HomeMy WebLinkAbout2003-P06759 - addn/remodel/repair �., Z � � ' ^"� �S�'
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'�'otal Fee: $ � �� ' �� �„ ,,, Date Received: `�`���C1 3
, Entered By: —���� � �L�� � Permit #: _�C�' ��
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CITY OF ORONO - BUILDING PERMIT 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 OWNER R CONTRACTOR
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JOB SITE ADDRESS: 7�� �p� � ����2r�`�;� ZIP: �:�r-: y
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NAME OF OWNER: j�;r��- � ��� �,�,���Q r��_ PHONE: (home) q5;� ����-�G�%j
(work) �/��? - S/�;' - 3(�o�
MAILING ADDRESS: ��C� z '���/� 7 , CITY: � ,��� � � ,is� ZIP: � S'S 3 `y
CONTRACTOR GA2� A PHONE:
, CONTACT PERSON: ('u�� �;.��b_� ;^-��,, MOBILE/PAGER ���/�1- ,� /��- 3�',c
MAII.INGADDRESS:�,��� (�ciu��;� '.� 4i,n� CITY: /)9,��, ZIP: ��`s�3f--�
STATE LICENSE: #
ARCffiTECT/ENGINEER: � Zi PHONE: �i -_ � �c� —�c� ��
MAILING ADDRESS: �.��C' � i ' ' � CITY: �t,'r)r �;`s �; ZIP:_�
NAME: REGISTRATION##
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration C� Land Alteration
PROPOSED WORK(describe in detai�: �,-y���� ,'����,�,��,;� ,q��� ,,,���E�r�'�..���� >f�� .� ,
� Li( I'1 !f k'���9l ii
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STORIES: � 5� SQ.FEET OF EACH FLOOR: ��j��
NO. OF BEDROOMS: � GARAGE STALLS: ATT. 2 DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $ lDT c'��`'�?
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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 e approved plan.
�
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APPLICANT'S SIGNATURE: � � ���.� DATE: � � !��'
NOTE! Parade of Homes events requir separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
� �
Sec.13.04 RIGHTSOFSUBJECTSOFDATA
Subdivision 1. Type of data The rrghts of rndividuaf on whom the data is stored or to be stored shall be as set forth in[his section.
Subd.2. Injormalion required!o be given individuaL An indivrdual asked to supply private or confidential data concerning himselj
shall be informed of.� (a)the purpose and intended use of the requested data within the collecting state agency,political subdivisian,or slatewide
system;(bJ whether he may refuse or is legally reguired to supply the requested data;(c)any known consequence arising from his supplying or
refusrng to supplyprivate or confidential data;and(d)the identiry ojother persons or entitres authorized by state orfederal law to receive the data.
This requiremenl shall not apply when an individua!is asked to supply investigative da1a,pursuant to sectron 13.82, subdivisron S, to a!mv
enforcement o�cer.
The commissioner o�revenue may place the notice required under this subdivisron in the individual incorne tax or property tax refund
instructions instead oI 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 classrfied as public,private or confrdential. Upon his further request,an rndrvidual who is the
subject of stored private or public data on individuals shall be shown the data wrthout any charge to him and, if he desires,shall be informed of
the content and meaning ojthat data. After an rndivrdual has been shown the private data and informed of its meaning, the data need not be
disclosed to him for six months lhereafter unless a dispute or action pursuant to lhis section rs pending or additional data on the individua!has
been collected or created. The responsible authority shall provrde 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 actual costs of making,cert�ing,and comprling the copies.
The responsible authority shall comply immediately,ifpossible,with any request made pursuant to this subdivrsion,or within five days
of 1he date ojthe request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possrble. IJhe cannot comply ivith the
request within that time,he sha/l sa inform lhe individual,and may have an additional five days tivithin whrch to comply ivith the request,excludrng
Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An rndividual may contest the accuracy or completeness ofpublic or private
data concerning himself. To exercise this right, an individual sha[l notify in writing the responsible authorrry describrng the nature of the
disagreement. The responsrble authoriry shall within 30 days either: (a)correct the datafound to be inaccurate or incomplete and attempt to notify
past recrprents of inaccurate or incomplete data,including recipients named by the individual;or(b)not�the rndividua!that he belreves the data _
to be correct. Data in drspute shall be disclosed only rf the individual's statement of drsagreement rs included with the drsclosed data.
