HomeMy WebLinkAbout1995-007042 - deck PERMIT �
CITY OF ORONO PERMIT TYPE:
2750 I�elley P�rkway- P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 � - � ' '�.� ` �
(612) 473-7357 Date Issued: _ _ ;�:_�:E::: ^ - .
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SITE ADDRESS:
DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — =�:�=r':�. �-=;�_�_. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY: IGNATURE
� � CITY OF ORONO - BIIIZDING PERI�LIT APPLICATION
Y
Total k ee: $ i�/5 �v� Date Received:
Date Approved:
Entered By: � ���-�-� �
Permit�: '� � `���.
AI�L INFORMATION MIIST BE SDBMZTT� IN FULL BEFORE PI,AN REVIEW WILL B$ STAR�EU
(See Check-off List Enclosed)
----------------------------------- ------------------------------------
THE A.PPLICANT IS: (circle one) OWNE or CONTRACTOR
JOB SITE ADDRSSS:�,�(J� !�f�i �/ � �-� ZIP: j S��a
(work) y�?��S/ 7
NAME OF OWNER: � �-1 �_ K �tjl'��i�'�-� PHONE: (home) �,��-��a�U
MAII,ING ADDR.ESS: 1��L� ,�� SA �r" 1.,� cz�: )'`�fer�.-►�i�,M ,�� zzP: SS3�. �
CONTRI�CTOR: �U��'" PHON$:
MATLING ADDR.ESS: CITY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGSNEER: ��f}- PHONE:
MAILIN6 ADDP,.$SS: CITY: ZIP:
g�: RSGISTRATION �
TYPE OF WORR: New Addition� Accessory Structure Move
Demo Remodei/Alteration Renovate Land Alteration
� � , `� (/0 �— 9 ' �
PROPOSF.D WORR (describe in detail) : �' '�"� � � �v � �L
l�1-� i.J f S i ���c �•� I� �.r`S�
STORI�S: SQ. FEST OF EACH FLOOR:
NO. OF B$DROOMS: GARAGS ST�LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ 3 y(,?CJ� V""-"
T 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 2
understand this is not a permit and work is not to start without a permit; and
that the work wil 1 be in accordance with e oved plan.
� �
APPLICANT'S SIGNATURE: �'� DATE: /� ��
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CITY of ORONO
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
� . � � On the North Shore of Lake Minnetonka
DATA PRNACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would like to i,nform 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 wil.l 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 Iicense.
3. The information may be shared with other i.ocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or 3icense requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Your full name is required to process this application or
permit.
,,��1� ..DA t,�� /�f...��U R��R f
First Middle Last
.��.�10 2�s� �r ��.J'
Address
� �c�Iv C� /`'r �C.> .�S'3 C'� �
City State Zlp
�S/�� -�o�o
Phone
I understand my ri t s stated above.
�
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S gnature .
BUILDING&ZONiNG-473-7357 • ' ADMINISTRATION&FINANCE-473-7358 • PUBL[C WORKS-473-7359
ASSESSING '
..._.r..__ • , .
1" ,
573.0.4 RIGHTS OF SIIB.TECTS OF DATA �
Sub
division L Type of ��- The rights °tio�vidusls on whom the data is
stored or to be stored shall be as set forth in this sec An.individuel asked to
Subd, 2. Information reQuired
to be given in�vidusl.
� � rivate or confidentisl data concerning �m�sit�h�in the collect g s ate ag n y�
supply p v refuse or is legally
purpose and intended use of the requested �b�whether he ma„
political subdivision, or statewide system;
the requested datg; (e) anY known consequence arising from tus
required to supply rivate or confidentiel data; and (d) the identity of
supplying or refusing to supply P state or federal law to receive the data. This.
other persons or entities authorized by 1 �nvestigative data,
requirement shall not apply when an individuel is asked to supp y
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
Th
e commissioner of revenue ma lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instea o
on those orms. � --- -
Subd. 3. Access
to data b3� in���� �Pon request to a responsible
horit an indiyiduel shall be informed whet�h�c h frvateeor confident al.e Upon his
aut y. ublic data on
individuels, and whether it is classified as p �
turther request, en individusl who is the subject of e to�mrlv�a�ae if he desires, shall
individu$ls shall be shown the data witho o f�h t d�a a. Af ter an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless e diSPute or action P �ta u n request by
or additional data on the individuel hes gte or pubu�ed or �e8ted. The
, pending rovide copies of the pri require the
responsible authority shall p �iin the
The responsible authority�a comp B
the individuel subject oft�e actuel.costs of makinB, certifying,
requesting person to pay -
copies. if ssible, with any request
The responsible authority shall comQly immediatelY, P°
e ursuant to this subdivision, or within five days of the date of the request,
mad p �d le al holidays, if immediate eompliance is not
excluding Saturdays, S�aa�with the�request within that time, he shall so inforth the
possible. If he cannot comply within which to comply
individuel, and rr►sY ha�e an additio� le al�ho�Y��
request, excluding Saturdays, SundaYs g
Subd. 4. Proced�e �►hen data i.s not accurate or complete. An individuel maY
himself. To
contest the accuracy or comgleteness of public or private � the�r sponsible authority
exercise this right, an individual shall notify in writing
cribin the nature of the disagreement. The respensible authority shall within 30
des g
da either: (s) correct the data found to be inacca�8e���ngPeecipients namedt by
Y5
notify past recipients of inaceurate or incomp ete ,
t
he indivic3uel; or (b) notify the individual that du81'slstatementof disagreement is
Data in dispute shall be disclosed only if the mdivi �u�t to the
• included with the disclosed data. � BPpe�ed p
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
� � ` • . � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRES� OR LEGAL: I310 R�EST ���NT l,..ANt PID:
D$SCRIPTION OF WORR: �CC�1<
-------------------- ---------------------------- ---------------------------
ZONING REVIEW BY: � DATE APPROVED: 6 �`�7 '�1.�
BIIILDING RL7VIEW BY: � U�-�- DATS APPROVID�: C�' �''1 '4'S
------------------- ---- -
FBES TO BE CHARGED: Misc. Fees Calculated By:
PERMI T Ye s �� No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes �No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
�������������������������������������������� • y�
ZONING CHECR LIST Zoning District _�(; Q
Fire Department: I�YIp�Nd Post Office: Wlcx„�,/� School District: lw�e�'t'�N1c0.
