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Home My WebLink About1995-007521 - repair fire damage PERMIT t CITY OF ORONO PERMIT TYPE: .,F:. - 275QKelley Parkway- P.O. Box 66 - :�Ew�;� ��= Crystal Bay, Minnesota 55323 P e r m i t N u m b e r: _ _ r ,...._ � Date Issued: _ (612)473-7357 . - - - SITE ADDRESS: � _ _ ; _.'�:-�{�_ � .:,� , _ .,c_ �_. .� : _.. . _ _ - :: ,, ,� . .«_. _. .. _ _ ; . . .. , : : . . � . _.. . ... . ._... , . :_.. . . ..� : .t' DESCRIPTION: - - —.,�.. _ _ ._... . ._.. . -' i.;;r f_tF'1;-it:!-i;-. _�....... :1�.�; ;:� . _. ,t:�� _ f�r-'= ;�t=-...- �;a:;!r;z:�z�1��1�1�L , .,_ . ,, � . . ,,. . ,. �:. • -{ : . � : ._ -�.. - . , ,r�,.,..� _ _,:i_.y� Si�.. tFl+� .i/i_�Ii'i:_ 314A.iF��' �:f',�ti�_�'Yi'"r � R....i�.�i:h�+'�.i,l�l _ � i[��x'• _ .. .1E� ...i(+{_i.�u_:i.i�f_ .* . ... � _;_r'tF_;—_ ,�i1�_�. _ _�ji `'.�;,''k.r !t:�. REMARKS: .�`�a :�'. FEE SUMMARY: �.� }�'" .=;:j;_t_;;�r i r::,r.� . ._ _ � _._...r.... . .:'j'� -��j�.� , . � ��i:i i'�_�1�'?i _ . �._.,._._.__... _ - ,e�l ��J i.-.S. 4�� _._.. _f«'_ _k. CONTRACTOR: ;::>:::<. �.:�::::......,r _ .^; . ;_` ��- OWNER: � ,� ; _ : _ :: _ _ r°�:� :.-,r., �:; � . k... .. . . . . .__ sf_..Y. ._ _ _ . .. . . .. . .. .. ... _ .. . _ _._ - :- — ..'f. . .. . 1��-.. .l � �. � � . . ._ . .' 1' " ..�t 1!_ _ . � '� !�`��.'1��.!... . .. .. .. ... .. . . }_ ... . ._ �.1�•�i, •.!_; _... € a .... ('� � [ ... ��....f.�-� t, j,,3 }. r � ., . . .[� [' . _ � . ' 1#�• �.,ji��..��?.�'�`.A f.,.�i*2��j �E��L' !� 3.�.�_�. L... .. . ..r . _ ' .�.'. _,..k...3«��`7 ..•`%. ...:�`�.:. . 3��G I��S' _. �,� . �... . ._.E ......"i . . ' r ¢''� }�j ��, j`' '}' �+ ... �;� g 2a',e i.� .`' . � .. . ..; � ._7"�...;.. .r.."'�.&��.J �1�I�� :"I��i.._�� I�..� lat...., i ....,...« �:r ... ... _ 3 .«�� _•_�� . �.i`°r.�, ... . "1CVr,F'. ..e :...� . � z � t. ..: . .. .� . .�=.__2.. , �.��t�� _:iF;�I i��:.��'F; �#��Cx '�.��F�� ; ,- - +: , �� M; ; - ; : ' , , ,. . . , _. �.. . .__ _. � . :, , ;.. . . . : ._.. . : ,.� . . _ . I � J \/} l _ � N APPLICANT ER ITEE SIGNATURE ISSUED BY:SIGNATURE � � ' > DateReceived: Total Fee: S �� DateApproved: ' Entered By: %l� Permit�r: CITY OF ORONO - BUILDLVG PER.I�VIIT APPLICATION t�I,L Pi 1�I'OR�IATIO\T`ITJST BE SUB�TITTED L�i FULL BEFORE PLr��1 REVIEW`VII.L BE ST�RTED --------------------------------------------- --------------____----------------------------- ..._.__._��---- -.----� THE �PPLIC�:�iT IS: (circ:e one) 0«tirER OR�CON�'RACTO� JOB SITE �DDRESS: � ,.��,�— �—�r' � � �11: ZIP: .��.�q � �1�ti1E OF O WNER: ��,��w �u �u�ti�o.�t/ PHOv�E: (home) �f�/- ��n�7 (work) titaa.mTG�n�xEss: 3 .s��.r � ,,�� . �ITY: �.U.,�r��t�+-�� z�: 7 < 1 -/ i �_�_b�-�-'- /� PHO�iE: �l � 7 - j��'(% CONTR�CTOR: KJ �-t c -Zv� - �IOBILE PHO�tE/PAGER: (� y3 - �'��'`� VIAILING ADDRESS: /�l J l L' t/J--�-�` 1 -¢-- CITY:�� r� `�t ZIP: S_�� ST�TE LICENSE: y �% �C� ARCHITECT/ENGINEER: PHONE: VIAILING ADDRESS: CITY' ZIP' ��: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration _� Land Alteration PROPOSED`VORK(describe indetail): �' ^� ��►.'� �c /� �2��-� i�'1 ��r-��-'�'�L'1 C' i�1.vb��v r -S-�`'4 � STORIES: ,� SQ• �ET OF E�CH FLOOR: � ��-I NO. OF BEDROONIS: _,� G��GE STAI.LS: ATT. DET.�_ ESTII-i �TED CONSTRUCTION V�I.L?ATION(escluding land): � ��t�' �� I hereby apply for a building permi� and I acknowledge that the inforr�ation 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. ` '' � DATE: �/ -- �� — c� S�.. :�PPLICANT'S SIG�IATLTRE: , NOTE! Parade of Homes events require separate permit approval by Police D e�ent and City Counci l 6 0 days p ri o r t o t h e e v e n t. �V o n p e r m i t t e d e v e n t s w a l l n o t b e a l l o ' CHECx OFF LLST FOR ISSUANCE OF PERMITS " FOR OFFICE USE ONLY � ADDRESS OR LEGAL: "�s�s L�-r�� ,4,1-� PID: DESCRIPT'ION OF WORK: Fi2.