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Home My WebLink About1995-007566 - new residence' PERMIT � :I'�Y OF ORONO PERMIT TYPE: . z750 Kelley Parkway- P.O. Box 66 Permit Number: � ��rystal Bay, Minnesota 55323 Date Issued: (612)473-7357 - � Y .:-� ��1�R��. , . . _. _ . , ._. ;;; � �.._� DESCRIPTION: M1 : : . __ �. ..�. .. _ { .. ._ . . . =i��l L�� 7 �i��•'.'_ ...� •-F"yE'f 1 l�.�!.__�ii�.i'r .. i t..s1.e!';� ia;�E ii��:; i . .- _ -.v�1.i.:C.�:':+�f— E_� _ - _�_d�'�.''i'"`- , . _ REMARKS: ; ,:.. :.: -; :_� �.-- _ - , . , ; ; " . 5 .... E.. _'. � 'F 'y 7k t - - �. ._ , _ �� _�_t�; r,.vi.� �., ��i�,T�- , - , , ; . ,, _, � ._. _ _ _ : ., . . _,.... , .. _ . _ :�. FEE SUMMARY: . . . ... .. . .- "#��; . . . : . . _ .. ..;:._ ; , ,: , , �.�-•.;^ � =::L.. - � �c..l�� ! .,... _ ' _ "{ " " i...i.; . � :.. _..�i-' E"l.a}:.: . _ • j"'� • •__.y• '`�• ` Ct'J€".'t�• . ...;_i:l{ u,� � :�t::1. II ' • ' -- " .�f i�.�i . ..._ s`�.-_'':x �:?3'i :;�,� , �;i3't i i�i f..=4� �t.::F�' ' �� ?=' ` � ��f-�y� ._ _'�_?. _!��G:! �,•'- i: • _'i_�• �_�j_J . 'r'i-^l�� '4i' i�^1 (��J :�f�if.• .. .`'_�_t`_� � . �+i�`_ E.��.._7.'_ � -�t;��F.3_,t..�;3 _ _-___y y�F _ .-�- CONTRACTOR: ;. - OWNER: _ . , ,. _ . � . �: :. � �. . . .. '�.: . '_ i ...i�+.:, _ .. �. : �{i��_; � :'.�..� .�..' -. � . : .. : ..- ;��,_ �: ..., -.� -_ " ,.. .. ,_ � ,, : :. , '. �; . r _ _ . . ._.. , ; . � . �;� . _. _ . ._. . _ . ._.. �.:x. ,•-•-,.--: ,- -.r - - - - - � 3 � ; t i- ` - - .- :: :,; ; , ` ' -t, s— : :: ;_ s i,i '_"i... :� ..�..._.� -,�. _.�iL� ;�( t. ' . �. , �. -.q r= i � ��_ � 4 " ; _ ,. . . � , .'� ' � r � . . a ; . . .�._ _ . . _ _�.. .�..._.-....__.. . ._... _ : ...._ . .� .�_. . . :- - _ -: : .. t .:."...._ . . .__ ._._. ._.._ . .... . ... . .'::. »_ '. � . ,: _ . _ , ,. . . s � '' S-_.i ...-� - � � i` � �_ � 3 v �'".:<. , �: .. , . ,! �... , _. �.3- s....._..� . . _. , . ...�. r.:, .. �_� -_ . . . «. ....... . S.�_._ .. . ..,. ....... _. �....._... . . : . .,,, � . '$y�; r,i-"- r ��t � � > .. ., . . . . . . . . _ •: I,,:3 ? � ` � ,� t • ,: i . , � � . t `.� -� �'. Ii �i � y ,I.v � _ _: ._ ..: .�. .. .:..,. _. -. . .: ._ . . _ _. . . .'__ _ _ .; � ._ __ ... ... m .. .. .._ .. , . . .,� . _. � J � � !�L� � APPLICANT!PERMITEE SIGNATURE ISSUED BY:SIGNATURE 9� • � .^ Total Fee: $ �'�� .�� "�/ DateReceived: M „ Date Approved: � Entered By: �� .L-c,� Permit#: ��- �: 4 CITY OF ORONO - BUILDING PERNIIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED -------------------------------------------------------------------------------------------------------------------- �--------- THE APPLICANT IS: (circle one) OWNER OT�,CONTRACTO� --� JOB SITE ADDRESS: �-Q�� T I.�/�--1� 1.�tJL�IJ�� NAl�iE OF OWNER: �T�1 �' �.G�I .�..—.I I�,f� ' PHONE: (home) ' (work) � - � L�� MAILINGADDRESS: �`��'�'�r�llZ�lSLDCr(�C[�_�ITY:�r,��gL�,c�d.� ZIP:-_�� CONTRACTOR: Y� T+l c�!Ca-T�.�"�S `� �55�' � PHONE: `�� -� ��- ; MOBILE PHONE/PAGER: MAII,INGADDRESS:��,�/-��% Il/l�.l��>Q�' �.�ra' 1/��CITY:� � � '� ' � ZIP: 5 � STATE LICENSE: # C'��L'��>� ARCHITECT NGINEER�! ��:��jil PHONE: ��`,� L� `� �� MAILINGAD RESS: '�--�,�� 'o�>��1 �,,�.