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HomeMy WebLinkAbout1996-008270 - decks/windows l PERMIT . � � �,ITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 �:�t 1�[�j��; Crystal Bay, Minnesota 55323 Permit Number: Date Issued: {_�{}`�j'"�i"} (612)473-7357 i.};-;!1'��.=�F. SITE ADDRESS: :_,1:�� td�3�iTH `=�Hi�1�E C7h i:!-{ F' . T . t�. r i�`�~11�+—'�=.—:;;�—i�i�f:� DESCRIPTION: ����:�:::_;i�}T N[it=��}:�: �:ui I��irn� �'�rrr�i#. TyF�� '�=�—H�3s�:�tiwi`�����EL �.�a}. 1+�!.)i�� �,i��i}-i.:; �I"y F'e �'?�:;C:�'��. {1���: i ic c�f°�.}�c v I�-i—:; �.:r��-��{.2�ta�f.j.r��! T���� tl�rl .f��ll7.tl� �}�1—i�+ ���°il=:l.aS C:r���� »����� t-�L I . (�z.'�`•�:T t)F�IT�Ri., REMARKS: :�;E�'��ATE F`ERi�i i T REs�41 I�'EU �iw�h ELEC:7h I CAI_ �:==i"A i E:� . FEE SUMMARY: ',�{�I IlAT3►�EP� ��, �,i3�r E�as� �?� �� 1:' . ?'� F�lar� �;�vi�� �:�i. �a�� `=,u�,cF;�r��� ------ ��;�.�, T���t-�I F�� �1=�? . ;L, CONTRACTOR: OWNER: — �:c��=1_ i r�t-tt. — +����:^;F:��i�; AhhiE =;i:=°.__, i��=��'TH ��4-��:fRE C?F� i��1�}�t���� t�lt�l ���"�1 i1 i 4 ..' { �?,;�e.(. �'y�: i_+t•4s:���i`�;I�t�#�;! f�f�ilGVY n�l,�l Jf_'�;T'�: F'�a=+'t�f'=:°a��.�r�i�i Tf_f �i�=,��;�:_ T�iE �;Er�i� I C•3r'��=�V�t•1i:i�.;��.. ,�:(-°�:i;%t=�,�:[; {-�t�,![) �-1�;h��:=� �3_1 i JE_I ��?_�_ ��_?�:t�:: �f`�i �����:�.fi:� €:I_:4i�;�:'�.1(=;��i:�. ��i�!-� i:�i,� �;:�'!`;' _!;� � f:�;�i���#�y3 ;=+;=;D I IVHC�i;E°�i f�l��7 '�-i'r�Ti i..;i— 3•;I���;�°W,�;i�a +�;_._!.i�._��=���a t�:�w+�� �i�t:��_s'i�°;�f°is;��f'� . � P ANT/PERMITEESIGNATURE ISSUEDBY:SIGNATURE �,c�,�/�� � � � Total Fee: $��'�`� �r.- DateReceived: Date Approved: Entered By: ,�, Permit#: ����J 0 CITY OF ORONO - BUII..DING PERMIT APPLICATION ALL INFORiVIATION MUST BE SUBi�1ITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED ------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR , .—•-� 3� � � � '��-�,c• � ZIP: �` � --� 7 � JOB SITE ADDRESS: ���_ �'�. 1-� bl NAME OF OWNER: �,-��iL�C�//��"�-.5���.�G PHO�IE: (home) � ���.Z� (work) , �� � ��'�> MAILINGADDRESS: =�-�--��_ CITY: Z�: �/��Ll���d'c_=:�'�- CONTRACTOR: �f�i✓ ��-�'�i�%�''�� PHO��TE: NIOBILE PHONE/PAGER: t MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHIT'ECT/ENGINEER �`:��¢Ti��-'� G�c=-.E'���f�s��HONE: �� ���� ��� - � ._� � / � MAILINGADDRESS: IJ c-- �z/Q-� � �:� CITY: lZ,/,c. .��: � �J��: �= REGISTRATIOl� � TYPE OF WORK: New ✓ Addition Accessory Sm.icture Move RemodeUAlteration Land Alteration � PROPOS�DWORK(describeindetail): /�--�-�/�— o—y� -�x--l—�- �-� -��- �� --�-!- - �/ �J 1 Y_ l " _ l l/ � �i.. 1 6�. 7.. C .t /� ��c.. �-__- ��` . / . . � ,i �. ..r. � . _ 1 �� � < t � STORIES: ?- SQ. FEET OF EACH FLOOR: � ��� NO. OF BEDROOMS: � GARAGE STALLS: ATT. _3 DET. 'r ; f �Z".J 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 acco ance with the approved plan. �, APPLICANT'S SIGNATURE: '� - �'.��-� DATE: � . NOTE! Parade of Homes events require separate p�rmit approval by Police Deparlment and City Council 60 days prior t��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 the data is stored or to be stored shall be as set tbr[h in[his section. Subd.2. Information req�rired to be given individual. An individual asked to supply private or con6dential data conceming himself shali be informed of: (a)the purpose and inunded use of the requesred data wirhin the collecting State agency,political subdivision,or sratewide sysum; (b)whether he may refuse oY is legaliy required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply privau or confidential data;and(d)che idendry of other pe�sons or enaaes authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply invesrigadve data, pursuant to section 13.82, subdivision 5,to a law enforcement o�cer. The commissioner of