HomeMy WebLinkAbout1999-011502 - entry steps PERMIT
� CIFY OF ORONO PERMIT TYPE: � - - ` ° -
2750 K�Iley Parkway- P.O. Box 66 �-`���`�����
Permit Number: _ ._ ._=��<<:�
Crystal Bay, Minnesota 55323 - - _
(612)473-7357 Date Issued: _ _ . _ ..
SITE ADDRESS:
_ - T ._ .�=I;��'�� , . . __
;�:i�
- . ... . . . . . ._.._—� i.:—z= _.._—a;�;:=���:
DESCRIPTION:
��!�t 4}.a 1 i i_ ��_=1~EI9.t`'�. '. � _ T __ _ � '� f ��' ,' !y _
' �..,�,_.=' �?-i�J: h:�.i•_�.: _
{v"� T S i� )�'��f �;:;°i i f�� i °e L�i-3 !`4,1�{'v� �4j� �r��"i�i'"i��yR I"'
��f_ __l, a_ _. .. . , _ ._ N � . .__. ...�._•'-s...i...
i;_+y_ �iF_t_F�(�^����F ��+�i
_.i�Fli�'�.1'11i,,;'�.St�i;: � f�'�N� `.ft,l
:_;=+11�r11i•:� f,:��ff;1r? a�.:�;.� i-?►_t . E�:`�T�i��sr=�+!i L hl�_
REMARKS:
FEE SUMMARY:
. .'.�_ _. . . T:- �,� +�•1 , x_'t:li;
{_:._t�"ra sir:s •"i�'=i'.S . ._ _
�' I a,i't f-ti;_�;�y'7 r'?S.1' �•r:�-. , �[_e
=''•-,!�',-;�t�?'`_::' ___...__..._.__. �+,�,!',tzt
��_tT.d.L t"'��j �`�`�; . t_}i
CONTRACTOR: O.WN�R;:_�.: -� � � � ' .'-'-�=�'''-� "�
._ :��..�_�:��. ;�=`�}�
.._� W::3. j ��:.i T?�?�:��� �s,���
:=t�i_ij+it�� i��� _�_ _;i
.�-��f—�:t i,� -
�€�� ��t�4���;�I�.��€�i� h�;��i��;`,j ��r�t�r'-��'`=� �'��`�I�::�<i ._.�� T>�; �r��.� ��i.... �:_��.:. ". ., . .:� .'�.�.,��x €"°:�
=wF�`��`:��7 F�'� f��v�'g �t�;�-.�-.��=; �._� �iraE �i..�. t}1�"+���; �fi�f �=T►�'I�.T �:�:�#��'�_i�.F.___ +� � . �f = .;i� ;���`
:�#��_t�'�`�_ _=: .`_f�.�.-� �`:.__ ._` '_: =- ;� . . _: ._. �Z��r��>=i��i"� �JI�.����; _+,��A �:;�_;�_ , ._, ._��;�'`=
�-r;= # ;3�s°�= t
� : � . . . �
~ J
� � -
APPLI ANT'P IT SIGNATURE ISSUED BY:SIGNATURE
r `
� Total Fee: $� 'J.D/ Date Received: �.— �_`�',��'
. Entered By: �/� Pexmit#: �f/�p z,
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 R CONTRACTOR
JOB SITE ADDRESS: 2�B�f L�d i arc�. 1���- z�: �S 3 3 f
NAME OF OWNER: �Q�� '���n �' � �1��✓ PHONE: (home) �7 I '�U�I�
�� L 1 r' (work) �71 -D�6
MAII.ING ADDRESS: Z(� �d. c� c(- ��crrY: �xc e s r u►- z�: ss33 i
COi�1TRACTOR: PHONE:_
CONTACT PERSON• n � i r MOBILE/PAGER:
1�1AILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
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 detai�: ��}e b P,!"1�rCt,Y1 CL T�D Yln v ho rnv
S �ov�L
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �. C�p�, eo
I hereby apply for a building pernut 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 pernut and work is not to start without a
permit; and that the work will be in accordance with e approved plan.
� ` � Z 99
APPLICANT'S SIGNA DATE:
NOTE! Parade of Homes events requi separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
. � .
Sec.13.04 RIGHTS OF SUBJECTS 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 section.
