HomeMy WebLinkAbout1998-010076 - 4 season porch PERMIT
, • �1,�1TY OF ORONO PERMIT TYPE: E::;i:�:I t�s�=
2750 Kelley Parkway- P.O. Box 66 ������_;:?r,
Cr stal Ba , Minnesota 55323 Permit Number: ^
Y y Date Issued: C��j������°-%�=�
(612)473-7357
SITE ADDRESS:
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REMARKS•
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FEE SUMMARY:
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APPLICANT/PERMITEE S NATURE ISSUED BY:SIGNATURE
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Total Fee: $ ���� � . .c�}`�_ Date Received:
Entered By: �� Permit#: ' �; ��
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) OWNER O ONTRACTOR
JOB SITE ADDRESS: /C��S(� Gv��c.�,� ��.�vr��e- }��-�'yZIP; S-S 3�
NAME OF OWNER: ��G I�CG��Zc�3 � PHONE: (home) �7�����O
(work)
MAILING ADDRESS: f�D L��^-��a- L�,•�n�t S�1�eCITY: �/Z�.�:� ZIP: S�3� �
CONTRACTOR: �' �a��" ��G��.�L� PHONE: �{7��! 7 Z
CONTACT PERSON: ��s-�2�- MOBILE/PAGER: ��� -,S��Z S"/
MAILING ADDRESS: Z� c� (,J. ��CITY: �-F>�c�.,�� ZIP: "�` ��
STATE LICENSE: # S 3 3S�
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ARCHITECTlENGINEER: ,� �v ��5,��� PHONE: � �� f��f��}'
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition x Accessory Structure z3YK
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �l�i� '�j� .5��-5��•� f��'�3� /.�n %Z
T� �x �Sr��✓C:;� ��'�-.. —
STORIES: __� SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTI�I�AT'ED CONSTRUCTION VALUATION (exclud.ing land): $ �', Q�� � _
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 pemut and work is not to start without a
permit; and that the work will be in a ordance with the approved plan.
APPLICANT'S SIGNATURE: � DATE: � �-� ����8
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.
��
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Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righcc of individual on whom[he dara is stored or to be stored shall be as set forth in this secdon.
Subd.2. Informadon reqirired to be givea individual. An individual asked to suppiy private or confidenaai data conceming himself shall
be informed of: (a)[he purpose and inrended use of the requesied data within the collecdng state agency,polidcal subdivision,or sratewide rystem;
(b)w6ether he may refuse oY is legaily required to supply the requested data;(c)aay imown consequence arising from his supplying or refusing w supply
• private or confidendal data;and(d)the idcndry of other persoas or enades au[horized by state or federal law to receive rhe data. This requ'uement shall
not apply when an individual is asked to supply invesdgadve dara,pursuanc to secdon 13.82,subdivision 5,to a law enforeement o�cer. -
'Ihe commissioner of tevenue mav place the notice reauired under this subdivision in the individual income rax or propertv tax refund
instrucdons inscead of on chose forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individua!shall be informed whether he is the subject
of stored data on individuals,and whecher it is classified as Qublic,private or confidendal. Upon his further request,an individual who is the subject
of swred private or public data on individuals shall be shown the dara wichout any charge to him and,-if he desires, shall be informed of the content
and meaning of that data. Afur an individua!has been shown the private data and informed of its meaniag,the data need aot be disclosed ro him for
six mondu thereafur unless a dispuu or acdon pursuan[to this secaon is pending or addidonal dara on che 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 authority
may require the requesring person to pay the actual cosu of making,cerafying,and compiling the copies.
