `��`;� t'�r+l'i`�},,,'i�,� (���EFjt w � t�.:r,�. Hs._�� . t':F:`•��,i!�.:'s:_�'� i L F-1�._ REMARKS: FEE SUMMARY: �'i�!"9�...�}L^k� .1.��„��V= .�_.Y�'}�„�f�� I,�i.;i,sh. �'i:]h� �r�d..� . r t=1 .-.I,�Y't.i"It.a j�+"_tr= ....__.w��._.._ ._"�'.L_.�-.[si ~y ..�.•c?1 �" � _ , !'i_ � �s t'•*t� S:,;'tt , CONTRACTOR: OWNER: _ � ��`r����. �.s�:,��t. -- ��1�};"=�TI�E{.� f•i'=;�'��:: _:[; iT'� 1 i ��,�:_. .. �_�. . -���:! i-:!=3: . ._ '_I;�;_}i�:I �If`i ��:��';�. :l'�' —-:1E:-:�� �t�. �j�..,,..,��_;T f'��€I„ `,t ��`, �-��i�;� ,�;v� ��� �'�:_i�!(�`_;���T i_r�'�E ;__; i*'1Er���.�: . �'i'� �-°E:�;-�i_ !i'��."';,'.i_i,�;'��'j�yjv i °` I i��. _ �: ... .�. '� '��'h`.i�:�Y '1,.._ _ _ ...r-.r• . �.. ._._.. .- - W . . : ,. ;� :. : - • - _,_.._ . �,;�- ::n , -� , �., :.; ,� ''r." T ���::�,t. � C.: 3 -`1 �,s`--;i'„(_.F si ! ` ttii t 'v ='; -.(-�_.. :�t- �,i:.�,1 F-,�:i��1 F:f_�E�,#=r,_ _I [):�.i F-i_...#... Y:'-'+_�i t?. _.�`� _ � . . _.�'��' . � :� �..i. , e --�" � I_i��i`i_Ij�.�i i i�}'�'.�; �t`-If 'u�i='.=; '-�i�t? >>�t-i i� ± IE-� �'•j?�,��':{i:.'��i s!F� i=�'•.%��_!.1�s�i'.3 ;���L'� 4�'.?'.:�.!�'�I^•:��'��.���t•_�� � �� ,� ` --- " _ C� .� �, APPL ANT�PERMITEE S GNATURE ISSUED BY:SIGNATURE � � Total Fee: � J-��{v��� DateReceived: _ ��� /��, Date Approved: Entered By: r;.?,�; Permit#: ��'(`�r CITY OF ORONO - BUII.DING PERNIIT APPLICATION AI.L�FOR.��IATION I�IUST BE SUB�ITTTED IN FULL BEFORE PLAi�I REVIEW WII�L BE STARTED ----- ------------------------- THE APPLIC:��T IS: (circle one) OWNER OR CONTRACTOR JOB SITE �.DDRESS: i���� ��Y' St�'�-� °,�wL f�`C� � ���'�•t' ZIP: ���1 N�vIE OF OWNER: ��'���''^/���� "��/�(���-� PHOiVE: (home) �7/_" `��L,� � (work) J�l��?l d MAILING�DDRESS: �'�'� �_ CITY: Z�: CONTRACTOR: l��� ' PHONE: I�IpBILE PHOi�TE/PAGER: MAII.ING ADDRESS: CITY: Z�� STATE LICENSE: # ARCHIfiECT/ENGliYEER: ��"-� PHO�IE: MAILING ADDRESS: CITY: Zg'� N�vIE: REGISTRATTON # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration k Land Alt�rration �° l�r:� 5..�r�ru �C�aa�- �.�i� it�E� k1ltZ�t�tJ� . P�OPOSED`VORK(describeindetail): — /�''l�''1��?, G�'"� , dt�f f R� Y, ; . STORIES: I SQ. FEET OF EACH FLOOR: ���� NO. OF BEDROOVIS: '"i GARAGE STALLS: ATT. DET. '�- ESTL�I�TED CONSTRUCTION VAi,UATION(eYcluding land): � �� I hereby applv 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 Ciry and with the State Building Code; that I underst nd this is not a permit and work is not to start without a permit; and that the work w 1 ance with the approved plan. � .5 � -� �7 APPLIC�i11T'S SIG�ATURE: DATE: i - 1VOTE! Parade of Homes events require separate permit'approval by Police Department and City Council 60 days prior to the evento Non permitted events will not be allowed. -� - Sec.13.04 RIGHTS OF SUB.TECTS OF DATA Subd. 1. Type of data. The rights of iadividual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information reqirired to be given individual. An individual asked to sapply private or confidendal data conceming himself shall be informed of: (a)the purpose and inunded use of the requested data wichin the collecting�tace agency, poliacal subdivision,or stacewide symm; (b)whether he may refuse or is legally required to supply the requested data;(c)any l�own consequence arising from his supplying or refusing to supply private or confidenoal dara:and(d)che idenriry of other persons or entiaes authorized by state or federal law to�eceive the data. This requirement shall not apply when an individual is asked to supply invesagarive dara,pursuant to secrion 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav lace the noace re uired under this subdivision