HomeMy WebLinkAbout1992-004652 - 12x20 deck ' PERMIT
CITY OF 4RON0 PERMIT TYPE:
' 1335 Brown Rd. South • P.O. Box 66 ���!���I���
Permit Number: t ii f4��',:.
Crystal Bay, Minnesota 5532 Date Issued: iy'�r�:,.''=��
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: WNER — AF�F�1 i c�n#. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
' . CITY OF ORONO — BUILDZNG PERMIT APPLICATION
Total Fee• $ � �, `j( Date Received: ��"''J f i'z..
�Jate P_pproved:
Entered By: � ,1,.
� Permit Q: '� � �
��,
�t, SNFORMATION MIIST B$ SIIBMITT� IN FIILL BSFORE PLAN REVIEW WILL B$ STARTEll
(See Check-eff List Enclosed)
THE APPLICANT IS: (circle cne) OWNr R r CONTR.ACTOR
. � ,� ,
JOB SITE ADDRSSS: „1 �t��(� ' 1�/i�.�;���` �~ f ��;. ZIP: �.�� T;=� �r
<-
�� "-`'�' lr ;,J�- '� `�%j�', v �- �"`�,``;�(work)��a...5'�_t�`
. �--��� � ' ��� ��-'�c
N�ML OF OWNER_ ���J �� ��-;i�1��% �`�f. C� �`C�° ` PHONE: (home) -; 1` �
CITY: ?y�=-- ZIP
HAILING ADDRESS: `a�r s,.,� �; _� r, �.; -
CONTRACTOR: `'>/i ��/�-� PHONE:
Z�iAII,ING ADDRESS: CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRBSS: CITY: ZIP:
N��: RBGISTF2I�TION �
TYPE OF WORR� New Addition� Accessory Structure Move
Demo . Remodel/Alteration Renovate Land Alteration
PROPOSED WORR (describe i.n detail) : / � iC `� C. / %c�c ��
STORISS:_�_ SQ. FEET OF EACH FLOOR: l �'�� -
NO. OF BSDROOMS: --�" GARAGB ST�LLS: ATT. �" DET. —
.�
ESTIMATED CONSTRIICTION DALIIATION (eaclnding 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 accordance with the approved plan.
;
APPLICANT'S SIGNATQR.E: �L''� {%l�•�°�`�---' DATE:
i
, . I
. �
CITY of ORONO
' Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal O�ces
•
� . � � On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would la.ke to inform you that your request for a permit or
license from the �ity of Orono or any of its departments may require
you to furnish cerjtain private or confidential information.
You are noti�ied that:
1. The information you furnish will be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
' 3. The infqrmation may be shared with other Iocal, state or
federal agen�ies to the extent necessary to process the permit or
license. ��
4. If your requested permit or Iicense requires Counci3. action
to approve, ome information may become public. -
5. You havi certain rights under M.S. 13.04 to review private
data on yourjself.
6. Your ful.]. name is required to process this applicatian or
permit.
:�G�kU`li�--� �
First Middle Last
� ��a !o ��'
Address
r ,
��
City j State Zip
L1�(ri` L���v� /
Phone
2 understand my rights as stated above.
Signature .
BUILDING&ZONING-47 3-7 35 71 • AD!biCYISTRAT'ION&FINAIVCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
I
513.04 RIGH15 OF SIIB.TEC15 �F DATA � �
gubdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be es set forth in this section.
gubd, Z. information required to be g��� �����' An.individuel asked to
� ' supply private or confidentiel date concerning himself sha]1 be informe�a� 8aen e
purpose and intended use of the requested �t whether hee mayerefus °r u egally
p o li t i c a l s u b d i v i s i o n, o r s t a t ewide s y stem;
r e quired to supply the requested data; (c) any 1 rncwn c o n s e q u e n c e a r i s i n g f r o m h i s
supplying or ref�ing to supply private or c o n f i d e n t i e l d a t a; and (d) the identity of
other persons or entities authorized bY ai idual iseaskedlto supply ein est g�ve� data
requirement shall not apply when an in
pursuant to section 13.82, subdivision 5, to a laW enforcement officer.