revenue mav place the nodce required under this subdivision in the individuat income rax or propectv tax refund instrucdons instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authnriry,an individual shall be informed whether he is the subject of swred data on individuals,and whether it is classified as public,priva[e or confidendal. Upon ivs further request,an individual who is the subject of stored private or public data on individuals shal!be shown the data wichout any charge to him and,�if he desires, shall be informed of the content and meaning of[hat dara. Afrer an individual has been shown rhe private dara and informed of its meaning,the data need not be disclosed w him for six monrhs thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or creared. The responsible authority shall provide copies of the private or public data upon request by the individual subject of rhe dara. The responsible authority may roquire the requesting person to pay the acmai cosu of making,certifying,and compiling the copies. � The responsible au[horiry shall comply immediately, if possibie,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 roquest i within that time,he shall so inform the individual,and may have an addiaonal five days within which to comply with the request,eacluding Saturdays, � Sundays and legal holidays. � Subd.4. Procedure when data is not accurate or complete. An individuai may contest the accuracy or completeness of public or privare , data conceming himself. To exercise this right,an individual shall nodfy in writing the rosponsible authority describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the dara found to be inaccurate or incomplete and aaempt to noafy past recipienu of y inaccunte or incomplete data,inciuding recipients named by che individuai;or(b)noafy the individual that he believes the data to be correct. Data in dispute shall be disciosed only if the individual's statement of disagreement is included with[he disctosed data. The determinaaon of the responsibie auchoriry may be appealed pursuant to the provisions of the adminisaadve procedure act relating to conCesud cases. DATA PRIVACY ADVISORY " ' ub'ects of data" we would like to inform you that your request In accordance with M.S. 13.04, Subd.2, Rights of s � , for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or ,I confidential information. You aze notified that: � 1. The information you fumish 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 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. 5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. (, Your full name is required to process this application or permit. �i/��/ �,�.t/� ���-���� Fi�� Middle � Last �/�� /✓D�r � i Addcess - / �,� / �rr—���+/ ��/�� ' �,�..o/!/� �// ��..� l City State Zip Phone ! I understand my rights as stated above. Signantre ' r ` + CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 3 i 3S �p2� S Nfl�2� �02 PID: DESCRIP'I'ION OF WORK: IQ�.C.Gt.� �i- �1�n��owa o� o2LN �_______________________-- ------- -----------------------------------------------:--------;----------- ZONING REVIEW BY: � � DATE APPROVED• g S-�C� BUILDING REVIEW BY: DATE APPROVED: � -t 5-`C� FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes v� No SEWER CONNECTION STATE SUR`HAKGE Yes � No WATER CONNECTION INVESTIGA'I'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST zoning District: i.Q -I� Fire Department: ti, % Post Office: (,Exvt,� School District: Q IL@1N� Lot Area: Sq.ft. N'�li 3�tO Acres 1,0 l Width 1 fLRE6uL+�2 Depth -- Survey Submitted: Yes OC No Date of Survey: 7 - ►9-aS Proposed Setbacks: F�e��(Lake): �'�� Right Side• Rear(Street): Left Side: Adjacent Structures: ,i���c-µ�-� Wetland: � �� Building Height: Def. Hgt. N 1 � Peak Hgt. N(A Lot Coverage: (1•3 Grading: Staff Approval Date: nJ �e4- By: � Council Approval Date: — Septic: Staff Approval Date: _�� BY: Zoning File: #� Resolution: # 31'03 i Resolution Date: ��' ��"'`�J� Shoreland Dis�ict: v PS Avg. Setback: N 1� Bluff Setback: N (�4 L.ot Coverage: 1 l.3 Ezisting Proposed Hazdcover: 0-75' �2•3 1 D-'7 � 75-250' �Z� 2 3 .