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Home My WebLink About1997-009035 - add/remodel PERMIT � � CITY OF ORONO PERMIT TYPE: 2750 K�ey Parkway- P.O. Box 66 Permit Number: ````'`-`i'�`=' Crystal B�y, Minnesota 55323 ,�.';-'�'=-':w��=, (612) 473-7357 Date Issued: _ - SITE ADDRESS: -.�_:_• � .: _ � ._ _�i � ��{�: ��t�� . -: _.. ; - - _.. ;:: . : ,-- . ; _:-. ,;..: . =�- ::r DESCRIPTION: . . :� : 4`?F�iL._.� ; i"'`_��i'.��iV J � ��si 1 i�a 1 i�'� �`��'t'ffi 1�• �f�_��' ��i—�'�-�•'_Js.�!i�:1_��1�_'Ut� �-�!�? l��1�� ,i�t��:: �!-':��? ��:�•v{�9t�i=';Tc I L'�'f�l=:�.i�f iE'`'�_ '��.��-�a�tt` �-_� i`:,��t-t•=t.t�t i�t.i r��;:�->:�_�? t F�j s_t'1"i�f�i�w .:E=t��: ��.:�� 3xW i . i i``•_��f''�I�� REMARKS: i::"', �a, ,, -- `-' �: <<„ }- idiC.:: t-� a r`. . . . .__. FEE SUMMARY: ��,:::�_::;�:;f i s t:�� =_. _��=� ��.�•��, �'r.:� �:;:�.'� . .7= '`�:�5! �ii�:y'i�?y�s . _:-r `.i2 �_�_��,.-f-�;at,;�.,= ------ �.�.�i.s �t�t7..a�. , =r` ��:.r'� , _.� CONTRACTOR: " ` -�" .... .._ �. : .; ... -.,_,.,. _ :...� : � . _ .. _ _. . .. _ . . �..�� NER: .{.� ._ :-, '.._h:{`� =i��=`;i:��=�'s 1 ��_ _ ._ __. . _ . _ . . ,... -;-,:,� .;!�� 3"�i •.::;� ..�. .- ; :r: _. _. _. . .. . . , .-`V 42`..E�r� T�',_1i_Ik:° L;`!i -`�,'—�� I ,'F; ; i_. �`��_ ._„sr„te"t;_iC.l:.�'�; ;*;�'t� •�yr_;_`f C• ; ;�.,`:", . . . _ ._ ._ 's� �� '� ,. -�-�,y. ---�-.-. - '^ ,.,,t .. � : � _ __ _!;��'sW.t i�� ._. �_:. ;'�__`�`.._�� [ ,t_4_f_!.._ti . .� . .w, ..r .�. _ v �, _`. y !�.. .�'.'._ . . ...» . ._�. ._ !.: . .�... ,�.1 .3�� . ... _.i' � j� 3t-I! �- : -s� t ...F k _ . _.._ .. _' _. ..x '. �'._ t_: t i, ...'r<<. _�F�. .� r' .. _ _ _ . � iC' _ ___ ;. . � � _ ` TM � „ � . .; . .�._ . _�_ . . ._ _ ._.. . _._. . �"a L ' �;-.€.' .�..E _f. .._=T��,�`.�._`...._ .-�Y.,�} , _,"i". . ". __ '.... k°!�. .. '._� . ? :- �_ ��r�.. �.t��? _ _ ..`..� '� ._ ... �._i'. s '� . �1 �._ � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CHECK OFF LIST FOR ISSUANCE OF PERMITS ' FOR OFFICE USE ONLY � ADDRESS OR LEGAL: , ��:� I ��;t�-c.�:_ CLc�-- PID: ` - �� . � � ,�3 c�i� DESCRIPTION OF WORK: �e_ .�' y,. `� ---------------------------------------------------------------------------------------------------------------------- ZONING REV�W BY: IU DATE APPROVED: BUII..DING REVIEW BY: � DATE APPROVED: b- 3- �� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓ No PLAN REVIEW Yes ✓ No SEWER CONNECTION STATE SUR�HARG� Yes �' No WATER CONNECTTON INVESTIGA'I'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZONING CHECK LIST zoning District: Fire Department: Post Office: School District: �Lot Area: Sq.ft. Acres Width Depth iSurvey Submitted: Yes No Date of Survey: IProposed Setbacks: � Front (Lake): Right Side: Rear (Street): Lefr Side: ; Adjacent Structures: Wetland: i Building Height: Def. Hgt. Peak Hgt. N � Lot Coverage: ; Grading: Staff Approval Date: By: Council Approval Date: � Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: , � � Shoreland Dist:ict: IAvg. Setback: Bluff Setback: Lot Coverage: , Existing Proposed �'�i Hardcover: 0-75' I 75-250' �; 250-500' � I 500-1000' � � Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): • 26 r BUII.,DING REVIEW CHECK LIST � UBC: R ' 3 CONSTRUCTION TYPE: Y� Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ � SOv�o Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection X Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Mfg.) Well (State Permit) � Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ----------------------------------------------------------------------------------------------------------------------- REMARKS(TO BE NOTED ON PERNIIT): � 27 Total Fee: $ ��'Z�, ` �� Date Received: 4> ; ��i • Entered By: : t Permit#: `/� ; ,j 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 CONTRA-��C Ri �.�.__.