The commissioner of revenue o� rolert tax re�und u�structio uinsteadhoS
subdivision in the individuel income tax
on those orms. . . . __- - �
Subd. 3. Access to data by in�ividusL tiPon request to a responsible '
authority, an individusl shall be informed whether h=VBteeor confidentisl.e Upon his
individusls, and whether it is elassified es public, p ualic data on
further request, an individuel who is tbe subjecc��e to himrlende if he desires, shall
individuels shall be shown the date withou�fan�y t �ta. After an individual hes been
�e informed of the content and meaning the deta need not be disclosed to
shown the private dats and informed oi its ui��8ction pursuant to this section is
him for six months thereafter unless 8 �SP
, � pending or additional data on the indi��h h�ate or p blic datarupon request by
responsible authority shall provide copies P o�ible authority may require the
the individusl subject of the data. The resp certif n and compiling the
requesting person to pay the actual costs of making, 3'i g�
copies. ssible with any request
The responsible authority shell comply immediatelyo f P� �te of the request,
made pursuant to this subdivisi�nd le Wltholidsys, if immediate compliance �s nct
excluding Saturdays, SundaYs �
possible. If he cannot comply with the request wit�i�n w�ch tohcomplY with the
individual, and may have an additional five days
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procediae when dstn is not acc�ate or complete. An ��mse�lf. To
contest the accuracy or completeness�of public or private � the�nrespcnsible authority
exereise this right, en individual shall notify in writing
describing the nature of the disagreemenL The responsible authoritq shall within 30
days either. (a) correct the data found�com ete data�includin6 pee�Plents namedt by
notifq past recipients of msecurate or P
the individuel; or (b) notify the individuel 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. ealed urs�t to the
' The determination of the responsible authority may be aPP P
provisions of the administrative procedure act relating te contested cases.
- ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ZI F3U P�SiPC�-� PID'
D$SCRIPTION OF WORR: NE W t,0 EL.k
---------------------------------------------------
ZONING REVIEW BY: � DATS APPROVSD: C1 - Z.Z--SZ
BIIILDING REVIEW BY: DATS APPROVF,D t �f- Z Z- �► Z
-----------------
�S Z.p gg Cgp�gGgp: Misc. Fees Calculated By:
PERMIT Yes ✓ No �
PLAN REVIEW Yes ✓� No SEWER CONNECTION
STATE SURCHARGE Yes !/� No WATER CONNECTION
INVESTIGATION FEE Yes No-� PARR FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECR LIST Zoning District `cQ•16
Fire Department: L•L. Post Office: Cti �- School District: /'���-
Lot Area: ��L Width: /✓�C. Depth:
Survey Submitted: Yes DC No Date of Survey:,�jn� �Ic.�� 6- Z�-5�
Proposed Setbacks:
Front (�e) : I'V�n Right Side: � S �
Rear (S#.�eet) : S�� Left Side: y/�
Adjacent Structures: A'1TJ�C�FC� Wetland: /V�i¢
Bui].ding Height: Def . Hgt. �/�A Peak Hgt.
Avg. Setback: o Coverag :
Exis ng Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varian e Requir d: Yes No Date of Council Approval:
Grading: Staf f pproval at : B : Co�Ancil ApprovaJ. Date:
�
Septic: Staff�pprova� D t : BY=
Zoning Fil.e•� eso tion #: , Resol.ution Date:
.
REMARKS (in��house) : .
r
;
�
,
BIIILDING REVIEW CHECR LIST ' �,
IIgC: g� �•� CONSTRIICTION TYPE: -- '
Sq Footage $ Per Sq Ftg
Basement x =
lst Fl.00r X =
2nd Floor X =
Garage X -
I�t�l� 24v x g.c�o = I��l(9fl
TOTAI�
e
Bsti.mated Construction Value: $ � ,�'1�� �
Inspections Required: Work Reqniring Separate Permi.ts:
Site � Plumbing Grading/Fil].ing
�Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa].1 Board (Masonry) Lawn Irrigation
�Final (Mf g.) Other
Other WeJ.I (State Permit)
ElectricaJ. (State Permit)
-----------------------------------------------------------------------------
�2FMARKS (IN HOIISB) :
---------------------------------------------------------------
REVIEW BY OT�ZS: DATE:
Access: Existing New
Access Approval: Date BY=
------------------------------------------------------- /
REi�SARRS (TO BE NOTED ON PERMIT) : t=, - C in� �A�O � �- S i �
30�� J I� (..E S S I ns E+1�'i�"'�
DATE TIME
CITY OF ORONO CALLED IN ���'C%/��
INSPECTION NOTICE � SCHEDULED _�� G "--
PERMIT NO. �S� COMPLETED ,�_ �
ADDRESS �� � � �'Y' �
OWNER ' � CONTR.