in the individual income tax or rooertv raz refund inscrucdons instead of on chose forms. Subd. 3. Access to data by individual. Upon reques[to a responsible auchoriry,an individual shall be informed whether he is the subject of stored data on individuals,and whe[her it is classified as public, private or co�dential. Upon his further request, an individual who is the subject of stored private or public dara on individuals shall be shown the data wi[hout any charge to him and, if he desires, shall be informed of the content and meaning of that dara. Afrer an individual has been shown[he private data and informed of ics meaning,the data need not be disclosed to him for six monchs thereafter unless a dispute or acaon pursuant to this secrion is pending or addiaonal data on the individual has been collected or creaced. The responsib(e authoriry shall provide copies of the private or public data upon request by[he individual subject of the data. The responsible au[horiry may require the requesdng person to pay the actual cosu of making, certifying, and compiling the copies. The responsible auchority shall compiy immedia[ely, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,ezcluding Sacurdays,Sundays and legal holidays,if immedia[e compliance is no[possible. If he cannot comply with the reques[ within that time,he shall so inform[he individual,and may have an addidooat five days within which to comply with the request,excluding Satucdays, 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 nocify in wnting the responsible au[horiry describing the nature of the disagreement. The responsible authority shall wichin 30 days either: (a)correct the data found to be inaccunte or incomplece and attempt to noafy past recipients of inaccurare or incomplete data, including recipiencs 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 statemen[of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relacing 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 pernut or license from the Ciry of Orono or any of its departments may require you to fumish 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. Z, 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 pernut or license requires Council action to approve, some information may become public. j. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (, Your full name is required to process this application or permit. � ��Gc�l�— � . V�'�'���? � F�� � iddle / Lasc ���� �� �� � Aaa�s �� / `(/l� 5����� / �?�— � 7 �� U�� State Zip Phone Ciry I understan� s �ta �ove. , � � Signacure ' r ' CHECK OFF LLST FOR LSSUAl�iCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAI,: 3�-t 3 S C2�s� 13P� �� PID: DESCRIP'TION OF WORK: �n�� ZONING REVIEW BY: �� DATE APPROVID: BUII.DING REVIEW EY. DATE APPROVID: �-�-S � ---------- ---------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes � No pL�,�J ��W Yes �o SEWER CONNEC'I'ION STATE SURCHARGE Yes No WA`I'FF� CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE I'�i 1SPECTION Number of SAC Units OTHER (specify) ------------ ------------ � ZONING CHECK LIST Zonm District: Shoreland District : Fire Department: Post O�ce: School D' trict L,ot Area: Sq.ft. Acres idth Depth Survey Submitted: Ye No Date of Surv y: Proposed Setbacks: Front (Lake): ght Side: Rear (Street): ft Side: Adjacent Struc res: etland: Building Height: Def. Hgt. Peak Hgt. — Av�. Setback: Blu Setback: Lot Coverage: Ez sting Proposed Hardcover: 0 75' 5-250' 50-500' 500-1000' Hardcover V 'ance Required: Y s o Date of Council Appro al: Grading: St Approval Date: By: Council Appro al Date: Sepdc: S Approval Date: BY� Zoning Fil : � Resolution: � Resolution Date: I g;EMARIK.S (in house): . � . , BUII..DI�i 1G REVLEW CAECK LIST jJgC: �Z-� CONSTRUCTTON TYPE: �� � Sq Foota�e S Per Sq Ftg Basement z — lst Floor R — 2nd Floor R — Garage X — x = TOTAL o� Estimated Construction Value: $ ��d Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal �fechanical Water Connection Foocing Septic Sewer Connection _�Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) _�Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSEj: - ----------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY� - ------------ REviARKS(TO BE�tOTED ON PERi'��1IT): �� DAT TIME CITY OF ORONO CALLED IN -��. ' 3Q INSPECTION NOTICE ,� SCHEDULED �� "�L—�i'� -.3 d 2�t PERMIT N0. cOMPLETED �_ ADDRESS � � OWNER CONTR. TELEPHONE NO. �-1��' �1 y�p � DESCRIPTION � Oi FOOTIN� 11 MECHANICAL RI 1B EXCAV/GRADINQ/FIWNG �Q FRAMIN 73 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 W000 BURNER/FIREPLACE 34 TREE REMOVAL Z pq yyqLL gp, 12 WATER NOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS � 07 DEMp–SITE 27 SEPTIC MAINT. 21 COMPLAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � t 0 PLUMBIN(3 FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � � CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI.FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN INSPECTOR WILL RETURN ❑STOPORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 OwnerlContrac r n s e Inspector. White Copyllnspector's File Canary CopylSite Notice DAT� TIME CITY OF ORONO CALLED IN '�� ,l 3�' INSPECTION NOTICE ,. � scHE�u�Eo °�� % -`%.= ��--� PERMIT N0. � � COMPLETED `�,_,�; L� ADDRESS `"' `l ' �, ;�S ,�,� %, {� << c J - r OWNER ��� ;� (/•�`���y , C � TR. � � - TELEPHONE NO. -' � � l I ``�7 �� ���, � DESCRIPTION � Ot FOOTI 17 MECHANICALRI 18IXCAV/GRADINO/PIWNO �• 02 FRAMINO f� k 13 MECHANICAL FINAL 19 LAI�SHORENVETIANDS �'��:�YY`, Q 03 IN ULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WAI I gp. 12 WATER HOOK-UP 17 SITE INSPECTION ~���OS FINAL� 14 SEWER HOOK-UO 06 PROGRESS O—SITE 27 SEPTIC MAINT. 21 COMPLAtNT v W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 36 FOUNDATION FiEMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w � � J O >. � O � W � Q � 2 W � W � � � WORK SATISFACTORY:PROCEED G PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 4 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT O COflRECT UNSAFE CONDITION W�THIN HOURS. C pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �=7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in ction 24 hours in advance.473-7357 OwnedContract Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO cA��Eo iN �d" 7"��� �•'�`�',:�i�� INSPECTION NOTICE SCHEDULED (G ��(� ";� PERMIT N0. ��� connP�Er� ADDRESS � S i�,� ���.��� _'r_'�_-%�, �-�� ' � � -._��a� " OWNER '_ y ._CONTR. TELEPHON E NO. _��%-�i'��� �,s�) �c�"��S/�u-�� 7F1-�%S��/ ��-�1 � DESCRIPTION /-�-'J�'���--�X � Ot FOOTING 11 MECHANICAL RI 18IXCAV/GRADIN�/FIWNO y 02 FRAMING 13 MECHANICAL FINAL 19 LAl�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION �,L p5 F�INAL � 14 SEWER HOOK-UO O6 PROGRESS � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPIAINT � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � 2 W � W � � j d WORK SATISFACTORY:PROCEED W ROJECT COMPLETE � -CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OO ❑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 REQUIFED.CAIL TO ARRANGE ACCESS. Call for th inspection 24 hours in advance.475-7357 OwnerlContra n i . Inspector. � White Copyllnspector's File Canary CopylSite Notice