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HomeMy WebLinkAbout2000-A02371-voided Total Fee: $ ����. �� Date Received: �'I���1 L��/ Entered By: �^ Permit#: �--,�_��� CITY OF ORONO - BUII.DING PERIVIIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ----------- T'HE APPLICANT IS: (circle one) OWNER O `C�ONTRACTOR JOB SITE ADDRESS: �(,�.� S /�� ��- Y ,LQ V ZIP: S�5�� .� � NANIE OF OWNER: Ci-�iQ1,5 Tf} /I��.����H E1...�/� PHOi�tE: (home) �'7 f - 7�//b (work) if//�- MAILI�i TG ADDRESS: S'�{M E CITY: O�P o iV U ZIP: CON'TR�.CTOR: f�OM�jtifP_ SPtC/�1��ST5 PHONE: �{7.Z- y�� Z COiv'TACT PERSON:�,� /3Dili�d�'V��-� MOBILE/PAGER: ��/- 3�S / . MAII.I�i 1G ADDRESS:��lTo D t�/Oo)jc',1�E R 1�_CITY: Mi/1��11ETt'/ST.4 ZIP: ,�53� . STATE LICENSE: # �D/ 7 (n 6 7 3 ARCHI'I'ECT/ENGNEER: s��(t PH0�1E: l�iAII.L�G ADDRESS: CITY: ZIP: N��,�: REGISTRATION# TYPE OF WORK: New � Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: ���'«C� �x/S��/�� � .SA'�l� �L�/���v S�o�v � STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET. e� ESTI�i SATED CONSTRUCTION VALUATION (excluding land): $_�_SD d 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 pemut; and that the work will be in accordance with the approv d plan. � �APPLICANT'S SIGNATURE:' DATE: � .�`r� � NOTE! Parade of Homes events require separate permit approval by Police Department and Ciry Council 60 days prior to the event. Non permitted events will not be allowed. Sec.13.0�i RIGH'TS OF SLBJECTS OF DaT?, � C� N � T- Subd. 1. Type of data. 'Ihe righ[s of individual on who: � b J ecriou. Subd.2. Information reqirired to be�ven individual. ?� ng himself shall be informed of: (a)the purpose and in[ended use of rhe requesud da itewide rystem; �b)w6erher he may refuse oT is le3ally requiied to supply the cequested �0 fusing to suppty privace or conndenaal data;and(d)the idandty of ocher pesons or enc �,�j ,��_ quiremen[shall not appiy when an individual is asked to supply ia�zsaeadve dara, p� (/��" �icer. The commissioner of re�•enu� mav olsce che nodce rauii ertv taz refur.d insttucdons inscead of on ehose forms. Subd. 3. ?.ecess to data b�individual. lipon requesc to a W ,e is the subjecc of stoced data on individuals,and whe:her it is class�ed as public, pri o is the subject of scor_d privace or public dan on individuals shall be shown the dara C?� !.of the concenc > // and meaning of�hat data. Afrzr an individual has be�n shown che priv r � f � �— �sed ro him for six mon�hs rhereaiter unless a dispute or acdon pursuanc co ehis secdo l'�� ted or crea�ed. The responsibie au[horiry shall provide copies of dle private or public d ��'� �sible auchoriry may requirc the requesring person to pay che accual cosu of makine.c The responsible auchoriry shall comply immedia[ely, if possibie, wuh any request made pursuant to[his subd•.vision, or wichin five days oi the dare of[he requesc,excluding Sacurdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannoc comply with the requesc wi[hin chac time,he shall