HomeMy WebLinkAbout1998-010519 - repair deck PERMIT
�' OF ORONO PERMIT TYPE:
elley Parkway- P.O. Box 66 Permit Number. '_����'����:����
-: E3ay, Minnesota 55323 - � �
;���; <l73 7357 Date Issued: �;;';: � �;::=�;-;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS: ,
FEE SUMMARY:
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/ APPLICAN /PER EE SIGNATURE ISSUED BY:SIGNATURE
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�otal_Fee: $ ��/ d;� � Date Received: 7- � �
�ntered By: ��-, ,2 Permit#: �C�'S'f `,�_
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CITY OF ORONO - BUILDING PERIVIIT A3PPLICATION
A.11 information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICAI�TT IS: (circle one) O�NER OR CONTRACTOR �
JOB SIfiE ADDRESS: 1'��/-�-; �s--�'- 1`� ��:�; l� ,� ZIP: .}:>S��S�
� NAME OF Otii�NER: ,'� !1-,- ,-��- <- y,;�,�, , � �=' PHONE: (home) !i,7�;'�%� , %
- (work) -�j�- �f�, ��--�
MAILING ADDRFSS: � ' � �[J /J
�� /��� �� �� C �� /�'I l/ki t f-�..�E" Cl l i: i%�/„':,i�1 r�C� LI�. ���G.
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CO�TT'RA.CTOR: - - �_ �;ry-k_ � /,;� Y �.�%_ PHOivE:
CO��'ACT PERSON: � OBILE/PAGER: �
MAILTiYG ADDR.ESS: CITY: ZIP:
STATE LICENSE: #
A.RCHITECTIENGINEER: ��r -� r? r,> �PHONE: � �
i�IAII�Ti�tG ADDRESS: CITY: ZIP:
I�,TAME; REGISTRATION#
TYPE OF tiVORb': New Addition Accessory Structure
Move � Remodel/Alteration�1� Land Alteration
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PROPOSED tiVORK(describe in detain: r� /�� -��� ,- � � �µ � ��. F, -✓.�;- =� �.� �
/-,
STORIES: ,+",'��� SQ.FEET OF EACH�`I,04R: ���� ���- � -
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
,
; -
ESTliI�IA.TED CONSTRUCTION VALUATION (eXCluding land): $ /y�� ��
I hereby apply for a buildin�permit and I aclrnowledge 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 Buildi.n� Code; that I understand this is not a permit and work is not to start without a
pemut; and that the work will be in accordance wii,h the approved plan.
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A.PPLICANT'S SIGNAT`URE: �✓���ti �,�: _ _ DATE: ��'.-;`��- %�'`�
NO?'E! Parade o Flomes events require separate permit approval by Police Deparlment art�
� City Counci160 days prior to the event. Non permitted events wi11 not be allowed.
�
- - �
Sec.13.04 RIGHTS OF SLJB.TECTS OF D�TA
Subd. 1. Type of data. The rishcs of individual on whom the data is storcd or to be scnrd shall be as se�forch in this secaon.
Subd.2. Informatioa reqirired to be�ven indiridual. ?.n individual azked to supply private or confidenaal data coaceming him.seif shall
be informed of: (a)the purpose and ictended use of the rcquesc�dara wichin the collecang State a,ency, poliacal suhdivisioo,or sntewide rystem;
(b)whecher he may rfuse or is le3aliy requir.d co supply the r:quested data:(c)any Irnown coasequeace arising from his supplying or refusiag to supply
private or eonndendal data;az:d(d)the idanary of other pacsoas or end¢�s aurhorized by s�ate or federdi law to receive the data. Ttus requirement shall
not apply wh�n an individual is as4:ed to suppty invesd�adve dara,pursuanc to secdon 13.82,subdivision 5, to a law enforcemant officer. -
Tne comrussioner of revenue mav olace the noace r_ouird und:r this subdivision in the individual income tax or orooem raz refur.d
inscrucrions inscezd of on chase forms.
Subd. 3. Access to data by individual. lipon requesc to a responsible auchoriry,an individual shall be inforraed whe[her he is che subjecc
of scnrd dati on individuals,and wh�cher it is classif"ied�s public,privac�or confidenaal. Upon his further requesc,an individual who is the subjec�
of stored privace or public dac�on individuals shall be shown the dat3 wichouc any charge to tiim and;if he desires, shall be informed of the con[ent
and meaning of�hac data. Ahzr an individu�!has been shown tha privace data and informed of iu meaning,the dara need not be disclosed to him for
six monchs [f:erca[u.r unless a dispute or acaon pursuanc co chis secdon is pending or addidooal data on the individual has been collecGd or crated.
The tesponsibl=authoRry shall provide copies of the privace or public data upon requesc by the individua!subjecc of the dara. Tne responsible authoriry
may require the requesdng person to pay the acnial costs of making,cerdfying,and compiling the copies.
