HomeMy WebLinkAbout1998-009297 - porch/deck . � � . ,t.
PERMIT
,CIT�' OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �,i 1��_j�,i���;
Crystal Bay, Minnesota 55323 Permit Number: �_�s i:�;.�L�
(612)473-7357 Date Issued: s}���,��,�`e
SITE ADDRESS:
'�°�c:} L_Ew��f� L I��l�f� t��t�.
E _;�
F`. I .�f. � i 17-1 �. :'—;i;':?—i�.—i��t i j;
DESCRIPTION:
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C,�il��i�-�� f`���r�,it. T���� '�;i=—s�GuiR�t�lE�i���L
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REMARKS:
'���'t�:�I{�—t,}I�f��.��I+v��� t��F t.iE�t: :=;�i f �:�? ; �?�=:F����: W i TNE��;JT F'�:r°t�1� . '°vE'�T ��t�'�E'�'_.�—i:T T�;i I►W�t�
��I�� Ec� a_•�.i+��! %�-f I C:;� ���;ii!I F��'�� �..1_i�.'hT �ai='�'�s��°r-�t��=�� � �:t;;i HC�f�.-►�j�' '_=+�: G�`�'`�� I t�f _�r�I L .
FEE SUMMARY:
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CONTRACTOR: — ���c�1 i�.��-�`r.. — OWNER:
��:;�T I�=� �li�����_; �h�,_: . :��:,;?;�.��c_r� {��:=;T�'� rr�t�#�°=,
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR
� � CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFF�CE USE O�LY
ADDRESS OR LEGAL: Gl r° C� �i��'-?7�1� -� c r?,-(�•... � ,�,�,
PID: �- i/ 7 - •� �° l-'�1 ��r
DESCRIPTION OF WORK: c � .�
-------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: , �. ��c,�r� DATE APPROVED: � -t�i-�t�
BUII..DING REV�W BY: �,,,- �` DATE APPROVED: � -iy -�C�
--------------------------------------- -------� ---------------------------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
PLAN REVIEW Yes � No SEWER CONNECTION
STATE SUR`HARG�� Yes v— No WATER CONNECTION
INVESTIGAZ'ION-FEE Yes � No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
� Fire Department: Post Office: School District:
���
� t Area: Sq.ft. Acres Width Dep[h
Survey Submitted: Yes � No Date of Survey: _�, Z�-4 7
Proposed Setbacks:
Front (Lake): i 3v� "�= Right Side: 7 L� +
Rear(Street): t �,�� �. Left Side: � �� � ±
Adjacent Structures: /��"t�4Gt� �'_�°� Wetland: N f�
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 Dist:ict:
�;� - Avg. Setback: Bluff Setback: Lot Coverage:
� Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hazdcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): L�OIz�L �0 r�C. w �-�o�sr ��1Z,�.�.� �?-
• 26
BUII..DING REV�W CHECK LIST
UBC: j'L � � CONSTRUCTION TYPE: v N
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x —
3E `-� x lO•uv = y, c���
TOTAL
Estimated Construction Value: , $ 5;(,��, ��'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
��C Footing Septic Sewer Connection
_� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
v^`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 PERII�IIT): �
27
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� 1�otal Fee: $ � ; � Date Received: S� � � � `'% �
Entered By: �1�� Permit#: - �
CITY OF ORONO - BUII.DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one OWNER O CONTRACTOR
JOB SITE ADDRESS: � �U ��,.�.� � a �r�� �� ZIP: J` .� 3�r �
NAME OF OWNER: ����; � � (-s(�,.�.��� ��� PHONE: (home) ���- j����
(work)
MAILING ADDRESS: °���cS �' �o �- CITY: �'tA��� �a�ti ZIP: <S 5 ?.`�
CONTRACTOR: � �ST, ,� I-e��w-� �-, PHONE: `��� �'- ��' � 7
CONTACT PERSON: (—�,,� j�����,:_ MOBILE/PAGER: `�o� _S� t/
M A I L IN G ADDRESS: .�,�s�y� �'�, � C CITY: r�-t,�,��s'�.•� -_ ZIP: �s°5 ��j �
STATE LICEN5E: # Cy 2�l L.-
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: �.�,,�.r �,�.� �' �c.� A-r
1J c��...� ���e l�a�1-ri�� - - �s�'T
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $
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
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNAT`LTRE: `— DATE: �i �
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.
�. �.
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�
Sec.13.04 RIGHTS OF SUBdECTS OF DATA
Subd. 1. Type of data. The rights of iadividual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. Information req�rired to be given individual. An individual asked to svpply private or confidendal data concerning himself shall
be informed of: (a)the puipose a�inunded use of the requesred dara within d►e collecting state agency,political subdivision,or statewide sysum;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any lmown consequence azising from his supplying or refusing to supply
private or confidential data;and(d)the identiry of other persons or enudes authorized by state or federal law to receive the data. This requirement shall
not appty when an individual is asked to supply investigadve data,pursuant to section 13.82,subdivision 5,to a law enforcement officer.
The commissioner of rovenue mav olace the nodce rewired under this subdivision in the individuai income cax or proaertv tax refund
instrucdons inscead of on those forms.
Subd.3. Access to data by individual. Upon requesc to a responsible authority,an individual shall be informed whether 6e is ihe subject
of stored data on individuals,and wherher it is class�ed as public,private or confidenaal. Upon his further request,an individual who is the subject
of stored private or pubiic 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 dara. Afur an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for
s'vc months thereafter unless a dispuu or action pursuant w this section is pending or addidonal data on the individual has been collected or created.
The responsible authority s6all provide copies of the privau orpublic data upon request by the individual subject of the data. The responsible authority
may require the requesting person to pay the acmal cosu of making,cerdfying,and compiling the copies.
The responsible suthoriry 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. ff he cannot comply with the request
within that time,he shall so inform the individual,and may have an addirional five days within which w comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure whea data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data conceming himself. To exercise[his right,an individual shall nodfy in wriang the nsponsible authoriry describing the nature of the disagreement.
The tesponsible authoriry shall within 30 days either: (a)correct the data found m be inaccurau or incomplete and aaempt to nodfy 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 shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determinadon of the responsible authority may be appealed pursuant to the provisions of the adminisaative procedure act relating co
wntested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04,Subd.2, "Ri,,ahts 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 are notified that:
1. The information you furnish will be used to detemune 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 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 permit. ,
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I understand my ri ts as stated above.
Signaatre
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Brooi�iya Park. YN 55428 Fax {8i2I 668-8517 ��, tta. _�•Z-Z'"'�� ' Oai��� �� � �' }
DATE TIME
CITY OF ORONO CAILED IN `/7 T—
INSPECTION NOTICE���� SCHEDULED s� // . 3 d
PERMIT N0. 1 COMP�ETED
ADDRESS �`�%� c`'yY'� ��/� d�a� (.('-�-�-�
OWNER����-�v�� CONTR. -'
TELEPHONE NO. g� 7 ' S� / 1� � a��
�
� DESCRIPTION
� 01 F 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN 13 MECHANICAL FINAL 19 LAI�SHORElWETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIHEPLACE 34 TREE REMOVAL
� p4 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
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� 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINa FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:� \
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d C WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
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� p�CORRECT WORK 8 PROCEEO -. ISSUE CERTIFICATE OF OCCUPANCY
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O 'O CORRECT WORK,CA�I.FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. -, pHOTOTAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection��4 hours in advance.473-73�J7
Owner/Contractor on site: �^ 1
Inspector. 1 ' � � '� '��
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