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Home My WebLink About1998-010224 - remodel PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 h;t_#:�,f;i��.� Cry'�"�al Bay, Minnesota 55323 Permit Number: i_��_y:�.�� (612)473-7357 Date Issued: - -� - - - �^kL j__fif�`F:�� SITE ADDRESS: �;s:==.5 .f;;t•;�°=i i�M;�>>� �:� _�� fi'. T . ��i. ; :�;t--i i`,-_ �_- < <-t='rti�,t. DESCRIPTION: . .`_i�d��t sF i C�l,,i1 t};sI.il°� �`�t'Fi'i,l �• �;{Fti�• `_�—�i�_�I1'/�h`.i�'�E_'�_'�L �;1�� 1��1 )i:� �;�F��t:: iyr�� ;�t�iE i�J#i1�'E;:�;��E��iF:__ �.'`.'�_ �%E=E_�� __+i?3} �;—;' ��—• — t=:;T��-�=t.,,i.#;_t.; ��,,-; T;c��• 4��,: t.;a;.�11{•� t_3_ti�t� �•�� F�� i . �`.}.='•��1L•'rt�� t-11_ REMARKS: ':;�'!�'�;�;f�T� �'L�t#!T'�; ��i;�il1'�EI) �i��' F'!:�ti�;, ��'t:;-1; _.. '_:T��'F Fr...�:�:j�'T�:�;f �'E.h'��I� . FEE SUMMARY: �M HL..t ji-i f i i_l�� i�.� , !_}{_i{j #a �i'�'� i�� "_t=h= C+;� �P i � ��'•� , { _ , !��.�.L.�1 �F`�t�� T,v�i_i} , ii�� '��'�I'��F�y S•�"/ G�� j .��..�. j�9.L..i�ij , �i_'L..'t.�. f`F��` �s::.�f 1 .��.� . s::1 i � I CONTRACTOR: — �.�:==1 z��-r+. — :_.�" . s i:: . OWNER: ' _=Hs��t=N LJS_it t1� ::E��i•ii=`(��.�'� �'��:°�.t��:}�.:�� 1�=:� L.i_'ti i'f fC'�# �i!L I��°1 '�:�:3 tMi{~fi i�i'"i � � '�I"� .1 4'�i" i (il;F'Y I i. -_ — - . _ .i-i�. �?4'— -'�.'_ _ _ E-,� _��_. _. �� I �!il!`.=� i�(-3t`il'�. �'�l;� �.�t,�.,,=1_� t_tj's`S !i'3I_I t'jSV �;s_�'•�i_� 4,i�# '�.� �'t:.�.—t3i1�'�� L�s y � L —� -. — �'--� r �� -`a � --— _r ::— i�i..t 1�.. i.� iri i.. �=�" ��`�� _. .%.:�-�,�:�i_i{°,:�_�. 1°-;;�:`...��1� r+`��s`••_%`�_� `s�_ i`�....°3# �_ _<��t_�9�y i_1 ":�,t��._". . . .__ �,��::tt,. ��'>t;''(,`;_�'��z i ,L_(�; _ _.'�l.._�_�2 �.....�� "''.�af�1� �"?°.�i�l.i'�� 9�� f t�_� �3 {... ih{�...ii'L.F'�. 3.�1� � ! �.�.�..:T {,_=,_�f��!^j}�.L�lf'!{_L � �'{'.f r'�':.._L._ _ ... � `I� ;..#i— :� !i.e I �_IE��i_{�.f1_# �_f�_%J�(�p-�€�.E(_.t-_:�� {`.�i_! -�( �;�`, I_1:— }''!�{„i„aL`.�,t_=�'wi. 'd'�'_�3 4._E?; I'.�ti �.#_I�1F: �;;�[��:_E f�'t:�";T-,�`,� 1 `= . � L_ C.r �//I"C��2'% AFPLIC EE�IG TURE ISSUED BY:SIGNATURE t • Total Fee: $ ;�, � ✓��"' `�� Date Received: ..`� �/3/ �' `Lntered By: � �� Permit#: 'C �. � CI 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) OWNER OR NTRACTOR JOB SITE ADDRESS: +'S I �� `s��;,r� ZIP: NAME OF OWNER: L��—��,v PHONE: (home) (work) MAILING ADDRESS: `�� ' �ab..�s'��w.v CITY: �2-�� ZIP: CONTRACTOR: C�—t,o,�� I,,J v„,� � . PHONE: �Z`�1- Oo�('� CO�T'i'ACT PERSON: ��„�, C-•rz�_�t--r MOBILE/PAGER: �I l Q- L-f 9'(� MAILING ADDRESS: "�'3 0� C�.�,2,�A,;,,..J�L. CITY:..I�-�.I„�,�r s` /.t.t.« ZIP: �5��-(� STATE LICENSE: # i S�Z _—_:._ 1�CHITECT/ENGINEER: ��t= �G�w�yw. PHONE: 92�-i- c�Y� "II::ii\'G ADDRESS: ��-o cn,.z�_,,P�-.. �y,� CITY: ��-�;.,. s "�:��IP: ��-�-i 2�� NAlV�: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure 1�1ove Remodel/Alteration � Land Alteration PROPOSED WORK (describe in detai�: ��,�u �;� --� f�l��a�z�,,� ,�_`,,,�v�, >-z,N� ��— ��c� 'T'r-�,z`� %=wv 2 S :�i— �2 c�S��'•t r/kL 1--Gc��.,.� STORIES: 5 ��Nc�. �n��=�SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: L-I GARAGE STALLS: ATT. � DET. ESTI�i �IATED CONSTRUCTION VALUATION (excluding land): $ I'7� �t�c� I hereby apply for a building pennit and I acknowled;e 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: � d / ,, , DATE: � i t 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 .