HomeMy WebLinkAbout1996-008070 - deck addition _ _ _ . . - -
PERMIT
?.;ITY OF ORONO PERMIT TYPE:
�50 KelleyParkway- P.O. Box 66 ��;-j?;;t�:t�sE�
Permit Number: i_si:i;=:i s7::t
;rysial Bay, Minnesota 55323 _
�12) 473-7357 Date Issued: ;,�,���j r:�F,
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, APPLICANT'PERMITEE SIGNATU ISSUED BY:SIGNATURE
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Total,Fee: � �,�Z� , l�� DateReceived: C�������
1 Date Approved:
Entered By: �� Permit#: �L' ��
CITY OF ORONO - BUII�DING PERIVIIT APPLICATION
AI,L INFORNIATION�TUST BE SUBv1TTTED I�i T FULL BEFORE PLA111 REVIEW`VII.,L
BE STARTED
THE APPLICA:vT IS: (circle one OWNER 0 CONTR.ACTOR
JOB SITE ADDRESS: ��`� �j;t�T �fYR►�-t �T� Z�� ���3 s� -
NAtti1E OF OW�(ER: ��'CK`�'� �il�li /"l L�-�1'rZ.�"iV'�� PHO��: (home) �7",�j-2 7�"Z
(work)
�1AILING ADDRESS: 7SS I'IV'/� �i40V'1 R'D CITY: ���,�s ZIP: �J"'�J�
CONTR.ACTOR: PHONE:
vIOBILE PHO�IE/PAGER:
MAIL�VG ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHIT'ECT/ENGI�YEER: PHO�TE:
MAILING ADDRESS: CITY: ZIP:
�;�,��; REGISTRATION #
TYPE OF WORK: New Addition Accessory Stiucture
Move Remodel/Alteration � Lar�Alteration
PROPOSED`VORK(describeindetail): �� c_ K, �r'�x { �c� C�u- N- `t�-�'
�i' � Y-�'o 5�/' � � ��' i c Lc � � L u ' G� 'f`�c< c� �' �'"r� ��'�'E
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STORIES: SQ. FEE OF EACH FLOOR:
NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(escludingland): $ � ���' ,
�
I hereby appl_y for a building permit and I acknowledge that the information above is complete
and accurate; that the work will be in conformance �vith 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.
1 �� ���? -
:�iPPLICANT'S SIGNATURE:�� ��..f � � ��� DATE: � -� -
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NOTE! Parade of Homes events equire separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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,
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individuai oa whom[he data is stored or to be scored shall be as set forrh in this secrion.
Subd.2. Information reqiared to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and in[ended use of the requested data wichin the collecting§race agency,poliacal subdivision,or statewide system;
(b)whether he may refuse or is legally roquired to supply the requested data;(c)any lmown consequence arising from his supplying or refusing to supply
private or confidendal da[a;and(d)the identiry of ocher persons or enaties authorized by state or federnl law to ceceive the data. This requirement shall
not apply when an individual is asked to supply invesagacive data,pursuan[[o secdon 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav alace the nodce required under this subdivision in the individual income tax or propertv tax �efund
instrucdons instead of on those forms.
Subd.3. Access to data by indiridual. Upon requesc to a responsible aurhority,an individual shall be informed whether he is the subject
of stored data on individuals,and wherher it is classified as public,private or confidential. Upon 6is further request,an individual who is the subject
of stored private or public dara on individuals shall be shown the data wirhout any charge to him and,�if he desires, shall be informed of the content
and meaning of that data. After an individual has beea shown the privace data and informed of its meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or action punuant to this secdon is pending or addidonal data on the individual has been collected or created.
The responsible authority shall provide copies of the private or public data upon roquest by the individual subject of the data. The responsible authoriry
may require the requesting person to pay the actuai costs of making,cemfying,and compiling the copies.
The responsible authoriry shall comply immediacely,if possibie,with any request made pursuant to this subdivision,or within five days of
the date of the request,excluding Saardays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply with the requesc
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 himseif. To exercise this right,an individual shall norify in writing ihe responsible authoriry describing the nature of the disagreement.
The responsible authority shali within 30 days either: (a)correct the data found to be inaccumte or incomplete and attempt to nodfy past recipiencs of
inaccurate or incomplete data, including recipients named by the individual;or(b)notify ihe individual that he believes the data to be correct. Data
in dispute shail be disclosed only if the individual's statement of disagreement is included with the disclosed dara.
The determinadon of the responsible authority may be appeated pursuant to the provisions of che adminisaative procedure acc relating to
contesced cases.
