HomeMy WebLinkAbout1999-011157 - rebuild garage �" PERMIT
CITY OF ORONO PERMIT TYPE:
2750 K�Iley Parkway- P.O. Box 66 �-ti_i:i ;:?;;ii;
Crystal Bay, Minnesota 55323 Permit Number: :;� # ����;
(612) 473-7357 Date Issued: -
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SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: - F::;Y=�:�; =ti��,;t. -
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AP ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
, ,
. CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 1 S 43 v (�ON� (�(,� [3 C.V�
PID: �7D/1,�.� Oh�r�
DESCRIPTION OF WORK: �:�3 v�(,� �jArl�A-f� � pi•s � c S�Jnl6 Sc�
------------------------------------------ ----- ---------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: /-(/- �t�j
BUILDING REVIEW BY: DATE APPROVED: / -/r -S�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes No �/ SEWER CONNECTION
STATE SURCHARGE Yes v�' No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
------------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST zoning District: 1110 C �f�krt/G(.,J
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetl d:
Building Height: Def. Hgt. Peal:Hgt.
Lot Coverage:
Grading: Staff Approval Date: B : Council Approval Date:
Septic: Staff Approval Date: By • -
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
I
7
BUILDING REVIEW CHECK�LIST
UBC: (' -l CONSTRUCTION TYPE: ��"
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor � � x =
2nd Floor x =
Garage x =
R =
TOTAL
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Estimated Construction Value: $ .$��pt�
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
pL Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
��Final Grading/Filling �Electrical (State Permit)
Other
REMARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT):
8
Total FPe: $ �/�-�'� Date Received:
�ntered By: �-� Permit�#: 1 /���
CITY OF ORONO - BUILDING PERIVIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: I_��� ��n�' ��'-+-�f i� ��,�y c�� ZIP: `>S_,,�`��(��
,.
NAME OF OWNER: � �������7-�'� �-�l �c>�.�i..� PHONE: (home) �¢c��1-����
(work)
MAILING ADDRESS: %5�; �.��.� �>�-�.� �-�/��y` CITY: .,i���,iL ��� ZIP: '> SS�; (F
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STAT� LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
i
PROPOSED WORK(describe in detai�: ���; �� S�,t n I�./lM,p�7-- � i
C� �-(�-� I
STORIES: � SQ. FEET OF EACH FLOOR: Z 2 Z� I
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ►
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � j 5"�C��DG
I hereby apply for a building permit and I acknowledge that the in�ormation 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 a dance,v�}th t approved plan.
�
APPLICANT'S SIGNATURE: r DATE: I I �
NOTE! Parade of Homes events re ire separate permit approval by Police Department�rzd
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
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Sec.13.04 RIGIiTS OF SiJBdECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secdon.
S�bd.2. Informatlon req�rired to be given individual. An udividual asked w supply private or confidential data concerning himself
shall be informed of: (a)the pucpose a�l inte�ed use of the requested data within the collecting state agency,political subdivuion,or statewide
system;(b)whether he may refuse or is legaUy required W supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private or confidential data;and(d)the idendty of other persons or entides authorized by state or federal law to receive the data.
This requiremeat shall not apply when an individual is asked to.supply inyestigadve data, pursuant to section 13.82, subdivision 5,to a law
enforcement officer.
The co�missioner of revernte mav olace the noace reauired under this subdivision in the individual income taz or urocertv tax 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 classified as public,private or confidential. Upon lus further request,an individual who
is the subject of stored private or pvblic data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed
of the conunt and meaning of that daha. After an individual has been shown the private data and informed of iu 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 addidonal data on the iadividual has been
collected or created. The rosponsible 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 requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall wmply immediately,if possible,with any request made pursuant to dus subdivision,or within five days
of the date of the request,ezcluding Sadudays,Suixlays and legal holidays,if immediate compliance is not possible. If he cannot comply widi
the request within that time,he shall so inform the i�ividual,and may have an addiaonal five days within which to comply with the request,
excluding Saturdays,Su�lays and legal holidays.
S�bd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To ezercise this right,an individual shall notify in writing the responsible suthority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete a�attempt to noafy
past recipients of inaccurate or i�omplete data,i�cluding recipients named by the i�ividual;or(b)notify the individual that he believes the dara
W 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 authoriry may be appealed pursuant W the provisions of the administrative procedure act relating
w 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�ity 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 supp�y data, but refusal�nay 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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First Middle I-ast
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Address
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C��y State Zip Phone
I unders my rights as st above. ,
Si ture
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DA E TIME
CITY OF ORONO CALLED IN ` Z ��'��"'�'
INSPECTION NO C SCHEDULED�Ib q '� '`�""'
PERMIT NO. cOMPLETED �� u
ADDRESS iS�o ��r'1 �R �IbCiI .
OWNER � CC:c�s� CONTR.���f CCef�SOrI
TELEPHONE NO. �� �� 77
� DESCRIPTION C���e .
l� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q �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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED 7 ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �� PHOTO TAKEN
INSPECTOR WILL RETURN
C�i CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnerlContract n si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �^� "� � j �'�
INSPECTION NOTI, scHE�u�Eo � ^ �9�`'9 �
PERMIT NO. � �S COMPLETED
ADDRESS �5�� ��� � �4�-�� ��
�
OWNER�,��i�'`/ CONTR. ��—
TELEPHONE NO. �T'717�
� DESCRIPTION ���-�'tX
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FI�LING
� 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
5 FINA �. 14 SEWER HOOK-UP O6 PROGRESS
� -SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC tNSTALL. 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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� ❑WOflKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �l' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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