HomeMy WebLinkAbout1996-008257 - move wall � PERMIT
' CITY OF ORONO PERMIT TYPE:
,
2750 Kelley Parkway- P.O. Box 66 �.;i T�_[a�i�%
Permit Number:
Crystal Bay, Minnesota 55323 f�{:�����.�!�7
(612) 473-7357 Date Issued:
s:�`�,;1_;I�ar�.
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
:�:TuTE F'EfiN1I i k�t�t)I f;EC� �=3=,� ELE�:T�I t:��€ .
FEE SUMMARY:
V�i��1t'-�i I i i� �:�, �,,��i�
E�;�.s� ��N �7�.. 7�
`•��l,ii'C1'�_n}`�e _______ _��..y�'��''t3
T rt#.�+.� F�•`-� Y�i'�=,. .;=�
CONTRACTOR: — AF��1 i c a��t. — °��"T . L I{�: OWNER:
��;�:HT�I I C�T t�E LE h�i 1 �.7�,i y�.�:�, s=,�:;�:w; L�:':;t��t 1�; �1t�#�E TTE
1�.1� t�:HEF:�Y �'L :_�5�� D�EF`Hl�VEN AUE
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
r
, CI3ECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRES5 OR LEGAL: Z��3 b nlo 5��, � 2
PID:
DESCRIPTION OF WORK: �,o�,-e �,.,,q.c.c�
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ZONING REVIEW BY: /t/(� DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED: �� � 3-�6
------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes No ✓ SEWER CONNECTION
STATE SUR:I�AAGE Yes �'' No WATERCONNECTION
INVESTIGA'I'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Post Office: Scl�ool istrict:
�
Lot Area: .ft. i res Width � Depth
Survey Sub 'tted: Yes____� No Date of S�irvey:
i ,
Proposed Se cks: �
Fro t Lake): Right ide: 1
�
Rea ( reet): Left S' e:
I
�
Adj ent Structures: Wetland:
Building Hei ht: ef. Hgt. Peak Hgt.
Lot Coverag :
. I %' .
Gradmg: St ff Appr al Date. By: Council Approval ate.
Septic: Staf Approval Date: By:
Zoning File• # Resolution: # �Resolution Date:
Shoreland ist:ict: �
A . Setback: Bluf Setback: � L.ot Coverage:
Exis ' g Proposed
H rdcover: 75'
7 -25 '
25 -5 '
5 1 '
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
� 26
�
BUILDING REVIEW CHECK LIST
UBC: � Cs CONSTRUCTION TYPE: YN
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage X =
x =
TOTAL
Estimated Construction Value: $ 3,o�o
o�.
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
_o� Insulation (Masonry) Other
�Wall Board (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 PERMIT j:
27
�
' Total Fee: $ ,'��� -' `� Date Received:
Entered By: v : t Permit#: � = '�
CITY OF ORONO - BUILDING PERNIIT 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 OR CONTRACTOR
JOB SITE ADDRESS: �� �5�� �. ��� �� �7,Jc' � ��- ZIP: �� ��/
NAME OF OWNER: �-�,v�;�T1' � 1..� S�, � ���� PHONE: (home) `/�,j-/�/y
�
(work)
MAILINGADDRESS: 3�GS� bafz{fj���:�J CITY: R��at'6�,�-�,�,�; ZIP: �7S��Y/
CONTRACTOR: �L L¢�� �c��►.,,h� �°�*��s; PHONE: �f'?/-6 �<��
CONTACT PERSON: ,l�.t,�� ���-�,,�„�; MOBILE/PAGER: 3t:;� �(�"7 j
MAILING ADDRESS: ryi�J �tH��i';�K 6'�c- CITY: /1•1�..P �'r� ZIP: j���-°%
STATE LICENSE: # ��2�
t�L��P.�
ARCHITECT/ENGINEER: C c�.+/v i N C'C'E�fb. �{t���c,t r�; YHONE: �'��`�- 3�6C`-
MAILING ADDRESS: Z c•` �u�,w S�i- '� �, CITY: �'�)��i � ZIP: ;;�y/y
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration ) Land Alteration
PROPOSED WORK(describe in detai�: /�`�a�a,z ,H,;�R,�y; j'���t-� �t �� ftf'�ti:�tC
Lr� -
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �13�`�'� c��`
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: �-�C��— �--��---c� � DATE: �l 3' `��
NOTE! Parade Qf 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.
