HomeMy WebLinkAbout1997-007527 - roof & siding ,
PERMIT •
C�Y OF ORONO PERMIT TYPE: - - : �
2750 Kelley Parkway- P.O. Box 66 ' =' � �'�`"'
Permit Number: �: `.��.�`"`� �
Crystal Bay, Minnesota 55323 �: �� � : :' _�
(612)473-7357 Date Issued: ;_:�.f`�;;_:�%�-;:�
SITE ADDRESS:
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DESCRIPTION: a
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: W �:r��-°� =�'�i i�. y-
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APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
•
Total Fee: S ; � = DateReceived:
- DateApproved:
Entered Bv: p"mIt�.
CITY OF ORO�O - BUII.D�i G PEIZII�IIT APPLICATION
AI,L L�^F'ORtiL�TIO�11ti ST BE SLB�IIT'I'ED Lv FLZL BEFORE PL��1 KEVI�tiv ti�'�II-L
BE ST:�RTED
- - - -------------------------
_�...�= -------------------- - - -
THE �PPLIC�`�TI' IS: M (c:rc:e one�OW�ER R CONTR�CTOR
JOB SI'I`E ADDRESS: �lL-'--> -, -�.�tirs�s /'7� ZIP: 5 -5 .���%
�� ��; _������
/�/]�S PHOVE: (home)��/�y"��/-7__
�,'�ti1E OF OWYER: ��'� /�r f��l� � (w�ork) �� 5�-��c� 7�,
IIAILL\G��DDRESS: �< < /'��/CITY: l,.rr� �.�� fi-� ZIP: SS 3�, ,L
/ / '� ril:�.� ���s ��- ,
C(�NTR�.CTOR: ��, l� �« �� �`� PHON�E:
`iOBILE PHOiVE/P�GER:
I�IAILI�''G�DDRESS:
CITY: Z�:
ST�TE LICENSE: n
:�RCHTI'ECT�'E\GLti�EER: PHOti�E:
�I�II.�G�DDRESS: CIT�': ZIP:
���IE: REGISTR�TIO`1 m
TYPE OF `VORh: �ew �ddition Acr.essory Structure
Nlove Re:r�ode'!alte:atier. ,c� L����on
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/ � S� c%-���:�
PROPOSED`VORI�(describeinderail):"% ��,�, -F E l��i� ���r� 1��
SQ. FEET OF EACH FLOOR: � ���'�'
SZ�RIES: � DET.
\T(�. OF BEDROOl1S: 3 G�GE ST.�i.LS: _�TT. �
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ESTLII�TED CONSTRUCTIOti V�I.U:�TION(eYcluding land): S `����`-7 .—
!o , �> ,.��
I hereby apply for a buildin� re:-nit and I ac!cnowledQe that the inrormation above is complete
and accurate; tha� the work wiil ce in coniormance wich rhe ordinances and codes of the C:�'
and with the State BuildinQ Code; t.hat I understand this is not a permic and work is not to start
without a permit; and that the worK wil,l�be in�ccardance with the approved plan.
//;,�;% ` .—' �:S
� = DATE: �- /� /
�,PPLIC�'�I'T'S SIGNA"TI�RE= ����� � .
NOTE.' Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. �Von-permitted evenrs will not be allowed.
�
Sec.13.04 RIGHTS OF SLBJECTS OF D�T�
Subd. l. Type of data. The righcs of individual on whom[he data is stored or to be stored shall be as se[for[h in this section.
Subd.2. Information required to be�ven indicidual. .-1n individual asked to supply private or conhdenrial dara conceming himself shall
be informed of: (a)the purpose and intended use o[the requestPd dara wi[hin the collecang"state agency, poliacal subdivisioo, or statewide system;
(b)whecher he may refuse or is le¢ally required to supply the reauested da[a;(c)any Imown consequence arising from his supplying or refusing to supply
private or confidendal data:and(d)the idendty of ocher persons or enndes authorized by srace or federal law ro receive the data. This requirement shall
not apply when an ir.dividual is asked [o suppty invesn�an��e dara. pursuant to secnon 13.82, subdivision 5, ro a law enforcement o�cer.
The com�nissioner of re�e ue mav olac� c'r od-� roauired under this subdivision in the individual income taz or oropertv tax refund
ins[ructions instead uf on rhose forms.
Subd. 3. .-�ccess to data by individual. L'pon reaues[[o a responsible auehonry,an individual shall be informed whether he is the subject
of srored data on individuals, and whether i[is classuieci as puolic, pnvate or coruidendal. Upon his fur[her request, an individual who is the subjec[
of stored private or public data on individuals shall be shown �Ze da[a wichout any charge to him and, if he desires, shall be informed of the content
and meaning of that data. .-�frer an individual has been snown che pnvace data and informed of is meaning, the data need not be disclosed to hun for
six monrhs thereafter unless a dispute or action pursuan�tD this secnon is pending or additional data on the individual has been collected or crea�ed.
The responsibie auchoriry shall provide copies of the pri�•are or public data upon request by[he individual subject oi the data. The responsiole au[horicy
may require the requesting person to pay the actual costs oi makine, cemfyine, and compiling the copies.