� 1��a�- ��s� ci►^��- �-« �•�°•^`e-,, r � Go� ZONING REVIEW BY: �/� DATE APPROVID: BUII..DING REVIEW BY: DATE APPROVED: ; � -9�- 9 S ------------- --------- ' FEES TO BE CHARGED: :vlisc. Fees Calculated By: PERMIT Yes �/ No pL� g��W Yes No J' SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION _ INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPEC'I'ION Number of SAC Units OTHER (specify) -------------___------ ZONING CHECK LIST Zoning District: Shoreland District : Fire Department: Post O�ce: Scho D strict: Lot Area: Sq.ft. � Acres idth DeP� . Survey Submitted: Yes No Date of ey: Proposed Setbacks: Front (Lake): 'ght Side: Rear (Street): Left Side: Adjacent Structures: i Wetland: , Building Height: Def. gt. Peak H . Avg. Setback: � Bluff Setback: Lot o rage: Eusting Propose 1 Hardcover: -75' , 5-250' 250-500' 500-1000' � Hardcover V 'ance Requir : es No Date of Council pproval: Grading: taff APProval Dat�: By: Council pproval Da[e: Sepric: taff Approval Date: By� Zoning File: # Resolution: � Resolution�Date: g�V1Ag][�S (in hOuse): 1 BUII.DING REVIEW CFIECK LIST UgC: �— `3 CONSTRUCTION TYPE: ��"� � Sq Footage S Per Sq Ft� Basement x — lst Floor R — 2nd Floor R — Gara�e X — x = TOTAL J��' Estimated Construction Value: $ � �� Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _� Footing Septic Sewer Connection oC Framing Fireplace Lawn Irrigation Insulation (Masonry) Other �Wall Board (Mfg.) Well (State Perm.it) �F�� Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): ------------------------- REVIEW BY OTHERS: DAT'E: Access: Ezisting New Access Approval: Date BY' �M --------------------- )• RENIARKS(TO BE NOTED ON PERi�1IT 27 . ' �_-� . � / � � � ' O _ O N� -_-_ _ CI'�Y of ORO ,� ;:: ,� ;;;�.; �, .t,�� .• �, .'�: .,` � Post o�ice sox 66 �,� . �,- . - :� � Crystal Bay,tilin►�esota 5�32"i-U066 lJ •,J.. ;,-.-``� �9kESII�4-. �� DATA PRTVACY ADVISORY In accordance with �1.5. 13.04, Subdor license ifrom thee Ciryrot CO:ono o�an lo e i o inform you that your request tor a permit departments may require ��ou �o rurnish certain priva�e or confidential information. You are notified that: l. The information y�ou furnish will be used to determine ��our qualification for the permit or licensz requested. 2. You may refuse to supply data, but refusal may require that the City der.y the permit or license. 3. The information may be shared with other local, state or federal aaencies to the exter,t necessary to p:Jc�ss �il� permit or license. 4. If your requested permit or license requires Council accion to approve. some information mav becom� puolic. �, You have cerain ri�hts under M.S. 13.04 (see fo�lo�j�ina p�Q�) to review privare data on yourself. (. Your fu11 name is required to process this application or permit. PLEASE PRL�'T � �,�V�C1 �.�iWl i�L�.(.+�v�-- ��o �[Ya�CJ� First �fidd:e Last / yS"�/� 5-�-�` �'.� . Address 4vv✓ ,j-� 7 � ✓�S Phone Ciry State Zip I understand my riQhts as stated above. Si� ature T'EI.EPHO?YE-4T3-7357•FAX-4T3-O510 �.p.� RIGHTS OF SIIBJECTS OF DATA Subdivision L Tppe of date- The rights of individuals on whom the data is stored or to be stored shall be ss set forth in this section. Subd. 2. Informatica required to be given in��' An.individuel asked to � ' su 1 private or confidential data concerning �mWithin the collecting state agency, PP Y purpose and intended use of the req�m;d �b�whether he ma� refuse or is legally political subdivision, or stetewide sys �own consequence arising from his required to supply the requested date; (�� a�Y �d (d) the identity of supplying or refusing to supply private or confidentiel data; other ersons or entities authorized by state or f ederal law to receive the data. This_ p 1 when an individual is asked to supply investigative data, requirement shall not app y pursuant to section 13.82, subdivision �, to a law enforcement officer. The commissioner of revenue ma la�t taX re°und�tructiotzsu nsteadhos subdivision in the individuel income tax or r• er on those orms. � . - --- - . Subd. 