HomeMy WebLinkAbout1996-006878 - replace deck ,
� PERMIT
CITY OF ORONO r ; PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number.
(612)473-7357 Date Issued: _ . _ V`;�
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: - ; _ . . =_.�;j=�. —
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
^ CHECK OFF LIST FOR ISSIIANCE OF PERMITS
` FOR Ca?FZC�.. USE ONLY
ADDRBSS OR LEGAL: I�Sq� �I��� WO�'� ��'OjA'� PID:
D$SCRIPTION OF WORR: 'cJ e. L
------------------ .
--------------------^
ZONING REVIEW BY- �'� DA�E APPROVED• 3-2£S-5 5 .
.
BIIIT..DING RL�TIEW BY t lX�-- DATE APPROVED: 3 -Z8'- S6
----------------------
FEES TO BE CHARGED- Misc. Fees Cal.culated By:
PERMIT Yes ✓ 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)
--------------------
--
ZONING CHECK LIST Zoning District: L R- �C�
Fire Department: N �C�
Post Office• �-- School District: — __
Lot Area: 3��Z33 s�, t-r •���idth: /J�� Depth: Z.�� � l��
Survey Submitted• Yes pC No Date of Survey: `%�S '7 3
Proposed Setbacks :
F�-a�rt (Lake ) : 1 ( � Ri ght Side: ZS�._t-
� ( street) : N�A� Lef t side : �S' �
Adjacent Structures : Wetland: /�/�9
Bui�ding Height: Def . Hgt. N�/�- Peak Hgt. n//�B —
Avg. Setback : VA��►ar+vc� Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' Z•�Z �.�Z
75-250 ' Z�. e� ZS•O�
250-500 ' '
500-1000 ' --
Hardcover Variance Required: Yes_� No Date of Council Approval : 3-27-5'S
Grading: Staff Approval Date: /l///� By: Council. Approval Date :
Septic: Staff Approval. Date: /��� BY=
Reso�ution # • Resolution Date: 3-�.
> Syc/
Zoning Fil.e: # (�'� � � 1
I2EMARRS (in house) :
BIIIZDING REVIEW CHECK LIST ,
i ti .
UBC- -3 CONSTRIICTZON TYPE: \/{'�
� Sq Footage $ Per Sq Ftg ,-- -- - _
Basement -.- _.__ - " -•"' -' -
x_ -
_ _ . __ _ . _ _
lst F�oor x _ �--__ _ ___
. _ . .�...Y ..._.' .. , '".r.Z.�'..
2nd F�oor X ,. _ --. . - - , ___.._��__-��:>;.,._��
Gar� a�g� x = � . . .-
- _...
3� � X- �c�_�v = �oS�'c� -- - - -_. ._ _.__ _,___.. �
TOTAL
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Bstimated Construction Value: $ �, 30�
Inspections Reguired: Work Reqniring Separate Permits:
Site P�umbing Grading/Fil�ing
Footing Mechanical. Fire
DiFraming Septic Water Connection
Insulation Firep�ace Sewer Connection
Wa�I. Board (Masonry) Lawn Irrigation
p�'ina� (Mf g.) Other
Other Wel 1 (State Permit)
El.ectrical (State Permit)
---------------------------------------------------------------
R_F.MARKS (IN HOIISE) :
-----------------------------------------------------------------
REVIEW BY OT�tS: DATE:
Access: Existing New
Access Approva�: Date BY=
------------------------------------------------------------
REMARKS (TO BE NOTED ON PF•.F2MIT) :
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DATA PRIVACY ADVLSORY
In accordance �vith M.S. 13.04, Subd. 2, "Riahts of subjects of data", ��e would lil:e to
inform you that your request for a permit or license from the City of Orono or any of ics
deparunents may require you to furnish certain private or co�dential information.
You are notified that:
1, The information you iurr.ish w ill b� ��sed to determine your qualification for the
permit or license requested.
?. 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 oLher local, state or federal aQencies to the
extent necessary to process the permit or licer.se.
4. If your requested permit or license requires Council action to approve, some
information may become public.
j. You have certain rights under M.S. 13.04 (se� followin� paQe) to review private
data on yourself.
6, Your full name is required to process this application or permit.