Lot Area:� � �1 LO Z sr_ �-� Width: � R�uc.�,2 Depth: -'
Survey Submitted: Yes� No Date of Survey: 6- l'�i�
Proposed Setbacks:
Front (�eice) : 3S' Right Side: (�S �
Rear (�t) : 3�� Lef t Side: W��
Adjacent Structures: //4--
wetland: /���
Building Height: Def. Hgt. /��� Peak Hgt. "—
Avg. Setback: /�1�-- Lot Coverage: '�I �
Existing Proposed
Hardcovers 0-75 '
75-250 '
250-500 ' (Z,�� 1 �Z�o
500-1000 '
Hardcover Variance Required: Yes Nop� Date Council Approval:
Grading: 5taff Approval. Date: By. ouncil Approva]. Date:
Septic: S�aff Approval Date: By
Zoning Fi]!e:# Re 1 t' n #: Resol.ution Date:
REMARRS (�n house) :
, �
BIIILDING REVIEW CHECK LIST " . . • � ,
DgC: �-3 CONSTRIICTION TYPE: YN �
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd Fl.00r x -
Garage X -
x =
TOTAL
�
$stimated Construction Value: $_� `� O c� —
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fil7�ing
�o Footing Mechanical. Fire
�F'raming Septic Water Connection
Insulation Firep�ace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
o�-Final (Mf g.) Other
Other Wel 1 (State Permit)
Electrical (State Permit)
--------------------------------------------------
REMARRS (IN HOIISE) : �
------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
------------------------------------------------
RELKARRS (TO BE NOTSD ON PERMIT) :
HARDCOVER CALCULATION WO
. ,. , .
�ET�ACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EYI�TING HARDCOVER IN ZONE �.
A. House �, x o7 /� = 3�oZ s.F.O
Len�ch� Width —
x 3 t C�(o s.F
� / S.F 3
i2• x f0.9 =
• (o. — x i 3 � � = S.F
B. Garage �'�C. � x = S.F.
C. Driveway � x �� �i� _ "lo�� S.F S
$' x I(�' S~ ,4(,� = S.F
��, ' a� — o
D. 5idewalk - - -= x = S.F.
R = S.F.
E. Patio/Deck 1'��-- T R = S.F.
�g R q = 7a s. I o
F. L.andscape �K ,.r9�,�.5 R = s S.F.�
Underlain Cg.��scuw�. R = S.F.
By Plastic x = S.F.
Or Fabric
G. Other ' x = S.F.
TOTAL HARDCOVER IN ZONE - ,Ay y9oZ S.F. A
TOTAL PROPERTY AREA IN ZONE - [�, �//02 S.F. B
' p ��� – B x 100 = ,[c�.R %
PR OSED HARDCOVER IN ZON
A. ouse o� x a� = 3,� S.F.�
Length Width
a�. �-" R � _ � �� s.F�?
/e?��' x /0 .9 = I_2!e S.FQ
,� X – S.F.
B. Gazage �.�-� T R = S.F.
C. Driveway ,.�Q x �_ _ �o?C� S.F. •S"
� x /�,S�— = i3 a s.F. 6
�� .�v - �/vc �
D. $idewalk x = S.F.
R = S.F.
E. Patio/Deck x = ,3�' S.F. �
q x . = s.F �
� ,` �.s � �s i
F. Landscape dto�r �,JAc.�� R = /� S.F.
Underlain c A��A<<avs _ x = JI�/ S.F.
By Plastic z = S.F.
Or Fabric
G. Other z = S.F.
TOTAL HARDCOVER IN ZONE - 9 S.F. A
TOTAL PROPERTY AREA IN ZO1VE - I9 /a S.F. B
A �7��Q�— - B � � c� x 100 = /S•� %
14
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IDE�TIF�C�T�O ������� ��-� : , -�
Approve� Addresses Shall Be Dis�layed, , �� -
Plainly Visibie And Le�ible From The D[�1�p ���' ,
� r�� �S � �Q�CI���'
Strest Frontin�The Prone+�" ,411 Structural �iembers A�ust �e q ro � '
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FOR� ��`►'Q2✓-11Z- - _. AT LEAST Ot�E tiANDI��IL ���U9RED
� = - _ CC�D�' �a:.������'�`:_.:"��� GUklZ��2AIL OF�E� So?�ES �
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DATE T'IM/E
CITY OF ORONO �1 CALLED IN ' ' � �'. `� 7 �
INSPECTION NOTICE v�� ,'�` SCHEDULED lo -/3 �J'S 3:�
PERMIT NO. � COMPLETED �
ADDRESS � � �� .
OWNER CONTR.
TELEPHONE NO. � � `� ��L�`� �
��TION
ly �FOOTIN�/ 11 MECHANICAL R� 18 EXCAV/GRADING/FILLING
� 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 COMPIAINT
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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS:
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d �VORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� Cl CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. -, pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �- CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next ins ction 24 hours in advance.473-73�J7
OwnerlContract ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice