HomeMy WebLinkAbout1998-010984 - deck PERMIT
C�TY OF ORONO
� 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: ;_�;;��;`�s T i�::
Crystal Bay, Minnesota 55323 Permit Number: s:'i t=�'-+;_��:'�
(612)473-7357 Date issued: _ _.. .. � . - -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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� Total Fee: $ � . � / Date Received:
Entered By: �_;�, Permit#: �(�(j 6�'t_f
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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) OWNE .-OR CONTRACTOR
JOB SITE ADDRESS: ���S ,/l.��f �1� S�l i��C- 1✓�'�- ZIP: S S .�G`/
NAN� OF OWNER:�x�t�L-d" �����"� PHONE: (home) �'`�.�������
/ �,, (work) -3& �- � 7S�'/
MAILIl\G ADDRESS: �y S Si,�`;-��G���; CITY: ��,;�.�ti; ZIP: �S�G/
CONTRaCTOR: -.��_ �� PHONE: -�� `" ����I
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: �`l:� PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
r ,f� � ��:
PROPOSED WORK(describe in detai�: ✓�4,� %���- �� �•�2�`
�L �L _ ;/�'"�'�3"2'i�4�;�
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROONIS: GARAGE STALLS: ATT. DET.
� ^ �.,
ESTIMATED CONSTRUCTION VALUATIO�,' (excluding land): $ 3�5�-'
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.
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APPLICANT'S SIGNATURE,-�`��,–�.._--�--�'-�-- — DATE: j� ��.1
NOTE! Parade of 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.
5
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Sec.13.0�3 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 se[forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concernine 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;(bl whether he may refuse or is leeally required to suppiy the requested data; (c)any known consequence arising from his supplying or
refusine to supply pnva[e or confidencial data;and(d)the idenriry 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 investigative data, pursuant to section 13.82, subdivision�, to a law
enforcemen�officer.
The commissioner of revenue mav olace the notice required under this subdivision in the individual income tax or orooem�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 infortned whecher he is the
subject of srored data on individuals, and whether it is dassified as public,private or confidential. Upon his further request, an irdividual who
is the subject of stored private or public data on individuals shafl be shown the data without any charge to him and, if he desires, shall be informzd
of the content and meanin�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 thereafrer unless a dispute or action pursuant to this section is pending or additional 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 authoriry may require the requesting person to pay the actual costs of making,certifying,and compiline the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or w irhin 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,
eccludino 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disaereemznt. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to norify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes[he data
[o be corrzct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The dererminadon of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relaring
ro contes[zd 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 City 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 City 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 application or permit.
C'� L G �� �r., �L'� l�� ��(>2;,
First Middle Last
c/y S � �/� .���� ,.�t���_ �����—
Address.� � � � ��� � ,,/"'���. --y-{ �
C� � �/11 1,' /�j�
Cin State Zip Phone
I understand my rights as stated above.
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• CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �f N S� N'aR T7f �/�0�2�= �pQi V c_.
PID• ,�� -� . ,� 7 � ,} 3 � � oc�o a--
DESCRIPTION OF WORK: ��c
------------------------------------�------- --------------------------------------------------�------�----_---�--
ZONING REVIEW BY: � DATE APPROVED• ( � l Z S
BUILDING REVIEW BY: DATE APPROVED: � � - i z -i�
'� ��" FEES TO BE CHARGED: Misc. Fees Calculated By:
;�'` PERMIT Yes ,/ No
r, .
� PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes �/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District: L2- //3
Fire Department: M�u�nr,p Post Office: ✓VW�N � School District: v.r e s r o�..i i�
Lot Area: Sq.ft. 2'7�C�c�p Acres •`Z Width ��Z2.L�u�� Depth
Survey Submitted: Yes X No Date of Survey: I t� I Z- �i �1
Proposed Setbacks:
�t(Lake): (�Q� Right Side: ( 3.3
� � t
P�ea� (Street): q5 Left Side: 35
Adjacent Structures: A�'���-t-C� Wetland: /V(A
Building Height: Def. Hgt. /�f 1 v� Peal:Hgt. -'
Lot Coverage: Ic�.'1
Grading: Staff Approval Date: �( (/� By: — Council Approval Date: —
Septic: Staff Approval Date: N( I(k By: —
Zoning File: �# 2y Z� Resolution: # Resolution Date: !( - °I•5`�
Shoreland District:
Avo. Setback: VA2►✓�NC:� Bluff Setback: /J /(� LotCoverage: (4.�
� Existing Proposed
Hardcover: 0-75'
75-250'
250-500' 3 Z �`► ���. j
500-1000'
Hardcover Variance Required: Yes�_ No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: lZ• 3 CONS'IRUCTION TYPE: V 1�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Gara�e x =
x =
TOTAL
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Estimated Construction Value: $?�500
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
pC Footing Septic Sewer Connection
� Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
p( Final Grading/Filling Electrical (State Permit)
Other ,
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REn1ARKS(IN HOUSE):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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RE�iARKS (TO BE NOTED ON PERMIT):
,
8
DATE � TIME
CITY OF ORONO CALLED IN �� - I� 3G� �I
INSPECTION NOTIC , SCHEDULED ,1_=�� `3� 4ryi
PERMIT NO. C�C � COMPLETED
ADDRESS �`��S ���-C_� � Idt
OWNER �.�� CONTR. /��-�-��-�
TELEPHONE NO. ��� 5 � �� C L
� DE�CRLPTION
�� FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 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 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITH�N HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next spection 24 hours in advance.473-7357
OwnerlContra t�n i :
Inspector. " �
White Copyllnspector's File Canary CopylSite Notice