HomeMy WebLinkAbout1996-008539 - covered stoop , w PERMIT
� �ITY OF ORONO PERMIT TYPE:
="50 Kelley Parkway- P.O. Box 66 ::�;?i i':�_<;;i�
Crystal Bay, Minnesota 55323 Permit Number: --.,:-;=N,;�:-_;�
(612) 473-7357 Date Issued: - -
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — ="�E�����. t �W�.;at. —
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APPLIGr NT'PERMITEE SIGNATURE ISSUED BY: IGNATURE
1 �
� Total Fee: $ ��'-����'�% /�'��. �;'� Date Received:
Entered By: �, Permit#: `
CITY OF ORONO - BUILDING PERNIIT 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 � ���,�/JL,SS / / /��� ZIP: ,5,5..��/
NAME OF OWNER: i�,��/�'E�/1� �}/�� /�C�-� PHONE: (home) ����-d ���
(work)
MAILING ADDRESS: >���'YI�� CITY: ��,�.1/�;;�y�T/`�� ZIP: 5�.3 9 l
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�_ Land Alteration
, �; /��� ,
PROPOSE�D WORK�describe in detai�: � �' ��� c� �� � c���l'r�.�� � l� � ��"���'�
i -� , �
�
�w�?��;��: � �ux�.l�_-C�.c � �`7'-!'.tc,i-E �c� — 1�, 7J Q � �.
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
r_��
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ -���;` . —
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 accordance wit ap�roved plan.
—_ �_
APPLICANT'S SIGNATURE: � � � DATE: �� ' ,�U -�J'-�
, , ,
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 SLIBJECTS OF DATA
Subd. 1. Type of data. The righcs of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
Subd.2. Information required to be given individual. .4n individual asked to supply private or confidendal data concerning himself shall
be informed of: (a)the purpose and inrended use of che reques[ed data within the collecting'state agency, polirical subdivision,or statewide system;
(b)whether he may refuse or is fegally required to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply
private or confidenaal data;and(d)the idenary of other persons or endcies authorized by state or federal law to receive the data. T'his requirement shall
not apply when an individual is asked to supply invesrieaave data, pursuanc[o secrion 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propertv tax refund
instrucrions instead of on[hose forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals, and whether it is classified as public, priva[e or confidential. Upon his funher request,an individual who is the subjecc
of stored private or public data on individuais shail be shown che data wichout any charge to him and, if he desires, shall be informed of the conten�
and meaning of[hat data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to hun for
six months thereafter unless a dispute or action pursuant to this secaon 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 [he actual costs of making, cerrifying, and compiling the copies.
The responsible authoriry 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 legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that[ime,he shall so inform the individual,and may have an addiaonal 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 conceming himse(f. To exercise this right,an individual shall notify in writing the responsible authoriry describing the narure of the disagreement.
The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incomplete and attempt to notify past recipients of
inaccurate 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 responsib(e authoriry may be appealed pursuant to the provisions of the adaunistrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Riehts of subjects of data", we would like to inform you that your request
for a pernrit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to deternune your qualification for the permit or license requested.
2. You may refuse to suppiy 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 a�encies to the extent necessary to process
the pernut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have cenain 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.
p��� htiddle Last
Address
Ci�, State Zip Phone
I understand my rights as stated above.
Signacure
� . .
' CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: i�r� (=/��:,c r�v�5 s �,,�;ti;- �ti�.+C�
PID:
DESCRIPTION OF WORK: (,,f:�e,2��J 5;z�„�
------------------------------------------------- --------------------------------------------------------------------
ZONIl\TG REVIEV�I BY: J �Jv��...._ DATE APPROVED: r(,,- 3�--�1�
BUILDING REVIEW BY: ( DATE APPROVED: (L��r-�j,�,
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes rr No SEWER CONNECTION
STATE SURCHARGE Yes v' No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-------------------=---------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: L2-i L.
Fire Department: M��.,� Post Off ce: �U A�Z;-�ria- School District: �v e 5�-r;;�;�-�t
Lot Area: Sq.ft. 3`3;��� Acres ,� I Width ?Z G� Depth I Q)(��� �
Survey Submitted: Yes �c No Date of Survey: £�' 7'`�E=
Proposed Setbacks: ;
Front (�a�ej: �''� �" Right Side: �1�%� �
Rear (�eet� N (I> Left Side: `'t v` =
Adjacent Structures: �'��-1�Ft�� Wetland: j�f�
Building Height: Def. Hgt. C7�k Peak Hgt. O• 1�
Lot Coverage: ��.(C
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
� Avg. Setback: Bluff Setback:
n'. `� Existing Proposed
��� Hardcover: 0-75'
75-250'
250-500'
SJO-lOOO'
Hardcover Variance Required: Yes No Date of Council Approval:
�___._
REMARKS (in house):
10
.
. �
BUII.DING REVIEW CHECK LIST
UBC: � --� CONSTRUCTION TYPE: \(��
Sq Foota�e � Per Sq Ft�
Basement x =
lst Floor x =
2nd Floor x =
Gara�e x =
x =
TOTAL
Estimated Construction Value: � 2,L�'` `"�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Fire
Hardcover Removal Mechanical Water Connection
�_ Footing Septic Sewer Connection
o( Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_;� Final Grading/Filling Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By�
RENIARKS(TO BE NOTED ON PERNIIT):
27 �
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DATE TIME
CITY OF ORONO ca��Eo iN ,��..�;� %i i_'��r,.,
INSPECTION NOTICE SCHEDULED %�=' % i �;� '� ,�
PERMIT N0. COMPLETED � �
ADDRESS � � � ' �� "'`, �; � �
OWNER �-)C��.t-�.���_CONTR.
TELEPHONE NO. `J ~{ �� - �'� ��
� DESCRIPTION ,�1.E;z.�? �Y' �'-��
� 01 FOOTIN(3 11 MECHANICAL RI 18 D(CAV/ORADINQ/FIWNO
y 02 FRAMING 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FEMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� �FINAL� 14 SEWER HOOK-UO 06 PROGRESS
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J 07 DEMa-�ITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTiC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTFIACTOR TO MEET YOU:_YES_NO
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White Copyll�spector's File Canary CopylSite Notice
DATE TIME
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� �OOTINC3� 11 ME HANICAL RI 18 IXCAV/GRADINQJFIWNO
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�Q 02 FFlAMING 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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2 p5 FlNAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINCi RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
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0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTEO.CALL INSPECTOR ='CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the i ction 24 hours in advance.473-7357
OwnerlContracto o site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
540175
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