HomeMy WebLinkAbout1999-011416 - deck PERMIT
CITY OF ORONO PERMIT TYPE:
, 2750 Kelley Parkway- P.O. Box 66 ='�'�=!-'���i=
Crystal Bay, Minnesota 55323 Permit Number: i s�, j,�.;sw,
(612) 473-7357 Date Issued: ;;r,;�-j�;==�;;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — ��`��4:� � �=E,-f;: �
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� PLIC NT'PERMITEE SIGNATURE ISSUED BY,SIGNATURE �
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Total Fee: $_%�� '?-�--' Date Received: P�a t3 � ^��
Entered By: �. Permit#: %/ ��
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CITY OF ORONO - BiJII.DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
--------------------------------------------------------- ------------------------------------------
THE APPLICANT IS: (circle one) WNER OR C NTRACTOR
__.-----'
JOB SITE ADDRESS: _�`.>>`� �i 1�//l/C, �'�C�/V /`-t�E ZIP: -�� � �%/
NAME OF OWNER: �F l�/N �L E�-i�'m/�ti��% PHONE: (home) �7/- / /�/�
(work)i�:�L-��';�4t� �P'G/-Z 1��
MAILING ADDRESS: ���L/ �� u i�v( 5'i c N CITY: �.�'�a� z r�7 F) ZIP: ��; - /
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CONTRACTOR -�'I/� �L.�,�.�-(��`t��%��' PHONE: �( 7�'7 7 L/%
CONTACT PERSON: (�—�//�l MOBILE/PAGER: 9C1/ Z///
MAILING ADDRESS: �5S% �� vin/G�>Tc iv ���'� CITY: t�',>5'if-i i�1 ZIP: .}� ?`
STATE LICENSE: # ;��:���s2L��'�-,
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
rJAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration� Land Alteration
PROPOSED WORK(describe in detain: f-�c���;-�r���V G'�� 17`� `7 i�- � �=-I X�S��,���
����t`� r�� �n S � �
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $� /�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 wit�the ordinances and codes of the City and with
the State Building Code; that I under � this is not a pemut and work is not to start without a
permit; and that the work will be in� c r ance' ith the approved plan.
,,;.� ° ' ; C' �'
APPLICANT'S SIGNATLTRE: DATE: �� 'J��' I I
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
9
�
Sec.13.04 RIGHTS OF SLJBJECTS OF DATA
Subd. 1. Type of data. The righu 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 rtate agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the requested dara;(c)any known consequence arising from his supplying or refusing to supply
private or co�dential data;and(d)the idenuty of other persons or enuties 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, [o a law enfo�ement officer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income taz or Droncrtv taz refund
instrucdons 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 class�ed as public,private or confidenrial. 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 cosu of making,certifying, and compiling the copies.
The responsible authoriry 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 ihe request,ezctuding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuncy or completeness of public or private
data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement.
The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipienu 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 shalt be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinarion of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 City 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 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 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 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 pemut.
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First Middle Last
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Address �� ��� �������
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City State Zip Phone
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I understand my ri s ated bo�ve. �
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Signature ,� � �. V
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� CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
ADDRESS ORLEGAL: �SS g (��v11�165��1 /a��
PID:
DESCRIPTION OF WORK: �C,C�K
_� , .
ZO�TING REVIEW BY: DATE APPROVED: s-��• 9 9
BUILDI�i TG REVIEW BY: DATE APPROVED; _ S-- ��• 9 g
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERNIIT Yes ✓� No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes � No WATE.RCONNECTTON �
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC�Units OTHER (specify)
____________ _---__________---_--------------------------------------------
ZONING CH�CK LIST Zoning District: C,2-I e-
Fire Department: M�c9unr,� Post Office: W A� School District: w2STONY�4
Lot Area: Sq.ft. /3,�Sa Acres . 3 Width �(90 Depth /3�i• �
Survey Submitted: Yes x No Date of Survey: �-1•Z� •g
Proposed Setbacks: ,
Front(�aice): �d Right Side: I L�
Rear(�StrceC�: �( Left Side: 1 I �
Adjacent Structures: I y� � bnn�� Wetland: IJ (�
Building Height: Def. Hgt. N ( �1 Peak Hgt.
Lot Coverage: ���°
Grading: Staff Approval Date: N �� By: — Council Approval Date: —
Septic: Staff Approval Date: N (/� By:
Zoning File: # - Resolution: # ` Resolurion 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):
7
Buu�nnvG �v�w c�cx LisT
�C� — R"3 CONSTRUCTION TYPE: V�
Sq Footage $Per Sq Ftg .
Basement x _ >
lst Floor x _ .
2nd F1oor x _
Garage x _
Z7S x ��.00 =
TOTAL
Estimated Construction Value: $_Z,7�j'-j�`�
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
O� Footing ' Septic Sewer Connection
__�Framin8 Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State PermitT
� F�� Grading/Filling Electrical(State Permit)
Other • . .
REMARKS(IN HOUSE): ' .
REV�W BY OTHERS: DATE• ____�_---______�_�-- ----
Access: Existing New
Access Approval: Date gy;
----------------------------- -------------------------
REMARKS (TO BE NOTED ON PERMII�:
8
C E R T I F I CA T E O F S U RVE Y
� FOR KEVIN WEHRMAN D���O ��P�
3559 Livingston Ave
Orono, MN 55391
Legal Descriptionf'�` `/�/j�f�;',��'p�(/ �U����c
Lots 7 and 8, Block 4, NARVARRE HEIGHTS .
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I hereby certify that this is a true and correct representation
of a survey of the boundaries of the above described land and of
the location of all buildings, if any, thereon, and a 1 visibl
encroachments, if any, from or on said land. `
As surveyed by me this 21st day of April, 1999 .
Herb F. Lemire RLS
Minnesota Reg. No. 13349
4416 Abbott Ave. N
Robbinsdale, MN 55422
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Kevin Wehrmann
3559 Livir�gston Ave
Orano MN 55391 ��
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DATE TIME
CITY OF ORONO CALLED W ���-y y 3� ��
INSPECTION NOTICE SCHEDULED ,Z-�r�' �'`3C'
PERMIT NO. .'��I� �I� COMPLETED
ADDRESS � �.� 7 ,-�-,�'�-v�us�G�'� C�'1^-��
OWNER �-�n. Gi�-P-a/r�'� CONTR.
TELEPHONE N0. �--��— �7 ���
� D TION
01 FOOTING _ > 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAI 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO ^
� CO IENTS:
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� ❑WORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
�ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
�:. CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.4T3-7357
Owner/Contractor o site-
Inspector
White Copyllnspector's File Canary CopylSite Notice
D/ATE TIME
CITY OF ORONO CALLED IN /�C� l�
INSPECTION NOTIC�/ SCHEDULED '�� � ���
PERMIT NO. `�'�"�G� MPLETED
ADDRESS ��� 7� '
OWNER ONTR.
TELEPHONE NO. ��l ' �T �'��
� DESCRIPTION �a/�/
ty� 01 FO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECT�ON
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 ING FINAL �� 36 FOUNDATION/REMOVAL
OWN ICONTRACTOR TO MEET YOU:v YES_NO
OMMENTS:
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� CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY
W
OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING 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.473-73�J7
Owner/Contra r n it •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �7-�-� 9' �S
INSPECTION NOTICE SCHEDULED 7 -a7 i�'�G
PERMIT NO.T� �f�_ COMPLETED
ADDRESS 3��'� L-`V�V�qS�c h (�v e,
OWNER CONTR._ J�U�V� (ti�P�I1Y+'''«''�
TELEPHONE NO. ��I -�-�11
� DESCRIPTION ��Y�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
= FINAL } 14 SEWER HOOK-UP O6 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
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