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Home My WebLink About1997-009077 - deck . . PERMIT � C;.TY OF ORONO PERMIT TYPE: . -. - ::-. 2750 Kelley Parkway- P.O. Box 66 - .°=+�;=k��= Crystal Bay, Minnesota 55323 Permit Number: „ �i_;;;% (612) 473-7357 Date Issued: ��;,�,��M�;;,��-; SITE ADDRESS: _.� � _ �r��_�i=E v . F!=: - . . . . . . . _... -I � --__. —_;+—[-`='= - DESCRIPTION: �i�-:i�;:; :�_.._ .,. _ .�.._ � ';�,a t. T Y!�s=� :-yr, .-..:-r;-...�;�• _;; T�4.:_i-i�,s.r:;,;t � it_1i��..� _:_t g : :��,:'� };�;:ri s'k; ��`�:' �..i�".z:i=•. 's.t!�;i� 'tjr_s;��r=1�}',r i'i--.,� t:+��i-E�i;,;'':!:fi.: :,'��j I�:::�E•a tYiY _;-i�;j ;�:-� 'z`;i—j 1�� i,:_;7"�„_.i� i;:;,��r�s .��•:'� Y°jF. I , �i,�''��,T��:;€J { ?�-:i._ REMARKS: FEE SUMMARY: .�;:;:..__. , . _��'�� - . �- - - �a,�� +� �`-�`=� • �� F`;�,�t� ��s�;i �.:;�% . '_� , `=;: ==f..,E�'_�"��.i'��= __,__,,,,,_ _��.:.� '_`_..' (E7 i..i J, ;r_:.� �'.,i-'a 1�;P��y�'��=1 CONTRACTOR: OWNER: - � . -. - �. .. -- ... . _?-!":. ,- �`,°;�. - - - ��,� ;• �..._ .. � ''S'tE_..' _ " ;`;L;.<<�i;�:'� l.��.s :_�'-�'�� „...,___, __� , ;__� ._ „':�_" ,�_i , r,-.,.s i>•� i_��L�","z` Y.i ''ti�;�!•-ta� .F S_ �, f, :.�. .,.��`, _ _ .�, . ' �� ` •s .=.. �_14�J�i't��!��#�#w:M "1=._; .t__e�: .__ ._ _`_.. . _: ._. .a s.i.•.�'_ - '-� a � �� "�:-�t••._ . '�.. ..._ ._, ._ . .._. ._ ��. �. ry�__ _ ._ _ __. _.�_ 3 �`�`f-�.��l.�� !-!i�L.� l��"�`"� _ � -�`S_' t,l L: �; , f}i�t. �.I_i�Tt,t''1_ i c-;� r.._ . _ . . . .s...., r _ . �',� �_E� . _. .__.._� , �. .... ... . ......... . .... . . . . .. ! . ^ f�'. . - ,. y `�€� ��;;k�Ii��t�ii:�'�; ,��._�., . , . . .._ .. . .�z!: . _�;F��t� �,i#ILi.��Wt� C�Em�=,._ . .... _ ,. .__� �... _. . � � � APPL A /P RMITEE SIGNATURE ISSUED BY:SIGNATURE � ~�ITYO� OR4N4 0�0�o caP� _ �_ SIT� �LAN GRADING PLAN y �i�� '`��_ ,.r,o6 L.� �,•P��VED- 0�cK ` .�,�. ' �s%s„ � AFFRUl�� VVIiH REVISIONS � „�8� '� ,, 2,�, ❑ D��A�� G�'�D � � z�2�� .� .c BY ��, �� `�' DATE �-� -�� 5 ?� � -_ � � ,7�. � �;�� / s g � \ L2,� b�� -° . ��E� � �7 , � R�; • 2� ig 2d. X�S�. i1.1o3 i��i `OGl�/ '�j�b ��tl FOSF� I`i�q Z31 �T p �b 1� •=I�•�mo.�,-Tql/�, / �r'�i� �'Z (9 � / ✓L�. �3 E / f3�,� � / � c � � �� I Lot 4, Block 1, Dickey Lake Addition, together with an appurtenant easement � for u�ility, drainage, driveway, access and for purposes of compliance with the I i City of Orono set back requirements and open space over, under and across that � Dickey Lake Addition, described as followa, to wit: part of Lot 3, Biock 1, � /�,p Commencing at the Southwest corner of said Lot 3, Block 1; then on an easumed ��. bearina of North 53 degrees 00 minutes 00 aecond� East aiong the Southerly � � line of said Lot 3 a distance of 316.23 feet to the point of beginning of the N � iand tc be described; thence continuing North 53 degrees 00 minutes 00 seconds � a distance of 25.00 feet; thence South 70 degrees 05 minutes 15 seconds East � hdistance of 231.73 feet to the Southeasterly corner of said Lot 3 ; thence � \ North 74 degrees 58 minutes 00 secor.ds West along the Southerly line of said Lot 3 a distance of 246 .27 feet to the point of beginning, \ and also together with a non-exclusiva easement for driveway purposes over � �, Outlot A, Dickey Lake Addition. � 53 o � I hereby certify that this plan, survey or report was JOB # SCHOBOR� prepared by me or under my direct supervision and that I am Z 7g 9 N D SU RVEYI NG a duly Registered Land Surveyor under the laws of the State 9 of Minneso Book - Pa e i NC. �D - z0 Scale ��'• �• 13� Date: �^�E �,��Q� `Registration No. 14700 / "_�� 'T2322t D�1ano, MN s532d , . ., Total Fee: $ l�� • �� Date Received: � �� / Entered By: Permit#: �Q 7' CIT OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ----------------------------------------==- ------------------------------------------------- ---------------------- �, THE APPLICANT IS: (circle one) (OWNER O. CONTRACTOR \ -- � JOB SITE ADDRESS: � � � � ��L�1'�'� �.� ZIP: �7 � � � NAME OF OWNER: �i�V � v �C ��`P�J PHONE: (home) � 4'' C�47� (work) � �!� �(,Z�- 1 MAILING ADDRESS: �j�Y�1,� CITY: ZIP: � � �� l CONTRACTOR: � �-� �i �7�J � ::��`- ", '' PHONE: � 2 C� [ �> �Z>�� CONTACT PERSON: S'{�yv�t MOBILE/PAGER: MAILING ADDRESS: CITY: Lt� �u ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: N ��— PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New , ' Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK (describe in detain: ��--K� STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3%L�jj . 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 i ccordance with the a o ed plan. � APPLICANT'S SIGNATURE: DATE: Z N'' �� NOTE! Parade o Homes events require separate permit a roval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 . . , Sec.13.04 RIGHTS OF 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. Information required to be given individual. An individual asked to supply private or co�dential 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 dara;and(d)the idenriry 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 officec The commissioner of revenue mav olace the notice reauired under this subdivision in the individual income taa or vroaertv tax refund instructions instead of on 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 on individuals,and whether it is classified as pubiic,private or conf'idential. 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,[he data need not be disdosed 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 pubiic data upon request by the individual subject of the data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compii�ng the copies. The responsible authority shall comply itnmediately,if possible,with any reques[made pursuant to this subdivision,or within five days of the date of the request, excluding 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[he request, excluding 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 concerning himself. To exercise this right,an individual shall notify in writing the responsible 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,induding 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 wi[h the disclosed data. The determination 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 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 extent 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. �� t 1� �;t.1'�1.,.