HomeMy WebLinkAbout1995-006932 - deck PERI�IT
CITY OF ORONO 4 PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - �
Crystal Bay, Minnesota 55323 , Permit Number: - _ - - -
(612) 473-7357 Date Issued:
SITE ADDRESS:
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REMARKS: ri�.��t:��� _...._ . __ ;�;:.z-,:
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FEE SUMMARY:
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CONTRACTOR: -- ��_:;:.: : : ;.:.::::�--:':: _.. _-;� . l.. ?:i� . OWNER:
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APPLICANT/PERM EE SIGNATURE j ISSUED BY:SIGNATURE
� � CITY OF ORONO - BII�LDI�G PERMIT APPLICATION
Total Fee• $��/ /I' _ Date Received: y-3► - �i �
Date Approved:
Entered By: � ,�
Permit�: (�;���-
ALI, INFORMATION MIIST BS SIIBMITTSD IN FUi�L BEFORE PI.AN REVIEW WII�L B$ STARZTED
(See Check-off List Enclosed)
--------------------------------------- ��
THE APPLICANT IS: (circl.e one) OWNER or �ONTRACTO�
JOB SITE ADDRSSS: �!y� S�i�✓�h %�r ZIP:
(work)
NAML OF OWNER- ���j,� ��� /�e - PHONE: (home) y J 3 -S:�7 �
MATI,ING ADDRESS: �
lYS S�Iev�i"`'I .��' cITY: /�G��?�f� zIP: �=s3y/
CONTRACTOR: ��'�L z �U��r��v1 lS���r_ - PHONS: y7y'�,�C 5
MATLING ADDRESS: /�Q�/ �� � r��v� G`%r. CITY: �,r��N�s."ar ZIP: 5���/
STATE LICENSE: � /�J ,Q'i� 7
ARCHITECT/ENGINEER: �i>✓��d�r�nr PHONE:
MATLING ADDRRSS: CITY: ZIP:
N�,r� RSGISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration�_ Renovate Land Alteration
PROPOSED WORR (describe in detail) : ��,�/uc� Ex�.sfi���r c��c•� �� X/� � �"rrc! Ll'c'c�
C?��i�^,� /O�x 1��
STORIES: SQ. FEBT OF EACH FLOOR: _
NO. OF BSDROOMS: GARAGS ST�LS: ATT. DET.
r/ 4�- '
ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng la.nd) : $_��,�l�
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
�hat the work wil 1 be in accordance with t�e approv ed plan. •
. � 4�' S
SIGNATURE: � DATEs //�
APPLICANT S �
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Sf^ry1�
�� �� �: ��� CITY of ORUNO
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� f" �`� 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 wi3.l 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 to review priva�e
data on yourself.
6. Yaur full. name is required to process this apglicatian o�
permit.
� � � ��
First Middle Last
/��4y /�e��-�,�c,-� C�%r
Address
� �
��C r���G�r� ������r✓/ -5 S�3 5�
City State Zip
y�y - ��n-� J -
Phone
I understand my righ ?as stated above.
� .
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Si nature
BUILDING&ZOIYING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSING
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♦._ ,
513.0.4 RIGSTS OF SIIBJECTS �F DATA �
S
ubdivision L Type of da�- The rights °tion.viduels on whom the data is
stored or to be stored shall be as set forth in this sec An.individuel asked to
gubd, Z, Information r�d
to be given individue�l-
� ' 1 rivate or confidentisl data concerning hgm`slt�in the coIlect g state agencY,
supp y p v refuse or is lega]ly
purpose and intended use of the req em�d �b� �yhether he ma„
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested data; (c) any
or refusing to supply private or confideae��W to�ceive the data.ItThis.
supplying state or fe
other persons or entities authorized by 1 investigative data,
requirement shall not apply when an individual is asked to supp y
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice re uired under this
ubdivision in the individual income tax or ro ert tax re und instructions instead o
s
on those orms. • � -— .
