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Home My WebLink About1997-009413 - remodel � —�� _ �- . PERMIT � CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 --=+-..=r_�'�`�= Crystal Bay, Minnesota 55323 Permit Number: ::y�; :;: (612)473-7357 Date Issued: - SITE ADDRESS: ..._ .. ._ �`r��!�,�i�u= t�:=;° ... . _ _ . :��:;_ DESCRIPTION: �;w�=;�.,.:�i.- �:E;t �,asl tl`•� i"'�1'�!�11'•_ t i�'w �+C'_i1��Ji P'ii_#'��}i1�{.._ i-:ii7 �i�=ii+� �tSs_ii':, �j��'�F: ��.��_i��'�? I �:'{�:`:.�'i3�ir„s�� :i�;t'_ 't i i�[1.��:.1'3=Y ��.-` rv �F —,- T�,;—,-, `'•+:�� ;::�:;-��:t.i'`_�#C .:i:_!,, ;-� i k S�` i _•!?��jj .,�-I�fl,.�;� -CF_�'-F �L � . S.'�.�r'.L�fi...fldi .Li"4?..� REMARKS: _ �>�- :n , �., - - _. : „: _ . . . _ _ s ,;.. � �r:;-.� . � _.�.... _ : ._ �: c : ; �_ FEE SUMMARY: ..'i:;�� ;,i s�;; '�.>:�, iw�.�Fi�i _;:h•��= . _._ :�:��.y�� . , _ � � � '�:� "' r—;;yJ «�{{S'i f`tr:�'+.:sr�- ----,_... .._ � _.��.'��I i-f.�'�� i s_;f._•,1 . .�_.. . _ . . _ CONTRACTOR: ,._ :,- OWNER: - - _._: .�. _. :�.-. _ � _._... - - - _ _ _...__ ___ , � _ . � ��+-�C:ti'Ya_:.._. — ?,r`, _,��y � ._ � . ,. — — . v ;�i , r=� _ � E �_�;j�1 1�i�"i1� �,:1 i i f-�,�._...F .. _ � �-I:-�t�.h:Z_-t .`�,'''t!'� - - _ �- . ��:i.j:;� _ - - ,'"t n,r:� ��'� �'� _.:. _,c.. - : � .r.., . . . �. ,: .,,� . T�� rt,�;�.-;� jt�!.`'.�-., t,1...- .. . _ . _: _.' :=i_ _ _ _ _ . . . . , _ .. . . _ " j�� i t "'. `,._ . � _ ;i C,�i: ., _._r;...� -� _°F� " ._.-. = t t "�:i i� '_ i, !.E'i F�=i' ',—,�� t #1' 1��f £��I.? . s A ;. _ t , I�i�'. .i..._f _il:;l)��i�-�r. i� t _'"' t w�"�' z }I��i)T _ �.. . ._,. _ . ... . i � � � F". .i �� . :.,� ,. . C y } '. ... . ,�! . �' L _ ._ . ._. . _ _ - `�. � ' � �C� APPLICANT/PERMITEE SI TURE ISSUED BY:SIGNATURE��G�/ � ' a Total Fee: $ ��/. �;�->r Date Received: I�-,t�� 7 Entered By: �,`;� Permit#: �7�(3 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 OR CONTRACTOR JOB SITE ADDRESS: ,��p .S� ��/p�i'a,r� �irc�e ZIP: i�7s. ,8�,��,=� L P� �� Y� �t �'I►�. ��,r� `Z1� /�Zr s� NAME OF OWNER: :��OS'' �y�,`G✓� �','rc�c° PHONE: (home) �7�- � 2-i � (work) MAILING ADDRESS: CITY: y�,�,� ZIP: CONTRACTOR: . Sr ��z--�7 ✓y� PHONE: y,��' �3�� CONTACT PERSON: J S 1V� �/�: - /�/o �% MAILING ADDRESS: G� . y. , � � ,►.�CITY: �j� s . ZIP: SS y�/D STATE LICENSE: # 3 7SG � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: GISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration � T�stc�'1 �'Htli/�ice,�.�c,rr�:� �C�z�-.--- PROPOSED WORK(describe in detai�. `.,- a��_� �. Ci,� ,t.7't'oj -�.� / S � �c r� ' ��). . , .��C �7�i.rt�(-l.G �,ct�,, v� /i-c'...ac.�._ .C�s�j� � � *-..-�-�t' !r-/ nZc.cu''ocG.c�.� J STOI�IES: � SQ. FEET OF EACH FLOO12��:c��-�-��``�'�- / NO. OF BEDROOMS: S GARAGE STALLS: ATT. DET. �+c� . ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -Z S, ��'4 f 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 ordi nces and codes of the City and with the State Building Code; that I unde and this is no pe ,�It and work is not to start without a permit; and that the work will be i ac rdance w�t he a proved plan. ; APPLICANT'S SIGNATURE: ,al' �ATE: y �� /4� — �_ 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. 5 L.., ��w Sea 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. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning Uimself shall be informed of: (a)the puipose and intended use of the requested data within the collecting sCate agency,polidcal subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing ro supply private or confidential data;and(d)the identity of other persons or entiaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav�lace the notice reouired under this subdivision in the individual income tax or nrooertv tax refund instructions 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 his further request,an individual who is the subject of swred private or public data on ituiividuals shall be shown the data without any charge to 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 meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secaon is pending or additional data on the individuai 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,wiih 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. If he cannot comply with the request withit►that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, excluding