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Home My WebLink About1997-009318 - re-roof PERMIT C�Y OF ORONO PERMIT TYPE: � 2�50 Kelley Parkway- P.O. Box 66 � Permit Number: ---- �� Crystal Bay, Minnesota 55323 _. _ .. (612)473-7357 Date Issued: _ _ SITE ADDRESS: . . _ '�L�I:f '1 y'�l:ii� :� y�t i'i��E.-. , � ., . .. : �,' .. .:; . �;','_',...s.:. S�"{:��'�.'� DESCRIPTION: � _ � _ _ ._...:.. ,� ... �.;; ;�_��-,. : . ,-.. . _'il.all��'•. '.? [W,.is,....,. _ 1 'F�':�? _. ' 'r��' ..=i'i�_t'1;-�,i `.�1 3 7 �c_t' i " ` _ , :�_a_: _.. .. __ ii%c_�j'%; 3�' ,..:�-t �iy_—�#-;� i. t�•, '•I.el� { i 5_. _�...�i 1—'•a}';_ ``� .. _�_�:�r;�.:'•1,�_ T.�i��;i. , � �,y:- �•;1;`� {�+•�-;��.�•- �::,�;;:� �.F�_�+ i-'s;.i . h`.`'_:4:"i`•�T i`-�4.� ,, � k' � REMARKS: FEE SUMMARY: � , , :_._ , _:. ; �4�f'!"_''!f E Z'_. . _. , . .. .. • i I�.�.�Yi'a��'I E S: '-! �� .�'...�._ {`'F�N � � �� F.: . . _ �'�_��~`i�Clf�'��: ,:ry�`...��.�.`��iu' sn: r? +��.Wc i ?..}+�- I �A r � �_��;�.}i _5 ' �� , h: �, ;I: ;; � ;; ��} a ;.�. , �r i�;�` �r � CONTRACTOR: — _. _ _ _... .. - . �' OWNER: _ `� : , . ; ,� � .�_ _ . . - - _ - - - = - - - .._ . . s��;-� ►..th Y��.�, ��. _ _ _ . �i�:•;�:��=�_. , .r.�i�. + - •� " - _ - ' . ��,_. _. ._��.�. _�.`�!!�... �� . ..... .._..� . �'�M.._ „. ... . _. .�_..! .. ._ _ ...'t . . . .., . ..�: _. f � ... _�_C^:��. ... � �_. -_'i�'rt�� ' " „ , � _ _..�.r _i :-jY;:;. . , ,v: 1 -.t.,�i 1 -��'2t'�.�...__.. . �_� _ .. . ._,_. !� .. . .. ,. . . _. _ _ .. . .._s�- -_.._ , .i. x . . . .._�_ _ 1 4' ... _ ._. _.... . � �:i T` r z �'� T+ � :ii'rf:Fsti�' _.. ''" -- _ �� } :j _ ' ' _ •.-r ..t ,�- t��, .k—. � .. �F � F � ...r�;�4..�.... ... ,`?. .. :�. °."� . . ....... _. . . .... .'.t.:._.... _. _. _.___. . , _. ._, ... . . _. . � , .. .. _� ._. _ .. _ _- . s � k f �. ' � I I _� PPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE . �Total Fee: $ �� Date Received: Entered By: Permit#: , /,S(� _.i 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: /��' �l��fi�(�TJ �U� ZIP: �s�J�j NAME OF OWNER: �� J Q�IV��1� PHONE: (home) C�a�.4 /;1�( IA��;� l�-I�� (work) MAILING ADDRESS: �� '1�� ' CITY: 1��,�j ZIP: S`��'nt� CONTRACTOR: �� '��-lL��-S _PHONE: � Z�(o ��"�C� CONTACT PERSON: �Tv� ►�1.-I�l MOBILE/PAGER:�a� -�j��_ MAILING ADDRESS: S2� T-QI�L�!18�-1Jv�- 1��ITY: LQI��(,/�CYz_ZIP: <>S� STATE LICENSE: #��_ ARCHITECT/ENGINEER: 1�-�-�z �}-Q L N� PHONE: MAILING ADDRESS: 5�/v�lz �--� k�9[J� CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration ✓ Land Alteration PROPOSED WORK(describe in detai�: t �F�t�l `� � r V�.� 2 S� t�-,�S 5 P�tll LZ- �!l1�.cG !1� /�Iir�C� '��!"� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � t;,�`'" �"- 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 ac dance with the approved plan. APPLICANT'S SIGNATURE: ' DATE: � � �'Z�� NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non pernzitted events will not be allowed. ' l`,��,� I. • Sec.13.04 RIGFTTS OF SUB.TECTS OF DATA Subd. 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 secaon. Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidenrial dara concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting'state agency,poliacal subdivision,or sratewide system; (b)whether he may refuse oY is legally required to supply the requested data;(c)any Irnown consequence arising from his supplying or refusing to supply private or confidendal data;and(d)the idenrity of other persons or endties authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesdgadve data,pursuant to secdon 13.82, subdivision 5, to a law enforcement o�cer. The commissioner of revenue mav piace the nodce required under this subdivision in the individual income tax or properry tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an iadividual shall be informed whether he is the subject of stored data on individuals,and whe[her it is class�ed as public, private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown che data without any charge to him and,�if he desires, shall be informed of the content and mear�ng of that data. Afrer an individual has been shown[he private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or acrion pursuanc to tivs secdon is pending or addiaonal 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 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,exciuding 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 addirional 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 pubiic or private data concerning himself. To exercise this rieht,an individual shall noafy in writing the responsible authoriry describing che nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of inaccurate or incomplete data, including recipients named by the individual;or(b)nodfy the individual that he believes 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. The determination of the responsible authoriry may be appealed pursuant to the provisions of the administradve procedure act relating to contested 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 permit or license from the City 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. 