DATA PRIVACY 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 pernut or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1. The information you fumish 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 shazed with other local, state or federal agencies to the eztent 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.
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First —1 ,
� 5 S ��N? �ff lie�'/ `� asc
• , Addres� /`�
�i 1�r� o , /�/L /l� �S��� '�`��._a ���
C�ry State Zip Phone
I understand my rights as stated above.
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Signam
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, CHECK OFF LIST FOR ISSUANCE OF PERMITS
, FOR OFFICE USE ONLY
ADDRESS OR LEGAL: '�55 k-1 V NT ��R►n� fZ(J
PID:
DESCRIPTION OF WORK: ��c
---------------------------------------------------- ------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: �-�3-i�
BUILDING REVIEW BY: DATE APPROVED: `• � 3-5 G
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ,/' No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SURCHARGE Yes ✓ No WATER CONNECTTON
INVESTIGATION FEE Yes No 1� PARK FEE
SAC Yes No v SITEINSPECTION
Number of SAC Units OTHER (specify)
______----------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: (l,R-1(�
Fire Department: os O�ce: Sc o:D' ric •
�
Lot Area: Sq.fr. id 1e�th
Survey Submitted: Yes�_ No Date of Survey: 0 N r�lJc
Proposed Setbacks:
Front(baice): N(Y� Right Side: t 2 V
Rear(S�reet): �'0� Left Side: /J�f�
Adjacent Structures: A'7T�a�+P� Wetland: iV �19�
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
��,� Avg. Setback: Bluff Setback:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500' �
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS(in house):
10
.
BUII..DING REVIEW CHECK LIST
��: �-3 CONSTRUCTION TYPE: v�
� Sq Foota�e S Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
Estimated Construction Value: $ Z t�$8
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
_�CFooting Septic Sewer Connection
Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well (State Permit)
p�g�� Grading/Filling Electrical (State Permit)
Other
REMAR��S (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date BY�
REl�1ARKS(TO BE NOTED ON PERMIT):
27 �
PrEpared By:
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���`'..�:;,., � SCHOELL & MADSON, INC.
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. � Engineers Surveyors Planners Soils Testing
i'�4o � ' � � - �•�� 10550 Wayzata Boulevard
°,'� � �' Minnetonka, Mn. 55343 ,
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TE TIME
CITY OF ORONO CALLED IN r7
INSPECTION NOTICE SCHEDULED �/ ���C�
PERMIT NO. �f�70 COMPLETE !� t r
ADDRESS ��-r 1J�-7�' lc"/zm �-
OWNER� CONTR.
TELEPHONE NO. �
� DESCRIPTION_rd��c�
� Ot FOOTIN 11 MECHANICAL RI 18 D(CAW(�RADINO/FIWNO
�Q INO 13 MECHANICAL FINAL 18 LAI�SHOREJWETIANDS
� 031NSUUTION 24/25 WOOD BURNER/FIREPUCE 34 TREE REMOVAL
Z 04 WALL 80. 12 WATER HOOK-UP 17 SITE INSPECTION
Q p5 FlNAL 14 SE1NEfl HOOK-UO O6 PROORESS
�
v 07 OEMO—SITE 27 SEP11C MAINT. 21 COMPLAINT
W p7 pEM�FlNqL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBIN(i RI 23 SEP71C FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINC�FlNAL 36 FOUNDATION REMOYAL
Z OWNER/CONTRACTOR TO MEET YOU: YE8_NO
y COMMENTS:
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O ❑CORRECT VYORK,CAIL FOfl REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUEO
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnedContra
Inspecta:
YVhib CopyAnspector^s Flk Canary CopYl8ite Notkx
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DATE TIME
CITY OF ORONO cA��Eo iN �� �� � `��
tNSPECTION NOTICE r. SCHEDULED � - �=% -��=�--`=��r,
PERMIT NO. �"�G���' coMP�E1Eo
ADDRESS ����i ,L�Cc , i.;� ���-`�,�,:�� �,�C,
OWNER r�����' ���'�;1'� CONTR. —
TELEPHONE NO. � ��� ' '' �y''�
� DESCRIPTION ___ �--� <'-��
�
� Oi FOOTING 17 MECHANICAL RI 18IXCAV/GRADINdlFIWNd
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
� �----
J 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVEH REMOVAL
� 10 PLUMBINO FINAL . 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
O CORRECT UNSAFE COND�TION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �= CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARAANGE ACCESS.
Call for the next i pection 24 hours in advance.473-7357
OwnerlContra or si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice