HomeMy WebLinkAbout1998-010495 - deck PERMIT
CI�;Y OF ORONO PERMIT TYPE:
� '750�<elley Parkway- P.O. Box 66 �'4��ti�='--`a'��{�`
�,rystal Bay, Minnesota 55323 Permit Number: ,.!z s���_L
(E12) 473-7357 Date Issued: :�;;°�_f3:'����
SITE ADDRE9S:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: - ��`�`� ��=='�-ft� �' OWNERL,_ _
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� APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE �'�'
�Total Fee: $ % /y- �1�- Date Received: '���, /c y
. Entered By: � Permit#: ���y i S''
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR-- CTO >
JOB SITE ADDRESS: e�0�� � ��`��! �_ ZIP: S -�, �� �
NAME OF OWNER: 5�a��` �- ���� V�'t< <�y�, PHONE: (home)
(work)
MAILING ADDRESS: ,�«;,�..��. CITY: ���;�.� ZIP:
CONTRACTOR: ��v-.-� �c,1��.� �-��-c� PHONE: �� $-- oZ
CONTACT PERSON: �e_V iz.._ MOBILE/P E : �� — "7
MAILINGADDRESS:I �(a��jp S��u�x�- b��..�C_ITY: �.-�c.��:(�F�ZIP: c ��;c��{
STATE LICENSE: # �"7� � � ,-,
ARCHITECT/ENGINEER: PHONE:
VIAILING ADDRESS: CITY: ZIP:
NAN�: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration�� Land Alteration
PROPOSED�VORK(describe in detai�: ��d��_nc,� �!j[1 L� �
Q� �-� .t.c. 1.c fZ�
�—
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $�OW
I hereby apply far a building pernut 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 with the approved plan.
APPLICANT'S SIGNATURE: �-' .---/ DATE: —
NOTE! Parade of Homes events require separate permit approval by Police Department an�
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
1
Sec.13.04 RIGHTS OF SLiBJECTS OF DATA
Subd. 1. Type of data. The rights of individua]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. An individual asked to supply private or confidential data concerning himself
shal]be informed of: (a)the purpose and intended use of the requested data within the coilecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legatiy required to supply the requested data;(c)any known consequence arising from his supplying or
refusin,to supply private or confidential data;and(d)die identity of other persons or entities authorized by state or federal law to receive the data.
This :�quirement 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 commissicner of revenue mav olace the notice reauired under this subdivision in the individual income tax or prooertv 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 confidential. Upon his further reques[,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 individua(has been
collec[ed or created. The re�,onsible 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 immediately,if possible,with any request made pursuant to ihis 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 time, he shall so inform the individual, and may have an additional five days within which to compty 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 complzteness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the 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 notify
past recipienu of inaccurate or incomplete data,including recipien[s named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disciosed only if the individual's statement of disagreement is included with the disdosed data.
The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRNACY 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 furnish 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 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 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. �
-�-�,� �� � u���
First Middle Last
( lo ��,U ��v �r �v--�—
Address
�--�-� V���_ tiN� �_ C �� � �__
Ciry State Zip Phone
I understand my rights as state above.
�._-
Signature
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` CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDIZESS OR LEGAL: 3v`i I FACt�f I l-:�L l�N�=
PID: �r',t� _f � l - } � � � <<_�.%C '� 3/�= -
DESCRIPTION OF WORK: �L�
----------------------------------------- ------- ---------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: '1- t 5-9 f3
BUILDING REVIEW BY: DATE APPROVED: —t-�5-�g
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓� No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes _L/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Y s No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: (Z(Z.-1�
Fire Department: ��y� (A(C,� Post Office: (p�C� t�tl.L School District: �j�Ls�tO
Lot Area: Sq.ft. �(o,l$S Acres 1.51 Width ��y.� Depth SZ3.3 l4�►G
Survey Submitted: Yes� No Date of Survey: b •ll�-7']
Proposed Setbacks:
Front (b'�: 3ZrD � Right Side: (fl0` ±
Rear (S�t): !�S � Left Side: S�� �
Adjacent Structures: �QTr�GN� Wetland: `V/A "
Building Height: Def. Hgt. /�!�/a Peak Hgt. —
Lot Coverage: �'1�° '�
Gradin�: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District: N O
�.�• Avg. Setback: Bluff Setback: L.ot Coverage: �f`�° �
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BiJILDIlVG R�'VIEW CHECK LIST
UBC: /Z•S CONSTRUCTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 1 Z�Oc90°��"
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing Septic Sewer Connection
ic Framing Fireplace Lawn Inigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
_�Final Grading/Filling Electrical (State Permit)
Other
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REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
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U^;:= �-�S'`� PERMITNO1
=.1 A�i-��irJ�VrG AS S(.,'$h11TTED
�'/;.";;Yt�`�'�D V�.'iTH CC�r^,;CTIONS AS NOTED
!.�, C' •"JOT r'•„'r�rCV�`J---CQRREv^T S RESllBMIT
Tc��a co;;m��fs a,e`or your informetior. All work shall b8 Con6
i�� +,�;! cor.�pliar,ce witi� a7 ;:pplicabla buildin9 and zoning cod�,
RaGu�rame�ts inciudi;�g i±ert�s not specificalty notedin this review. ��� �
KEEP THIS PLAN SET ON SITE AT ALL fiIMES S �
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6'-8" MiN. HEADRrJOM �
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GUARDRAIL OPEN SIDES `�
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5/� �Q��. �����,� s/�`k��� 36" MIN. HElGHT
� 4" MAX. OPENlNGS
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DATE TIME
CITY OF ORONO CALLED IN 1�I S�
INSPECTION NOTICE SCHEDULED '7/-2319� �
PERMIT NO. ����9-S COMPLETED
ADDRESS �
OWNER CONTR. ��
TELEPHONE NO. �.3 5 �J'S�.��
� DESC PTION �.r�'<--�
�
t� FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINA� 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 05 FINAL 14 SEWER HOOK-UP O6 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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W� WORK SATISFACTORY:PROCEED ❑ pROJECT COMPLETE
W �CORRECT WORK&PROCEED i=' ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. = PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73�J7
Owner/Contrac �in ite
inspector.
White Copyllnspector's File Canary CopylSite Notice