The responsible aurhoriry shall comply immediately, if possible,with any request made pursuant to this subdivision,or wi[hin five days of
the date of the request,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with[he request
within[hac time,he shall so inform che individual,and may have an addiaonal five days wi[hin wluch to comply with the request,excluding Sacurdays,
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
dara concerning himself. To exercise�his right,an individual shall nodfy in writing che responsible authoriry describing the nature of the disagreemenG
The responsible authority shalt within 30 days either: (a)correct rhe data found w be inaccurate or incomplete and attempt to nodfy past recipients of
inaccurate or incomplete dara,including rocipients named by the individual;or(b)nodfy the individual that he believes[he data to be correc� Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with�he disclosed data.
The determinaaon of the responsible auchoriry may be appeated punuant to the provisions of the administradve procedure act relacing 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 fumish certain private or
confidential 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 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 permic.
� ��� �
First Middle � `� Lasc
ZZ(�� G�S�z��'� ��-
Address /�t� ����(/ .
v�8�c�✓4 �
Ciry Stace Zip Phone
I under d my righ stated above.
c
signacure
- ` CHECB OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: l OS h �w�► U c�J,o�1.
� PID:
DESCRIPTION OF WORK: y s�,�o,s (Jc,n-c,E-t t �ek.t�.
ZONING REVIEW BY: DATE APPROVED: �t-i•9 f�
BUII.DING REVIEW BY: ,,,,,._..= DATE APPROVED: Y- z-q$
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓' No
pI,AN REVIEW Yes �' No SEWER CONNECTION
STATE SURiHARGE Yes �G No WATERCONNECTTON .
INVESTIGATION FEE Yes No PARK FEE
SAC Y:.s No ' SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONIl�'G CHECK LIST Zoning District: t�R -l(3
Fire Department: vwa��.e�0 Post Office: fV�-o•}rw� School District: w-P�s%'e+JLr-!�
Lot Area: Sq.ft. 1 Z� Zo'� Acres . �-'8 Width ,J(1.�o�- Depth — '
Survey Submitted: Yes p� No Date of Survey: 1�'7'g 7
Proposed Setbacks: �
Fregt(Lake): _ Z� Right Side: 2 S
Reu(Street): �is� Left Side: 2�0�
Adjacent Structures: 14'i"Tl�t��'» Wetland: N 1�
Building Height: Def. Hgt. o��F- Peak Hgt. a. k..
Lot Coverage: l°L•)
Grading: Staff Approval Date: �v/�- By: — Council Approval Date: —
Septic: Staff Approval Date: N�i4 By: --
Zoning File; # 23�t'i, Resolution: # Resolution Date: 3- Z3•g�9
Shoreland Dis�ict: �(P 5
Avg. Setback: vn2��.,c� Bluff Setback: N�A LotCoverage: i S•�
. E��g Proposed
Hardcover: 0-75' S.3 y.Z
75-250' SS•y 5 5
?SO-500'
500-1000'
Hardcover Variance Required: Yes � No Date of Council Approval: 3-23•S�
7
�tE1�ZARKS(in house): �,So's .s1'bN�� •
• 26
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BUII..DING REVIEW CHECK LIST � �
UBC: r2-3 CONSTRUCTION TYPE: �//J
' Sq Footage $ Per Sq Ftg
Basement x =
� lst Floor � R _
2nd Floor x =
Garage x = �
x =
TOTAL
Estimated Construction Value: $ �j,�uo•4
Inspections Required: � Work Requiring Separate Permits:
Site o� Plumbing Fire
Hazdcover Removal _�Mechanical , . Water Connection
oC Footing Septic Sewer Connection
_ c�Framing . Fireplace Lawn Irrigation
�Insulation (Masonry) Other
q_W� Baazd . (Mfg.) Well (State Permit)
s- Final Grading/Filling .� Electrical (State Permit)
Other .
REMARKS (IN HOUSE): � ~
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date gy:
REMARKS(TO BE NOTED ON PERMIT�: '
27 �
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G � m � "'� �
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.L � � � � Q /=�—_ �
"t7 �j
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N $ _ � �� �39•� � O Shoreline
� � c c � p ��'1�'3� � � °r�. cv
o Z � � � N �I�
�, �'- O � �° z
� � �, South line of Lot 36, LOMA LINDA
� � I� N I �
-v ' : :.: - ., °�\
� � N ytVood Stoirs � �
— ----t- -- ----
� = Pr osed Pathway � tb,be removed t - ---• --- --- - - -- - ---
+ � — -- ( .
