HomeMy WebLinkAbout1999-012040 - re-do porch PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: `�;`'t'�`.°'� `�ti;'
Crystal Bay, Minnesota 55323 `- ���`;``is�'
(612) 249-4600 Date Issued: ; , . , -. - -
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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: -- .- , �:r��. �.���i7-� --
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ I l�o� �a� Date Received: 7.�l,�� 2,�_
Entered By: ��yQ� Permit#: lapy�
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CITY OF ORONO - BUII�DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print al ' rmation)
THE APPLICANT IS: (circle on OWNE R CONTRACTOR
JOB SITE ADDRESS: 1?j� �o. � Yl�t l/�� ZIP: �(o�
NAME OF OWNER: SCx7rCC �D(�r PHONE: (home) (02
�" /� (work) H 13-371�
MAILING ADDRESS: �3�b No . ri�nn J/iecl/�; CITY:_Q�Qo^!o ZIP:�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
� Move Remodel/Alteration_� Land Alteration
PROPOSED WORK(describe in detai�: �E_ �, �,. Sc.�.r�i�) �i,P��
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALL5: ATT, DET.
ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ i �Dd ,Dt�
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
pemut; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade q�Homes events require separate permit approval by Police Deparlment 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. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secrion. -
Subd.2. Information required to be given indivIdual. An i�dividual asked to supply private or confidendal data concerning himself
shall be informed of: (a)the purpose and intended use of the roquested data within the collecting state agency,polidcal subdivision,or statewide
sysoem;(b)whether he may refuse or is legally required to svpply the requested data;(c)any la►own consequence arising from his supplying or
refusing ro supply private or confidendal data;and(d)the identiry of other persons or enaaes authorized by state or federal law to receive the data.
T6is requirement shall not apply when an individual is asked to supply investigative data, pursuant to secdon 13.82, subdivision 5, W a law
enforcement officer.
The��mm�ssioner of reve�e mav nlace the nodce rewired under this subdivision in the individual income tax or nrocerN taz refitnd
instructions inctead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an i�ividual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the�bject 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 i�ividual 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 dus secaon is pending or addidonal data on the individual has been
coll�xd or created. The responsible authority shap provide copies of the private or{rublic data upon request by the individual subject of the dara.
The responsible authoriry may require the requesting person W pay the actual cosu of making,certifying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request roade pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Suc�ays 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 addidonal five days within which to comply with the request,
ezcluding 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 coacerning himself. To exercise dvs right,an individual shall notify in writing the responsible authoriry describing the nature of the
disagcce�nt. The respoasible authoriry shall within 30 days either: (a)wmxt the data famd to be inaccurate or incomplete and attempt w notify
past rccipients of inaccuraoe or i�omplete data,i�luding recipients named by the individual;or(b)nodfy the individual that he believes the data
to be correct. Data in dispuu shall be disclosed only if the individual's statement of disagreement is included with the disclosed dara.
The determinadon of the responsble authoriry may be appealed pursuant w 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 aze 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 shazed 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.
First Middle Last
Address
Cih, State Zip Phone
I understand my rights as stated above.
Signamre
6
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CHECK OFF LIST FOR ISSUANCE OF PERMITS �
' FOR OFFICE USE ONLY • �
A.DDRESS OR LEGAL: l'��3� /V C� A R�v� �p l�
� PID:
DESCRIPTION OF WORK: 2,�c-t '
ZO�TING REV�W BY: DATE APPROVED: �c�- )y- 9 g
BUII�DI�i 1G REV�W BY: DATE APPROVED; �t�- t�- g g
FEES TO BE CHARGED: Misc. Fees Calculated By: ;
PERNIIT Yes e� No I
PLAN REVIEW Yes [/ No SEWER COrfNECTION
STATE SURCHARGE Yes v No WATERCONNEC"ITON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of SAC�Units OTHER (specify)
ZONING CH�CK LIST Zoning District: LQ- I 6
Fire Department: yv�,��ne,p Post O�ce: v�nro�� School District: t�r�+s T'sN!� .
Lot Area: Sq.ft. 'Z-`�,V(,G Acres •� � Width l V v`'1 Depth Z�i 5.c? pv�c
Survey Submitted: Yes D� No Date of Survey: �r•�b,9 g
Proposed Setbacks: �
Front(�a�: j )7 '�' Right Side: 1 4� �
Reaz(SLr�at): �1 S � �' Left Side: S S�
Adjacent Structures: �¢T7)4 c!f�� Wetland: N/A
Building Height: Def. Hgt. C�•{� Peak Hgt. u�(c
Lot Coverage: �/, �► S°?o �
Grading: Staff Approval Date: N//* By; Council Approval Date•
Septic: Staff Approval Date: N I� By:
Zoning File: # N /�- Resolution: # Resolution Date: .
