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Home My WebLink About1999-011290 - renovat/remodel PERMIT CITY OF ORONO PERMIT TYPE: 275G-Kelley Parkway- P.O. Box 66 ..�� '�� `" �� Permit Number: `"-'�='-'� �"'� 'Crystal Bay, Minnesota 55323 ��s �. :'��:.:� (612)473-7357 Date�ssued: _ _ _ _ -,.� SITE ADDR�SS: I :;::�� _ , . -__ 1 .... -�� :.: : ."':,'. : — — . � . . .: �. ;-' � :�_ . .,'J_"i i ;`—_:.'.—L.S..i— 11�'= DESCRIPTION: i _..I_iE,'�,t'i't_.��_� �LLf:i�: �+j�r'W i:;. �'I �ee}',y i i_i�i�°� {�:'�'�'�i�,�.` .._.`r m _ .._!"1L°�.:�![�.!�t'?i_I:,��.... F-�1_:�, !�-�],;"j� i;J:�.i'�:; � �C+f�� , ,i,t;;f_Ey�`:-; � t-f�.�'.�'it_;;.j�'.+.... I t_E�_�t_. S_E:F_I J(��.�_�_`r ('!'"'.:t t�.�'�1"i��'. ii:t.7 i'tf! t :'C+�� %:`J ---�7;"•�-z � , ;_f�`—i E_ t• €_.t�?ii=;i_a�� :;i��;,��_, .:�._;�: i-��_ i . _..- 3 t!�.`�*1 �f-?=_ REMARKS: FEE SUMMARY: , �;i f i;-i�!_'•i;�.; ti';f , _`..';_: r:_:�':s'c'. i-;='?=' s•�='�y . . _ �'�d i..!! . ._.. ?7 r;ti: .. . . .i d.`n _+_�1'=s t�.i''�t=' _._..._.�_..__ `�—: t.s _!F..;i I i,�� `.��.'_ . ��"� CONTRACT4R: OWNER: _ r.;;:�:; ; ,- ::;.,,�. _. - _ _. .=r=; �:�;�:i=�'`s' :::t-.i-. "'_ �_'4` t='; �,�t;-,'•`l:;;,.�� = - -`•=`; �j i.-i-. ^$ ;� . t j! ' '.�,v.,.,. .� ' s �� . �. .. : ! �.� ... ... ._, . . .. ..'. ..._, . . ..«_ F ._e"t�_.. ...� . .... . ._ .�� . . .. . i .._ , ,._.... ,_. a ....- ..._. . ..... ......_ . _ . . :�� S y—..� .._.._.t.._., .. , _ ' . . .; . _ . ;..�. ... � `.Y, ,�. .«t : . ... ....v'='• } ''� ' ' � ...L.. �`t-. ..,�'., , _rF`v _eF � _ _. . ?_�. .. .__._ . ._ . . . . ..i.. _ - . . �.' ._ - : � ., t : d �..; ,,� � : ��;-�:( `t'. _ t`!_. _._.. .. , . ._� _ _,..__ _. .� ... _ _ ..._ , _. _.... ... . � - � � .. ,_ _ ._ _ .. ._ .. . _ _ , ir � �� - APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE i�� y Total Fee: $ � � Date Received: `> > F;j;�; � - Entered By: �t Permit#: f%��a f CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWN. E�,OR CONTRACTOR JOB SITE ADDRESS: �`f(o � �v� 1��-� c � ZIP: ��^3 j � NAME OF OWNER: ��+2 y l�'�-�''-�"z PHONE: (home) � � � `�r Z.�`� (work) 7/—i`Z�� MAILING ADDRESS: 3�f(o,�O f U� �� CITY: c��r�cy ZIP:_�_Z.� CONTRACTOR: ��L v e.2 PHONE: �<�3��GS! CONTACT PERSON: D.,,C� �L�_ MOBILE/PAGER: MAILIl�TG ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILIl�iG ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: N�w Addition Accessory Structure Move Remodel/Alteration >( Land Alteration PROPOSED WORK(describe in detai�: �nv��2f� ��u�iz y��G� �x�h-5%�-ti STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� 2��- I hereby apply for 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: 3��3��i'J NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 r . � . � r Sec.13.04 RIGHTS OF SITBJECTS OF DATA � Subd. 1. 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. S�bd.2. Information required to be givven individual. An iodividual asked to suPP�Y Private or co�dential data conceming himself shall be informed of: (a)the purpose az�d icueaded use of the requesud data within the collecting srate agency,polidcal subdivision,or statewide sysum;(b)whether he may refuse or is legally required w supply the requested data;(c)any lrnown consequence arising from his supplying or refusing to supply private or confidential data;and(d)die idenUry of other persons or euaaes authorized by state or federal law to receive the daCa. This requirement shali not apply when an individual is asked to supply investigative data,pursuant to section 13.82, subdivision 5, to a law enforcement officer. The comm�ssioner of revern�e mav olacf the md rea�ired�nder this subdivision in the individual income taz or orocertv 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 iidividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who u d�e subje�t of stored private or�blic data on individuals shall be shown the data without any charge to him a�tti,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 mondu thereafter unless a dispute or acdon pursuant ro d�is secaon is pending or addirional data on the individual has been collected or created. The responsible authoriry 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 audwrity 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 st�all so inform the i�ividual,and may have an additional five days within which to comply with the request, ezcluding 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 darn conceming himself. To ezercise this right,an individual shall notify in wridng the responsible authority describing the nawre of the disagreement. The responsble authoriry sl�all within 30 days either: (a)correct the data found ro be inaccurate or incompleu and attempt to notify