HomeMy WebLinkAbout1993-005214 - deck with stairs ,
PEI�MIT -'
CITY OF ORONO PERMIT TYPE: �;E4��[7jt�1�;
• 2750 Kelley Parkway • P.O. Box 815 Permit Number: i?i i�'��:�.
Orono, Minnesota55356-0815 Datelssued: _��fs�`�1`�_'
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,(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY: `:� "� `: `"��"'
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CONTRACTOR: ��IV_N.��: — ��'�`� I`�`�'f� —
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APPUCANT/ ITEE SIGNATURE ISSUED BY:SIGNATURE „��.
• � CITY OF ORONO - BIIILDING PERMIT APPLICATION
Total Fee: $ / � ��� Date Received: ��,3�93
Date Approved:
�ntered By: ' � �
Permit�: �P�
ALI. INFORMATION MIIST B$ SDBMITTBD IN FIILL BEFORE P7�N REVIEW WILI� BS STARTFjD
(See Check-off List Enclosed)
--------------------------------- ---- ------------------
�E APPLICANT ZS: (circle �e) ER r CONTRACTOR
� ; � �.
JOB SITE ADDR$SS: `7. / �, �,��,t'�, ' �'��f�.'l�i `'�t.C1.,V�.�:, ZIP: � v v � 1
(work)
i�IAI� OF OWNER: �.� �.. C �(',(`�� PHONE: (home) �� t�"� ��'7
� � � � � t
3eSAILING ADDRESS: �� \ `�` � �V�� 'v� ��.R.. CITY: �O�..l�r- ZIP: .: v � ��.
x 4 �
CONZ'RAC.'TOR: l C PHONS:
�'iAIZING ADDR$SS: CITY: ZIP:
STATS LICENSE: �
�
ARCHITECT/ENGZNEER: �ro� � �S� � 1..�`"��a'��'�d� p$orrE: ��� ' 1�J�� �
_... � �, � �,�� o t,.y �. � J' '����
MATLING ADDR$SS: ,�.� � �sJ1�Y�;;Jve �� � CITY: � ��.. • ZIP: ..:�.,
�--, `1
N�: ,J G�CI'1 �O RBGISTRATIOF �
TYPE OF WORK: New Addition� Accessory Structure Mone
Demo Remodel/Alteration Renovate Land Al.teration
..._�_� �
PROPOSF.D WORR (describe i.n detail) : �� X1��U � t 1 � G`` � � �� S`����J
STORI$S: SQ. FEBT OF EACH FLOOR:
NO. OF BSDROOMS: GAR�GE STALLS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eaclnding land) : $ � ��U �
I hereby apply for a building permit and I acknowledge that the information
above is compl.ete 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 pe it and work is not to start without a permit; and
that the work wil.l be in a o ance with the approved plan.
�
APPLICANT•S SIGNATORE: �' DATE: S 11
' , � CHECR OFF LIST FOR ISSIIANCE OF PERMITS
` 1 FOR OFFICE USE ONLY
ADDR�SS OR LEGAL: l�-7 � �3T �a�N r L,�q� PID: O 7 � �/� � � 3 3� '�G �,/
DESCRIPTION OF WORR: (Z�1��-
-------------------- --- ------------------------------------------
ZONING REVIEW BY: DATE APPROVED: d�- 3` 53
BIIILDING REVIEW BY: � DATS APPROVED: G -3 -y 3
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �/ No
PLAN REVIEW Yes 1� No SEWER CONNECTION
STATE SURCHARGE Yes ` No WATER CONNECTION
INVESTIGATION FEE Yes No �i PARK FEE
SAC Yes No �--- SITE INSPECTION
Number of SAC Units OTHER (specify)
----------------------------------------------------�-------
ZONING CHECR LIST Zoning District: L/2 ' �
Fire Departme � P s f f c S So7. Di stri ct:
�' <
� �
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Lot Area: �^1i t
Survey Submitted: Yes� No Date of Survey: (� - 3 -�s�7
-�� O rv FIu:
Proposed Setbacks : ,
Front (-7da-�--}: N�/� Right Side: �{� ±
Rear (St�eet) : �S �'�' Lef t Side: ya' �
Adjacent Structures: /.1-7�}C,�,K-� Wetland: /✓�/'s
Building Height: Def. Hgt. ��A Peak Hgt.
Avg. Setback: � f1�}- Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 ' �i•3��o
500-1000 '
Hardcover Variance Reguired: Yes Nopc' Date of Council Approva�:
Grading: Staff Appro��l Date: By: Council Approval. Date:
Septic: Staff Appro�aJ� Date: BY-��
/ I Resolution Date:
Zoning Fil�e:# / Re�olution �
REMARRS (in hous ) :
BIIILDING REVIEW CHECR LIST ,. � �.
IIgC. �(' `1,- 3 CONSTRIICTION TYPE:�.� �
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Fl.00r X -
Garage X -
X -
TOTAL
$stimated Construction Value: $ ,DOD�v
Inspections Required: Work Requiring Separate Permi.ts:
Site � Plumbing Grading/Fi1J.ing
�Footing Mechanical Fire
Framing Septic Water Connection
Insulation Firep�ace Sewer Connection
Wa�.l Board (Masonry) Lawn Irrigation
�Fina J� (Mf g.) Other
Other Wel� (State Permit)
E�ectrical. (State Permit)
---------------------------------------------------
REMARRS (IN HOIISE) :
----------------------------------------------------
RLVIEW BY OTHERS: DATE:
Access: Existing New ,
Access Approval: Date BY=
-----------------------------------------------
REIKARRS (TO BE NOTED ON PERMIT) :
�
• � "
�
CITY of ORONO
' Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
•
� . � � 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 Iike to inform you that your request for a permit or
Iicense from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
You are notified that:
I.. The information you furnish wi1.1 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 Iicense.
3. The information may be shared with other Iocal, state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or Iicense requires Counci3. action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review priva��
data on yourself.
6. Your full name is required to process this application or
permit.
�
'�,Q,��y`�.. l�.JC���':� �..c C� .`.�
First ,,., Middle t
t�v / \ 4'�`\f"";,� 'C �'�,,```^ `� `�`y`�--�'�,�t„Q-'
Address
��{���..��..C..� ������ �� ���
City State Zlp
�l a-����,� ��
Phone
I underst/ nd y rights as stated above.
�'
��r
Signature � �
BUILDING&ZONING-473-7357 • ADMINtSTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING '
' f �
. .
�.04 RIGHTS OF SIIBJECTS OF DATd � .
Subdivision 1. Type of data- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required
to be given indihdue�- An.individuel asked to
� ' su ply private or confidentiel data concerning iamwithin the collect g st t gency,
purpose and intended use of the requested da v refuse or is legally
political subdivision, or statewide system; (b� �oWnrc�quence arising from his
required to supply the requested date; (a) �Y
� su 1 ing or refusing to supply private or confidentiel data; end (d) the identity of
PP Y
other persons or entities authorized by stat u8olr�e�kedlto supplyein est Sat ve datR,
requirement shall not apply when an indrvid
pursuant t� section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lart t8X re°und �tructions insteadhos
subdivision in the individual income tax or r� e
on those orms. . - �---- -- - - .
Subd. 3.
Aecess to data b9 in���' Upon request to a responsible
authority, an individual shalt be informe�h blic,prieateeor eonfidential.e Upon his
individuels; and whether it is classified p ublic date on
turther request, en individual who is the subject of s�t�r�e�mri��if he desires, shell
individuels shall be shown the data withou�f an���t8. �ter an individual has been
�e informed of the content and meaning t� �ta nesd not be disclosed Lo
shown the private data and informed of its m�e Q 88C�on pu�uant to this section is
him for six months theresfter unless B �SP
ending or additional data on the individu e h� 8te or p blic datarupon request by
' p require the
responsible authority shall provide copies The respensible authority may
the individuel subject of the de.ta• certif 'n and compiling the
requesting person to pay the aetual costs of makinB, Yi g'
copies. lmmediately, if possible, with any request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or within five ��immediate complianee is not
excluding Saturdeys, Sundays and legal holidays,
ossible. If he cannot comply with the requ et �t��it�ntW�ch tohcornplY fw t1� the
P have an additional f YS
individuel, and m S t���� 5��� �d legal holidays.
request, exeluding
Subd. 4. Proced�a'e when data fs not accurate or complefe- An in��� mgY
rivate data concerning himself. To
contest the accuracy or completeness�of public ° in writing the respensible authority
exereise this right, an individuel shall notify �ible authority shall within 30
describing the nature of the disagreemenL The respe
days either: (a) correct the data f ound t� b� lete datae including reec pients namedt by
notify past recipients of inaccurate or mco P
the individuel; or (b) notify the individual i���ual�s statementof disagreement is
Data in dispute sha11 be disclosed only if th
• included with the �isclosed dats• � 8ppe81ed pursuant to the
' The determinatian of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
' . � .,��.
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ATE TIME
CITY OF ORONO CALLED IN S 93
INSPECTION NOTICE SCHEDULED � �0 9-3 '�O o
PERMIT NO. onnP�ETEo e� LT
ADDRESS 7
OWNER ���� CONTR. ,l/��
TELEPHONE NO. �7-Z ' ��`�7' �
� DESCRIPTION .�e �,
01 FOOTIN � 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
O
Z 04 WALL B0. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMP�AINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �- pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OFDER POSTED.CALL INSPECTOR '-' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCont ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
D^A�T�. �j�(
CITY OF ORONO CALLED IN �O�S� �� cJ'� �
INSPECTION NOTICE; � � �� SCHEDULED ' 3 ,� C�,B�
PERMIT NO. -� COMP ED
ADDRESS J � �
OWNER CONTR.
TELEPHON `7�a� � �`� �
� DESCRIPTION ��
� Ot FOOTING 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 0 BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 F 13 METER SET/TURN ON 17 SiTE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. �_ PHOTOTAKEN
INSPECTOR WILL RETURN
C'CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance.473-7357
OwnedContractor si .
Inspector.
White Copy/lnspectoPs File Canary CopylSite Notice
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