____—_._._-= JOB SITE ADDRESS: �_��i�� .,��'��C ZIP: ��cj� _� NAME OF O"'�TER: �_�!T/� ��-'2 fL5't��c� PHONE: (home) <�� /C)�� (work) MAILING ADDRESS• � �" `" �� CITY: ('J/2r�,�;C; ZIP:;��11 i� , �, CONTRACTOR �,, � �:�_��-;,.�'�,_•i�_-r,r%,%,/��"/"t;�;; ,��y✓i�PHONE: � �'� r �,J� f-� CONTACTPERSON.��;�- ,,,, 1� ,;� �_- ��j f MOBILE�PAGER; ��. ;�%� � � '� �'' MAILING ADDRESS ;;:'- =; j�„�-; i�_t_I��I��_.;�'�C i�a CITY: ��°'��j k-' r+ ZIP ��>"- STATE LICENSE: #�;�_;-�,1�_ ARCHITECT/ENGIlVEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration �, Land Alteration PROPOSED WORK(describe in detai�:�-,.,`•�--,�!�;Tl�f�, _ _�_,, ;.:v,�1� ��'�,c_� ��`��_% �-�� r' ,-+��`s�r�r��i= � ��,_;i_ ;�.�,�r.�s` 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. � . , APPLICANT'S SIGNATURE: � _ " i % , - DA''��: /- - � %' �� 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 Sec.13.04 RIGHTS OF SUB.TECTS 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. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the pucpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whethec he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entides 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 section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue mav nlace the notice reauired under this subdivision in the individual income tax or orooertv 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 oc co�dendal. Upon his further request,an individual who is the subject of stored private or public data on individuals 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 section is pending or additional data on the individual has been collected or created. The responsible authority 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 acmal cosu of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with 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 wiih the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, exciuding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An i�ividual may contest the accuracy or completeness of public or private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)cortect the data found to be inaccurate or incomplete and attempt to notify past recipients 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 disclosed only if the individual's statement of disagreement is included with the disclosed data. The deternvnation of the responsible authoriry may be appealed pursuant to the provisions of the administrative 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 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 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 full name is required to process this application or permit. ��=a 3 � �� " C�l.�� I�r— �- `� First � Middle I.ast ,��n � � � � �� C L e,�.J 1��(�—�� Address _;� �'r�Koa- I`�1 ,�� , ��.� C�ty State Zip Phone I underst d my right as stated above. S� nature 6 DATE TIME CITY OF ORONO CALLED IN �Is � INSPECTION NOTICE SCHEDULED � � ��7 � �`�� PERMIT N0. �' COMPLETED � _� ADDRESS � � OWNER�`n n �� CONTR. -1-� .�� TELEPHONE NO. ��J�I�- /7.Z3 � DESCRIPTION ./��m�e� � 1 FOOTIN� 11 MECHANICALRI 18IXCAV/ORAOINO/FIWNQ y d 73 MECHANICAL FlNAL 19 LAI�SHOREIWETLANDS 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 FIOOK-UP 06 PROGRESS ~ 07 DEMO�fTE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBINO RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � w � � d WORK SATISFACTORY:PROCEED W� - PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance.473-7357 OwnerlContra or si e Inspector. � White Copyllnspector's File Canary CopylSite Notice DATE fTIME CITY OF ORONO CALLED IN ��a�7 �`'� � INSPECTION NOTIC SCHEDULED � L=�� PERMIT N0. �� COMPLETED ADDRESS S I � OWNER T CONTR. TELEPHONE NO. �7�/�3(o � DESCRIPTION � OOTINO