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 extent necessary to process the pemut 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. 6. Your full name is required to process this application or permit. First Middle Last Address . Ci�, State Zip Phone I understand my rights as stated above. Signature .. CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY ADDRESS ORLEGAL: l 3��i �=-��w�.�..��:;.� ►�� PID: DESCRIPTIONOFWORK: i�L�.��-�-�;;— -- t'Z�r�'�� fJ��sN �:� ('"�;,;� `.:; T�ti�>_xyS __--_---____ _____---_____-�--_--------------------------------------------------------------- ZONING REV�W BY: �� , � �4�c� DATE APPROVED: 4 ��-�� BUII�DING REVIEW BY: � � - '�... DATE APPROVED: ; � -�"-`�7 FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓ No pLAN REVIEW Yes No t,/ SEWER CONNECITON STATE SUR�HARCr� Yes ✓' No WATER CONNECTION INVESTIGAZ'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Numbzr of SAC Units OTHER (specify) ZONING CHECK LIST zoni.ng District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): . Right Side: Rear (Street): Lefr Side: '�� I t Structures: Wetland: ,�E� ,v 1 Ad�acen 8- � �.� � Building Height: Def. Hgt. Peak Hgt. � Lot Coverage: �1 Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: � Shoreland Distict: _ Avg. Setback: Bluff Setback: Lot Coverage: � Ezisting Proposed Hardcover: 0-75' 75-250' � 250-500' � 500-1000' . ,._. Hardcover Vaziance Required: Yes No Date of Council Approval: REMARKS (in house): 26 BUII,DING REVIEW CHECK LIST � UBC: t�- � CONSTRUCTION TYPE: `(�'v � Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage X = x = TOTAL Estimated Construction Value: $ � �►c;v`�=- Inspections Required: � Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection uC Framing Fireplace Lawn Irrigation _�Insulation (Masonry) Other _� Wall Board (Mfg.) Well (State Permit) _�. F�� Grading/Filling Electrical (State Permit) Other ----- ---_______------------------ ---___--_----------------- REiI�IARKS (IN HOUSE): ----------------------_____--------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By; �_��__�_��__� ------------------------- REMARKS(TO BE NOTED ON PERiI�II'I'): � 27 . ._ DATE TIME CITY OF ORONO CALLED IN 'l -ft- �� INSPECTION NOTICE SCHEDULED `i ' � / � � `� PERMIT NO. %v � -� j COMPLETED C _ � ADDRESS _�`�� ./ ��E:s'�7_,c - ! �_� . .�. , /��c r�t. ,r OWNER ' � ,1c"yr CONTR, l�� . . � �� C z"F '�.-� TELEPHONENO. '� "7�1 !�� DESCRIPTION _ ��i %�< <<-s:�� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING ,` 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS p �3 INSULATION � 24/25 WOOD BURNER/FIREPLACE 34 TREE FIEMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z OS F�NAL 14 SEWER HOOK-UP 06 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v W 07 DEMQ—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � C', CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O C; CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for�;��t ir�s�tion 24 hours in advance.473-7357 OwnerlContrac s�te Inspector. White Copyllnspector's File Canary CopylSite Notice ATE TIME CITY OF ORONO CALLED IN y /� f 7 INSPECTION NO ICE SCHEDULED `� i��y� �� -�='� PERMIT NO. COMPLETED ADDRESS �3�'7r ��,z�c.-�"�'�' � OWNER� CONTR. �t� C�� TELEPHONE NO. _�3 Co � G�i C�O � DESCRIPTION ��c��'� � � 01 FOOTING 11 MECHANICAL RI 18IXCAV/GRADING/FIWNG Q 02 FRAMING� 13 MECHANICAL FINAL /9 LAI�SHORE/WETIANDS ��---—--— Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 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 � W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP 2 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 28 CEDAR SHINGLES 38 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � t CORRECT WORK 8 PROCEED " ISSUE CERTIFICATE OF OCCUPANCY W 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 ISSUED �7 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance.473-T 3S7 OwnerlContr o ite• Inspector. White Copyllnspector's File Canary Copy/Site Notice t��.u�i��l I