HomeMy WebLinkAbout1995-006919 - deck �ERMIT
CITY�OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 a�,�;;y:��;�;
Permit Number: _: , .�
Crystal Bay, Minnesota 55323 - - -�- - -
(612)473-7357 Date Issued: _ _
SITE ADDRESS:
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FEE SUMMARY:
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CONTRACTOR: _ :�,:.:_.: _ .: : _-� ° :- _�
. _ _. �i: -- - WNER:
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APPLICANT/PERMITEE SIGNATURE I ISSUED BY:SIGNATURE
' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
, FOR OFFICE USE ONLY
ADDRESS OR I,EGAL: Z l 3� �H EY C..I N O I�l�l- PID=
DESCRIPTION OF WORR: (�1CGIC.
--------------------- ----- -----------------
ZONING REVIEW BY: DATE APPROVED: '``�`��``�S
BIIILDING REVIEW BY: DAT$ APPROVED: �`15 - 55
------------------------ ----
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes c/ 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 CHECR LIST Zoning District: ��Q-1�
Fire Department: G�- Post Of f ice: t,vA4zA-� School Di stri ct: p(�nrU
Lot Area: yS �3� s��r t- wiath: 3`i 2� �- Depth: 265.' �
Survey Submitted: Yes�_ No Date of Survey: £f-S-g�
Proposed Setbacks : ,
Front (�a#e) : /l��A Right Side: �U �
Rear (�t) : / ?7 � + Lef t Side: `'��� L/
Adjacent Structures : �-T���%� Wetland: _f(���
Building Height: Def. Hgt. (/l//!� Peak Hgt /U �ig-
Avg. Setback: Lot overage
Exi ing P oposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varia ce Requ' red: Yes N Date of Council Approva�:
Grading: Staff Approval Da By: Co ncil Approva� Date:
Septic: Staff�Approval. a e: BY=
Zoning Fi].e• # Reso uti #: esolution Date:
REMARKS (in house) : „
� I
BIIILDING REVZEW CHECK LIST
IIgC: �Z-3 CONSTRIICTION TYPE: �N •
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd Fl.00r X -
Garage X -
x =
TOTAL
Estimated Construction Value: $ 4,G����
Inspections Required: Wark Requiring Separate Permi.ts:
Site P�umbing Grading/Fil.�ing
_p�Footing Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Final (Mfg.) Other
-� WeII� (State Permit)
Other
Electrical (State Permit)
-------------------------------------------
�LF.MARRS (IN HOIISE) :
---------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
��
CITY OF ORONO - BIIILDING PERMIT APPLICATION
� �
Total Fee- $ /� / � `, Date Received: �c/�.3/��--
Date Approved:
yntered By: �
Permit�:
nr•T• INFORMATION MIIST BS SUBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STAR�ED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER o �CONTRACTOR�
`
JOB SITE ADDRSSS: �1.35 �Sh�v��v� �r ZIP: S_S3g/
(work)
NAME OF OWNER: CrKi,� �Q Y�v� PHONE: (home) y�� `/7��'
/ ' zIP: SS-39/
MAILING ADDRESS: �/35 Shtv/%� ,C?�. C=�'_��Z���
CONTRACTOR: �V��tC e_ � c% C���r PHOISS: �f 7 Y' l�'',���
MAILING ADDRESS: /) � �' �� %�:' !f,,��/ �s�/. CITY:�'cz��s�v�'' ZIP: ,S_S-,��/
STATS LICENSE: � f,Q�y 7
��������� / ' PHONE:
"�l'uC` e G��r•�r�i �;/,1�.
MAILING ADDRBSS: CITY: ZIP:
N�: RBGISTRATION �
TYPE OF WOR.R: New Addition Accessory Strncture Move
Demo Remodel/Alteration ( Renovate Land Alteration
PROPOSED WORR (describe in detail) : t����cr �xisr �a d« �( ( J �%sts��z�•���h�J, rU_ ;�%�,.SfT�
1f��3��X�-l . h�r����„����� To �°x;,s�i�a� ��cc� S� z� v7-� %f�X/v ,3�i . , l4'�Y i=�� ' -
STORIES: SQ. FEBT OF EACH FI�OOR:
NO. OF BHDROOMS: GARAGE ST�LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ `��, �U� L��
I hereby appl.y 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 wiI 1 be in accordance with the approved p lan. , •
APPLICANT'S SIGNATDRE: ., ^ ��..,,-- DATE: ii �S_
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�� �a CITY of ORONO
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+ �; Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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A s�`4 ��°'��' On the North Shore of Lake Minnetonka
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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
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 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 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 Councii 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 namP is required to process this apFlicaticn or
permit.
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First Middle Last
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Address
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City State Zlp
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Phone
I understand my r' ts as stated above.
