HomeMy WebLinkAbout1999-011747 - screen porch PERMIT
�ITY OF ORONO PERMIT TYPE:
� 2750 Kelley Parkway- P.O. Box 66 _
Crystal Bay, Minnesota 55323 Permit Number: -: ::°.,._.:; _
612 473-7357 Date Issued: �'�� �,!=��f�
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: - ��:�, j S 3_yi�;�. --
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APPLICANPPERMITEE SIGNATURE ISSUED BY:SIGNATURE v-��
. Total Fee: $ /.j�' �(o Date Received: �- � y�
Entered By: �� Permit#: ���7
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
JOB SITE ADDRESS: ��/ -�� ��r� � � Y'� ZIP: �5�54� � �
��1%-�,��� ����
NAME OF OWNER: ;e����F��� f��e" PHONE: (home) ��7 Z- 7`/l�
(work)
MAILING ADDRESS: S����'1 �- CITY: ZIP:
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRE5S: CITY: ZIP:
rJ�E; REGISTRATION#
TYPE OF WORK: New Addition� Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detai�: �'"�� c �; cv� �Hv��-'��i
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.
ti ,;���--� �
APPLICANT'S SIGNATURE:��,�, ��'d�� DATE: ��- `�� ��
NOTE! Parade �f Homes events require separate perntit 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 SUBJECTS OF DATA
Subd. 1. Type of data. T'he rights of individual on whom the data is stored or to be stored shall be as set forth in this section.
Subd.2. InformaUon required to be given individual. An individual asked to supply private or confidential data conceming himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political 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 to supply private or confidential data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply invesrigative 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 nro�ertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or conf'idential. 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.
T'he responsible authoriry may require the requesting person to pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry 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 with
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,
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 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)correct 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)nodfy 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 determination 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 �ity 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 Ciry 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 applicatinn or permit.
�'J �CJe��I I ���
First Middle Last
�,���( /C� ���'�v�1 ��--
Address �� I J
Ci�o`� C C�"�;Ii� �.�-� �� l/� �'. ��l �
Ciry State Zip Phone
I under tand my rights as stated above.
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/
Signamre
6
, CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: l 3�31 N o RTl-4 A R� �R� �
PID:
DESCRIPTION OF WORK: ��,(L�-7V Po�-c.�� -
-------------------------------------------- --
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ZO�1ING REV�W BY: � DATE APPROVED• �-l Z-5 �
BUII.DING REVIEW BY: DATE APPROVED: $- �-i- �,�
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes J' No SEWER COrfNECTION
STATE SURCHARGE Yes �/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC � Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: (,2-i3
Fire Department: W�,o��n Post Office: vV•�v� School District: 1,,.��s rorv lch
Lot Area: Sq.ft. �1�1, z,c�.� Acres 1•t'3 Width 1 RlU3�u v�.-2 Depth
Survey Submitted: Yes�C_ No Date of Survey: on� (t l o-�-3•g�
Proposed Setbacks:
Front(Lake): Right Side:
P�N��
Rear(Street): Left Side:
Adjacent Structures: AZ-r�c�1-�.� Wetland: N►A
Building Height: Def. Hgt. o• �`- Peak Hgt. -
Lot Coverage: o.I�
Grading: Staff Approval Date: - By: Council Approval Date:
Septic: Staff Approval Date: — By:
Zoning File: # — Resolution: # — Resolution Date:
Shoreland District: �(�5
Avg. Setback: !�•l� Bluff Setback: /' Lot Coverage: O•L�
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hudcover Vaziance Required: Yes No Date of Council Approval:
REMARKS(in house):
7
BUII.DING REVIEW CHECK LIST '
UBC: IZ'� CONSTRUCTION TYPE: �(N �
. . Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
R =
TOTAL
��
Estimated Construction Value: $ Z,Q�Oo '
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
�C Footing Septic Sewer Connection
Framing . Fireplace Lawn Irrigation
�Insulation (Masonry) Other ��
Wall Boazd (Mfg.) Well(State Permit)
_�Final Grading/Filling �o� Electrical (State Pem'ut)
pther�
REMARKS(IN HOUSE): �
REV�W BY OTHERS: DATE:
. _
Access: Ezisting New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
8
CITY OF ORONO CALLED IN �� ��4 Jrl�`J
INSPECTION I�QTIC SCHEDULED d 4�
PERMIT NO.U����� COMPLETED � 6 �p f� 3�
ADDRESS/3� � /C��/ /'��
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION ���
� 1 FOOTING� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q �2 G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP
77 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 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR �-- CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contr ctor on site:
Inspect��' ` � �.r �S
White Copyllnspector's File Canary Copy/Site Notice
� ATE T�, , IME
CITY OF ORONO CALLED IN �—�r—
INSPECTION NOTICE SCHEDULED � ��
PERMIT NO. /,�.7�7 OMPLETED / 3 �'�
ADDRESS ���J� l v�r TTYI r 1
OWNER���� CONTR. �
TELEPHONE NO. c�el q^3 g��--
� DESCRIPTION
11� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
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 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor on site:
Inspector.��a�- ���'� r/f �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �' �
PERMIT NO. cornP�ErEo �-�'I—C.b � •���
ADDRESS dV ��
OWNER ' CONTR.
TELEPHONE NO. -L 7� / F� �
�' •(�i�� (-a�` I D`7 `/ectiy— C�' (`
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FFiAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �,WORKSATISFACTORY:PROCEED �'PROJECTCOMPLETE
W �❑ CORRECT WORK 8�PROCEED f i ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
�]STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
'Contractor on site:
�/l/1�2�a���
White Copyllnspecior's File Canary CopylSite Notice
ATE. TIME
CITY OF ORONO CALLED IN i /�/
INSPECTION NOTICE SCHEDULED 9
PERMIT NO. /�/'���I COMPLETED � � t
ADDRESS /
OWN ER CONTR.
TELEPHONE NO. '���.2 — 7�/ �
� DESCRIPTION l"�1�.��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANfCAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
OS FINA 14 SEWER HOOK-UP 06 PROGRESS
� EMO-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
� COMMENTS:
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� I�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
C; CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra or on site:
Inspector. � �c _ ���3
White Copyllnspector's File Canary CopylSite Notice
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