HomeMy WebLinkAbout1994-006222 - roof portion of deck � _ _ _
PERMIT
� CITY OF ORONO PERMIT TYPE: _ _ . _ �
2750 Kelley Parkway • P.O. Box 815 Permit Number: �`"'"_``���i'
Orono; Minnesota 55356-0815 "�}�,•'��'�•`�
(612) 4�3-7357 Date Issued: {�;��;� ,��:��,
SITE ADDRESS:
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CONTRACTOR: OWNER: — ��_��1 i;Y��.t. _—
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
� . - CITY OF ORONO - BUZLDING PF.R�LIT APPLICATION
� �
Total r ee: $��� / � Date Received:
,
Date Approved:
En.�ered By: � �� ����
PermitR:
ALL INFORMATION MIIST Bg SIIBMITTSD IN FIIL.L BEFORE PLAN REVIEW WILI, Bg STARTED
(See Check-off List Enclosed}
--------------------------------- ------------------------------------
THE APPLICANT IS: (circle one} OWNER or CONTRACTOR
JOB SITE ADDRBSS: ��;':z (`• S�� � � - ZIP: S�S��Y/
(work) �3 �` `�cl�j�
N� OF OWNER- �A a • z ��vr1e5 �1 l rz i N- PHONE: (home) 'y�7 I �(i'� Z t
MATLING ADDRESS: ZU_S S(-.e�ts-t�� ' f t�. � CITY: (�ro r� i� ZIP: '�-�35' I
CONTRACTOR- ��1�►�z �� ti �� � t.t I PHONB: �Y�I -C�'�f Z-I
I�iAII�ING ADDR.ESS: S i'} �'�'�-� CITI': ZIP:
STAZB I�ICENSE: � rV�l�
ARCHITECT/ENGINEIIZ: PHaNE:
MATLING ADDRSSS: CITY: ZIP:
N�r: RSGISTRATION tt
TYPE OF WORK: New Y Addition Accessory Structure !� Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : �i�r�� Q��-y' ���►��1 _ _ .��� � ''"""�
L��"�� :,� �`iN : �c1 % Cs. 1-- ��-r� �✓ y �'
STORIES: SQ. FEBT OF EACH FLOOI2:
NO. �F BSDROOMS: GARAGS STAI�LS: ATT. DET.
- «�
ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ I��%G �
I hereby apply for a building permit and I acknowledge that the information
above is cornplete and accurate; that the work wil. l 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 in accord n, with the approv_ed plan. �
� ___ �" ,
APPI,ICANT'S SIGNATIIRE: (,� DATE: � x"F '��l
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CITY o� 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:
1. The information you furnish wiZl 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 license.
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 Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 Lo review pri�a��
data on yourself.
6. Your full name is required to process this applica�icn or
permit.
�l�'-� M+t j f'`� ��tiq-Z� �,���i t-,
First Middle Last
�;i�� ,i �\Y�c` •�11�� �� •
Address
�r o rv � r� S.� ��d P
City State Zip
��.� — c, 4��.- � —
Phone
I understand my rights s sta ed a e.
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Signat e
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 � PUBLIC WORKS —473-7359
ASSESSING
--------— • ~ '�
Si3.04 RIGSTS OF SIIB.TECTS OF DATA �
gubdivision L TyPe of da�- The righ section�vidu8ls on whom the data is
stored or to be stored shall be as set #orth ln th�s • ���L An.individuel asked to
Subd. 2. Informaticn re9�d
to be given in
� � rivate or confidentiel data concernin B�amWi�in the collect g state gency,
supply p v refuse or is legally
purpose and intended use of the req Qm;d �b� Whether he ma„
political subdivision, or statewide sys �oWn consequence arising from his
the requested date; (c) any
required to supply 1 rivate or confidentiel data; end (d) the identity of
supplying or refusing to supp Y P State or federal law to rece�v Ste 8tive da a
other persons or entities authorized by
requirement shall not apply when an individual is esked to supply g
pursuant to section 13.B2, subdivision 5, to a law enforcement officer.
Th
e commissioner of revenue ma lace t$X re°una�truct�ns insteadhos
subdivision in the individual income tax or ro ert
on those orms. - - .
