HomeMy WebLinkAbout1995-007051 - above ground pool — , , .
PERMIT
CITY OF ORONO PERMIT TYPE:
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2750 Kelley Parkway- P.O. Box 66 _
Crystal Bay, Minnesota 55323 Permit Number: -
(612) 473-7357 Date Issued: _ _ _ ..,.
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS: »`: „'uv �'`j c-jj' 1�f. :
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FEE SUMMARY:
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CONTRACTOR: OWNER: — . , , _ -:=:..��:.. -
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APPLICANT%PE MI SIGNATURE ISSUED BY:SIGNATURE
� i DateReceived: �
Total Fee: $ � '� � � I —
� Date Approved:
Entered B �� Permit#: '��; �� �
Y�
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL IPtFOR�'�IATION MUST BE SUB�iITTED IN FULL BEFORE PLAN REVIEW`VII.L
BE STARTED
-------------------------
THE APPLICA:�"T IS: (circle one) OWNER R CONTRACTOR
JOB SITE ADDRESS: �35 3��c�ce l..a�e �� ZIP: 5535(0
N��fE OF O`VNER: �o,.,,� O Skvoo _ PHONE: (home) y�3 - ��5 �
(work) �ba-3 z-�R
�IAILL�IGADDRESS: -135 1�� � a�� t_�.�� J� CITY' Q�on� ZIP: 5535�0
CONTR�CTOR: PHO�IE:
MpBILE PHONE/PAGER:
1��1AILING ADDRESS: CITY: Z�:
STATE LICENSE: #
ARCHITECT/E�GINEER: PHOivE:
1�IAILTi�1G ADDRESS: CITY: Z�:
N���; REGISTRATION #
TYPE OF `VORK' New Addition Accessory Sm,�cture x
�,i��� Remodel/Alteration ����on
PROPOSEDWORK(describeindetail): ,,,SEQ�� bo�Q v ���t�d
Sw�rnrn� nG �b� _
STORIES: SQ. FEET OF EACH FLOOR: —
NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET.
ESTIlVIATEDCONSTRUCTIONVALUATION(escludingland): $ 3Q��'� � —
I hereby apply for a building permit and I acknowledge that the information above is com��lete
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 accordance with the approved plan.
APPLICAIti'T'S SIGNATURE: .�o,.,.,,� ,,..«,n DATE: i )��9
NOTE! Parade of Homes events require separate permit approval by Police Deparbrcent and
City Council 60 days prior to the event. Non permitted events will not be allowed�
9
CHECK OFF LIST FOR ISSUANCE OF PERNIITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAI.: : ', _ ,_ : � , PID:
DESCRIPT'ION OF WORK: � � _ - , ' ,.
ZONni tG REVIEW BY: � _ DAT'E APPROVED: � �
BUII.DING REVIE`V BY: . DATE APPROVED: � - ,
- ---------------------------
FEES TO BE CHARGED: Niisc. Fees Calculated By:
PERMIT Yes No
PLAN REVIEW Yes No �EWER COIV�IECITON
STATE SURCHARGE Yes No WATER CONNECITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------_---___
ZONING CHECK LIST Zoning District: Shoreland District :
Fire Deaartment:
Posc Office: School District:
LotArea: Sq.fr.
Acres Width__ Depth
Survey Submitted: Yes - No Date of Survey: ' '
Proposed Setbacks: , •
Front (Lake�): � �.��-� �" Right Side: �' %��ti
Rear (Street): � ' Left Side: '
Adjacent Structures: ' Wetland: �'��'�'�
Building Height: Def. Hgt. � '� Peak Hgt.
Avg. Setback: B?uff Setback: Lot Coverage:
E�isting Proposed
Hardcuver: 0-75' '
75-250' ---r
250-500' --'�
500-1000' --_-_ ,-----;—
Hardcover Variance Required: Yes No Date of Council A�proval: __
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
RENIARKS (in house):
26
BUII.DING REVIEW CHECK LIST
UgC; /'✓;'/~ CONSTRUCTION TYPE: �'�';'�
' Sq Footage � Per Sq Ftg II
Basement x —
lst FIoor z —
2nd Floor R —
Garage x —
R -
TOTAL
�.