- ► Sec.13.04 RIGHTS OF SLJBJECTS OF DATA '� Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shail be as set forth in this secdon. Subd.2, Information rer�uired to be given individual. An individual asked to supply private or co�dential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecring state agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is IegaUy required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply private or confidential data;acxl(d)the idendry of other persons or entides authorized by srate or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesagative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the nodce reauired under thi subdivision in the individual income taz or nrooertv hax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the . subject of stored data on individuals,and whether it is class�ed as public,private or confidential. Upon his further request,an individual who is the subject of srored private or public data on i�xlividuals 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 authoriry shall provide copies of rhe privare or public dara upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the acaal cosu of making,certifying,and compiling the copies. The responsible authoriry shall comply immediacely,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'unmediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with the request, excluding Satardays,Sundays and legai 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 authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the darn found to be inaccurate or i�omplete and attempt w notify past recipients of inaccurare or incomplete data,including recipients named by the individual;or(b)nodfy 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 deternunaaon of the responsible authority may be appealed pursuant to the provisions of the administrative 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 Ciry of Orono or any of its departments may require you to furnish certain private or conf'idential 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 Ciry deny the permit or license. 3. The information may be shazed with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested pernut 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. �G�'�' �b�G ua S ��A.��L�rY First bfiddle Last �3oa �ro�w�.�,,,_ ��r�. Address � �� s �a�,� vVl� ��H 2-(� �2N� vaLf� C��Y State Zip Phone I understand my rights as stated above. Signamre 6 CHECK OFF LIST FOR ISSUANCE OF PERNIjTS � FOR OFFICE USE ONLY ADDRESS ORLEGAL: ��'�� '�M�S't�oc�xV R.A�� _ PID: DESCRIPTION OF WORK: ��c'wt.o�Et._ ------------------------------------------------------------------------------------------------------------------------ Z0�1�'G REVIEW BY: DATE APPROVED: s'-�5� SF� BUILDL\TG REVIE`V BY: DATE APPROVED: 5'-!5 -S� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes v' No PLAN REVIEW Yes �' No SEWER CONNECTION STATE SURCHARGE Yes � No WATERCONNECTTON INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZOi\TTi�'G CHECK LIST Zoning Districr. � lU0 G t-�A N C� �- Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Buildin; Height: Def. Hgt. Peak Hgt. Lot CoveraQe: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Av;. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-7�' 75-250' 2�0-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REI�ARKS (in house): = 7 BUILDING REVIEW CHECK LIST UBC: (Z� 3 CONSTRUCTION TYPE: �(/lj Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gara�e x = x = TOTAL Estimated Construction Value: $ /'j$"� ('QQ � Inspections Required: `Vork Requiring Separate Permits: Site _�Plumbing Fire Hardcover Removal oC Mechanical Water Connection 0< Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation vC Insulation (Masonry) Other �_Wall Board (Mfg.) Well (State Permit) 0�- Final Grading/Filling �o �Electrical (State Permit) Other REMARKS (Pi 1 HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ RENIARKS (TO BE NOTED ON PERNIIT�: 8 ' DATE TIME CITY OF ORONO CALLED IN - �� G INSPECTION NOTICE SCHEDULED � "� �� PERMIT NO. � L�� COMPLETED � ADDRESS �l J� � ' �7Z"(.1-�1�fi-ur-ti�.