HomeMy WebLinkAbout1996-008042 - rebuild deck � �'ERMIT
� CITY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 ���r�?�-���y�=�
Crystal Bay, Minnesota 55323
Permit Number: i;c°i;=;c i�.'.�
(612)473-7357 Date Issued: �_�r,��,��;���,
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — �����3 i c��-�t. —
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:=:F'F�::IF'IEC� �ND A��E�:��; '�f_a �>>=t ;";,[_�. 4��:Fi����: It� '��T�iI�:T C::_t��'L'��t,�E:::': ���?� �`r{�i... f.�.�. e Y ��:�F
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�C_,
Total Fee: S �,i1 �'' .�� DateReceived:
Date Approved:
Entered B�-: � ,;,� Permit#: � '.�-{ :�
CITY OF ORONO - BUII.DlivG PERIVIIT APPLICATION
�LL I�YFOR�vI�TION lIL'ST BE SUBI�LTTTED IN FULL BEFORE PL��I REVIEW WII.L
BE ST�RTED "�;1 ,� �p L-'�l I�l Z��i i�'�'��
------ - ----------------------------------------
THE �PPLIC�:�iT IS: lcircle one) O�VNE OR CONTRACTOR
�� � ��� �1�� ��
JOB SITE �DDRESS: �� �`�'� � ���� �r � -
N�ti1E OF O�i��ER: ��t�C��.� ��'1�(�'� PHONE: (home) �1�.'���
(work)
vI�IL�`G:�DDRESS: ��.�t��.r^�rn-:-, ,�.i��k ��e. CITY:����I�� ZIP:_CL�
CONTRACTOR: �w i��C' PHONE: u�Z' ����
�IOBILE PHOI�iE/PAGER:
��IAILL'�iGADDRESS: CITY: Z�:
STATE LICENSE: #
�RCHIT'ECT/ENGliYEER: (�w�Q(� PHO�]E:
�IAIL�i G�.DDRESS: CITY� Z�'
���,�: REGIST'RATION #
TYPE OF WORK: Ne�.v � Addition A sory Structure
Vlove Remodel/Alteration �� Land Alteration
PROP SED`VORK(describe indetail): J��� �`� �J�� �`�'�-� ,� �� �`'`�' \� �n��
n,����L �4'C�c,,f�� C�r� �u L�
STORIES: �_ SQ. FEET OF EACH FLOOR:
�(O. OF BEDROOMS: � G�RAGE STALLS: ATT. � DET.
ESTLtiI�TED CONSTRti CTION V:�LU:�TION(excluding land): �T� C��,U�
I hereby apply for a buildin� permit 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 Cirv
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.
:�PPLIC��T'S SIGti�T'URE: y����(g��,�,��r��-- DATE: S�—Z�� ��
NOTE.' Parade o�'Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. 1Von permitted events will not be allowed.
Sec.13.04 RIGHTS OF SLTB.TECTS OF D�TA
Subd. 1. Type of data. 'Ihe righ[5 of iadividual on whom the data is stored or to be stored shall be as set forth ia this secdon.
Subd.2. Information req�red to be given individual. An individual asked to supply private or confidenoal data concerning himulf chail
be informed of: (a)the purpose and intended use of the requested data wirhin the collecting'stace agency,polidcal subdivision,or srarewide symm;
(b)whecher he may refuse or is le2ally rEquired to supply the requested data;(c)any l�own consequence arising from his supplying or refusing to supply
pnvarE or coruidendal data;and(d)the idendty of ocher persons or enddes authorized by s[ate or fedetal law to receive the dara. This requirement shail
no[apply when an individual is asked to supply investigaave dara, pursuant to secdon 13.82, subdivision�, to a law enforcement officer.
The commissioner oi revenue mav face [he norice reouired under chis subdivision in the individual income rax or rooem taz refur.d
insaucnons inscead ot on those forms.
Subd. 3. :�ccess to data by individual. Upon request[o a responsible auchoriry,an individual shall be informed whether he is[he subject
ot s[ored dara on individuals, and whe[her i[is classified as public, private or confidenaal. Upon his further request,an individual who is the subject
oi stored private or public data on individuals shall be shown the data wichout any charge to him and,'if he desires, shall be informed o[the con[enc
and meaning of thac dara. Afcer an individual has been shown the private data and informed of irs meaning,the data need not be disclosed to him for
six mon[hs chereafter unless a dispute or action pursuant to this secrion is pending or addiaonal data on the individual has been collected or crea[ed.
The responsible auchoriry shall provide copies of[he priva[e or public data upon request by che individual subjec[oT the dara. The responsible authori[y
may require the requesting person to pay the actual costs of makine, cerrifying, and compiling the copies.
The responsible au[hority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of
the date of�he request,excluding Sarurdays,Sundays and legal holidays, if immediate compliance is no[possibfe. If he canno[comply wi[h the requesi
within that time,he shall so inform the individual,and may have an addidonal five days within which to comply with[he request,excluding Sa[urdays,
Sundays and teeal hotidays.
Subd.4. Procedure when data is not accurate or complete. An individual may con[es[the accuracy or compleceness of public or privare
da[a concerning himself. To exercise chis right,an individual shall no[ify in wnting the responsible authoriry describing the na[ure of the disagreemen[.
The responsible authonry shall within 30 days ei[her. (a)correcc the data found to be inaccurate or incomplece and attempc to nodfy past recipien[s of
inaccura�e or incomplete data, including recipients named by the individual; or(b) notify che individua(tha[he believes[he data to be correct. Dara
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
Tne determination of�he responsible auchoary may be appealed pursuant to the provisions of the administraave procedure act relaring co
conresced cases.