3. Access to data bY i��' �p°n request to a responsible authority, an individusl shall be informed whetbh�ec hPr vateeor eonfidential.e Upon his individuels; and whether it is clessified 8s p •1 � ublic data on e to him and, if he desires, shall further request, an individuel who is the subject of stored priva e or individuels shall be shown the data withou fanh��ta. �ter an individual hes been �e informed of the eontent and meaning the data need not be �isclosed to shown the private data end informed of its u��action pursuant to this section is him for six months thereafter unless g �P n request by ending or additional data on Lhe individual h�ate or publie datarupoe8ted. The � P require the responsible authority shall provide copies The responsible authority may �in the the individual subject of the data- �rtif 'n and comp g requesting person to pay the actual costs of making, 3'i g� copies. immediately, ii passible, with anY request The responsible authority shall comQly of the date of the request, made pursuant to this subdivision, or with lida e �f immediate compliance is not excluding Saturdays, Sundays and legal Ys� ossible. If he cannot comp2y with the request within that time, he shall so inf�orth the p hsve en additienal fve daYs within which to comply individuel, and m S t�� S�� d legal holidays• request, excluding Subd. 4. Proced�e when data is not accurate or complete. An individual may ublie or private data concerning himself. To contest the accuracy or completeness�ef P in writing the respensible authority exercise this right, an individuel shall notify describing the nature of the disagreement be��,Pa e or incomplete and att pt to days either: (a) correct the data found to notify past recipients of inaccurate or incomp�t rie t�e esdthe datalto be correct the individuel; or (b) notify the in�vldual Data in dispute shall be disclosed only if the individual's statement of disagz'eement is • included with the disclosed data• e�e� �uant to the ' The determination of the responsible authority mo contested cases. provisions of the administrative procedure act relating 1, ATE TIME CITY OF ORONO CALLED IN 'i i"�'� INSPECTION NOTICE SCHEDULED !�/-"�' � � �"" PERMIT NO. �.`�--�- � COMPLETED _� � ->,�-- - / ADDRESS _�� 15~ -��_�_ C�� .t , OWNER �.-��`f� �--c�l^— � CONTR. ti--�-�' �-� TELEPHONE NO. �� 7 � =-'j C�' � DESCRIPTION�,�� -! -,�'�/��r� � 01 FOOTtNG� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLWG Q`02 FRAMtNf'i /� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: , -��`�/_�, �-�.l'��.; ��;; W a � � O >. � O � W � Q � Z W � W � j O W WORKSATISFACTORY:PROCEED i=, PROJECTCOMPLETE � C CORRECT WORK&PROCEED C-: ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �'CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARR GE ACCESS. Call for the ins cti n 24 hours in advance.473-73�J7 OwnerlContracto o ' e: Inspector. � White Copylinspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CA�LED IN `"��'""��y -''%=°'J INSPECTION NOTICE SCHEDULED 1/-d CZ PERMIT NO. �.J O` � COMPLETED ADDRESS �h�� '"'�'� OWNER ��fi"/�.��z"��r -Y'l�m� CONTR.��1 ��'�" TELEPHONE NO. �g�� " �� DESCRIPTION �n� t�� rf� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNE IREPLACE � 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP �T � 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP ��y�' 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. N� u 21 COMPLAINT � 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 Q OWNER/CONTHACTOR TO MEET YOU:_YES_NO Z � COMMENT . � W a � � � � . O a � � O � W � Q � Z W � W � � d U WO K SATISFACTORY:PROCEED C PROJECT COMPLETE W � ORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY W O Cl 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 � INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contr c n si : Inspector. White Copyllnspector's File Canary Copy/Site Notice