- �- OWNER CONTR. �j r Y�'' C't-bd'' � TELEPHONE NO. C�v� �I- C�'Z��I-� _..��--�_,�_ _ � DESCRIPTION __ � J7�'=1at-G` '� lL 01 F G 11 MECHANICAL R( 18 EXCAV/GRADING/FILLING � 02 FRAMWG � 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � SULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 ALL 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 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 � OWNEHICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � (�O�^ ��C� (.vcn.id�S �-- �c1a 2� � � O � � O � W � Q � Z W � W � � d o�./��JORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W`7 ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � 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 inspection 24 hours in advance.47�73�J7 OwnerlContrac i Inspector. White opyllnspector's File Canary CopylSite Notice � D3i��/� TIME CITY OF ORONO CALLED IN ��`� INSPECTION NOTICE l ' SCHEDULED �-�� `J� � << �� PERMIT NO. �O�� 1 COMPLETED ADDRESS "`' I�S '�i; OWNER CONTR. � � �.�-�-t'_.� �,�t�-C� TELEPHONE N0. 7 �c1 � � 1 ^7 I � DESCRIPTION �Ck �� . 1 FOOTING 11 MECHANICAL Rf 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �,, pHOTO TAKEN INSPECTOR WILL RETURN �_' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance.473-7357 OwnerlContrac it : Inspector. White Copyllnspector's File Canary CopylSite Notice i I D jT� �TI�U� I CITY OF ORONO CALLED IN � �� I INSPECTION NOTICE�fj scHeou�Eo �/ " � PERMIT NO. v�o�� COMPLETED � � ADDRESS 3 I � OWNER CONTR. I TELEPHONE NO. a - -3 ` � DESCRIPTION ty 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLIN � 02� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y Q INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z L BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS I � 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 REMOVA J 10 PLUMBING FINAL 36 FOUNDATION/FEMOVA � OWNERICONTRACTOR TO MEET YOU:_YES_NO I ti COMMENTS: � W a � J O � � -� O � W � Q � 2 W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCI�PANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT I O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN I INSPECTOR WILL RETURN ❑CITATION ISSUED � ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ion 24 hours in advance.473-7357 Owner/Contra r te Inspector. �--' WMte Copyllnspector's File Canary CopylSite Notice � � CITY OF ORONO CALLED IN --�� IM�� INSPECTION OTICE SCHEDULED �--/—(� 9'3� ' PERMIT NO. �� COMPLETED ._� �_ I ADDRESS � � OWNER ��Q'n/ CONTR. j TELEPHONE NO. � � �� --3 ` � � ) �i(/v-� �� DESCRIPTION ��w 01 F 11 MEC CAL RI 18 EX V/GRADING/FILL G Q y02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVA � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a ! � � � � �R Q 0 � � 0 � W � Q � 2 � I W � � � ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEiE W Q CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUP�NCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN I INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED I ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I Call for the n t inspection 24 hours in advance.473-7357 I OwnedContr ite: inspector. White CopyllnspectoPs File Canary CopylSite Notice