past recipienu of inaccuraoe or incomplere 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 deternuna6on of the responsible authoriry may be appealed pursuant to the provisions of the administredve procedure act relating to contested 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 permit or license from the �iry of Orono or any of its departments may require you to furnish certain private or confidential information. You aze 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 Ciry 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 righis 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. �-, / ��s G�,z,y �� First Middle Last J y�0 � l Uy �� Address � C�12�v� rYl ti s�-3 g,/ �7/ -5 Z��" C�ty State Zip Phone I understand my ri ts as st ed above. Signatu 6 � CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3 y�� v � Q�� PID: DESCRIPTION OF WORK: Zoor- c c-�-�vvC�c3 ---------------------------------------- ------- --------------------------------------------------------------------- ZONING REVIEW BY: �� DAT'E APPROVED: 3- zs�-S9 BUILDING REVIEW BY: DATE APPROVED: 3 • ZS-g� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes �/ No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST Zoning District: L� � L. Fire Department: (/1�t,;,�.•,,� Post Office: �'�;�,.� School District: �..�-�-�>��.v��.-� Lot Area: Sq.ft. �5,��y� Acres • 7�<:, Width Depth Survey Submitted: Yes�_ No Date of Survey: C� F:-��,�; Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: i11-� G�-e Adjacent Structures: Wetland: Building Height: Def. Hgt. i�� Peak Hgt. Lot Coverage: " � Grading: Staff Approval Date: �� By: `- Council Approval Date: Septic: Staff Approval Date: � By: -- Zoning File: # �.`Z.Z7 Resolution: # ��L�� Resolution Date: Shoreland District: , ��h Avg. Setbac : ti'.�i Bluff Setback: /J�� Lot Coverage: �/� Existing Proposed Hardcover: 0-75' 75-250' /U''J C`f�� 250-500' 500-1000' Hardco��e; Variance Required: Yes No Date of Council Approval: REMARKS (in house): 7 BUILDING REVIEW CHECK LIST UBC: l2 3 CONSTRUCTION TYPE: �i`�� Sq Footage $Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL �� , Estimated Construction Value: $ •rt�+;-�s�"" `t,ZK-"c: —" � Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection ,/I�' Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) �Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMI'1�: 8 � . � . RRMSRY CPA TEL :612-42y-6846 Mar 15 '99 8 :�6 f�Jo .U01 P .O1 `-ti { C� .�` � x �, � 0 � / 2 f u �/� 1- � f r f/� f J � ` , �,• . , � - , ,��, .\ � . �� , � � \, ; � � �,� `� �� ,�r'r!I �`�i�,`...i .r .+ .. �. � �) � � I �� t J�r / ;�i � ` �;;::.;;,.:,- -.=,- �� tn � i'I�/'' � � , • ry �' i �I w � � � o r��= � i � .,�o . � �� •y T r i � } � �� < . •N , ,. t= � ' � �� ..� �� ° � � � � C� . � �"� � � I _�,....--�� — ...- � � � ��, _ T: 'n Ur � i VI y'" = c,d� I_ r� I' -- = 'r.�... � � ,_ � . � �i� � -N N �..� w C.. O � �Jl (�) .�T.`'"'_ � W Z/��> ` `1 `� `•3 C' � `� ,^` 1 1i/ � L � � -. �� -\ �� L'Q �i� Z _ ��l =... �l ._� _'i� �` � � �, � I '' '� �� t� ` '; �;�G13 v � n .�a ' ' L�'. =. �^7 o v ' ' �i -� �? if,-U � 5�` � . �'; � � -_- Cr � -: _ �p F,_, �` �I �.. .L��'j� !.,� '.�' ;n!13 � tI� �� ' �^ -'- � . _' �� u, �(1�J'(r�� ..' a' �...� .' M. �..�+�^^^ � �A _ u.. � � � V�eM1I�'-yi },�' -c,. !TS'f.,y � Z �fr 1 ��', ,C:� �� r o I c�i-_, ;;=; �:: L_��;r C.� `,. . '<_ t`, '�� -_ �~ M �'. ei� 'r �e �, ' �;w !:; ,:i ` .. `:, _" ''Y ; ,..•`� ` � � 'E_� 1 � _ R . W . RAMSAY CPA TEL :612-d29-6846 Mar 15 '99 8 :46 No .00i P .02 .� . s_ � • � �. . N �; , �; �� <; �' :s�� ' � a c} , � . ' Q � � � � ' � _. . y ... _ _ _ _ _ ' r-�_ � , — — =: — — — — -- — —� , I a � � � . .'` � _ _ ' _ -- -- — -- k! � ' � �� + � � �`� I 5 1 + �N — -- — — — � � I _� � ! � . _ . I v, Q � �; � -= = - v � � �� M� � :7t hv � ' •r �{ ( � � iv � � 1 � Q ,r � I'V 1 � I V � � ) _ I I - C� i � '`� � I � n y � r , -� 1- — �� — — — —�_—� � �._.�' � I � � � : ..r � � .k Q � 3 � DATE TIME CITY OF ORONO CALLED IN 3 3 a_9 ..3 6 INSPECTION NO CE SCHEDULED 3-�O •3 a PERMIT NO. COMPLETED � � ADDRESS��D�o �� OWNER �^��l�'��/�� CONTR. TELEPHONENO.� 7��-- /�- �d � DESCRIPTION W 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 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 06 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 Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z c�„ COMMENTS: � W a j O � � O � W � Q � 2 W � W � � J�, d�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W � �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED- - ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance.473-7357 OwnerlContract s' - Inspector. White Copyllnspecto�'s File Canary CopylSite Notice