The responsible authonry shall comply immedia[ely, if possible, with any request made pursuant to this subdivision, or wichin five days of
[he dare of[he request,excluding Sanirdays,Sundays and legal holidays, if immediace compliance is no[possible. If he canno[comply with the request
within that time,he shall so inrorm che individual,and may have an addidonal five days within which to comply wirh the request,exduding Sanirdays,
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 himself. To exercise this neh[,an individual shall nodfy in wri[ing ehe responsible au[honry descnbing the nature of the disagreement.
The responsible au[hority shall within?0 days ei[her: fa)correct the data found to be inaccurate or incomplete and attempt to norify past recipiencs of
inaccurate or incompiete data, includine recipien�s named by L5e individual; or(b)nodfy the individual that he believes the data to be correct. Data
in dispute shall be disclosed only if the individuai's s[acemenc of disagreement is included wi[h the disclosed data.
The determination of the responsible au�horicy may be aopealed pursuanc to the provisions of the admuusrradve procedure act relacing to
con[ested cases.
D:�T:� PRIVACY �DVISORY
In accordance with M.S. 13.04, Subd. �, "Riah�s of subjects of data", we would like to inTorm you[hat your request
for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
':ou �;e :o�i;ed that:
1. The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may rer'use to supply dara, but refusal may require that the City deny the permit or license.
;. The information may be shared witn ocher local, sta[e or federal agencies to the extent necessary to process
the permit 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 �1.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this applicacion or permit.
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Firs[ ` ^ , titiddle ��� // / Lasc
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Address 7
� � 1 �� �� �i///�v S�� `i i �7/ -� 7/�
��ry � State Zip Phone
I understand � rights,, st ec� above.
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C( `' /�
Sienature
CHECK OFF LIST FOR ISSUA1tiTCE OF PERtiIITS
FOR OFFICE USE ONLY
�DDRESS OR LEG:�L: iqo'� � 61=�^'�ss Ps�"`'�PID:
DESCRIPTIO\ OF «'ORI�: � . '_ c� + s r N
-----------------------------
�,a.,�-
DATE APPROVED:
ZOtiZ\G RE«�ti B�': DATE APPROVED:
BL�.DL\G RE�ZEtiV BY:
---------------- ------
FEES TO BE C�L-�RGED: Misc. Fees Calculated By:
PERtitIT YzS �o
PL.��+ RE�`ZE�y Y"es vo SEWERCOv�+�ECTION
No WATER CON``��ECTION
ST:�TE SL"RCH:�RGE 1'zS p�tK FEE
Iv VESTIG�TIOv FEE Y�s �o
S�C Yes �o STTE INSPECTION
OTHER (specify)
�iumber of S:�C Units _________�___r�
---------------- �
ZOtil�G CHEC�i LIST Zonina Districr.
Shoreland Districc :
Fire Departmen[_
Post Office: Scnool Discricc:
Lot?�rea: Sq.ft-
�cres Width Depth
Survev Suomi�ced: Yes
�o Date of Survey:
Proposed Setbac:tis:
Fron� (Lai:ej: Righ[ Side:
Re:r (S�ree:): Leit Side:
.-�djacea� Scn:ccures: Wetland:
Building Heieht. DeT. Hgt.
Peak HQt.
Av�. Setback: B1uif Setback: Lo[ Covezage:
Exiscing Proposed
Hardcover: �-��'
i�-250,
?50-�00'
�00-1000'
Iiardcover Variauce Required: Yes No Date of Councii Approval: _
L�raduls: Start :�oproval Date: By: Council .�pproval Date:
Septic: Starf �pp
roval Date: B�'
Q �ile: .�
Resolucion: ,7 Resolution Date:
Zonin, - _--- ,
RE�Ir�iRb:.S (in house): �, ;
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N,�,r�-� -� Q r l-U oTi .. �,�<_ ^.�r,.7t`�=A�l " '.
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BL`ILDL\G R.E«��' CHECI� LIST
L�C: �- � COtiSTRI;CTION TYPE: ��
Sq FoocaQe S Per Sq F�s
Basement r —
lst Floor � —
2nd FIoor c —
Gara�e r —
C -
TOT.�L
Estimated Construction Value: � 6 v� �
Inspections Required: tiVor�; Requiring Separate Permits:
Sice Piumbing Fire
Hardcover Removal �4echanical �Va[er Connection
Foo[ins Seotic Sewer Connection
Framing Fireplace Lawn Irrisation
Insuia�ion (�iasonry) Other
Wall Board (V1fg.) Weil (S�a[e Permit)
� Final Grading!Filling Electrical (State Permitj
Other
REI�i�RKS (L�i HOL�SE):
------------------------
REVIEtiV BY OTHERS: DATE:
Access: Eeisting =Ve"�
�ccess Approval: Date BY� _N_�_
- ---------------
RENiARKS (TO BE ti OTED ON PER'�SIT):
27
D E TIM
CITY OF ORONO � CA�LED IN ' -C1 �
INSPECTION NOTICE ` SCHEDULED � -�' " /D �U'��i�i
PERMIT N0. ���7 COMPLETED ' �� /
ADDRESS T� T� �Q.�e-�4.ru>.�.� �� ��V
OWNER �����S CONTR.��,[�•GS
TELEPHONE NO.
C � �. �
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� DESCRIPTION � �' -
W Ot FOOTING 11 MECH NI AL RI 18 EXCAV/G DING/FIWNG
�
�Q MING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 IN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEM�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
� OWNERlCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d �NORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� L: CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
� t: CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-73rJ7
OwnerlContractor te:
Inspector.
White Copylinspector's File Canary Copy/Site Notice