HomeMy WebLinkAbout1996-008251 - screen porch PERMIT ►
, CIT�( OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 �;i,:��„i:'���,��
Crystal Bay, Minnesota 55323 PermitNumber: :;t�;�•y��
(612)473-7357 Date Issued: t��q�� L.,:�s_:.;_:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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APPLI ANT/PERMITE SIGNATURE �'� � iSSUED BY SIGNATURE --��
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`' Entered By: Permit#: ��-j ►
CITY OF ORONO - BUILDING PERNIIT 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) LOWNER;�OR CONTRACTOR
JOB SITE ADDRESS: ?�`G � � �i r �\c l/. ZIP: � 5 �
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, � �� � _ � � h��
NAME OF OWNER C ��� 5 � ��f�(S�PHONE: (home) 7` � _
�,f (work) �<� „:-. �
MAILING ADDRESS: < ���� �—� y'/-�f� ` ��CITY: �,���� �,.�Z�r�ZIP: 5�5�9/
CONTRACTOR: ,��'����y�_ r %"�� PHONE:
CONTACT PERSON: 4 MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: i '='� , . PHONE:
MAILING ADDRESS: '� � � =� ' ' CITY: ZIP:
NAME; REGISTRATION#
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TYPE OF WORK: New Addition �; Accessory Structure
Move Remodel/Alteration Land Alteration
,� �
PROPOSED WORK(describe in detai�: ��.����� %� � ' �_ � < �
STORIES: SQ. FEET OF EACH FLOOR: ��
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �� �� �
� ,
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 permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNATURE: �, ��' i' �� ��� DATE: � �/�� -=
—�- �
NOTE! Parade of Homes events require separate pernzit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGHTS OF SLTB.TECTS OF DATA
Subd. 1. Type of data. The righ�s of individual on whom the data is stored or tobe stored shall be as set forth in this secdon.
Subd.2. Information required to be given individual. An individual asked to supp(y private or co�dential data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data wichin the colleccing'state agency, polidcal subdivision,or statewide system;
(b)whether he may refuse or is leeally required to supply the reques[ed data;(c)any imown consequence arising from his supplying or refusing to supply
privace or confidencial data;and(d)che idenary of other penons or enaaes authorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigaave dara, pursuant to secaon 13.82, subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav place the norice required under this subdivision in the individual income tax or propertv tax refund
instrucrions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible auchoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whecher it is classified as public, private or confidenrial. Upon his funher request,an individual who is the subjecc
of stored private or public data on individuals shall be shown the data wi[hout 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 ics meaning,the data need not be disclosed to him for
six months thereafrer unless a dispute or action pursuant to this secaon is pending or addiaonal data on the 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 che data. The responsible authority
may require the requesting person to pay rhe actual costs of making, cerafying, and compiling the copies.
The responsibte authoriry shall compiy immedia[ely, if possible, with any reques[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
within that tune,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,excluding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accu:ate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall notify in wriring the responsible authoriry describing the nature of the disagreement.
The responsible authoriry shal(within 30 days either: (a)correc[the data found to be inaccurate or incomplete and attempt to norify past recipiencs of
inaccurate or incomplete data, including recipients named by the individual; or(b) notify the individual that he believes the data to be correct. Data
in dispute shall be disciosed only if the individual's statemen[of disagreement is included wi[h[he disciosed data.
The detzrminadon of the responsible authoriry may be appealed pursuant to the provisions of the adtninistrative procedure act relating 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 pernut 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 information you furnish will be used to deternune your qualification for the pemut or license requested.
2. You may refuse to supply data, but refusal may require that the City deny the pernut or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to process
the pernut or license.
4. If your requested permit or ]icense 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 , �tidd}e Last
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Address � c - � i —
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C�n, �State Zip Phone
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Signatura,
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• CHECK OFF LIST FOR ISSUANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��/�,p :.�,,�.�r, ���—
PID: i7-i�7 _� 3 � 3 ��,7r
DESCRIPTION OF WORK: s �„�,,/a � Ccc=�c��-�_.c-f�
------------------------------------------=- -------�-----------------------------------------------------------------
ZONING REVIEPJ BY: DATE APPROVED: � - � 2-�to
BUILDING REVIEW BY: „�- DATE APPROVED: � -c Z-5 c�,
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes J� No
PLAN REVIEW Yes �o SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Post Offce: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes_ � I�to Date of Survey: p�v �=� l�;
roposed Setbacks:
Front (Lake): Right Side: �
�kcsTr�J�-
Rear (Street): Left Side: / C��-L'—
! Adjacent Structures: Wetland: r
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���- Building Height: Def. Hgt. �j, (� Peak Hgt.
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Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
I
Septic: Staff Approval Date: By:
I . Resolution Date:
Zonmg File: # Resolution• #
� Shoreland District:
Avg. Setback: Bluff Setback:
Existing Proposed
Hardcover: 0-75
t 75-250'
'� 250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house): S� �t�� ��T` � ' -!�S (
10
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BUII.DI�i IG REVIEW CHECK LIST
usc: /� -� co�vs�ucTTo�r �rE: �''v
Sq Footage S Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
vo
Estimated Construction Value: $ Z�DO o
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 Permit)
D� Final Gradin�/Filling _d� Electrical (State Permit)
Other
REMARKS (IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REVIARKS(TO BE NOTED ON PERIVIIT):
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DATE , TIME
CITY OF ORONO CALLED IN `'..�/57
INSPECTION NOTICE SCHEDULED _S/.Z3/9� _✓��
PERMIT N0. fi'� COMPLETED
ADDRESS �
OWNER� =-��p-� ���.�-T CONTR. ,�,�
TELEPHONE NO. 'S�7/ - ��� �
> DESCRIPTION .
� 01 FOOTING ✓ 11 MECHANICAL RI 18 D(CAV/GRADING/FIWNG
�Q 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
Q
= 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL z8 CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� C' CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O G CORRECT WORK,CALL FOR REINSPECTION TEMPOFARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
G INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContractor it
Inspector.
White Copyllnspector's File Canary CopylSite Notice