�,,-� �li�� -�--I-J�� . First Middle Last `L �. � � �1�'-�'''� C� Address �� - ��_��'�� City State Zip Phone � I understand rry�rights as state bove. �2_,__._ - � �- Signature 6 � • CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR FFICE U E ONLY ADDRESS OR LEGAL: ��3 S , �''�.�m PID: v4�-//�— a3 .�j DD /3 DESCRIPTION OF WORK: . ��c-e�,� � ZONING REVIEW BY: DATE APPROVED: (,- S-5 7 BUILDING REV�W BY: DATE APPROVED: (,-5-9 7 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes` .✓' No � � . . � PLAN REVIEW Yes r� No SEWER CONNEC"TION STATE SUR:HARGE Yes ,/ No WATER COrfNECTION INVESTIGAT'ION-FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Q dL-�$ . Fire Department: �A lur Post Office: l,oni c� School District: p{Lbnr a Lot Area: Sq.ft. o ` Acres — Width t(l�,G,VtA�2- Depth — Survey Submitted: Yes �C No Date of Survey: 4��-9'7 Proposed Setbacks: Front (Lake): �90� LN Right Side: �b 5� Rear(Street): �oo� �' Left Side: 1�{� Adjacent Structures: lirr 1}Gl-kc��(J Wetland: N��'* Building Height: Def. Hgt. N(A Peak Hgt. — Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland DisL-ict: �•�� Avg. Setback: Bluff Setback: Lot Coverage: � Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Vuiance Required: Yes No Date of Council Approval: REMARKS(in house): • 26 BUII..DING REVIEW CHECK LIST � UBC: _ (Z-3 CONSTRUCTION TYPE: '�( N Sq Footage $ Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Gazage x = r.LK Zo x z y=k S� x �O.na = Y.4�jOv TOTAL Estimated Construction Value: $ �, ��a Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection _�Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation� (Masonry) Other ' Wall Board (Mfg.) Well (State Permit) _� Final ' � � • Grading/Filling Electricat (State Peri�t) Other REMARKS (IN HOUSE): --- - . REVIEW BY OTHERS: � � DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMII'): � 27 ��'�' �� `��i,�'�``�� GU � ��GKS ST �� PQ�CN�� AR�'��s ��i#.:�9i� ,�. !`�':� �R��+f �� 36" iVi►N. H�IG�-9T �'��'�-� ---- RI� Structural �embers 4�ust Be Approved y" M�• OF'�N'!NGS �JATE U��-+� ��n�rr �vo. r....�'K. Wuod Of Natural Resis To ecay Or � .:� A��c�°d�� A� 5�!��;�'�?'r�s Treated N9aod. , %b �o f� S e ��" ��v�a y�vj�� c��.;��aFas �s NOT�� U S e � , n� L,�x� `;; NO7 �1PPRnVE�3 — Ctk�R�t;T Fx RE5l16MiT s riase cpfn�ents ar:e for your tnf:arm�tf�n.r�ll wqrk shatt�9p ; � �� 1 � tiu;°t.orr'l�rlisn.:e w;th a!i eF:�;t:,�"�t� �_a�c3.r�g � ta�ca�fr :�• � lJ ' �:rlYt�dtlt� includir.g itesn� r?�t s�e�if;ca:ly nOted ih tt�is +�,'1Q k � f / t�"}!� T N�S P L A f i ��'i J�� t r� 0.Y A�L i�� i i p � E O��o �oi � I ti� ' / r � �/ ,�` / �k 40 ��.E'GY�i � . `' � � --O 1 S-� � I�, ��`p c� � � . �x � � � �' o�k ( ol ��m S� SP�CIAL [�IOTE SLE �TT�.�i-��D ��EE Fs�R �L' CQD� �t��i��3��T ' ��—t- �c�'fi � r.�"fS � - � =----� , �t � � � L_' '�/ � � � � � t1 � � ca P , a � �� ,ti �' 11�, �rost Ft�o�� ,i ,; ' 3� � 2i � (.tw,,,,,o v �� /z �k " �'.,.�o'rt r� c� �T'1 q1r� STA1�2S - 8" MAh. RIS�R 9" MIN. TREAD . 6'-�j' Ml�1. FEC�DRC3C?I+A . AT LEAST Of�E HAhL3RQlL t�EQUIRED GUARDRAIL OPEN SiDES