The determination of the responsible authoriry may be appealed pursuant to the provisrons of the administrative procedure act relating �
to contested cases.
DATA PRIVACYADVISORY
In accordance with M.S.13.04,Subd.2,"Rights ofsubjects ofdata",we would like to rnform you that your reguest for a permit or license
from the City of Orono or any of its departments may require you to furnish certain private or confrdential information.
You are notified that.
1. The information you jurnish wil/be used to determine your qua/ification for the permit or license requested.
2. You may rejuse 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 lrcense requires Councrl actron lo approve,some information may become public.
S. You have certain rights under M.S. 13.04(see jollowrng page)to review private data on yourself.
6. Your ful!name is required to process this applrcation or permit.
PLE SE PRINT
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,4(`� ������,�1 �� f �gq('�
First Mrddle Last
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Address
1 � I 1�-1if'��In 1 ��—�h—�N �5 ��`—F—
Crry State Zip Phone
understand my rig s as �ted above.
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ignalure
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
' FOR OFFICE USE ONLY
• ADDRFSS OR LEGAL: 1 Zo �tn�� �jG�
PID:
DESCRIPTION OF WORK: Oi rlBN' i�Du--
ZOVPIG REVIEW BY: DATE APPROVED: 9-/S�O3
BUII..DI�i iG REY�`�BY: DATE APPROVED; �'i- / 8► -���
FEES TO BE CHARGED: Misc. Fees Calculated By:
PER�I�IIT Yes ✓ No
PLA�v REV�W Yes v' No SEWER CONNECTTON
STATE SURCHARGE Yes !� No WATERCONNECTiON
INVESTIGATION FEE � Yes No� PARK FEE
SAC Yes No_ ,�/ SIT'EINSPECTION
Number of SAC-Units OTHER (specify)
ZONING CH�CK LIST Zoning District: !,./t-�3
Fire Department: � Post Office: School District: • � " �
Lot Area: Sq.ft. Acres ' Width Depth
Survey Submitted: Yes_�_ No Date of Survey: 4•11� �3
Proposed Setbacks: � � �
Front(Lake): (p0 Right Side: Z'K ..
Rear(Street): (�2� Left Side: �1•�7
Adjacent Structures: N�� �Vetland: /J �+4 ,
Building Height: Def. Hgt. o•l� Pe�;gg�, o •K
Lot Coverage: �,5�� s� T�
-r��•i�te(�SgA
Gradino: Staff Approval Date: 9- 3 n'�"3 By:.f.�_ Council Approval Date: `"—'
`,�P�
Septic: Staff Approval Date: �-' By:
Zoning File: # Z°lo'1 Resolution: # Resolution Date: �
Shoreland District: -1
Avg. Setback: u A���v`�� Bluff Setback: /v�i'Q' Lot Covera�e: _�_Sdu ��
� Existing Proposed
Hardcover: 0-?5' �q.� �� _
75-250' ��. 9 `/S�
250-500'
500-1000'
Hardcover Variance Required: Yes�_ No Date of Council Approval: �'2 S-�3
REMARKS(in house): _ ..
:
� . . .
BUII.,DING REVIEW CHECK LIST ' .
UBC: _ I�' 3 � CONSTRUCTION TYPE: '
_ Sq Footage $Per Sq Ftg
� Basement . . x
lst Floor . � x . . . - . . .
2nd Floor x . _ . . . �
Gazage x — � � �
x
TOTAL �
Estimated Construction VaIue: $ / uv, �,t,v "�
Inspections Required: , `york Requiring Separate Permits:
Site a( PIumbing Fire
Hudcover Removal .� Mechanical
. __�Footing ' Water Connection
• Septic Sewer Connection
� �_Framing � Fireplace �
�_Insulation �_Lawn Irrigation
_,�Wall Boazd ���— Other
_�_Final ' �_�fg.) Well(State Permit) - .._ ___._ ,._
Other Grading/Filling _�Electrical(State Permit) �
RENIARKS(ni T HOUSE): .