S�bd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be info�of: (a)the purpose a�l inte�use of the requested data withii►the cotlecting state agency,poli6cal subdivision,or statewide
sysoem;(b)whether he may refiue or is legally roquired to supply the requested data;(c)any]mown consequence arising from his svpplying or
refusing ro supply private or confidernial data;a�(d)the idendry of other persons or entities authorized by state or federal law to roceive the data.
This requirement shall not apply when an individual is asked to supply investigadve data,pursuant ro secdon 13.82, subdivision 5, to a law
enforcement o�cer.
Tha rnmmiccinnPr nf rrvPnnr mav nlarr thr nnfic,e(�ppj�llI1dCT I$IS SU�1V1S10I1 lIl[}1C Ii1dIVIdU31 ItICOIDC�flJC OL DiODCT�V l&E TCfllild
in�tr�ctions'utPad of on chose forms.
Subd.3. Access to data by individusl. Upon request to a responsible authority,an individual shall be informed whether he is the
�bject of stored data on udividuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without am+charge W 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 meaaing,t6e data need not be
disclosed ro him for siz months thereafter unless a dispute or acaon pursuant ro this section is pending or addirional data on the individual has been
collecoed 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 suthority may require the requesting person w pay the actual cosu of making,certifying,and compiling the copies.
The responsible authority shall comply unmediately,if possible,with any request made pn�rsuant to ttus subdivision,or within five days
of the date of the roquest,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that ame,he shall so inform the individual,and may have an addidonal five days within which to comply with the request,
ezcluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleuness of public or
private data concerning himsdf. To ezercise this right,an individual shall notify in writing the respoacble authority describing the nature of the
disagreement. The responsible audwriry shall widun 30 days ei@ur: (a)correct the data fouM ro be inaccurate or i�omptete aad attempt to notify
past recipients of imdccurate or incomplete data,i�luding recipients named by the individual;or(b)�tify the individua!that he believes the data
to be correct. Data in dispute shap be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The determination of t}�e responsible suthority may be appealed pursuant to the provisions of the admiaistradve procedure act relating
W contested cases.
I?ATA 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�iry of Orono or any of its departments may require you to furnish certain
private or confidential information.
You ue 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 fu11 name is required to process this application or permit.
n �
��2r'l�r��+e✓ m C�r I 2. �`f}�l��Y _
Fi�t�8 ` L y�I Ct►'G�, I�11/M�e I.asc
�� [�
A�x�e�s�U✓ 1Mn s5331 �f71� ����
Ciry State Zip Phone
I understand my rights as stated above.
^ �.
signa
6
. . . CHECK OFF LIST FOR ISSUANCE OF PERMITS
. FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 26f3`-1 LYh�A2/, Avf -
PID:
DESCRIPTION OF WORK: L-�v�Yt.�.,�5
------------------------------------�---- -- ----------------------------------------�--�-----_��--
ZOI�TING REVIEW BY: DATE APPROVED• g
BUII.DING REVIEW BY: DATE APPROVED: G -�' - �L `i
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes �/' No SEWER COrfNECTION
STATE SURCHARGE Yes � No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONIl�'G CHECK LIST Zoning District: /I�v C �f��f -- /�/(��/ L7vGLp/aG�i �.,o.�� •
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:
Reaz(Street): Left Side:
Adjacent Structures: Wetl d:
Building Height: Def. Hgt. Peak gt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # esolution Date:
Shoreland District:
Avg: Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hudcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
f � r
BUII..DING REVIEW CHECK LIST �
UBC: �' S CONSTRUCTION TYPE: �e'�t
� Sq Footage $Per Sq Ftg
Basement x —
1 st Floor x =
2nd Floor x —
Gazage x =
R =
TOTAL
Estimated Construction Value: $ (,?•e�o -
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
• Hazdcover Removal Mschanical Water Connection
�Footing Septic Sewer Connection
_e�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd (Mfg.) Well(State Permit)
�C Final Grading/Filling Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date By:
REMlARI�S (TO BE NOTED ON PERMII�:
8
ri ` .
� � �-
S:�
� ` Q ��
J � 8 �
J �p ��
� � � � � z �' �
'� 2 � w �
� � O¢ � � � �$�.�,c
� � � � 0 � � Av ��� Y\
� � a w w � �
PLPI '� � c� LL ~ a � a: � � � � �'
� $ �J -� � � ti�• �F � �
_ O � , �i
uv � a � t�. v' � o ��,� � v
��7 � . �- C7 - a3 >�� � �
�:r� 'N Z � c3 `n � Z U �ii �ii �C `° �� �-
�_ ��,�1 � � °' o " � �. � � � lt
�
� ' �` � �-- �
`n �' � � � � � �$.� f�- �.�..