Shoreland District:
Avg. Setbac : �J/A- Bluff Setback: /�//a- Lot Coverage: �W
Existing Proposed
Hazdcover: 0-75'
75-250'
250-500' �`1°To
500-1000'
Hazdcover Variance Required: Yes No 0'� Date of Council Approval:
REMARKS(in house):
7
BUII.DING REVIEW CHECK LIST '
�C: � ' 3 CONSTRUCTION TYPE: 'V/J
Sq Footage $Per Sq Ftg
Basement , . : x _
lst Floor � x =
2nd F1oor x =
Garage x =
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TOTAL
Estimated Construction Value: $�,5 pD`�^
Inspections Required: `Vork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical �� Water Connection
_ZC Footing ` Septic Sewer Connection �
�� _ps Framing Fireplace • Lawn Irrigation
Insulation (Masonry) Other
Wall Boazd � (Mfg.) Well(State Permit). . .
iR-F�1 Grading/Filling ,�_Elecirical(State Permit)
Other �
REMAR��,S(IN HOUSE): . . .
REVIEW BY OTAERS: DATE:
Access: Existing rtew � .
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIZ�i
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KEEI'7�HJS PIAN SET ON 51T�A7 ALLtI`IMES
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TIME
CITY OF ORONO CALLED IN ��� �' t�; v a
INSPECTION NOTICE scHEou�E� -- —��
PERMIT NO. I�j �� C COMPLETED � �� �21 ��
ADDRESS I � �S� �v G��i'rl �+'�-�
OWNER CONTR.
TELEPHONE NO. � -- �
� DESCRIPTION��'U ��f�`�- � �� - �^-�`-
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FtLLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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� ULATIONJ� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
��D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 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
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d �ORK SATISFACTORY:PROCEED �— PROJECT COMPLETE
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� 7 ORRECT WORK&PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY
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O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
CICORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
[.� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlCon or on s' :
Inspecto � �
White Copyllnspector's File Canary CopylSite Notice
DATE 'l TIME
CITY OF ORONO CALLED IN 7 J I-�-��✓
INSPECTION NOTICE SCHEDULED `��'�'��v �- ��O
PERMIT NO. �l��yO COMPLETED � P�U
ADDRESS ���D /CJ- f�r�-�-� D�
OWNER �1r'��/ �S�'1��b�ru` CONTR.
TELEPHONE NO. �/7/����G-�=-
� DESCRIPTION _��r�� o�^ pc�r�rC%I... � G�t���✓S
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 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
J 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� �JORKSATISFACTORY:PROCEED �l PROJECTCOMPLETE
��C� CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTOTAKEN
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. 249-46�0
OwnerlCont,r c or on site:
Inspector.����-� �-��/J
White Copyllnspector's File Canary CopylSite Notice
SURVEY FOR: CAROL & SCOTT SANDBERG GENERAL NOTES: , 63279-001 s�—s�
570.16
� SCHOELL & MADSON, INC. 1 . • Denotes,iron monument.
2. The south line of Lot 4 is assumed to have
ENGINEERS . su�roRs • PUNNERS a bearin of East.
SOIL TE5TING ► ENVIRONMENTAL SERVICES g N
10580 WAYZATA BOULEVARD, SUITE 1
MINNETONWI, MN s�� HARD COVER AREA
I (812) 548-7801 FAX:548-9085
� SQ. �.
HOUSE 1,281
� I DRIVEWAY 1,933
SIDEWALK 85
CONCRETE 1 18
i i i � � WOOD STEPS 74
� - � � � � RETAINING WALLS 55
GRASS 21,205
TOTAL AREA 24,666
TOTAL HARDCOVER AREA 3,461 OR 14.0�
(250 Per Plat)
N89°51 '46"W 249.10 (Meas.) ��0.�5
ROCK
I� c�s BLOCK WALL SCREEN PORCH
� GRP WALL
� DRIVEWAY ROC 31.6 �2.0 , ,- , _r �� W
t� v�� WALL
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�� � GRP N � 6:5 Q
o ..^ N�ISTING�a ,. ::��, o J
o � c� .•. • . CONCRETE
d- � "'/ HOUSE� ''`'^� E3LOCK PATIO 3 �
��/ \�G P� I WOOD STEPS // �z.o ��O `' ����
O Z'� 31.6 �'� .:: s �
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� � � ��� S S DEWALK ��PSS Z W CIT� OF ORt��VO
'�j �� GRPS 2 � �iTE PI.AN GR�Ii�C PtAN
?i � / � r , -� l� U � APPROVED-S
O O � Grt�� Pb a��
L _ L J � I
• � � � u APPROV�'D V11lTH REVISf�iS
� ❑ DtSAPF ��'ED �
tf � j BY
� � �� EAST 231 .70 (Meas.) _ �_���2�� �1 --_ -
y 232 Per Plat) f�,�lT��-._____--_------- -
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� Cr�o•O � <-. �� �, `" � ' -� i� " �� -�
•oo ��3` � , �� , ' � `�' �� ' DESCRIPTION:
` t3' � � , �� Lots 3 & 4, Block 12, SAGA HILL REVISED
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�: I I hereb certif that this surve was
Y Y Y
prepared under my supervision and that
I am a Licensed Land Surveyor under the
laws of the State of Minnesota.
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� This drawing has be' gn checked and �-�-�. - !
reviewe this I 3 '�'"�— day of �v Richard J. Wil�i4�ms, Jr.
� , 19�, � `� ' �
by -� � 30 0 3o so 90 Dote: Sept. 16, 1999 License No. 19840
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