TELEPHONE NO. .��r� - ����
� DESCRIPTION .��1�/
� 01 F TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINQ
�Q 02 FRAMING ' 13 MECHANICAL FINAL 19 LAI�SHORENVETIANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq y1/,qL,L gp, 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z OS FINAL 14 SEWER HOOK-UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBINQ FINAL 36 FOUNDATION REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS: �'
�
W
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O
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O
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W
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d WORK SATISFACTORY:PROCEED - PROJECT COMPLETE
W
� ❑ ORRECT WORK 8�PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
W
O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP OROER POSTED.CALL INSPECTOR ^ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th t i s ction 24 hours in advance.473-7357
OwnerlContrac on site
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
1 DATE TIME
CITY OF ORONO � � CALLED IN lti �4 �`��
INSPECTION NOTICE � SCHEDULED �/i> - -��
PERMIT N0. ��S '� ���
COMPLETED IV'ZI—�! '1 �C7�
ADDRESS �/��� T.�c-�t�'�e-�=� ,�-�-�-
OWNER �'2'_+�'- t— CONTR. �
TELEPHONE NO. �� `"��' � �'�`��' �
�
� DESCRIPTION ��`� � �`-
� 01 FOOTINCa 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE iNSPECTION
Q
_ �OS FINAL � 14 SEWER HOOK-UO p6 PROGRESS
E` 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
Q 07 DEM�FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
�
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o - GvR/�/�.�i�- 2�c�u/2�t7 wFFe•� 2eG�� ,s 3� oac
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d C WORK SATISFACTORY:PROCEED ;": PROJECT COMPLETE
W
� C CORRECT WORK 8 PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
OO �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V PERMANENT
C7 CORRECT UNSAFE CONOITION WITHIN HOURS. �. pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
i� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnerlContracto on it •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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1�f�f�6�'ED
�5 A('PROV�D WIT�I R�VISIGNS
J - 4
�Y — �
LEGAL DESCRIPTION p�aT� p,��_�,1 —`�
l ��-�
All that part of the Northeast Quarter of the
Southwest Quarter of Section . l0 , Tawnship 117
North, Ran�e� 23..�West of the 5th Principal Mer- n)
idian describec� as follows ; Be�inning at a � �
point on the.. west line of� �he Northeast Quarter SCALE� � ��=30�
of the Southxeat Quarter . of said Sectio�n 10
515 .625 feet north. of the southwest cornez�:of a�s�M�v ��.av.�r�aNs
said Noztheast Quarter of the Southwest Quazter; ' o QENOTES; tRON FOUND �
thence North 130 .00 feet; thence East 208 . 00 feet ; �• DENOTES IRON SET
thence South 130 .00 feet; thence West 208 . 00 feet "-'''DENOTES DIRECTION OF SURFACE FLOW �
to the point of beginning , xxx DENOTE3� �XISTING ELEVATION '"'
(xx�J DENOTES PROP�SED ELEVATION _s�
AREA "" PROPOSED ELEVATIONS � �
�e:a LOWEST FLOOR
27040 sq . f t . , or 0 . 62 acres +�T�� t3ARAGE F�.00R
�o7.s TOP OF FOUNOATION
KIM A. REAUME BOOK PAGE
P � $ 2 �p I HEREBY CERTIFY TEIAT "CHIS SURVEY ,
REGISTERED PLAN , OR REPORT WAS �'REPARED BY ^1E
E - � LAND SURVEYOR PROJECT N0. SHEET oR UND
C ER MY DIRECT SUPERVISION AND
� l 91a3� c TfiAT I AM A DULY REGISTERED LAND
612— 542- 9559 SURVEYOR UNDER THE LAWS OF TFiE
SURVEYS � REVISIONS STATE OE MINNESOTA .
� N C. �'� 413 NOPKIN$ CR03SROA0
� t MINNETONKA, MINHESOTA �v
N 1 55343
DATE �v-L$-9� REG . NQ . 19522