_��_�__T _'�
�°� . -'--J-��--1-� 1 1
� �- Wood Deck
� 6��� --`--- o �6'4 Proposed i' � to be removed 2
�° ` ddition 1
j Proposed Addition 27.7 \ u� � J
` � , �\ _ ) _� 75' Setback Line � 4;
, 7 , � O
Concrete � 2 Story Frome �� 12• i ' ,_ :,'�. �\�
, N i I7 056 `-.' � I , � '
�_
� 8ituminovs su��oce �� �ri { �', , ,Lr
�sO�9�Q 76.5 `\ ~ __1 1 \
�
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O"�� ' � ^� ti �� South line of Lot 4, LOMA LINDA
i �I ��
�� �0.3 �� �� 19.5�
;I�- � zs.o �i �� �� N 89'S8'20" E� i 169.20 -�
'S.75 rnl o;l „�I �' �� ��
N 0'47'26" E 22.3 ^� ^� �
44.3 � �
F�ame �
� � �
N Goroqe \ �
�`+ 1 Story Frome ! �Q(px��,.,�u� �
`� �1058 � J �
� Ue�se.. �,Li4tes�v� �Z�/uc(( "'�
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DATE TIME
CITY OF ORONO CALLED IN (0-y- t�S ���, � �
INSPECTION NOTICE �;, . SCHEDULED __� I%3�
PERMIT NO. � COMPLETED _� �
ADDRESS�(p ���2rL1t .l:�N�G�.
OWNER CONTR.
TELEPHONENO. 9�'I — �z- S �
� DESCRIPTION
ty� 01 FOOT 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O SULATION 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK&PROCEED I= ISSUE CERTIFICATE OF OCCUPANCY
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� C'i CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - PHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-7357
OwnerlContrac o�rt :
��:pector. �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN !• .� �
INSPECTION NOTICE. scHEou�Eo r
PERMIT NO. j , � COMPLETED
ADDRESS /
j� /. J; C•. / �',
OWNER �- CONTR.���s :<�'4�%/"1� .��,
TELEPHONE NO. - �
� DESCRIPTION i�������� �� ',f,�(� iS ����
�
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADWG/FILLING
� 02 FiiAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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w ❑ CORRECT WORK&PROCEED i= ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WIl L RETURN
- CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C'� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance.473-73�J7
OwnerlContrac r s
Inspector._ �
White Copylinspector's File Canary CopylSite Notice
DAJ E TIME
CITY OF ORONO CALLED IN 'Si//o S'a'
INSPECTION NOTIC , .�� . SCHEDULED 'Sr�0/98 %,c.'�'
PERMIT NO. � `" �� COMPLETED
ADDRESS �
;
OWNER CONTR.
TELEPHONENO. '�7�� �'`i��
�C�TION ���,
�
ty� 01 FOOTW 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �VORK SATISFACTORY:PROCEED C- PROJECT COMPLETE
W�0 CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
G CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next in ection 24 hours in advance.473-7357
1
OwnerlContr sit :
�
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE T!I�
CITY OF ORONO CALLED IN 'a� �•oU Q—�
INSPECTION NOTICE SCHEDULED " �" ��'•�UCt/!�
PERMIT NO. COMPL Eo �_
ADDRESS �6
OWNER ���C.UY,c�t CONTR. u
TELEPHONE NO. cf� � �oZ J�/
� DESCRIPTION
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q INAL 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��ORK SATISFACTORY:PROCEED p�ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED �❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
Owner/Contra r e•
Inspector.
White Copy/lnspecto�'s Fil Canary CopylSite Notice