so inform�he individual,and may have an addidonal five days wichin which to comply with che request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or cotapleteness of public or pri�•ate ' dara conceming himsetf. To exercise chis right,an individual shali nodfy in wriring�he responsibie auchority describing�e nacu:e of the disagreement. .. The responsible authoriry shall wichin 30 days ei�`:.r. (a)correcc the dara found ro be inaccurate or incomple:e and a�^oc to nodfy past recipien�s of inaccurate or incomplete da[a, inciuding recipiencs named by the individual;or(b)nodfy [f:e individual thac he believes rhe dara co be correct. Data in dispu�e shall be disc'.osed only if�he individual's sntemenc of disagreemenc is included wich the disclosed data. The deserminarion of ehe responsible au�horiry may be appealed punuanc to the provisions of�he administ�;ive procedure act relaang to contesred cases. DAT� PRIVACY ADVISORY In accordance wich M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to infor�you that your reauest for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidencial information. You are notified that: 1, - The information you furnish will be used to detemune your qualification for the pe:mit or license requested. 2 You may refuse to supply data, but refusal may require that the City deny the permit or license. ;, The information may be shared with ocher local, state or federal ageneies �o the eztent necessary to process the pemut or license. 4. If your requested permit or license requires Council action to approve, some iniormation may become public. �, You have cenain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this applica�ion or permit. Fint �tiddla Last �ddress Ciry State Zip Phone I understand my ri�hts as stated above. Signacure CHECB OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 2�z S u..�1 ti �Q,..Q PID: DESCRIPTION OF WORK: c.cr� vTPcsacA..ti.n�� ZO�TIl�G REV�W BY: DAT'E APPROVED: 5- 5 -�� BUII.DING REVIEW BY: DATE APPROVED; �-S-vo FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes �/' No PLAN REVIEW Yes J No SEWER CONNECTTON STATE SURCHARGE Yes _� No WATF.RCONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SIT'EINSPECTION Number of SAC�Units OTHER (specify) ZONING CHE.CB LIST Zoning District: iv o L��tr�S.P 7- d• (� Fire Department: Post Office: School District: � Lot Area: Sq.ft. Acres dth Depth Survey Submitted: Yes No ate of Survey: Proposed Setbacks: Front(Lake): Right Side: � Rear(Street): Left Side: Adjacent Structures: Wetland: . Building Height: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: /� Resolution: # R solution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hazdcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): s v2 o n! =�C,l� — n�o s �7 L � � 6�� 7 BUII�DING REVIEW CHECK LIST UBC: IZ 3 CONSTRUCTION TYPEs �� Sq Footage $Per Sq Ftg . Basement x = lst Floor x = 2nd Floor x = Garage x = x — TOTAL Estimated Construction Value: $ `]f 5�0 �� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connecuon _�Footing ' Septic Sewer Connection - � 0� Framing Fireplace Lawn Irrigation Insuladon (Masonry) Other Wall Board (Mfg.) Well(State Permit) K F�� Grading/Filling Electrical(State Permit) Other REI�ZARKS(IN HOUSE): . REVIEW BY OTHERS: DATE: Access: Ezisting New Access Approval: Date By; ltEl�Z!