Saturdays,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 data co�eming himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)conect the data fou�to be inaccurate or uicomplete and attempt to notify past recipients of inaccurate or incomptete daha,including recipients named by the individual;or(b)norify the individual that he believes the daCa 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 administrative procedure act relapng 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 fumish 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 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. �. � JG�'lu1 �Z— � �/SSnt� �h . First � / Middle Last Z W • L-Q A Y{ �t7'� �w Address � , / ��-in e �i �i C �H. S.��ID �2�` `7 3 Z� C��y State Zip Phone I under d rights as stat bove. _ �� Si mre 6 . . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: Z�a� �.Y O��0 Gr�c c� � PID: DESCRIPTION OF WORS: 1Z-��o� ZONING REVIEW BY: /`� `/� DATE APPROVED: BUII.DING REVIEW BY: DATE APPROVED: 9-i e- 5> � � � FEES TO BE CHARGED: Misc. Fees Calculated By: PERNIIT Yes ✓� No PLAN REV�W Yes No ✓ S�,'WER CONNECTION STATE SUR`HA�ZGE Yes �/� No WATER CONNECI'ION INVESTIGATION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONIl�TG CHECB LIST zoning Districr. 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: Wetland: � Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: � Zoni.ng File: # Resoludoa:# Resoludon Date: � Shoreland Dis�ict: . 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: _ REI�IARKS('m house): • 26 . BUII.DING REV�W CHECK LIST : UBC: _ t2• � CONSTRUCTTON TYPE: V� . � ' Sq Footage $ Per Sq Ftg Basement x _ . lst Floor - - . . x � _ . . .. � 2nd Floor x . _ . � . � . Garage x _ : x = TOTAL Fstimated Construction Value: $_ Zs,$c�o� � • Inspections Required: • Work Requiring Separate Permits: � Site Plumbing Fire Hazdcover Removal Mechanical Water Connection � ' Footing Sepdc Sewer Connection ` _�.Fr�g Fireplace Lawa Irrigation _�C Insulation (Masonry) Other d Wall Board (Mfg.) Well (State Permit) —�F� G��g �Electrical (State Permit) Other REMARKS (1N HOUSE): � RE'VIEW BY OTHERS: DATE: Access: Existing New Access�Approval: Date gy; � REMARKS(TO BE NOTED ON PERII�IIT�: • . _ . _ 27 _ . - . . .. :�: DATE TIME CITY OF ORONO CALLED IN �.Z�-z i INSPECTION NOTICE SCHEDULED �'3 � iv:v� PERMIT NO. `�' COMPLETED �_ N ADDRESS OWNER CONTR. , /z,� TELEPHONE NO. 9�5 - 3.Z� � DESCRIPTION ..�t'�� 01 FOOTINO 11 MECHANICAL RI 18IXCAV/ORADINCilFIWNC3 �Q 02 FRAMINO 13 MECHANICAL FINAL 19lAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 W BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FI 14 SEWER HOOK-UP O6 PROGRESS ~ DEMQ—SITE 27 SEPTIC NWNT. 21 COMPLAINT J W 07 DEM4—FINAL 15 SEP71C INSTALL. 22 FOLLOW-UP = 09 PLUMBINO RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL � INO FINAL 28 CEDAR S GLES 36 FOUNDATION REMOVAL WNER/ NTRACTOR TO MEET YOU: YES NO c„ MENTS: � W a � J O a � O � W � Q � Z W � W � � d �,,•,ORK SATISFACTORY:PROCEED �� J�YY J�PROJECTCOMPLETE W C CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR =.CITATION ISSUED G INSPECTION RE�UIRED.CAIL TO ARRANGE ACCESS. Call for the n xt inspection 24 hours in advance.473-7357 OwnerlContr�o ite: Inspector. ` White Copyllnspector's File Canary CopylSke Notice DATE TIME CITY OF ORONO CALLED IN ��i�.Zfs'J INSPECTION NOTICE SCHEDULED � %�— PERMIT N0. �' �� COMPLETED � ADDRESS ' OWNER CONTR. TELEPHONE NO. C7�-� �� DESCRIPTION �,�,��e�� W 01 F ING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING �_ - �02 FRAMIN 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 03 INS ION 24/25 WOOD BURNER/FIREPLACE 34 TFEE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q Z OS FINAL 14 SEWER HOOK-UP O6 PROGRESS ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVEF REMOVAL v 10 PLUMBtNG FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED W . PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED C. ISSUE CERTIFICATE OF OCCUPANCY W O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. -, pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ,- CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance.473-7357 OwnerlContract s t : Inspector. White Copyllnspector's File ' Canary CopylSite Notice