�
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom[he data is s[ored or[o be scored shall be as set forth in chis secdon.
Subd.2. Information req�rired to be given individual. An individual asked to supply private or confidendal dara concerning himself shali
be informed of: (a)the purpose and intended use of the requesced data within the collecting�tace agency,poliacai subdivision,or statewide system;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Emown consequence arising from his supplying or refusing to supply
private or confidenaal data;and(d)the idenriry of other persons or enddes authorized by state or federal law to receive the data. This requirement s6a11
not apply when an individual is asked to supply invesdgadve dara,pursuant to secdon 13.82,subdivision 5, to a law enforcement o�cer.
The commissioner of revenue mav ptace the noace rewired under this subdivision in the individuai income tax or Dropern tax refund
instrucdons inscead of on those forms.
Subd. 3. Access to data by individuai. Upon requesc to a responsible authoriry,an individual shall be infocmed whether he is the subject
of stored data on individuals,and wherher it is classified as public, private or confidential. Upon his further request,an iadividual who is the subject
of stored private or public data on individuals shatl be shown che dara wichout 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 iu meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuanc to [his section is pending or addidonal data on the individual has been collected or created.
The responsible authoriry 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 actual coscs of making,cerafying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any requesc made pursuant to this subdivision,or wirhin five days of
the date of the request,excluding Sa[urdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request
within that time,he shail so inform the individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays,
Sundays and Legat 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 nodfy in wridng the responsible authority describing[he nacure of the disagreemeat.
The responsible authority shail within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to nodfy past recipienu of
inaccurate or incomplete data, including recipients named by che individual;or(b)notify the individual thac 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 determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administradve 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 pemut or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You aze notified that:
1, The information you furnish will be used to detemune 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 eztent necessary to process
the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
g, 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
Ciry State Zip Phone
I understand my rights as stated above.
Signature
G�
DATE TIME
CITY OF ORONO CALLED IN `�' � /� F
INSPECTION NOTICE SCHEDULED � f�' � ` ��'-'
PERMIT N0.�� �J� COMPLETED
ADDRESS ��?�� �%�� 'r:��- `�—
��. -� `
OWNER C / ��_: 4- CONTR. ,� E�.�:�, 1 T
TELEPHONENO. �� � " �� `� � �
� DESCRIPTION ; j��'�Z�.�. c ���� -c.� �> r� ���
� 01 FOOTING 11 MECHANICAL RI 18IXCAV/GRADIN(3/P�WNd
�Q �2 FRAMING ' 13 MECHANICAL FINAL 19 LAI�SHORElWETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
= 05 FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEMQ-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
� 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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2
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d �WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W
W � CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORfiECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto �
r en-s}t
Inspector. �_ � �
White Copyllnspector's File Canary Copy/Site Notice
' ------
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Id!6�'_CHR
�°"` Cuningham
�t�H�yuue
�E1EVIiED OMLIOINT
rr�yi \�
— F�E,� Hamilton
. � � � � .m,�[re
� xcao�nn eun�ro
ucvnrzou�wur.vo - — � — — — — -- � �"aru`e�' Quiter P.A.
. FiRb1�,oerm„ i I I �°`�K"�'�R� 1
to ee uaz cc«car*alcriw
vn+1reeR rosr�s I
� 201 �lain St. S.E.
Suite 325
� b�bA�, �0'�OR,K, INCS.�! �) Alinneapolis, MN
O �-� Tms t'f'r�°rS 55414
— , - -- — —
� Telephone:
I 612-379-3400
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i – – � ,,.LL� � ���� � � �s.�`���.�s _4,�<::�,� 612-379-4400
IOQ,'R LOGInGH io I 7 � .>e
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ATELIER
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E�°.°��EE � I � I � � i�PftOVED WfTN O�3R�'''101'�g �iS NOTE17
DETAIL iq¢IPNLIYa
, _ _ _ _,��. _ _ _ _ � I_ ._ __ _ ��� . 01 APPRQVE� CORREEl� & RESUSMf► S C H O O L
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g +m yo r Irtfnrm�tkx�.AN work �`(�e I�:i�-�
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i - — — -I I — — — i �- -- — - Date: 7/20/96
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i a l x Comm. No. X}p�C
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