�RKS (TO BE NOTED ON PERMII�: � N~ ~M 8 STATE OF MINNESOTA ��� DEPARTMENT OF COMMERCE '�� i3s�c s��n st St Faul,MN SS101 . �•., - = (651 296-6319 � � - ��+i�a+ .. BT.TII.DING CONTRACTOR � ID#20176473 BUILDER INDIYIDT3AL PR.OP1�tEf OR BONNEVII I.E MARK D Fxpirea: 3/31l2041 7 Hrs CE due by 3l31/2001 DBA:HOME IMPROVIIv�'�FT SPECIAL,ISTS 6700 W�ODIDGE RD MINNE.TRISrA MN 55364-0000 QP:MARK DAVID BONNEVILLE CM-00543 ; i 1 i � �� \ PRoPos`� �E�CI� �"t�� ; � ! ; ; � I i j. , � � CaNST. �q/Va PL.a�� : ; ' � �HR�S�A �z.�"�2 C'1���.G,��'';/� ', , ; , I , , i , ; HOME IMPROVEME�lT SPECIALISTS oZGs o�S' k`�f��� �1�1� , C� t�U/11p 6700 WOODEDGF ROAD ` � ��"��f MINNETRISTA, MN 553�4 PHONE: (612j 472-4092 i 5'S.� ' �171 - 7'�t U � . �oD ' � � ST�`.iF�� ' �.�C•#� �0! ]6073 ' AS �i � o �I 8" MAX. RA!•SER 9" ti�!N.�TREAD CELL� Co�Z' a�.2!�3 6 8! � s{�p� � �� R�yt� , J ! 6'-8" ti1�N. HCA..D�OOM i , � ��y ; ��� F � � � � � ' AT LEAST ONE F-iANURAlL R►=QUtREp ; � ,�p � ' GUARQRAtI� OP�N SIDES ' ' �� �"'o � � i . �p � �� ��' � � 8�`�� � ��� �' �� ����'� ` i I .. V�..+� � .. '. I (_f f �0�� r '` I(R� � .. ' . • ; I � , ��'4 �,�' �t �0,['' �1�'�`��o' �,F(o DcC�lAl�a ' � �r ' ��fJ ,��p� � � p��' -�,�d '; `�iQ �� �E• �+�'.-- , ' l , � � ��,5�r� ���. ax�q ` g� P'h7'ta ��1� �.� j � =-� ' \ � -�. � ��� �` e�X�? 1'�?E�S�" � �f � i�'h'� i ' � � �X/� 6RA1 Snt57� 7��`A'� ' � � �o� , .. . � � p,'� � �� ' �. ��� X � �', i6"0•'G � - ����;�� '�,��cr\ w C�+���,��� ��, ��� � o?�a ,�t'��lMt,, ,,�` . � 3�, ��t'aj � \ � 9— ���4� ,�'� �° ' r '� � 6�� $�T,S .F � �� f �� `- s-�-,►Ias-,� �-'' � � _ c^�TEl� S�'�''o��" $EM�' C� _ _(� _ �� I O,i �I�Q� �. \�� � . � '. � .....rv �....e_.__.._-� �4: `i/ , �. ''a ,z�0��' a�x ax �o , �� . .,. ����, c'� �+r ' ��� � c���t� � r+P�'��'�.� P�srj . � r�` � ��''."'� � s�r�� ,�o,�N OM' $at�1j� ('m/J{, �"'+OGk�"?'#.t�� � �,;' �ii"'� s,, � TD Co,a�" I�LA�t"� ���Tl"p""#.� _- �'� C..' - , ; � "" �� 6 �'�4�.ts����,�s 3b " �►��� �x� c.�?�� � �t'--� ` �At��v�T��P s y'�MA� l������° �o" , . ' , ,"�: — �7U Q l.E"j}Ca��.. C��'at��"��.`t� CITI�' O QNO ; ���� ' 1�, BUILDIN�ER� T PLA�! R�VI�W � ' ' �L�S��.0 '�' (�Clt..'�"`�� '�'0 ��u�� ��� INSPECTOR SCA �_ � /I � "� ' '� j DATE S � -C1' R`RP,11TN0. �,� ' 1 g , , ' FPPh:;�1CD A5�U�(�"l7T:D � � , ' C`JWECr��1L I`�O�'E 1 � ; _ . ! . . � , 1 � r _.. f+�`;•�' ._E3�t�t�u���iF:Ti0�f5�',S�v.�``iTC . ' ' $�E � T�'ACi-i � , �T r,�a��a�E�D---�� �+=c� &��� �nr;T ia ED SHE�T rr .� ,s u�;�, ; v�ur a^� fn a,�cn. ;'!v�rork s a!I be on9 � � � h,i{d�^� �r. mr;; �•;fe. Fa'OR _J�oor-,N� r�-Q�ta�c_- c-�'� �� F ,�:,, 3n ��,�.,,< � � . . ------� F1��� . . ,. ;;�:���o�t:s t'su,opEC:.:.�ily no!