Subd. 3. Access to �ata by
����. Upon request to e responsible
horit an individuel shall be informed whe blic h r vateeor confidential.e UPon tus
aut Y� ublic data on
individuels; and whether it is classified as p �
ta without any ah�cg'e to him and, if he desires, shall
further request, an individual w��ho is the subject of stored private or�du� � been
individuels shall be shown the of that data• After an uidi
�e informed of the content and meaning the dats need not be �sclosed to
shown the private data end informed of its u�e�a��on pu�uant to this section is
him for six months thereafter unless a �SP n request by
' or additional data on the individue1 h�a e or p blic datarupoeated. The
, pending rovide copies of the pri require the
responsible authority shall p The responsible .authority maY �in the
the individual subject oft�e actual�costs of making, certifying, and comp g
requesting person to pay -
y if ssible, with any request
copies. immediatel , P� uest,
The responsible authority shall comply li�Ce � not
rr�ede pursuant to this subdivision, or within five daf Sln°me�etea comp the re9 the
S�aays and legal holidays,
excluding Saturdays, with the request within that time, he shall s lin�orth the
possible. If he cannot comply within which to comp y
individual, and maY ha�e er► gdditio� le a1�oli�Y��
request, excluding Saturdays, Sur►daYs g
te or complete. An individual may
Subd. 4. Prnced�ae when data is n°t a�rivate data concerning himself. To
contest the accuracy or completeness of public or p the responsible authority
exercise this right, an individual sha11 notifY in writing
The responsible euthority shall within 30
describing the nature of the disagreement. lete and attempt to
days either: (a) correct the data found to be inaccurate or incon►Peci ients named by
notify past recipients of inacc��ae n�V du�Q�t he beI e esdthe data to be �orrect.
the individuel3 or (b) notify , eement is
Data in dispute shall be disclosed only if the individusl s statement of disa6n'
• included with the �isclosed data• � aQpealed pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating tc contested cases•
�di���� � � i� ����'....;:_, .
���orN� � ��n �� ORONO COPY
I��ECTOVt t�..e. — '�'"0"�'
4T- �' --�! � PFRMI? N�. .�.» ..—_�-
a �4PFRO�a�� AS SUBM:TTEU
� APPRCVED WITH CORRE'CTIONS AS hOTr`:%
, ,�-�
NOT APPROVED — CORRECT & t�ESU�°.�� �
hese ccmments are for your informa:ion. Ail warY. ,t�:aii f>' ''
tiill Gorrrpl±ance with afl a��iica.zble btHtcHr� �. heri ; �+
i�.rr.rn�nts incii,din,� items not �pecifica�!ry r�oP�� +'��
�.��EN ��E-I��, P�..^r�� :�i Jr, ��-.F r�-: n� ; � ���..
Existing
Deck �� �-� n
Post 1 \,- �Jc�-�^�– (�'�^'�s
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4 � ��
�� Side 6 11 `3"
6x6 Rough Cedar Post
. .
� CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDP.�SS OR LEGAL: 7�OS�, SN�fl�W�O� � PID�
DRSCRIPTION OF WORR: 1��� �v'Q^ �f'0 R-T1 0 n! � �' �C C,1<
-�-----------------
---- •------------------------------------
ZONING REVIEW BY' DATE APPROVED: b -Z�'�'!Y
BIIILDING REVIEW BY: DAT$ APPROVED: �i'L�'`�`f
--------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes �' No
PLAN REVIEW Yes �' No SEWER CONNECTION
STATE SURCHARGE Yes �� No WATER CONNECTION
INVESTIGATION FEE Yes No c/ PARR FEE
SAC Yes No � SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: Post ffi School District:
Lot Area: idth. Depth:
Survey Submitted: Ye No ate of Survey:
Proposed Setbacks :
Front (Lake) : Ri t Side:
Rear (Street) : Left Side:
Adjacent uctur s: Wetl nd:
Buil.ding H ght: Def Hgt. Pe k H
Avg. Set ack: ot Cov rage. �
xist ng P opo ed
Hardcove • 0- '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff ApprovaJ. Date: BY=
Zoning Fil.e:# Resolution # : Resolution Date:
RF.MtARK$ (in house) : .
♦ !
BQILDING REVIEW CHECR LIST ,��
.
�C. Q,?j CONSTRIICT30N TYPE: �N�
Sq Footage $ Per Sq Ftg
Basement X -
lst Fl.00r X -
2nd Fl.00r X -
Garage _ X
x =
TOTAI�
c�
Estimated Construction Value: $ �,��`�J�
Inspections Rern,;red: Work Requiring Separate Permi.ts:
Site � Pl.umbing Grading/Fil].ing
Footing Mechanical Fire
�Framing Septic Water Connection
InsuJ�ation Fireplace Sewer Connection
Wa1�1. Board (Masonry) Lawn Irrigation
�LFina� __(Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
------------------------------------
REMARK� (IN HOIISE) :
--------------------------------------
I2EVIEW BY OTHERS: DATE:
Acc.ess : Existing New
Access Approval: Date By� _________________
----------------------------------
RF.MARKS (TO BE NOTED ON PERMIT) :