�: 250-500' 500-1000' Hardcover Vaziance Required: Yes_� No Date of Council Approval: f�'13"�Tk REMARKS(in house): . 26 . , BUII�DING REVIEW CHECK LIST UBC: 2- 3 CONSTRUCTION TYPE: �/!J Sq Footage $ Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage z = R = TOTAL Estimated Construction Value: $ S, l��"— Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hazdcover Removal Mechanical Water Connection � Footing Septic Sewer Connection � Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Boazd (Nifg.) Well (State Permit) oc Final Grading/Filling O`Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): � 27 ✓", DATE TIME CITY OF ORONO CALLED IN "�>-i � INSPECTION NOTICE SCHEDULED �'���' // r1_1_�;_� PERMIT N0. � �_ -�� �% ��' COMPLETED � ADDRESS �I 3-5- �?C�'���,� xL�Lc't�� /���:2. OWNER (.L `c y��' CONTR. � TELEPHONENO. �p�°?- y1�'"- (p ��� � � DESCRIPTION fl.��--� C�� � 01 FOOTINQ� 11 MECHANICALflI 18IXCAV/GRADINO/PIWNd y 02 FRAMINCi 13 MECHANICAL FlNAL 19 LAI�SHORElWETLANDS 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 DEMO—SITE 27 SEPTIC MAINT. 21 COMPIAINT J Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PIUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL v 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O ti W � Q � Z W � W � j d WORK SATISFACTORY:PROCEED � PROJECT COMPLETE W WL CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next in ction 24 hours in advance.473-7357 OwnerlContra o�sit - Inspector. White Copyllnspector's File Canary CopylSite Notice J I �� U ►� h .����`� . / . o b' �lo-r� .' . _ . ' ' r R� '''' A9 � � � � . ;��2 vU �� � � D . � � �a�� ��G�t ���C` �l <,�I J . � o� 9 � �� . � . � � p�E �9� � � I� � QPc�� ��� �id, ��a;��.s� � �✓%���w�'.yv/ ./ p • 5i� Q,3 038 • 1 _ ' � I ' 3 . 7�vTn �S � `7•3 % 0 7C A 6oY� vV�1 �°r C�• pRT� � p�2 909� � �� arFQ o� Tr � � � �� . �� ,�-- . , ' I � I�`'30 �'�,o`. �/' % �G= ; , �r�,�, f�,,. � b�Z � � _ �� �z Z� } , ��A � . � � _���� ti � � 3. W � . ���� ��' �i ,k ��� � �� ���� � .�. . ,, � � ` .�.� `r`r'.� . � . f I�8•s � ( ���-- �d �j � ����� . ��, N .� o_ 1 � ^� x ;c� ' � ��� IO e � �� ; � � `�` . �I • � , `^ � b � ,{ Por�o � i � � zs- � . . . � �� ' / �,���►��+ `� 3:Z � �_ o � � �. .h �� . � , ► � � ��',�,,� � . 1 , 1 ` � , q � c� � �� �o ` • 1 3h. �..._ — —� �r 1 h �� A1• , � �+ � � . � ,u � �9 �! , . 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' �� V � �A r� ' � p� „� �� 15-� c �'`'� � �' '� ,( �` : . . a . . ` . , ;,, �. ..: ... , � `� � _ �:. _ - , . : - ._ ,:, . .:, , . . ..�� � 5 �c _ o-�eno;��s_ ra�� Mc��err�en� `�_---.- _ ___ ___ _.�._ ._ :____� �-Q4 _ � � �� I Fiereby certify that this is a true and correct representation of a survey of the boundaries of: � Tract A, Registered -Land Survey No: 11 �3, Hennepin County, Minnesotci ` , . . . . . � - � . - -- :And of the location of all buildings, if any, thereon, and atl �risible encroachments, ff ony, from ., ��or on said land.-�As surveyed by me this lAthday,of July I9A5 ' �. , . ' ._ . ,. , . � i ' �'� . ` .' � ,j���/f�� .!�%j��'�' •i/�/! , ' , t . 7 ,� Thomas S. Bergqui s t /,..'' , ��,� �., . 1�,. ��� �, ;�, � Re�istered Land Surveyor, Minn. Lic. No. 7725 �.ta' ���� CERTIFICAT� �F SURVEY o,� Eo . w N SATHRE- � ERGGtU1ST, INC. K � f0�' _. � y�0 � SD -� f�! 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