<C in�`t�� !eV:'w. COD� REQ�IREMENT� Kc�P 7H�5 PIAN SEfi ON SI7E AT ALL!TIMC� � � ' I � PRoPo.�.:lj �E�C1� ���` ,: ': ' ;, � ' ^ ; , i i i. . � GoNST� l+„/a �PL � � �� q Ati+S . , , � ! ! � CN��STA �.�.�'E"Z CFi�.G.S'1,� i , ; ' ' , , I ; ' i ' oZ Gs o?S�: �'E'LG.}"0 A S�l�, b C�0/V 0 HOME tMPROVEAl�ENR SPECIALIST3 ;, � �i _ 6700 WOODEDGE ROAD i J,$",��� MINNETRISTA, MN 553�4 PHONE: (612) 472-4092 `fS� ' y7! - ?'{tp , �oD = i ��C•� �0� 76a73 p T`' � ,; STA�r-'�S ' ' � �,s , 8"MAX. RAI�EP. 9" M(N. T�.EAD j ' CE��# G�Z' e�.�l*.�b Sf s�(p� e. � ��N. � , ,� �R J � 6 -8 MlN. HEADROOlvt �'� �� � ' AT LEAST ONE:HAIVDRAIL REQUIRED ' ' j � 'fA � � I y ' G U A R D E Z A i L U P E N SI ' ' ! ���T� L��� �' ',� � E ��� �C u���' , j �y,� � ^ � E �I "�� iQ L .� S�E�� ���' .�,' �(,� �R ae�,�� ,� �� 'R , j° �.�- � 1 ' y„ ---- .3,�' �a ��� �. . �.��° � �''`" �.�d i v. + � � t� � 'ax�a , ; a' ��'� '� � `o � p0� �� �€� .ZXG? ,1`��E4T � ��� P�ria ��.,s� ; 1 , � 9� `��, ,� `o� � '' ��,�`' R,�. �' ; i � .�X 1tC� 6R�1 SOtS T5 T��A7� ' , ���� �,��,r\�'p` �t,�'!� K � �� �6"0•�. .a � � '� ' � r �' �, �t 3��v,}��� t� �1 �������� �� a�, �\ �7�� �e��'tM�. ��,.,�` , , � ; � 9- `�'c��4� �►�mI/ � ' � 1 �°' 6�6 ��.�`„5 � �� �`' L1 pD5'f � �- s-�-rlr�,G �'"f r .. � — C��TE1� S�FPo��'' .BEAM ,� � � ,--� - -r� - �A , �„ ��Q� ��� ,r��� �xa,� �o , ,, _.___..,�_ ___._.._..--_-._._----,,_ ..� , �•�•� ` - �x� T+P���'�� P�sr,S ' � u�u.��� • k r� �#� ', o,�N OM� $or.11� C��d1�C �AtTi'"�'�c�� � �.. � ; � -_ �, � I sT�1��tS � � ! �. � � , 'TD CG�4�" l�GAIQt� 1��;�'7"pn'4S _ . ' ' � � r" �� 4 �A�A��:z„s 3� " �ay�,� �k� cE�1� � , t r'._".�, i ` �SA����r���' ti�i M�x t������ �o" ', i r ,, .1. .� - a�a 1.�-����.. ��sp���.�' ci-rY o `0'�4_ �!a; � � i '[ BUILplNG P R���:;T Pl.��"J ;;�Vi�W j ���,�47� '�" �f'Ol..��$ �C ��3��� t�.�a�� tNSPECTOR _ f r / /I f � i DATE �'`S=f�t� f'E�h51?�:0. � SC��� : j = / j , y ^ , ❑ n,�����o�ir�as��,,;,;;—t;�;, � . ... . . . . . . _ _ _._ i __. -a . . w ` �O�ir 1 � __.. . ._. ��fl""fSCIY��V F�l'�F�IIi V�(��1� J�i'J��V/'1J���..I�=iJi .. . , : SE�� !A � ' SEE (ATrt'ACHED SHEET ❑ � �� ��r ��,%��: (;.� ,���ax G�.3u�'�.�;T � �, ; � � � I �� �. ; � T'. r?!li��� �i�fn 1. r ''°LI� . •n �r',� , .��-^ . ^,, - .,;l1. n��N.'0!K p t?Q�{b � � � � ��R �'O OTI N�1 1.Y�*1�'�l L'l.� ��;L. � I: .. ,... ��� g� an�!j�_. � iF' �.l!IiC'�".� 3^C�. 7df11fiC ft,�8. �—r—� ! R=:°' _.� . , :;,,�� i s not.,{�eca�csity noted in this,•.r'a�v COL�E FZEQ�UIREMENTS. ' Kc�P 1"HIS PLAN S�T ON SITE AT Al.L tINiES� I / ' ` �' ..•��'� •� ^',, �� � j �� • ��.+ '�I � ��.�i. ��� ' � ��.�.�"�- � �I��,'. ; �✓�,�. ��� . . , . ./''r . � , , ,. . � _ , �► r ,,. ♦ .,, ,� . . � ��� _ �IR � �, -:--.,A�l� _ �■� �; , . : ., .• : .��� ,:. --- � . �1� . .�4� . . . _ _ _�. !�'� � � , � � � � �� � - ; . . . � �•. . .� � �'��� 1,`,,,, � ,..�► �1 � � � ( ,��� ,, � � . . �� , , , � � •�/ • ��•. '� � � ..,�' �► . �' ��.,,� �\ � * � .�.�i� �� V ������'� � � � � / .. ��������'' _ � � , . 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