HomeMy WebLinkAbout1998-010159 - deck � _ __ _
� PERMIT
� CITY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 ���.f?L C.x 1��lt.�
Crystal Bay, Minnesota 55323
Permit Number: ����^}�;_'Y..;
(612)473-7357 Date Issued: f+;�_;��:`��_�;`;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — �i�,�:,� ���i�-�t. —
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AP LICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE �� �,
Total Fee: $ l � �'9� Date Received:
Entered By: Permit#: � ��5�
CIT� OF ORONO - BUII.DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
-------------------------------------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) �E R CONTRACTOR
JOB SITE ADDRESS: 2 �/,Z C� O/� �C�c�, IP�,I Z�� J' S3�/
NAME OF OWNER: Vt/G l�e,• �o%n•,q„K PHONE: (home) �l7/-03�1
(work) 5�.�c
MAII.ING ADDRESS: 2�l 2 d D/� ��•tc�� CITY� �ron0 ZIP: �53 g/
� CONTRACTOR: (� ,,,�r�.e r PIiONE:
CONTACT PERSON: MOBILE/PAGER:
MAII.ING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: p,,,,�,,�� PHONE:
MAILING ADDRESS: CITY: ZIP•
NAME; REGISTRATION#
TYPE OF WORK: New � Addition Accessory Structure
Move Remodel/Alteration �t Land Alteration
PROPOSED WORK(describe in detail�y�t,�',�{�..;e r o1���c � s�«��s �.-�v�:�
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
a
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ SSOa, �''
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 ordina.nces 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 e with the approved plan.
APPLICANT'S SIGNATLTRE• - DATE. G"�"� r
NOTE! Parade o� omes events"require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF SLJBJECTS 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 Hvs secdon.
Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,polirical subdivision,or statewide system;
(b)whert►er 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 confidenaal data;and(d)the identity of other persons or enades authorized by state or federal law to receive the data. Ttus requirement shall
not apply when an individual is asked to supply investigarive data,pursuant to secdon 13.82,subdivision 5,to a law enforcement o�cer.
The commissioner of revenue mav place the notice required under this subdivision in the individual income tax or propertv tax refund
insuucaons instead of on those forms.
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the subject
of stored data on individuals,and whether it is classified 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 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
siz months thereafter unless a dispute or action pursuant to this section is pending or addidonal dara on the individual has been collected or created.
T6e responsibie authority 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 acwal costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant 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 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,ezcluding 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 conceming himself. To exercise this right,an individual shall nodfy in writing the responsibie authoriry describing the nature of the disagreement.
The responsible 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 determinadon of the responsible authoriry may be appealed pursuant to the provisions of the administraave 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 fumish 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 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.
6. Your full name is required to process this application or permit.
!� � �/�'!/"/ /�/
Fi�st e Last
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City' State Zip Phone
I und m rights stated above.
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CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ���'. ?;'. < � , � i ,�,1� << <� _< , �YcI
PID: �/ - l�� - � 3 ,�,� oav:�--
DESCRIPTION OF WORK: b�G�J
----------------------------------------- ------ ---------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED: �(-s? -�T�
BLTILDING REVIEW BY: DATE APPROVED: Y•Z�• ��t
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes t/ No SEWER CONNECTION
STATE SUR`I-�ARGL Yes c/ No WAT'ERCONNECTION
INVESTIGAZ'ION FEE Yes No PARK FEE
SAC Y:,s No SITEINSPECTION
Number of SAC Units OTHER (specify)
=-----------------------------------------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District: L.R- IG
Fire Department: _ , Post Office: u�1 q�,,�2+4�-/,1 School District: w+e�TtJNJc.�
�
Lot Area: Sq.ft. NO Cl�ioh'�cres --- Width -- Depth �
Survey Submitted: Yes_ C� No Date of Survey: � •(.3' $$ Ont �'11x
Proposed Setbacks:
e `
Front (Lake): _ 1 I S Right Side: I Z 5
Reaa(Street): �ps Left Side: �0� �
Adjacent Structures: /Q�T'1'14C.�-t�1] Wetland: N/h
Building Height: Def. Hgt. (�J�K Peak Hgt. "'
Lot Coverage: N�/�
Grading: Staff Approval Date: — By: "'� Council Approval Date: "'
Septic: Staff Approval Date: '� By: �
Zoning File: # — Resolution: # — Resolution Date:
Shoreland Dist:ict: y��
Avg. Setback:�C9.(� Bluff Setback: N (/'`} Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250' /''j �70 / .6li0�o
250-500'
500-1000'
Hardcover Vaziance Required: Yes C No Date of Council Approval:
REMARKS (in house):
� 26
�' .