Subd. 3. A�ce� t° data by
����. Upon request to e responsible
uthorit , an individual shall be informed whe b c h r vateeor eonfident al•e UPon h�s
B y ublic data on
individusls; and whether it is classified as p �
�ta without any eharge to him and, if he desires, shall
turther request, an individusl who is the subject of stored privste orvidual has been
individuels sha]1 be shown the of that data. After an indi
�e informed of the content end meaning t� �� need not be disclosed to
shown the private date and informed of its meening� u�uant to this section is
him for six months thereafter unless e disPute or action P �ta u n request by
din or additional data on the individusl h�at�ar Qubl�c ed or �eated. The
� pen g, rovide cepies of the pr require the
responsible authority shall p The respcnsible authority may �in the
the individual subjeet ofthe actuel costs of makinB, certifying, and comp g
requesting person to pay -
copies. if ssible, with any request
The responsible authority shell comQly immediately, P� uest,
ursuant to this subdivision, or within five days af the date of the req
made p S�da� �a legal holidays, if immediate compliance is not
excluding Saturdays, with the request within that time, he shall siinfvor h the
possible. If he cannot comply within which to comp y
individuel, and may have ari additio� i���o days•
request, exeluding SaturdsYs, Sun�3� g
te or complete. An individuel maY
Subd. 4. Procedia'e when data is not accura �mself. To
contest the accuracy or completeness�of public or private data conce�ible authority
ht an individuel shall notify in writing the resp
exercise this rig � The respensible authority shall within 30
describing the nature of the disagreement. lete and attempt to
days either: (a) correct the data found to be inaccurate or inc�mp
notif ast recipients of inaccurate or incomplete de belie esdthe datalto be correcty
y p or (b) notify the individual that h eement is
the individusl; lf the individual's statement of disagr
Data in dispute shall be disclosed only ' �u�t to the
• included with the disclosed data. � 8ppe81ed p
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
' ' ' ` CHECK OFF LIST FOR �ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z I y J �H L�I�.►vV O 2 PID:
D$SCRIPTION OF WORR: �
--------------------- ----- --------------
ZONING REVIEW BY: DATE APPROVED: �/- ZS-�iS
BIIILDING REVIEW BY: DATE APPROVED: y- Z 5-�7S
---------------------- -------
FEES TO BE CHARGED� Misc. Fees Calculated By:
PERMIT Yes ,r/ 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)
--------------------------
----------�2 I�---
ZONING CHECR LIST Zoning District:
Fire Department: LL- Post Office: C.L- School. District: c�2�allo
Lot Area: �/o Giy,y-n��c.s Width: (2�����- Depth: ^'
Survey Submitted: Yes_ CZ No Date of Survey: Oc.r z: 1�i 67
Proposed Setbacks :
Front (L-ztk-e-} : /�/A Right Side: "� c� � f
Rear (�+' ) s I y0� '� Left Side: �/7. 2�
Adjacent Structures: ✓�7 T�qc,F-t-c_=� _ �^7etland: /�//4
Building Height: Def . Hgt. Peak Hgt.
Avg. Setback: � Lo Coverage:
E ' sting Proposed
Hardcover: 0-75 '
75-250 ' '
250-500 '
i
500-1000 ' �
,
Hardcover Vari nce Req ired Yes No Date of Co ncil Approva�:
Grading: Sta f Approva Da e: By: Counc' 1 Approval. Date:
Septic: Sta f Approval Da e: BY=
Zoning Fil :# Resol ion � : Res lution Date:
REIKARKS ( n house) :
I
BIIII.DING REVIEW CHECK LIST '
IIgC: �-3 CONSTRIICTION TYPE: ��
Sq Footage $ Per Sq Ftg
Basement X -
lst F7�oor X -
2nd Floor X -
Garage X -
X —
TOTAL
Lsti_mated Construction Value: $ `'�� �Od �
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/FilJ�ing
Footing Mechanical Fire
�Framing Septic Water Connection
,- Insu�ation Fireplace Sewer Connection
WaJ�I. Board (Masonry) Lawn Irrigation
<Final (Mfg.) Other
Other Wel 1 (State Permit)
Electrica�. (State Permit)
---------------------------------------------
�2F.MARKS (IN HOIISE) :
------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
----------------------------------------------
RF�SARRS (TO BE NOTED ON PERMIT) :
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�1_r .Tal�r� �a,k y13 -S,�7 3
_ e�l y_S S�iev�n ,dr
_ uf?vZata. /�i'� �f?4/
— �i��� ��''� ����� .
� �tJTL`D110i�$ p'��t �`i` LAIV Ft�
� 5%�,�Lna�e �SI�PEC'�"OR,.s.,z;
� c��� :���� _ _ZS_�
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`j r�,3Anv� _�7 q� ��.'��,add`T�g� �
�;� ,�!'��;��r .� t%'�'td}3 �::�:t..;�'t-t�!`�� AS NOTED
�`�JZ' ;r;���%�t�)VEU — �;:����C�:`� & RESI;��'V!(T
c�n?rnti:;;ts a;t> ic,; ycur :n`�-.t;:;t(�,r. Ali work shall b��r.a
C T"��`�77`t n lvlt�"i ^)F ��
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�venue ESfA�. N ���, Mi nnesota �6�P,- ��. -�.�;r �.
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MORTG�GE LOAN SURVEY ` �
� CERTIFICATE OF SURVEY � � ::y
. . . ,
For Thor e Eros.� i nc. >�t�` � � ,�:�:
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- lot B, Block� �1, �.WCBBER H I U.S. *��"= ,
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,�.� S� tuate in the County of Nennepin and State of Minnesota. -
�� Loan f�o. 40581 � .r:�� �.}r C�
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1Ne hereby certify that this is .e true and correct representation of a survey �:'
of � the boundaries. of the i6nd above described and of the location of all � '
bu i 1 d i ngs, 1 f any, f�he�eon, and a I I v 1 si b l e encroechmenta, i f nny, from. or on ''���'''
s0id Iand. This survey is made only in connection with a mortgage loan now
being placed on the .property and no tiability 1s assu�ed except to the ho{dd� �� �
of such mortga ge or any other interest acquired by the reeson of su�h
mortgage. It is understood and agreed no monuments have been piaced for the ���:
purpose of esteblishing lot lines or bounda�y corners. `"�
. _ .�,.
�eted thts 2nd day of ` .October , 1961. , EGAN, FIELD b NOwAK '
Sur,veyors , �
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= i i e N o 8 0 o k N o 7 b Y:�r,K.�+-�, 4r��;` _,i s.�.��
►01�M 100 [� - �
. . .. V . . `�W/` ��V �U . . . . - . .. �
� DATE�� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE r SCHEDULED �- �-9-� �
PERMIT NO. � ��� COMPLETED � �
ADDRESS �� �S���y��. ,
OWNER ,��1%�-� CONTR. �"{'-���''��
TELEPHONE NO. �7`f� I��" �
� DESC ON /V'-��i�J
� FOO NG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 F ING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REf�OVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSP�CTION
Q O5 FINAL 14 SEWER HOOK-UP 06 PROGRES
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAI�IT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-lVP
i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIt�N/REMOVAL
Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� ORK SATISFACTORY:PROCEED C PROJECT COMPLETE i
W C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. �, pHOTO TAKEN
INSPECTOR WILL RETIJRN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED �
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContrac it :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIME i
CITY OF ORONO CALLED IN �<�Ia '�,�:`' /U �S C��l
INSPECTION NOTICE _ scHE�u�Eo � -�� ^ '�3D''
PERMIT NO. �G� ��`�— C MPLETED � Ll�
ADDRESS �� ��� '���t-E'--�-��
OWNER ?�G�-��-- CONT C'-e-
TELEPHONE NO. �7 � `�-��; =; ��
i �
� DESCRIPTION ���--�- ��-
� 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 REfd90VAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FIN ` 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 CO�YER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNEH/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑ CORRECT WORK&PROCEED �7 SSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. rpHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex i spection 24 hours in advance.473�73�J7
OwnerlContr� si e
Inspector. � � �
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