Estimated Construction Value: $ ' �
Inspections Required: �Vork Requiri�g Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
>C Footin; Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wali Board (Mfg.) Well (State Pemut)
;:�� Final Grading/Filling Electrical (State Permit)
Other
REi�IARKS (�1 HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS(TO BE NOTED ON PERIVIIT):
i
�,
27
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'� ^�� ��' =r -'' �G, �! Posc offce sox 66
\\L� �� � j�� / Crystal Bay,Minnesota 5532�-0066
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DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, c�aetfroms the Cityf of Oronoe or�anylofe its
inform you that your request for a permit or li
deparunents may require you to furnish certain private or confidential information.
You ar� notified that:
l. The information you furnish will be used to determine your qualification for the
permit or license requested.
�. You may refuse to supply data, but refusal may require that the Ciry deny the
�ermit or license.
3. The information may be shared eit�h�°to= li ense state or federal aQencies to the
eYtent necessary to process the p
4, If your requested permit or license requires Council action to approve, some
information may become public.
�, You have certain ri�hts under M.S. 13.04 (see followinJ paQe) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRL\'`I'
� � Last
First Middle
�3 5 �'t c ke l.c�,ke ��'tv e
Address
5535 6 `�l 3- � � 5 �
� Phone
Cirv Stace Zip
I understand my riahts as stated above.
SiQ ature
V TELEPHOti'E-473-7357• E�.Y-473-0510
10
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 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 arisin� from his supplying or refusing to supply private or
confidential data; and (d) the identity of other persons or entities authorized by state or federal
law to receive the data. This requirement shall not apply when an individual is asked to supply
investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the
individual income tax or property_tax refund instructions instead_of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority, an
individual shall be informed whether he is the subject of stored data on individuals, and whether
it is classified as public, private or conf'idential. 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 thereafter unless a dispute or action pursuant to this
- section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private 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, certifying, and compiling the copies.
The responsible authority shall comply 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 leaal 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 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 concerning hiunself. To exercise
this right, an individual shall notify in writing the responsible authority describing the nature of
the disagreement. The responsible authority shall within 30 days either: (a) correct the data
found to be inaccurate or incomplete and attempt to notify 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 disaareement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions
of the administrative procedure act relating to contested cases.
11
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C�E�RAt�CE RAO�uS
CLE�.�tiCE
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2' x 4"
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✓�
ATE TIME
CITY OF ORONO CALLED IN � .��t `�7
INSPECTION NOTICE scHE�u�Eo lo�.�"'�''`� ��=_3 G'
PERMIT NO. � `�� COMPLET � �.� �_
ADDRESS 7 �l-c� % �� _ ? �
, �
OWNER � - � �--� ' CONTR. , �2 .
TELEPHONE NO. , �7.:.� � ��--�� �
� DESCRIPTION���'.����
�
� 1 FOOTING � �� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 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:
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d �WORK SATISFACTORY:PROCEED PROJECT COMPIETE
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� ❑CORRECT WORK&PROCEED �
W I ISSUE CERTIFICATE OF OCCUPANCY
O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,— pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-7357
OwnerlCont c on t :
Inspector.
White Copy/lnspector's File Canary CopylSite Notice
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CERTIFICATE OF SURUE � �U ' ��� � 4�t�
FOR PAUL `, i . ,'��:
- OF \COT 3 , l3LUCK 2 , RIPdGEItS4�00D
IIENNEPIM COUIV7Y , P1IIdNESOTA �
...__-•,-�-•.........�,..K� ZD �'►-�'-w` -t-a.,..�KS .� w.oti..��P -
+CITY 0� OR4�0 ��o'.Q -r?J�a ��'' � �4-b���- � onf,��..�-,o;,.,
� SiTE PLAN GRADlN� PlAN I . .s,r.�
Pi��iOVED Po�� t � �a 5,.,...-�-.-� d �oo � ��..�.,�.:..
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�P��iOv�.D '�'JiTH REVISIONa i ,,\�' . .rt.b � e..�.� _
❑ DpSAP� ``�i � S� �� ' -
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BY i / �- ��-���.-�� o-..� �� �
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I hereby certify that this is a true and correct representation of a survey of the boundaries of Lot 3,
Dlock 2, Ringerswood, the location of all existing buildinys, if any, thereon, and the proposed location
of a proposed building. It does not purport to show any other improvements or encroachments.
COFFIN & GRONBERG, INC.
Date : 4-21-86 � -, r ����_� ������
Scale: 1" - 50' ,� ,y ar �ron ery 7�1n tc. No.fi�7,r,
o . Iron marker � ; 6�
, - , �� Engineers & Land Surae
���•8. . S ot elevation '� , ;��� yors
tDatu • P � ���� � • Lony Lake, Minnesota
m, Assum�d � ��
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