BUILDING REVIEW CHECK LIST
UBC: R- 3 CONSTRUCTION TYPE: V/v
Sq Footage $ Per Sq Ftg
Basement x =
1 st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ S,5'�O �^
Inspections Required: Work Requiring Separate Permits:
� Site Plumbing Fire
Hardcover Removal Mechanical Water Connection
OC Footing Septic Sewer Connection
0( Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
o� Final Grading/Filling Electrical (State Pernut)
Other
REMARKS (IN HOUSE):
------------------------------------------------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------------------------------------------------------------------
REMARKS(TO BE NOTED ON PERMIT):
27
', ''�� ` HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING H COVER IN ZONE
A. House Z x 3 1 = l 4�2 S.F.
�n�n wia�n
� x / �,. _ �L� S.F.
� � x J F' _ �O S.F.
a 2 x 2 3 = 50G s.F.
B. Gazage L 3 x � 4� = 3� � S.F.�
C. Driveway l L z /a {) _ � �Ot� S.F.
3 �' z f�_) _ l S2Q S.F.
D. Sidewalk y z �cS = 3p(� S.F.
x = S.F.
E. Patio/Deck � x S 2 = 3� 2 S.F.
SJ x y = y�� S.F.
�F. Landscape x = S.F.
Underlain x = S.F.
' By Plastic x = S.F.
Or Fabric
�''"rr�rn �us� 1/ � g y
G. Other Z x �� 3 a� = G o S.F.
Kp�a�rRr��j'^�a��
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE S.F. B
a G,�`� - B �-`�d��-' x ioo = ���3 0 %
3�, s5 � ,r �
PROPOSED HARDCOVER IN ZONE
A. House 5 2 x j/ _ / � I 2 S.F.
Length Width
Sr R I� _ � � y s.F.
� x /L = s(U S.F.
2 z x 2 3 = S p� S.F.
B. Gazage 2 3 x /G = ,3G il S.F.
C. Driveway / L x /G U = / ( 0 c.e' S.F.
3 S� R 4 r� _ / S 2 p S.F.
D. Sidewalk �/ x 7 s = 3 d O S.F.
z = S.F.
�. ,3 y
E. Patio/Deck �i x 5 2 = 3� 2 S.F.
SIb�"'(� , x = �G S.F.
i z c� 3 o v
F. Landscape y x �� = Z o S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
C.-rrw 1'►b�►� f� � �J'
G. Other , Z x 3 U = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A ,G 5 y b - B -�-eb� R �oo = �-s3m %
3?�557 / �� b��
� 14
��iv�nnntiHn E�EVATlON � �r_�.. �...,��� .��� ~��r-.. _� �, . �r and P�ofes•
• �' � the Stats of
iON: _ - '� �
� Ja s . Paricer, Minn. Reg. No. 923�'�''•
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in h�ii cemp;ianc?v;;=.n a(; =cr;:cahFa huifding and zonir,g code.
Requir2r,�e�ts ino�.aC�r3;;er;is n"s�ecif;ca�fy.ne;ed in t�tii�r9vizw.
' KE�P Ti�;S�LAv SET d;�.SlTc p:l'ALL TIME3
ATE/ TIME
CITY OF ORONO CALLED IN 'y-j�( `�
INSPECTION NOTICE SCHEDULED �� �' �� ��v
PERMIT NO. /D/.��7 COMP TED
ADDRESS '`�o?C
OWNER CONTR. -��'-��
TELEPHONE NO. '``�7�-O 3�'�
� DE ION .
� OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q O5 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
= 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 �ORKSATISFACTORY:PROCEED C PROJECTCOMPLETE
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� �CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECTUNSAFECONDITIONWITHIN HOURS. ,_ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
C CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i�spection 24 hours in advance.473-7357
OwnerlContract onsi e:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice
,✓ DATE TiME
CITY OF ORONO CALLED IN � ` �-5�� � .
INSPECTION NOTICE SCHEDULED ��-- � �zt�_
PERMIT NO. �/G'�.y/`� COMPLETED �� ��
ADDRESS � �'��' (/.�c�� ��c�c?-� ��'�
OWNER ��r�n«-rv CONTR. �
TELEPHONENO. `� 7�' G3��f
� DESCRIPTION ��-t'� ����-L,.�
� O1 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL` 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� G CORRECT WORK,CALL FOR REINSPECTION TEMPOFARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
' CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next ins ection 24 hours in advance.473-7357
OwnerlContr�n si :
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