HomeMy WebLinkAbout1998-010974 - deck repair PERMIT
CITY OF ORONO
2750 Kelley Parkway P.O. Box 66 PERMIT TYPE: ;s} j.
Permit Number:
Crystal Bay, Minnesota 55323 C{i i��`a -,.a
(612) 473-7357 Date Issued:
SITE ADDRESS: { _ _ _
F, . ! . . . . :)^—t i ;
DESCRIPTION:
��'• 1 1 ,}1} :� }=t^;t i Ti }:' { J!WltI
d j .1 a W{-i�'�:. t +1-? _x i ii}i !_a}'S�i }+,�i-A,
i i—,`
REMARKS:
FEE SUMMARY:
—
CONTRACTOR: — ` L—4 -OWNER:
L 1}4G!W:i—t}—tD t_ }7N01—, 1-H _,(�1 }}z: ; }S}i
t=ii w;A MN
{{
•_. ......:1}- Yjµi j ��}J{Vii-},I,�}%�:,_ i { > {
I .. _. .. . '_:_it — } 's_. �i`tt _ =F t . `. ._... _ .
X
APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE 4; e—
Total Fee: $ Date Received:
Entered By: 44 Permit#: /6` l
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review «•ill be started.
(please print all information)
----------------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: G6 S,S luc5RTl� 6l Re jjl{ZIP:
NAME OF OWNER: 6cl �-13W l YZ-z' PHONE: (home)_' 5 573
(work)
MAILING ADDRESS: CITY: ZIP:
CONTRACTOR: WIt Te 73 Ul L PHONE: 3 `x'573
CONTACT PERSON: C'3& D MOBILE/PAGER: ?C12- — 5-57Z-
MAILING
-57ZMAILING ADDRESS: S 5- ',Y7 (,��„�/�4e 'Y: /1 TAT ZIP: —3�5'
STATE LICENSE: # ?Z
ARCHITECTIENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PRKO OSED WORK (describe in tai 111Aeckr CL4 ICtG� �D
-- 5
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ O()
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: d�� DATE: //—j Z �7,
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
1W
Sec.13.04 RIGHTS 010,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 section.
Subd.2. IInf rmation required to be given Individual. An individual asked to supply private or confidential data concerning 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;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to supply private,or confidential data;and(d)the identity 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 5, to a law
enforcement officer.
The commissioner of revenue may r3lace the notice reauired under this subdivision in the individual income tax or property tax refund
instructions instead of oar 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 oo individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored p ovate or public data on individuals shall be shown die data without 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 its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority 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 costs of making,certifying,and compiling the copies.
The responsi le authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the reque t,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that ' e,he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays.S ndays and legal holidays.
Subd.4. Pr ure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning Procedure
To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreemetn There nsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that 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 dete tion of the responsible authority may be appealed pursuant to 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 City of Orono or any of its departments may require you to furnish certain
private or confide tial information.
You are no0ied that:
I
1. Th information you furnish will be used to determine your qualification for the permit or license
requested.
2. . Yo#hpay refuse to supply data, but.refusal may require that the City deny the permit or license.
3. Thq information may be shared with other;locitl,'state or federal agencies to the extent necessary to
pros the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
pu lic.
5. Yo have certain rights under M.S. 13.04(available upon request)to review private data on yourself.
6. Yo r full name is required to process this application or permit.
First Middle Last
..�yr � 7 L%,ti� /,(x��� � %•
Address
.! �
City State Zip Phone
I understand my�ights as stated above.
SigiTture
6
I
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: qos Ajot-zT}{ sH-o/u. QR
PID:
DESCRIPTION OF WORK: � c YZ)Z 1PA t2
----------------------------------------------------------------------------------------------------------------------
ZONING REVIEW BY: AU 4 DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED: - r Z - S V
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes i/ No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------------------------------------------------------------------------------------
ZONING CHECKLIST Zoning District: My G(f?4/J�L
Fire Department: Post Office: School District:
Lot Area: Sq.ft. Acres Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks:
Front (Lake): Right ide:
Rear (Street): Left S de:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: BluffSetback: Lot Coverage:
Exist'rig Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: r2-
2 � CONSTRUCTION TYPE: V/j
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ Zt 500
02
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
Footing Septic Sewer Connection
pC Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
c 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 PERiMIT):
8
?< to
We Suildvs,Inc. L��Q
5547 Wingwood CI.
Minnetonka, MN 55345
Z X k5$
i
r3 /dpi CITY OF ORONO
— ' BUILDING Pf RMI LAN REVIEW
QUS G
INSPECTOR.�_�_
DATE PERM T NO.
APPROVE:D S "17ED
X/ST
G APPROVED 'dTH OG-. ,ECTIO1 sS AS NOTED
i7 NOT F'?FrR VEIL-- %CiRFiEC,T c°RE511;3►vI!T
24 G� Thesa comments arq for your informs:ion.All work shall be done
in full compliance w th all applicable building and zoning code.
Requirements includi g items not specifiaally.noted in this review.
KEEP THIS PIAN SET ON SITE AT ALL TIMES
�X/ST' IJ�G�T
S c'c.T/ov nL
ti
`2��iS'$• �/ �S�i�� lJR//ice GRario
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED I ss?,Q-
PERMIT
-PERMIT NO. COMPLETED
ADDRESS 106'9 /VOOIIE 5/4622 104
OWNER ISdU-O k—P A 1T)= ONTR.
TELEPHONE NO. S 9 3
DESCRIPTION SO PC—Vr /l, PA-A— P4AM(V
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
O N 011CONTRACTOR TO MEET YOU:AYES_NO
y COMMENTS:
cc
W
Q
o 40
lr t
cc
ZL
(9 D dl
W
cc
z A
W
Cc
4j jKWORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
Owner/Contra site:
Inspector. �y1ke-i _/
White CopyMspectoes File Canary Copy/Site Notice