�.t�. CITY:�,�.FI��r-, ZIP:��Zf� � � ,--�--, �J�,�; REGISTRATION # TYPE OF WORK: New � Addition Accessory Structure Move Remodel/Alteration Larid Alteration PROPOSED WORK(describe indetail):�_�z h � — L .LC . ?:—� FL Tl��'k- F m ,�Tl! '�ci�C'� STORIES: SQ. FEET OF EACH FLOOR: � •�✓. ��3�1 NO. OF BEDROOMS: _� GARAGE STALLS: ATT. � ET. ESTIMATED CONSTRUCTION VALUATION(escluding land): $�C;� �� L 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 with the approved plan. � � -�--- APPLICANT'S SIGNATURE: ��-� / ".�1��/C,��G'�DATE: f�� `�� NOTE! Parade of Homes events require separate pernzit approval by Police Deparlment and City Council 60 days prior to the event. Non permitted events will not be allowed. 9 , /j= O�\.� � � � ` O O .;' -, i��f Y�._.__ C ITY of OROl�TO �, a �� ,, �.. � ��o� \�''� ��` �� .y� _,�� F+ �� P�o�soX� � \;�� 'i�j.� y f� ('j�' Crystal Bay,Dtinnesota 55323-OOG6 '� �,�, � '� ��9kE�: DATA PRIVACY ADVI.SORY In accordance with M.S. 13.04, Subd. 2, "Rivhts of subjects or data , we would lil:e to �� inform you that your request for a permit or license from the Ciry 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 der.y tre rermit or license. 3. The information may be shared with other local, state or federal agencies to th� extent necessary to process tri� permit or license. 4. If ynur requested permit or Iicense requires Council action to approve, some ini�ormation may become puolic. 5. I�ou have ce;�ain ri;hts under M.S. 13.04 (see follo�x�in� paaP) to review privzte data on yourself. 6. Your full name is required to process this application or permit. PLEASE PRLNT , . �" �/� � P First Midd:e ast -`� ��r�'�� '`'_ Address 1 _' �- —'�-- ,--� � -� � � j � � �� i> - City State Zip Phone I understand my rights as stazed above. � ;� �� . Signature TEL.EPHONE-473-7357� F.AX-473-0510 1� 1 a Sec.13.04 RIGHTS OF SUBJECTS OF DATA • Subdivision l. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd. 2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecting state agency, political subdivision, or statewide system; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities authorized by state or federal law to receive the data. This requirement 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 commissioner of revenue ma.y place the notice required under this subdivision in the individual income tax or properrv 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 request, 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 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 authority may require the requesting person to pay the actual costs of making, certifying, and compiling the copies. The responsible authority 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 time, he shall so inform the individual, and may have an additional 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 concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a) correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients 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 statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. 11 � . . CI3ECK OFF LIST FOR ISSUANCE OF PERMITS � FOR OFFICE USE ONLY ADDRESS OR LEGAL: `ltiis r-o2Es% ��c.3 c�N��G � PID: DESCRIPTION OF WORK: N E W (LC-.5 ----------------------------- ZONING REVIEW BY: DATE APPROVED: ��-��-�i 5 BUII..DING REVIEW BY: DAT'E APPROVED: ��• z�-qS ----------------------------- FEES TO BE CHARGED: Misc. Fees CalculatedBy: Qf� (L�So��no^� PERMIT Yes ✓ No PLAN REVIEW Yes �/' No SEWER CONNECTION 11,�14 y .S o STATE SURCHARGE Yes � No WATER CONNEC'IION INVESTIGATION FEE Yes No ✓ PARK FEE SAC Yes —� No SITE INSPECTION Number of SAC Units 1 OTHER (specify) --------------- ZONING CHECK LIST Zoning District: LR-13 Shoreland District : �/25 Fire Department: Mp�n�O Post Office: yv��u N� School District: _ ,��-r n�.► kA Lot Area: Sq.ft. L 2,"� Acres J•y Width /RRi 6 v�2 Depth _ _ Survey Submitted: Yes p� No Date of Survey: l I -"1-9� Proposed Setbacks: �ronf(Lake): `�I�� Right Side: N(� i ��(Street): �-1 b•�_ �ft Side: I n� }' W Adjacent Structures: ►'�� Wetland: IV�f�4 Building Height: Def. Hgt. 35 � V��o Peak Hgt. Avg. Setback: /V�f�- Bluff Setback: — Lot Coverage: -- Existing Proposed Hardcover: 0-75' � 75-250' Z°I.Z°70 250-500` 500-1000' Hardcover Variance Required: Yes D� No Date of Council Approval: S^�"`1� Grading: Staff Approval Date: � 1�2� 'S�� By: �_Council Approval Date: -- Septic: Staff Approval Date: N� �' BY� n � `a -9� Zoning File: # 2tl I l Resolution: # .S,S S Resolution Date: S' REMARKS (in house): 26 _ � . f BUILDING REVIEW CHECK LIST � UgC; R- 3 CONSTRUCTION TYPE: Y� ��. Sq Footage $ Per Sq Ftg Basement R — 1 st Floor x — 2nd Floor X = Garage X = R = TOTAL Estimated Construction Value: $ I�Ub�, 0�� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal � Mechanical Water Connection _� Footing v�-�c kSewer Connection � Framing _ L Fireplace pC Lawn Irrigation OS Insulation _ � (Masonry) Oe Other f�k,n�� SyS��+'� � Wall Board _� (Mfg.) _�C Well (State Pemut) 0� Final Grading/Filling p� Electrical (State Pernut) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY� REMARKS(TO BE NOTED ON PERl'�iIT): 27 / � DATE TIME CITY OF ORONO CALLED IN ��' I �' Y� INSPECTION NOTICE SCHEDULED '7 -� � %L': �� PERMIT N0. 7�l�` �' connP�ErE� � '`� '�� ADDRESS � �// �.� �� z: � r ,��/� �� OWNER , .�� -� �� CONTR. GC12�Zs `� �� .,'_ ��t=_� TELEPHONE NO. �� l �-- � r C � � DESCRIPTION W Oi FOOTINd 11 MECHANICAL RI 18IXCAV/GRADINO/FIWNG � 2 FRAMING�_-� 13 MECHANICAL FINAL 19 LAKESHORElWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAI 14 SEWER HOOK-UO O6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v �Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PIUMBiNO FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YQU:_YES_NO � COMMENTS• a � S `S�.e,�.�-� � J O >. � O � W � Q � Z W � W � � d C ORK SATISFACTORY:PROCEED W� � _- PROJECT COMPLETE W CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �-7 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContract i Inspector. White Copyllnspector's File Canary CopylSite Notice d DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC�E SCHEDULED 1S PERMIT NO. � �'� C MPL TED ��_ � l ' _ � ADDRESS��J r�S L-Gl OWNER CONTR. TELEPHONE NO. � DESCRIPTION � 01 FOOTINd 11 MECHANICALRI 18IXCAV/GRADINd/FIWNO y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETIANDS Q �SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z p4 WALI BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = OS FINAL 14 SEWER HOOK-UO O6 PROGRESS � 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT v Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: y � W a � J O >. � O � W � Q � Z W Sc W � � d �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � L CORRECT WORK 8 PROCEED �- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WOqK,CALL FOR REINSPECTION TEMPOFARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pH0T0 TAKEN INSPECTOR WILL REfURN G CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALL TO AFiRANGE ACCESS. Call for the ne inspection 24 hours in advance.473-7357 OwnedContr c o s te: Inspector. ��` �� ^ White Copyll�spector's Fil Canary CopyfSite Notice DATE � TIME CITY OF ORONO CALLED IN I ' �- ` ��'c% '/yJ INSPECTION NOTICE ,S / SCHEDULED /��- 7- �5 // '� v a.�+-, PERMIT NO. �`� �F' MPLETED � �_ ADDRESS o�''-e �--�—/ �(.l e�� OWNER CONTR '�� 7� !� TELEPHONE NO. ��o� —�d�6 � D TION -, h.Q,9 . � 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � j d W� ' WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE W C CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L,, PHOTO TAKEN INSPECTOR WILL RETURN C STOP ORDER POSTED.CALL INSPECTOR � GTATION ISSUED ❑ INSPECTION flEQUIRED.CALL TO ARRANGE ACCESS. Call for th t' pection 24 hours in advance.473-73�J7 OwnerlContract on sit : Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN / '��'-�'� INSPECTION NOTICE � SCHEDULED i -� � /�' �'�� PERMIT N0. �S �� COMPLETED G1 �_ // � ,�., ADDRESS �`-7�/-5 ��= �F c%�t, .,��L„ � OWNER ��- � �h,� � CONTR. /C�2��-�- �� z Yl�� TELEPHONE NO. � ��- � � � � � DESCRIPTION � 01 FOOTIN ; 11 MECHANICAL RI 18 EXCAV/GRADING/PIWNG ��–�—. y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHOREIWETLANDS Q 031NSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � p4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q = 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT v Q 07 DEM�F�NAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � Ol � G�� O �- � 'A � � Y� � � � �u � Q ti Z W � W � j d ['WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W � C CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � �, CORRECT WORK,CALL FOR REINSPECTION TEMPOFARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR - CITATION ISSUED L: INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cali for the next ins ection a hours in advance.473-7357 OwnerlContractor on si : Inspector. • White Copyllnspector's File Canary CopylSite Notice CITY OF ORONO CALLED IN ��D/•�� 'r-��'� INSPECTION NOTICE � SCHEDULED -� v� D - PERMIT NO. ��0 COMPLETED ADDRESS y�� -�.S� ��-- �- �- OWNER CONTR. `i � TELEPHONE NO. Cl�� ` � 9(� � � DESCRIPTION � 01 FOOTINO 11 MEC L RI 18IXCAV/dRADINO/FIWNO �Q 02 FRAMINC3 MECHANICAL FINA ; 19 LAI�SHOREJWETIANDS Q 03 INSULATION 24/25 WOOD B RNER/FIREPLACE 34 TREE REMOVAL Z��``pq}yq�,gp 12 WATER HOOK-UP 17 SITE INSPECTION Q � ps�ryq� 74 SEWER HOOK-UO O6 PROGRESS �` 07 DEMO—SITE 2�SEPTIC MAINT. 21 COMPIAINT J Q 07 DEMO—FINAL 75 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBIN(3 RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 36 FOUNDATION HEMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a � J` (� C'i `�'1,S 2 J O � � � S �t 0 � W � Q � a W � W � � d ,�WORK SATISFACTORY:PROCEED - PHOJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED C ISS�CERTIFICATE OF OCCUPANCY W � O CORRECT WORK,CALL FOR REINSPECTION �TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN � ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContracto s' : Inspector. White Copyllnspector's File Canary Copy/Site Notice