,
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Si ature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINAIVCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
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513.04 RIGH'!'S OF SIIBJECTS OF DATA �
Subdivision L Type of date- The righ sect on�viduels on whom the data is
stored or to be stored shall be es set forth in th�s
- to be given ind►hdue�' An.individuel esked to
Subd. 2. Intormatioa required
� ' su 1 rivate or confidentiel data concernin g amwi�in the collect g state agency,
PP Y P
purpose and intended use of the requ em;d �b� Whether he may refuse or is legally
political subdivision, or statewide sys }rnown consequence arising from his
required to supply the requested date; (c) any
su 1 in or refusing to supply private or confidentiel date; and (d) the identity of
PP Y g state or federal laH► to receive the data. This.
other persons or entities authorized by 1 investigative data,
requirement shall not apply when an individual is esked to supp y
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue me lace the notice re uired under this
subdivision in the individuel income tax or ro ert tax re und instructions instead o
on those orms. . - --- - - .
Subd. 3.
Access to data by indivi�ual• Upon request to e responsible
authority, an individuel shall be informe�h blic pr vateeor confident al.e Upon his
individuels; and whether it is classified p � ublic data on
e to him and, if he desires, shall
further request, en indivic3usl who �s the subject of stored priva e or�du� � been
individuels she11 be shown the data withou�fan�y ��tB. �ter an indi
�e informed of the content and meaning the data need not be c�isclosed tc
shown the private data and informed of its uL��a��on pursuant to this section is
him for six months thereafter unless a �P n request by
� ending or additicnel data on the individuel h�8 eeor public datarupoeated. The
� p require the
responsible authority shall provide copies of t e p �in the
the individual subject of the data•
The responsible�Q��f°nity�a comp g
requesting person to pay the actual costs of malcinB, 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 with lideys,�i�immediate compliance is not
excluding Saturdays, Sundays and legal with the
ossible. If he cannot comply with the request �t�n���ntw�ch tohcomply f orm the
p have an additional five ys
individual, and m S t���� 5��� �d legel holidays•
request, excluding
te or complete. An indi�►idual may
Subd. 4. Procediu'e �►hen data is not accura �mself. To
contest the accuracy or completeness�of public o lnri�j� the�respenslble authority
exercise this right, an individuel shall notify
describing the nature of the disagresment.
The respcnsible authority shall within 30
days either: (a) correct the data found to be inae a�ae��u�ng Pee�ipi��namedt by
notify past recipients of inaccurate or incompl
the individuel; or (b) notify the individual that he believes the dat8 to b eement is
Data in dispute shall be disclosed only if the individuel's statement of �8� to the
• ineluded with the �isclosed data. e�led pursuant
' The determination of the responsible authority may be aPP
provisions of the administrative procedure act relating to contested cases•
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Certifica�e of��SurJey !� �-
� ��� � for John R. Skartvedt
�� �
or Loz 7, Block 1 , Webber Hills
Hennepin County, f-1innesota
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I hereby certify that this is a true and correct repres�ntaiion of a survey of
the boundaries of Lot 7, Block 1 ,4Jebber Hills, and the location of all existing
buildings thereon. It does not purport to si�ot� other improvements or encroach-
ments.
Scale: 1 " = 5�' COFt=ICd � GRONSERG, INC.
Date : 8-5-86
o : Iron marker
�
Mark S. Gronberg, Lic. o. 12755
Engineers, Land Surveyors & Planners
Long Lake, Minnesota
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a'''�r °�' "''� All Structural M�;,::.:: � �;=ust Be Approved
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FOR �`�RN� �!`_' � _ _
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CQ�DE REQUIR��"+�Ef��'S ._ � .
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DAT p � TIME
CITY OF ORONO CALLED IN "� '-7'�
INSPECTION NOTICE SCHEDULED `�-� �- `'�
PERMIT NO. � �l/C COMPLETED � �_
ADDRESS ��3� .�22��-c�-- lt�/`-
OWNER �G�h� CONTR. �z..cc-c_� ��-e�,,�-,.��
TELEPHONE NO. 7 7�- y���
� DESCRIPTION N�
ly 1 FOOTI�1 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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� COMMENTS: �
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� ❑CORRECT WORK R PROCEED " ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WOFK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �' pHOTOTAKEN
INSPECTOR WILL RETURN I
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContracto n t
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE �,TIIuIE �
CITY OF ORONO CALLED IN ���-�S` C,�� S Q�/1'I
INSPECTION NOTICE �, SCHEDULED - 3 " -�� �_T
PERMIT NO. ���� nn �ETE� Ll �� �
ADDRESS J`% �---C�--Y�-n— f-
OWNER -��'/� CONTR. G�/'6f '
TELEPHONE NO. � I`� J �� �'�-�' �-�
� DESCRIPTION ��� C���
L� 01 FOOTING 11 MECHANICAL RI� 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FlREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 0 INAL � 14 SEWER HOOK-UP 06 PROGRESS
� O-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑ CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ,_ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance.473-73rJ7
OwnerlContra r on si :
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice