HomeMy WebLinkAbout1998-010460 - deck � PERMIT
r� CITV OF ORONO PERMIT TYPE: - � -
�'50 Kelley Parkway - P.O. Box 66 `_`_�=` �'�'��`�
Crystal Bay, Minnesota 55323 Permit Number: i:!�: �{�'_''' _
(612) 473-7357 Date Issued: i�i�:�i��.'�;:�,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -� �{���'- ��_��'��� �' _�� � '-i� �OWN,�R:
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A PL�CA PERMITEE SIGNATURE ISSUED BY:SIGNATURE �c�-t ,Ct
: � � .�
Total F�e: $ � Date Received:
Entered By: Permit#:
CITY OF ORONO - BT_TII�DING PERMIT A.PPLICATION
All information must be submitted in full before plan review tivill be started.
(please print all information) .
THE A.PPLICANT IS: (circle one) Oti�NER OR CONTRACTOR �
JOB SIT'E ADDRESS: � �' �l �C � ZIP: :��"���
� NAME OF OWNER: (@ ti .���.v.�tt 'a��I PHONE: (home) ?�S-g/�/
(work)
MAILING ADDRESS: __SYC� - t ��C�-t:� CI'TI': �,��)r�D ZIP:S��'.3
CO��T'R.A.CTOR: 1�om� �,a�-a a-��s�- .3 �c_ . PH0�1E: S�L��Z s -S
CONI'ACT PERSON:��� �,` lz,� MOBILE/P A G E R: 3d�(-�2.�7
MAII�I�i tG ADDRESS:�(�/ �.�.4,� cl -5 CIT'Y:����.a�s l�s Z�: ss�Z�
STATE LICEI�'SE: # Z�a�7 Z-t
AP CHITECT/ENGINEER: PHO�tE:
I�IAII�ING ADDRESS: CITY: ZIP:
IV•AME: REGLSTRA.TION#
TYPE OF tiVORb': New Addition `� Accessory Structure
Move � Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: �� �C l Z� ��2�-K. 7 �f1� !�r'c�e
5� s � h �� �, 2',s�r
STORIES: SQ. 1�'EET OF EACH FLOOR: '
NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET.
ESTI�l�1ATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a buildinJ pemut and I acknowledae 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 Buildin' 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 accor ce' i the approved plan.
A,PPLTCANT'S SIGI�'A DATE: �f .3`�
7��
NOTE! Parade Q Flames events equire separate permit approval by Police Deparlment and
� City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0:RIGHTS OF SUBJECTS OF DATa
Subd. 1. Type of daca. The righcs of individual on whom the data is stored or to be scor.d shaLl be as set forch in this secaon.
Subd.2. Informadoa reqirired to be given individval. hn iadividual asked to supply privam or confidznaal dara concerning himself shall
be informed of: (a)the purpose and inr:nded use of the reques•.�data wirhin the colleccing Sta[a agency, poli�cal subdivision,or s�tewide rystcm;
(b)whe�her he may refuse or is legally requir:d co suppiy the r:ques�cd da�;(c}aay lmowv coascquence arisin3 from his supplying or refusing to supply
privace orconndenaal dam;ar.d(d)the idendry of ocher parsoas or enddes au�horizad by scate or federal law to receive[h�data. This requiremeat shall
no[apply whan an individual is asked to supply invadoadve da�, pursuanc to secaon 13.82,subdivision 5, to a law enforcement ofrccer. -
The comrussioner of revenue mav place tha noace r_ouired undar this subdivision in the individual ir.come tax or�roozm tax refund
inscrucaons insuad of on chose forms.
Subd. 3. Access to data by indiridual. tipon requesc to a responsible au�horiry,an individual s;��11 be inforraed whe[her he is the subjecc
of scord dan on individuals,and whecher it is ciassified as public,private or confidenoal. Upon his further rquest,an individual who is the subjecc
of stored private ar public daca on individuals shall be shown ch�da�a wi�hout any charge to him aad;if he d�sires, shall be informed of the eoncenc
and meaning of chat data. Aher an individu�I has been shown the privaca data and informed of ics meaning,ch�d2n need not be disclosed to him for
six monchs chereaPter uriless a dispuce or acaon pursuanc to chis secaon is pznding or addidonal da�a on the ic:dividual has been collecced or creaced.
The responsible authoriry shall provide copies of the priva[-.or public data upon rcquest by the individual subje�c of che da[a. The resQonsible authoriry
may tequire the requesring person to pay the accual coscs of making,cerrifying,and compiling the copies.
'l11e responsible au[horiry shall comply immediately,if possibl�,wich any request made pursuant to[his subdivision,or wi�hin five days of
the da�e of che request,exciuding Saeurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply wich the requesc
within[hat[ime,he shall so inform the individual,and may have an addiaonal five days wicfiin which to comply wich the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individua(may contest tha acc�racy or completenass of public orpri�•ate
dan conceming himself. To exercise chis ri¢ht,an individual shaIl noa"ry in wriang�he responsible auchoriry d�scribing the nacure of the disagreemeat.
The responsible authoriry shall within 30 days eicher: (a)corrcc the da�a found to be inaccurate or incomplete and aa�mpe to nodfy pasc recipients of
inaccurata or incomplece data, including recipiencs named by che individual; or(b)nodfy the individual tha�he believes rhe data to be correct. Data
in dispute shall be disclosed oniy if the individual's sc3temenc of disagreement is included with che disclosed dzta.
Th�de�erminarion of the responsible authoriry may be appzalzd pursuant to the provisions of the adminisQarive procedure act reladn� to
contested eases.
DATA PRIVACY ADVISORY
In accordance wi�h M.S. 13.04, Subd.2, "Rig.hts of subjects of data", we would like to inform you that your request
for a permit or license from the Ciry of Orono or any of ics departments may require you to fumish certain private or
confidencial information.
You are notified that:�
1. The information you furnish will be used to determine your qualification fo:the permit or license requested.
2. You may refuse to suppIy data, but refusal may require that the City deny the permit or license.
3. The information may be shared wi�h ocher local, scate or federal agencies to the ex�ent necessary to process
' the permit or license.
4. If your reques[ed pernut or license requires Council action to approve, some informa[ion may become
public.
�. You have certain riehts under M.S. 13.04 (available upon request) to review private data onyouurself.
6. Your full name is required to process this application or permit.
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Firsc• - �tiddle Last
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Ciry Sat� Zip Phoae
I underst d my ri;hts ted above.
Signatur
.. CHECK OFF LIST FOR ISSUANCE OF PER1tiiITS
� �O OFFICE USE ON�jY
ADDRESS OR LEGAL: �( � �� �' � ��' -� '��� :� �`=
PID: �� � ; . ,
DESCRIP'TION OF WORK: (���C:�`
� ---------------------------------------------------------
ZO�tG REV�W BY: .- , (�U�..n�- DATE APPROVED: � -� 5 Y�
BUII.,DING REVIEW BY: ``' � ti:.-- DATE APPROVED: '7 - � _ er �'
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes :/' No
PLAN REVIEW Yes :✓ No SEWER CO�]NECITON
STATE SUR`HA�Gr� Yes `� No WATER CONNECTTON
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZO�tING CHECK LIST Zoning District: ��'I � _
Fire Deparcment: j� L- Post Office: (�• c.— School District: U�'�.'�-�
Lot Area: Sq.ft. �:�1 r, ,!�t�Acres Width Dep[h
n
Survey Submitted: Yes �. No Date of Survey: �^` f� f �'
Proposed Setbacks:
Front (ba1Ee�): _ (,S 1 � Right Side: _`5`�',-%� ^'
Rear(Street): � � �= Left Side: (y �a `�
Adjacent Structures: I��ic�z�i i-�) Wetland: � ��'
Building Height: Def. Hgt. u 1� Peak Hgt.
Lot Coverage: v, ��
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoni.ng File: # Resolution: # Resolution Date:
Shoreland Dis�ict: _
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):
• 26 .
�
�
BUII,DING REVIEW CHECK LIST -
UBC: �� � CONSTRUCTION TYPE: vN
� Sq Footage $ Per Sq Ft�
Basement x _
lst Floor R _
2nd Floor z _
Garage x _
-U� ��'� x i � C;, _ -,=,�;.yv . .
TOTAL
Estimated Construction Value: $_� << � C `—
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
� Footing Septic Sewer Connection "
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (1�If�.) Well (S[ate Permit)
+�F�� Gradin�/Fillin� Electrical (State Permit)
Other
----------------------------
REMARKS (1N HOUSE): -----------_______
---DATE -----------------
---------------------
REVIEtiV BY OTHERS: ,
Access: Existing New
Access Approval: Date By;
---- --_—__------------- - ----------
REMARKS(TO BE NOTED ON PERil�1IT): �
27
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�ATE TIM
CITY OF ORONO CALLED IN �pc.'`� - �
INSPECTION NOTICE , � SCHEDULED ��'-( ��` � P
PERMIT NO. � �' COMPLETED BC ��
�- � ,
ADDRESS
OWNER CONTR. � ��
TELEPHONE NO. � I7 - �l �� ��
� DESCRIPTION ���
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 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:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN f- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspe tion 24 hours in advance.473-73�J7
OwnerlContra r' ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE J( TIME
CITY OF ORONO CALLED IN �,J �` ��
INSPECTION NO ICE scHE�u�Eo �Ly •�3�
PERMIT NO. �% � � COMPLETED il "���
ADDRESS �� � '� "
OWNER ' � �� ����-� CONTR. ��'-��c.�r.�
TELEPHONE N0. � ���lY �s 73
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04��W�LBII` 12 WATER HOOK-UP 17 SITE INSPECTION
Q �5 FINAL�_�� 14 SEWER HOOK-UP O6 PROGRESS
� �MO-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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� - b� �`t' C� S — �,US � � ��'/, ;<�
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W ❑WORK SATISFACTORY:PROCEED ❑ pROJECT COMPLETE
� ❑ CORRECT WORK 8�PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY
W
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContr or n site:
Inspector. �-����
White Copyllnspe or's File Canary CopylSite Notice
CITY OF ORONO CALLED IN �i AT�� �� TIME �
b —�L�c�
INSPECTION NOTICE SCHEDULED — o
PERMIT NO. .�D� L� � COMPLETED
ADDRESS
OWNER CONTR.
TELEPHONE NO. � � � 7S��
� DESCRIPTION ��L�
l� 01 FOOTING 11 MECHANICAL RI 18 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTA�L. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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DATE TIME
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
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PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN i' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra or��ite:
Inspector V
White Copyllnspector's Fi e Canary CopylSite Notice