PLEASE PRL'�'T
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First Midd e Last
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. � �� � , ti -��
Address �
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'�f�l �r�.�� � ��;-� c�� � n� S �
Citv State Zip Phone
I understand my riahts as stated above.
L-`�,t�y���� �. C.�� ��.F ,
SiQnature
v TELEPHO�'E-473-73�• F.�►.Y--t73-0510
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� Sec.13.04 RIGIi'TS OF SUBJECTS OF DATA
Subdivision 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 confidential 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 data; and (d) the identity 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 officer.
The commissioner of revenue ma lace the nutice re uired under this sub�ivision in the
individual income tax or ro e 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 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 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 public data upon request by the
individual subject of the data. The responsible authority may require the requesting person to
pay the actual 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, 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 withi.n which to comply with the 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 authority 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 determination of the responsible authority may be appealed pursuant to the provisions
of the administrative procedure act relating to contested cases.
11
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f'A I;. I I !� a , " ; � � i.� APPROVEt? WITH CORRECTIUN8 AS NOTED �'t�
� I �� I . '"'I I � I I 1 Ntl1- APPRUYED -- CURRECT & RESI1`3MIT �'
��r�:e comments are for your infcrmation. All wcxk sha�i lx�ssc
.,; .dfl comptlnnce with all e�:{dicntrl� builc+Er� �S zoning coQe �
j:r:�ai;t9nts inriu<+ir�r, �tems nat s}�ecitkel!y noted In this r�evi,yr�
KE�'f' 7�i1S �`LAN SrT Jfd �IT� .�"f ALL TtM�..
ATE TIME
CITY OF ORONO CALLED IN `�-5-" �� 7���-:/Y/
INSPECTION NOT C � SCHEDULED —J -`-� �v� ��i�
PERMIT NO. ��'`"� .-, C MPLETED �� � �
ADDRESS � C � �� �
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OWNER � j��=-' CONTR.
TELEPHONE NO. �'
� DES ION l.k-E' ���--
� FOOTING � 11 MECHANICAL 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEi YOU:_YES_NO
� COMMENTS:
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� CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED
O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473�73�J7
OwnerlContract �t •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN `�'�� "�5
INSPECTION NOTICE SCHEDULED `�""'� ` - �f'
PERMIT NO. lu �" 7 � COMPLETED T �
ADDRESS �'�D .L�L�'CC-�ui-�-�-c-� k c�
OWNER ,��,r�'-2..� � CONTR. �
TELEPHONE NO. y �� � �� �-'/
� DESCRIPTION �'���n�
� 01 F TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMIN�� 13 MECHANICALFINAL 19 LAKESHORE/WETLANDS
� 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 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r pHOTO TAKEN
INSPECTOR WILL RETURN
f, CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra ite:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice
DATE TI
CITY OF ORONO CALLED IN '/d- 1!'• �-�.—
INSPECTION NOTICE SCHEDULED �-1 � 3--9 " B�
PERMIT NO. �o � $ COMPLETED Q �
ADDRESS � �
OWNE����S�— CONTR.
TELEPHONE NO. � � � — 7�7��
� DESCRIPTION _ � ('ifC�
� 01 FOOTING 11 MECHANICAL 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOA RANGEACCESS.
Call for the xt ion 24 hours in advance.473-7357
OwnerlContracto o ite: '
Inspector. '
White Copylinspector's File Canary Copy/Site Notice
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'' �'I���' I_EG/1L DESCRIPTION OF PREMI5ES : ``
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''� I':i ' Lots 29 , and 30 , SIIADYWOOD �
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�' ��_ '� Qearings shown are based upon an assumed tlaturn .
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; ,�: �ll� is survey ir�tends Co show thc boundarie$ of the above describecJ
' � , proUert,y , tlie location � f an existiny ga�rl�ge thereon , and the location
; ! � of an existing hi�use in relation to the northerly property line and
,; , �, tlie 929 . 4 contour 1 ine . I t does nol: purp.ort to sl�ow ar�y otl�er improve-
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I hcrcb}' rerti(y th�t this survr��� ���as prr�,�irc�1 b�� mc�,r un�lcr my �lirccl super- t.�n��. �-10-9S
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