DAT� PRIVACY ADVISORY
In accordance wi[h M.S. 13.04, Subd. 2, "Rights of subjects of data", we would lil:e 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 infocma[ion you fumish wili 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.
�, You have certain rights under M.S. 13.04 (available upon request) to review priva[e da[a on yourself.
(, Your full name is required to process this application or permit.
� /�
��c��S ��='e„ /"1 l��e S�c�i,
F�� �t�ddle Las[
I��S 1--c�1"ncA �� r�c�� ��'�'
Address 1
v�; 11 c )��r� ��3(�4- �-I 7 Z S�} �',
State Z�p Phone
Ciry
I understand my rights as stated above.
\ J 7
i o / �'y���,
,
Signa[ure
. : .
CHECK OFF LIST FOR ISSUAi�i CE OF PERMITS
FOR OFFICE USE ONLY
ADDRFSS OR LEGriL: 1 Z.q S LoM�'�► C-t i�1DtA A+�l�
PID:
DESCRIP'TION OF WORK: �6Lk -
-------------- -96
ZONING REVIEW BY: DATE APPROVID: t'4 - -
BLTII.DING REVIEW BY: DATE APPROVED: 6- b-4(0
---------- ---------
FEES TO BE CHARGED• Misc. Fees Calculated By:
PERMIT • Yes ✓' No
PLAN REVIEW Yes �/' No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION ________
INVESTTGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------
ZONING CHECK LIST Zoning District: �-�'�� Shoreland District : y L
Fire Department: �IIbJN�
Post Office: �,O J�u�,_. School District: �/�OJ�
• o �t5 '� Acres . y1 Width (R����"�°'« Depth
Lot Area: Sq.ft. 2. ,
Survey Submitted: Yes
q( No Date of Survey: S-25-�I�
Proposed Setbacks:
F.ront (d�e): N�(A Riglit Side: '2 Z� �
t }
Rear (St�eec): N�A I.eft Side: 60
Adjacent Structures: ����_� We��d: A� {�
Building Height: Def. Hgt. /� �f� Peak Hgt. N ��
Lot Covera e � d' «
Avg. Setback: N (1/} Bluff Setback: A� �f� g '
Ezisting Proposed
Hardcover: 0-75'
75-250' p,��
250-500' _—
500-1000' — �
Hardcover Variance Required: Yes No eL Dace of Council Approval:
Grading: Staff pproval ate: By: Council Approval Date:
Sepac: Staff proval ate: By'
Resolution Date:
Zoning File # R �'
house .
�a;�..,-
• B , �
BUII.DPi 1G REV�W CHECK LIST
3't
UgC: �-3 CONSTRUCTION T'YPE: v�
� Sq Footage S Per Sq Ft�
Basement x —
lst Floor x —
2nd Floor x —
Garage X —
�/eC !Z K l4+ N•Sx 2°�. S� x 25�S� _
TOTAL
Estimated Construction Value: � 2is�� �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
�Footing Septic Sewer Connection
_� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Perm.it)
DC Final Grading/Filling Electrical (State Permit)
Other
REMARI�S (IN HOUSE):
--------------------------
REV]EW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date BY� �__�_N
---------------
_____r_____----
RE1I�IARKS(TO BE NOTED ON PERNIIT):
27
�
FRF�NK R. CARDARELLI= �RO�O �QP� Land Su�v= �
• (612)�941-3031 vyv'
Eden Prairie, MN 5534,
c��r �i�i���� �� �uri���
Survey For Ann �:r.;�ersor. Book 348 Page 3 File
1 Z�5 LoTMa Lind� Avenue
Orono, ri�ti 55�e4
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I Mf�OY C��V1aI 711�Ii�o-W Y1d CGf�CY f�P/�I.MLtlM1 O���W�y 01 V1�DOl/1C11�t OI L� l..S � ��-
Re vi s e d H�nn�pin Counly,Afirr�w4�nd tM beaDon ef ail 'Idng� `i bl��nu �nts,If arty on ird land.
s„�.r.a er m.a,w. 2 t�_a.�� M Uy ,�9�_. , - .
rank R. ardare(le
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DATE TIME
CITY OF ORONO CALLED IN / l�
INSPECTION NO CE SCHEDULED °3/ 76 ��?����
PERMIT N0. `-�-Z COMPLETED
ADDRESS�'l��iaal�c.-,�-�,. ��_
OWNER ���'��r �>Ar�/ CONTR. �i:.��
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�`01 FOOTINO'`- 11 MECHANICAL RI 18 IXCAV/ORADINQ/FIWNCi
y 02 FRAMINO 13 MECHANICAL FINAL 19 LAI�SHOHE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= OS FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTiC MAINT. 21 COMPLAINT
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W 07 DEMQ—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBINO RI 23 SEPTiC FlNAL 35 HARD COVER REMOVAL
J 10 NO FINAL ' 36 FOUNDATION REMOVAL
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INSPECTOR WILL REfURN
❑STOP OROER POSTED.CA�L INSPECTOR �=�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for th ext in ction 24 hours in advance.473-7357
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White Copyllnspector's File Canary CopylSite Notice
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TELEPHONE NO. '��.-1 -h =`�"��
� DESCRIPTION `���f� �
� 01 FOOTING 11 MECHANICAL RI 18IXCAV/GRADINCi/FIWNO
y 02 FRAMiN6 l 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q-031Fi�l1LAT10N 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
� 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEP71C FlNAL/ 35 HARD COVER REMOVAL
� - BINO FINAL � 36 FOUNDATION REMOVAL
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❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnedCont o si :
Inspector.
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