_________
�______
REVIEW BY OTHERS: DATE: ��"-----��_ ~�
Access: Existing New �
Access Approval: Date �
By: �
REnZA.RKS (TO BE NOTED ON PERA�IIT�; ' ----_______�--- -------------------
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DATE � TIME
CITY OF ORONO CALLED IN 5 �-P—C'-5
INSPECTION NQIICE Q SCHEDULED '� �-3U-d�3 `���3C�,4✓li1
PERMIT N0. ��+��'' �'��K��COMPLETED
ADDRESS �-z� /�l"��T� ��.�V( ��' ,
OWNER����� �Z%ZI�{� CONTR.
TELEPHONENO. ��o� LIC'/S y'UC� �,
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� 1 FOOTI 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 ETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WAIL BD. 12 WATER HOOK-UP E 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
i09 PLUMBING RI 23 SEPTIC FI L 35 HARD COVER REMOVAL
J 1 MBING FINAL 36 FOUNDATION/REMOVAL
OWNE ONTRACTOR TO MEET YOU: YES_NO
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0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUEO
❑ INSPECTION HEQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContracto n e:
Inspector. �
White Copyllnspector's Fil Canary Copy/Site Notice
V
DATE _, TIME
CITY OF ORONO CALLED IN � �� a"
INSPECTION NOTICE SCHEDULED —��� /:'�'t'r
PERMIT N0. �'Lv` �i COMPLETED
ADDRESS�Db � � /r`:/�I �� f=1-k�-i.� 1� ��
OWNER ��F'(�tZTr� CONTR._-_G�l���'�Q,�`"�
TELEPHONE NO. �l"�� ��� _��c�[� - �l, ,
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� DESCRIPTION
1 FOOTING �� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� OTFf�OG(I G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARO COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICON�TRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
� BEFORECOVERINCa PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next'n pection 24 hours in advance. (952� 249-4600
OwnedContrac
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
i 1 n`� �
D �I� TIME
CITY OF ORONO CALLED IN
INSPECTION ICF{,.,-�JC.y SCHEDULED �jG � �:3L�
PERMIT N0. `�' � COMPLETED
ADD ES$Y�o�r/ ��i �ii � � � ,c�:�'7 �i�
OWN�R"� ��/�.�Ci d'�t%� CONTR.
TELEPHONE N0. �l�,� �� / �� � � �-�' L�
� DESCRIPTION �f� � �f''Y�-�-��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV DING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTOR TO MEET YOU:,�YES_NO
� COMMENT • �, \
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� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call forthe ne inspection 24 hours in advance. (J52� 249-4600
OwnerlContr r e
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
V
DATE TIME
CITY OF ORONO CALLED IN � '�S-�
INSPECTION NO � 7S�, SCHEDULED �Y = 3 c'P'L°f
PERMIT NO. COMPLETED
ADDRESS ����� ��r1/'�fj� ;��.�L�(�
OWNER �ir�i �� i b�°�� �'CONTR. �����
TELEPHONE N0. _ �L I,� ���T _�Cc��°I
� DESCRIPTION /-Cf C�-f`z� (C-
� 01 FQpTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMIN� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 ION 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 UMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWN CONTRACTOR TO MEET YOU: ES_NO
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Ca11 for the ne t inspection 24 hours in advance. (J52� 24J-4600
OwnedCoqt�a�o ite:
Inspector. ��
White Copyllnspector' File Canary Copy/Sfte Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N T CE SCHEDULED
PERMIT N0. �7 co ETED �_���
ADDRESS � 1� �'w�
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADtNG/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 INAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V t �BEFORE CWERING PERMANENT
❑COFiRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AEiURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlConUact ite:
Inspector.
White Copyllnspector' File Canary Copy/Sfte NoUce
� � DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION N E SCHEDULED 3-/-DS �3:D'D
PERMIT NO. �7S COMPLETED �� ��
ADDRESS 7O� /U. �"/�/'►'� f�r'
OWNER z��� CONTR.
TELEPHONE NO. ��o� `,�� 3�� �
� DESCRIPTION �U`-� - �� -��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
�FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAI 35 HARD COVER REMOVAL
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContract n site:
Inspector.
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� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA� 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
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Call for the n xt inspection 24 hours in advance. (J52� 249-46��
OwnerlCont�r , site:
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