i t MECHANICAL RI 18 D(CAV/ORADINCi/FIWNO �Q 02 13 MECHANICAL FINAL 19 LAI�SHORE/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 O6 PRO(3RESS ~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J � 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBIN(i RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBINQ FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED W� C PROJECT COMPLETE W O CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT O COFiRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ` ❑STOP ORDER POSTED.CALL INSPECTOFi !:GTATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on ' __ Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN � �� INSPECTION NO ICE SCHEDULEO '� PERMIT NO. �� COMPLETED ADDRESS �� (�LC� � OWNER CONTR. TELEPHONE NO. � DESCRIPTION V�. Q, I�J C�j{� � C�,{� � 01 FOOTINO 11 MECHANICAL RI 18 IXCA /�RADINQ/FI O � 02 FRAMINCi 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z f�IALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ��'�' 06 PROGRESS ��Jrvr.� 14 SEWEFi HOOK-U P � 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT �Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBINO FINAL 28 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O > � O � W � Q � Z W � W � J � �ORK SATISFACTORY:PROCEED - PROJECT COMPLETE W C CORRECT WORK 8�PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING pEHMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance.473-7357 OwnerlContracto o e: Inspector. ! White Copyllnspecfor's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �,J - /�-%l � -J I� 0 INSPECTION NOTICE SCHEDULED , � ��i> PERMIT NO. COMPLET�o `� �� ADDRESS �S� �_� SI�LC� C-LL�'� OWN ER ��'vLr,.?�-�—� CONTR.��k-��' � �� <� TELEPHONE NO. ��-" / ��-`> � DESCRIPTION .u� "u`fj �L-��' J��r�-:`-- 01 FOOTINO , 11 MECHANICAL RI 18IXCAV/GRADINd/FIWNO y 02 FRAMING 13 MECHANICAL FlNAL 19 LAI�SHORE/WETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER MOOK-UP INSP C ITE ON' Q --- = OS FINAL 14 SEWER HOOK-UO 06 PROG ~ 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT J �Q 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 70 PLUMBINQ FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � /� "/�' y � C �W V ��y� J�� /�� "'t i�� .;L j � �,�w�. S !1 �y� �.� (L � � i��-Q 67%�'- � '}'Vl,t7..J-'� ll.r,�J�t`•}-F-�.P "�'� �'�77 `�`''l � Ci�T'I-2►1�f O � W � Q � Z W � W � � d C WORK SATISFACTORY:PROCEEO � PROJECT COMPLETE W � C CORRECT WORK 8 PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WOHK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. n pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContract i Inspector. � ;. White CopyAnspector's File Canary Copy/Site Notice D TE TIME CITY OF ORONO CALLED IN .Z/ INSPECTION NOTICE SCHEDULED .Z ,/J�:C?C� PERMIT N0. COMPLETED �_ _� ADDRESS OWNER �irn CONTR,��t�-�T,,� TELEPHONE NO. '�7.Z — �S�S � DESCRIPTION ��4�_s�o�� Ot FOOTINQ 11 MECHANICALRI 18EXCAV/ORADINO/FIWNO � 02 FRAMINQ 13 MECHANICAL FINAL 19 LAI�SHOREJWETLANDS Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. - 12 WATER HOOK-UP 17 SITE INSPECTION Q = FINAL -�,��Q3'7 14 SEWER HOOK-UP O6 PROGRESS J 07 DEMO—SITE � 27 SEPTIC MAINT. 21 COMPLAINT W 07 DEMa–FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 0 RI 23 SEPTIC FINAL 35 HARD COVER HEMOVAL v 10 PLUMBINO FINAL �� 26 CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OR TO MEET YOU:_YES_NO � COMMENTS: � W � j � � O a � O ti W � Q � 2 W � ' W � � � � �WORK SATISFACTORY:PROCEED - PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. -- pHOTOTAKEN INSPECTOR WILLRETURN ❑STOP ORDER POSTED.CALL INSPECTOR '==CITATION ISSUED ❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 Owner/Contractor on sit • Inspector. White Copyllnspector's File Canary Copy/Sfte Notice a