The URL can be used to link to this page

Home My WebLink About1997-009849 - addition - phase II � � PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: Crystal Bay, Minnesota 55323 �� " " (612)473-7357 Date Issued: : � � SITE ADDRESS: . � .. . .. _... . DESCRIPTION: ;�=7 ;-:-.� �.`s': , f, t .::'. ..... ... . .... .. . . ... ._ � :< •.-..� . ... ',, i : .,.... :' ,.'.i... ... . � ' _ ' .. . � � ... . .. . .. . ... . . . � � �t�:.. .. . _ .- . _ . . , , . . , -...� �.:� .. : � � : , . :.... ' - .,�•�.•°..,l�' �._. . .. .... .,�». .__ ... . _I.._.., , _ ... . ... . . ! _ .,.. REMARKS: � � - � � ., — FEE MMA RY: SU — f I ;:.._ _ ., :�: �_ _ ,_ _ _:: : _ . �._. .�r . . .. �: , ,.,,_;_ _.:...., _. .. ., . . . .._ ;,;,:_; ::�, . ... ...... ._ . ,_ ... ; L ... . ... . .. . CONTRACTOR: OWNER: _ __ _ . . _. . ... .._ :..: : .. ,:.; ,_ , . . ..:._-.� _ _ ._ . _ _:.... :. ,� _ _ ;. c.E . L'• r' ; _ : ... .. �,., _ ' i:»i i L,':;` ... . ,..' '"�� `�' , ' s� ,.,r, � , . .. , . . , ; ; ,r', 7'(�._ ., �p {�$��.,.. �r�'�� ..,. � fL �§: d�4 lti.�« .. 1 _ .» � 5 � "'�F {... �3 � 3, . ,.,r' '._� ' •_ ... � w` _=:�� .�� rt,�� ru''� `�r.��-,_ �'i� �`,�_� '��'. � �t� ��T�x��;�' fii��f;�_ � ,a� . � ��.�..: �•�`�",� +�� _ _. . •��r��` � f..��"' �'�,��d5��`.—�f_3�;;� �.+;_' " . ''` b,�� s"�"�'��_��.�:��_. � � �.,�j�'�LfG� �� PPLIC N /P RMITEE SIGNATURE ISSUED BY:SIGNATURE w � 1 Total Fee: $ ��J, �'� Date Received: / ' - ��;-�i 1 Entered By: _�,v'u Permit#: i ;� �/ '/ CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: 3�4 5 NCm.-f� S}}� bjz, ZIP: �5 3 b4' NAME OF OWNER: Lt�f�1-i � M!�'�Nr ��T'Z- PHONE: (home) 4'I l- ��-,L1-- (work) r'!Z4-—�h�v MAILING ADDRESS: sK� CITY: ZIP: CONTRACTOR: I�r��ae � O�T F-�o�+-oWs PHONE: 5'�-5 -o.6i�'' CONTACT PERSON: Mo� F�e�►?.fw MOBILE/PAGER: 4 t$-�t.��o MAILING ADDRESS:,r-pl'Lo Wtti��i�( � . CITY: b�,t�.► v�t,t,e�ZIP: 55 4�'�-- STATE LICENSE: # 3Lb � 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�: 3�� 3 t ��ta�-l-�o� STORIES: �`I i-- SQ. FEET OF EACH FLOOR: ^' (o�b NO. OF BEDROOMS: _j_ GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �D�� 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 in acc rdance ith the approved plan. APPLICANT'S SIGNATURE DATE: lz� �'i�� NOTE! Parade of Homes events require s rate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 A r r Sea 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 secdon. Subd.2. InformaHon required to be given individual. An individual asked to supply private or co�dendal data concerning himself shall be informed of: (a)the pu�pose 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 lmown consequence uising from his supplying or refusing ro supply private or confidential data;and(d)the identiry of other persons or endaes authorized by srate or federal law to receive the data. T6is requirement shall not apply when an individual is asked to supply invesrigative data, pursuant to secdon 13.82, subdivision 5, to a law enforcement officer. The commissior►er of revernre mav olace the noace rewired uruler this subdivision in the individual income tax or oronerN taz refund instructions instead of 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 class�ed as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without a�ry charge to him and,if he desires,shall be informed of the content acud meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be disclosed ro him for six months thereafter unless a dispute or acdon pursuant�this secaon is pending or addiaonal data on the individual has been collecred 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 au�flority may require the requesting person to pay the actual costs of maldng,certifying,and compiling the copies. The responsible authoriry shall comply immediately,if possible,with any request iqade�rsuant to this subdivision,or within five days of the date of the request,ezcluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy 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, excluding Saturdays,Sundays and legal holidays. Subd.4. Proce�are when data is not accurate or compkte. An aidividual may contest the accuracy or completeness of public or private data co�erning himself. To exercise this right,an individual shall notify in writing the rosponsible authoriry describing the nature of the disagreement. The responsible authoriry shall within 30 days either: (a)correct the data found to be inaccarate or i�omplete and attempt to notify past racipients of inaccu�te or i�omplete data,uicluding recipients named by the indiv,idual;or(b)notify the individual that he believes the data to be conect. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disciosed data. The determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administrarive 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 Gity 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 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 City deny the permit or license. 3. The information may be shaced 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. �/�'k� W 1 L��nrrv� (��ZE t,c� — � First Middle I,ast $�� 1/V�l��"w�rF-'i LIJ • Address ls�� P-�.I�EK m� • 5"S4LZ- Svf-o��' Ciry State Zip Phone derstand my righ stated abo . gnature 6 � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: 38ti5 /�torzri-t ��p2,E (JR�v� PID: I�- IJ-1- Z3 ZZ c000 � DESCRIPTION OF WORK: ' .r'��,p �n e,� — P c-r+asC �. ------------------------------------------------o S -- ZONING REVIEW BY: (.Q�.4.._ DATE APPROVED: � z.-3 7 BUII.DING REVIEW BY: DATE APPROVED: �z - 30•5 7 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes ✓' No PLAN REVIEW Yes �- No SEWER CONNECTION STATE SUR�HARGE Yes _��' No WATERCONNECTI�N INVESTIGAT'ION FEE Yes No, PARK FEE SAC Y:;s No STTEINSPEG"TION Number of SAC Units OTHER (specify) � --i---- ----------------------------------------------------_M�« ZONING CHECK LIST zoning District: L2-r L Fire Department: M o u n1(J Post Office: W(,o��,/� School District: YYL n,1N,� _ Lot Area: Sq.ft. 2'1,4�8 5 Acres .(, 3 Width �3�8 Depth ��(��S Survey Submitted: Yes�C_ No Date of Survey: �'-1-2g- 9 7 Proposed Setbacks: � Front(Lake): _ b`�• Right Side: /`f0 �= Reaz(Sueet): ��` . Left Side: (�Z•� � Adjacent Structures: i4TT�'tGi�.c� Wetland: �l�/'►- Building Height: Def. Hgt. O.k. Peak Hgt. � Lot Coverage: D /3•L Grading: Staff Approval Date: /1!(.4- By: — Council Approval Date: — Septic: Staff Approval Date: �— By: -- Zoning File; # a 3�� Resolution: # Resolution Date: Shoreland Dis�ict: �2 S Avg. Setback: r(I�/�- Bluff Setback: N (/�- LotCoverage: l3 •�v � Existing Proposed Hazdcover: 0-75' 75-250' 250-500' $ 500-1000' 10"Za 30-�t Hazdcover Vaziance Required: Yes No v� Date of Council Approval: REMARKS(in house): P f�4�ASE � O F g��c�rNG Q��i r ��Y9Z ss� o c-�►� �" �i�19 Z � 26 f- F BUII.DING REVIEW CHECK�LiST � � . UBC: R-"3 C011TSTRUCTION TYPEs :Y� ' Sq Footage $ Per Sq Ftg Basement x — 1 st Floor . x � . 2nd Floor x = Garage x = � x = . TOTAL Estimated Construction Value: $ �t 0,(�00� Inspections Required: � Work Requiring Separate Permits: Site �' Plumbing . Fire Hazdcover Removal _�Mechanical. Water Connection _p�Footing Septic � "� Sewer Connection _�Framing Fireplace Lawn Imgation �Insulation � � ' (Masbnry)' Other ' • _�o Wall Boazd (Mfg.) Well (State Permit) o:Fi�al � Grading/Filling �_Electrical (State Permit7 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 d INSPECTION NOTICE C' ' �C'� SCHEDULED �I</i s �/ �=r"= PERMIT N0. �� COMPLETED ADDRESS "�'��) ��-' � ' =t%, l�-�'� OWNER � if � CONTR. --;�`.; , , � , o ��, c` TELEPHONE NO. -> >• � �. �{-1 � � DESCRIPTION ,' ;� ,� :; _. .t. C. � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINO -.,--�—" �02 FRAMING ,� 13 MECHANICAL FINAL 19 LAi�SHORE/WETLANDS Q LATION 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 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT J W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HAFiD COVER REMOVAL v 10 PLUMBINCa FINAL 2g CEDAR SHINGLES 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED W PROJECT COMPLETE � [� CORRECT WORK&PROCEEO �: ISSUE CERTIFICATE OF OCCUPANCY O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORECOVERING pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,-, pHOTOTAKEN 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.47�73�J7 OwnerlContrac r s'te Inspector. � White Copyllnspector's File Canary CopyfSite Notice DATE TIME CITY OF ORONO CALLED IN ' ' ��1 INSPECTION NOTICE��j`�1 SCHEDULED ' � ' - ` a PERMIT NO. COMPLETED � ADDRESS � � OWNER �"• CONTR. c�"�'�e-� U� �is�eE�/ � � TELEPHONE NO. 'S`� � ' ��=�� _ � DESCRIPTION ly� 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q ��3� 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 Q = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � w � � � 0 � � 0 � W � Q � z w � w � � d WORKSATISFACTORY:PROCEED i=� PROJECTCOMPLETE W � [7 CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT Ci CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL REfURN '� PHOTO TAKEN C STOP ORDER POSTED.CALL INSPECTOR i' CITATION ISSUED C; INSPECTION REQUIRED.CALL TO AR NGE ACCESS. Call for t i pe tion 24 hours in advance.473-73�J7 OwnerlContr ct �site: Inspector. - White Copyllnspector's File Canary CopylSite Notice