� � � � � � � � �
� _ o � �.�d� ��
.
� -
x �� �
_L'� � � 1 1--,
t �
'S� � t"
S�
� �
`
. \
\ �
��
�
�
_ � �
Y �
�"�' ^� ----
l--�
,w. �
�
. �
�
i �
_ �i�} V� �D �
�s _x ,n
ir
,. ��
� ' ' -�- i�.s� C�
o � ' �
� � � �
� ; I � �
� � � I , N
� � '
�a -� �
�
�
� �
i �
_� �� _ _
� ,
�
�
� 4.
rJ �
i
� � +��. 4�l
� � �
� ; � �
N . ,� . _ �� � �
4� ' � �
� � �
� � �
--� '°C �.
�
, �
� _� , �
� c�' '�J t�
DATE TIME
CITY OF ORONO CALLED IN � �"l c' � �
INSPECTION NO ICE SCHEDULED $ ""l 1 °�c�
PERMIT NO. � S�� COMPLETED
ADDRESS a��'�I L-��[���0.vc) �-
OWNER �--� �l-L-��-'�- CONTR.
TELEPHONE N0. �71 -�1 �fi'O
��SCRIPTION
� 01 OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC F1NAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COM S:
� .s�. - .
yQ�C� !,''r�
�
�
O
�
�
O
�
W
�
Q
ti
Z
W
�
W
�
�
d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W ,
O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ns tion 4 hours in advance.4 7357
Owner/Contr ctor n
Inspector.
White Copylinspector's File Canary Copy/Site Notice
�-
� --- — —
' u -
� . �.C�.��11� Q��IC[�.Z : u
� � . .. . . . . . . .
. M „s� ,s�voo N � ':
— — .... 68'681...
% — —
� �
b � H .
, ' • ( ro b
� I p.
o � b
: � � �
, �
. y � � I �
� � 4� ,
c=n ,� •. � �
. , m y : Nti •-', y ..3��. I � o
. oo ' �� �� �ti' �� I fi] ; = L
�p � £l'9l � �v �Of� �� • _
�
, � cO C=J ,,� I � �, cO N
� � � �x � '�� ti� . . � � m
. � `° �° � � H' �' o �
� ; �o .�� � :
q` � '``�,r(, I a� �� 9'S� m
� , • � .�` .q� � � I �
�::•; . O�'` ' b�'� � �
�
y '� �� � o �.
� U o w r� � I + �'
. � � � � I � °� . .
`�`� I
° � � � ..
,� ;� � � .
�''- -•-l8'68l -• ;' — —
• 1� 3 ,�9� ,81000 S ��� � •
' � � , �
� �
, ��
r �
. -. o � .
0
� `v
� m .
0
�
0 0 . . .
--i rrn
cn .
J O
� �
m �
� -�
z p .
• . I Z
. v � � � Q � "
—�-I Ct y �I� �
m Cl:i � ''•7 (n �
O �.! =-? � --1 � O
�:� f �� r'� .� � �
:� ;n c,i � g
. C:? �.7 C:7 ..y ,.,,� 2 '.
r�i �� � =� Z
. � 3 �. '- �
� --� I .-� m
W � � v
p � � � Z
� • �. c rr r�
s n
�
. cn � � p.
� O N � �� C •
�m � � � :�• � �
_ y O � s� � ' �
m � � � �T z :� z .. �
c�u � �■1 � m �
,'D � ..t t/� '� o ��- °
�• N � � D �
� � Cp �p Q a�
��� � . . �
N ��� � �p ' , ;�
� w �,■n : �
��� � ' �- .
N��� � � N . . . � . .
� � Note: Only copies which bear an embossed a�eal aro certlfled cople:
i1ltsTtRw , 1 MWtY ORR�1f 71tAT?Ns K1►M�H tdw0AT10N 011 Q
•� . � � �� � CE1�li�'r�A �E o� S v,�v�Y w�o�rw�unw��rrso�we�wouuar � �
� � 111AT1 AWLYRfAttT*w� �
� � 1M�li/��TATlOP
� `" � 9 ��'� L '�1 L L I E� 2E5/�E�c./c"E �
N �
�`' D�2 D�./[5 � 1J1 ill • . /o t 91 �/`�39
a►Ts �cur�u►ta«Ma