The responsible au�horiry shall comply immediacely,if possible,wich any reques[made pursuant to this subdivision, or wi�hin five days of
the da�e of the requesc,ezcluding Saturdays,Sundays and legal holidays,if immedia�e compliance is not possible. If he cannot comply with the rqu�sc
wi[hin that time,he shall so inform[he individuai,and may have an addidonal fivt days wichin which to comply with the request,excluding Saairdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compteceness of public oc private
data conceming hir.:selF. To exercise�his ri¢hc,an individual shall noa"ry in wridng the responsible auchoriry describing che na[ure of the disagremenc.
'!he responsible auchoriry shall wichin 30 days either: (a)correct thc data found to be inaccurate or incomplece and attempc to nodfy past recipienu oF
inaccurace or incompie�:data, including recipiencs named by the individual; or(b)noafy the individual that he believes the data to be correc� Data
in dispuce shall be disclosed only if the individual's sc3cemenc of disagr:emenc is included with the disclosed dara.
Th�decerminarion o(the rzsponsibl� authoriry may be appealed pursuanc to ehe provisions of[he administrarive procedure act retadng to
contesced cases.
DATA PRIVACY ADVISORY
In accordance wich M.S. 13.0�, Subd.2, "Ri;hts of subjects of data", we would like to inform you that your request
for a perm:c or license from the Ciry of Orono or any of its deparcments may require you to furnish cercain private or
confidential informacion.
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, buc refusal may require that the City deny the permit or license.
3. The information may be shared wich ocher local, state or federal agencies to the ez�ent 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 riahts 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.
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Ciry � ./ Scate Zip Phone
I understand my ri�hts as-stated above.
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Sigtiatt:re �—
� • CHECK OFF LTST FOR ISSUANCE OF PER.iI�ZITS ;�c�� � �J
FOR OFFICE USE ONLY � ►
ADDRESS OR LEGAL: _ � l J �='o��.,�S� �jl�,z,,,�; i��r�
PID:
DESCRIl'TTON OF WORK: _ (�� (,',�p�� ,,n
--------------------------------------------
ZO�YG REVIEtiV BY: N (,� DATE APPROVED:
BUII.,D .�i tG REVIEW BY: �.,F'�,�L,.:.��_ DA'I'E APPROVED: � -r��- -� s�
-- ----—�r ------------------ --------------- / --
FEES TO BE CHA.RGED: Misc. Fees Calculated By:
PERMIT Yes �/ No '
PLAN REV�W Yes No SEWER CO��TNECTION
STATE SUR:HARG,c Yes �i No WATERCO'VNECITON
INVESTIGAZ'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------ -------
_ ZO�tING CI-�CK LIST Zoning District: G-�`L G���,��-
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres tiVidth Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): _ Right Side:
Reaz (Street): Left Side:
Adjacent Structures: �Vetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By;
Zonino File: # Resolution: # Resolution Date:
Shoreland Dis�ict:
Avg. Setback: Bluff Setback: L,ot Coverage:
' � Ezisting Proposed
Hardcover: 0-75'
75-250' .
250-500' •
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
RE1I�IARKS (in house):
, . ` .. 26
�
BUILDING REVIEW CHECK LIST .
UBC: �
— � CONSTRUCTTON TypE; i�,n,J/
� Sq Footaae $ Per Sq Ft�
Basement x
lst Floor . z —
2nd Floor . z . .
Garage � —
x
TOTAL
Estimated Construction Value: � � ��U �'�
Inspections Required: � Work Requiring Separate Permits:
Site Plumbing
Hardcover Removal Fire
Mechanical Water Connection
Footing Septic
. Frami�g Sewer Connection �
Fire lace
Insulation ��o�� O� Irrigation
—� F��1 Board (11�If�.) Well (State Permit)
Gradin�/Fillin� Electrical (State Permit)
Other
--------------------
REiI�IARKS (]N HOUSE): ----------------___�____�---___
-----------------------------DATE
------------------
VIEtiV BY OTHERS: ---------------------
Access: Ezis[in� New "
------ ----
• Access Approval: Date .
_� By:
-----------------__
__-__-----------
REMARKS (TO BE NOTED ON PERitiIIT): �� �� ��^�--
x
� 27
: �
... .
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 5-Z'�`j�' 0 U' Sc-'
PERMIT NO. COMPLETED
ADDRESS `i 7 �' 12��t,��� (�l,u.; (.��-('
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION �' S��-=5 ��c � Ln��'..'� ,�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENT :
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d [7 WORKSATISFACTORY:PROCEED �: PROJECTCOMPLETE
W
� C CORRECT WORK R PROCEED [� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. ,r- PHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR '— GTATION ISSUED
Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex 'nspection 24 hours in advance.473-73�J7
OwnerlContr o n i e:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice