HomeMy WebLinkAbout1991-004033 - replace deck � PERMIT
CI�TY OF ORONO PERMIT TYPE: �;��I�p���
• 135;,�'B�own Rd. South • P.O. Box 66 PermitNumber: ����4.~�:1:�
Crystal`Qay, Minnesota55323 Datelssued: 1{�1��%'==i
(612) 473-7357
SITE ADDRESS:
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CONTRACTOR: OWNER: -- ►�����1 i c�►�t. --
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APPLI A T�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
C<e�--
� ' CITY OF ORONO - �IIIZDING PERMIT APPLICATION
=ota i ,�ee ; S �'JQ . �5' uate rceceived :�D�"/� " �� -
_�_ ,
✓a�.c c'�v..i�ivci:i
��tered By: �('`v
Permit�: �03 3
;..T�L I�+7FORM..�TIOId MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEtA WILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
� APPLICANT IS: (circ3e one ) OWNER or CONTRACTOR
JOB SITE ADDRESS: �`� � ��C��- l� ��f V C ZIP: ��� ` /
(work) �U��- �'`� �
�r �i¢(�I.CS c3� PHONE: (home ) 47-� ! ���
NAME oF oWNER: � ���/�'f G' ! �
'�SAILING ADDRESS�IS`-� -�1f�1�Li�l �� cz�: ,�- �.9-rA zzP: �5 3 �/
CONTR.ACTOR: �cJ��N�? � / t ���L��'N PHONE: �7S���v �I
!9AILING ADDRESS: �1� � �l��`�/�i✓ �� CITY:�e�-G�'Z_,�¢�, /1'1/I� Z IP: �S � e1'�
�'YPE QF WORR: New Addition� Accessory Structure Move
Demo�_ Remodel/Alteration Renovate Land Alteration
P�opos� woxx (aescribe in aetail) : �C�'LA-C� CICl�T/��i ��CC"
STORIES: SQ. FEET OF EACH FLOOR:
�70. OF BEDROCMS: GAP�,GE S`i'P�T,S: A`I'T, DET.
OCJ
ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ 10�G
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 will be in accordance with the approved plan.
� CANT'S SIGNATQRE: �r� � DATE: � ���/ `�,f
..PPI,I
rr-a�+- r.a� � �.-.!rf �n^ TCCTT��..I�T� !�� 3�^�Tr^y
t„nL�.L� Vl'1' Li✓1 1'VL� 1►ivviaa��..0 .�1
. FOR vFFICE U5E ONLy•,
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--------------r-----------------------------------------------------------
ZONING REVIEW BY: � o M�ev— DATE APPROVED: I � ' 2�` G (
BIIILDING REVIEW BY: ��(5�,liv� _ DATE APPROVED: (l� - 2 I- � j
-------------------�---------------------------------------------------
FEES TO BE CHARGSD: Misc. Fees Calculated 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 CHECR LIST Zoning District: /��-16
Fire Department: C.-•�• Post Office: ��-y2 School District:
Lot Area:��r tiy, Ys-o Width: Z 3U Au � Depth: ZO6 14-v-Q
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks :
Front (Lake) : ^/�/� Right Side : �60�±
Rear ( Street ) : S�� '� Left Side: �D' +
Adjacent Structures : /1�/� wetiand: /���
Building Height: Def. �gt. /(��/�- Peak Hgt. ��/�
Avg. Setback: �CG� Lot Coverage: �v �
Existing rroposed
�ardcover: 0-75 '
75-250 '
250-500 '
500-1000 ' � '
�iardcover Variance Requ red: Yes�` No �Date o Counci]��tApproval:
• Staff A rova Date- '� By: �� � ouncil A�proval Date:
Grada.ng. pP �
,
,,,
b
Septic: Staff Approva Date: BY� %
Zoning File: # Resol t on �: Resol�tion Date:
,'
j�_F.MARRS (in house) � �
�
r
�� � � ,,
Br�T�rr7� R�JTF.T�T �x�..t� T.T�T
�a�: �fs' FZ -3 ��x��x�c�z�x �� � .
Sq Footage $ Per Sq Ftg
_accmcnt }r =
1 c+� F'1 ppr s� _
2nd Floor x =
Garage X =
Dec.K 3y2 x �•oo = Z,,7oo
TOTAL
6U
Bstimated Construction Value: $ Z, `70d
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
_�Final (Mfg. ) Well (State Permit
Other Electrical (State Permit)
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RRMARRS (IN HOOS$� :
-------------------------------------------------------------------------------
RF.'VIEW BY OTHERS: DATE:
Access : Existing New
Access Approvai: Date �Y�
-------------------------------------------------------------------------------
REMARRS (TO B$ NOTSD ON PE.RIKIT) :
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Post Office Box 66•Crystal Bay,Minnesota 5a323•Municipai l?2nces
•
s - m � On the North Shore of Lake Minnetonka
DATA PRIVACY A�YISORY
In accord�nce with M.S. 13.04, Subd. 2, "Rights of subjects of
data", we would 3ike ta inform you that your request for a permit or
license from t�►e 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 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 aqencies to the extent necessary to process the permit or
license.
4. If your requested permit or I.icense requires Council action
to approve, some information may become publ.ic.
5. You have certain rights under M:�. 13.04 to review pri�a��
data on yourself.
6. Your full na::e is r�q��i=ed to process tnis appZication or
permit.
���0 � � ���v�
r^irst � Mi:d'e Last
�/� �t������ �� � � �'
Address
I,l) �-,�-� /�tt/ .s S.3�/
City State Zlp
�7�,�1�a �
Phone
I under tand my rights as stated above.
�--
.
Signature • �
BUILDlNG&ZONING—473-7357 • ADMIN[STRATIOIV&FINANCE—473-7358 • PUBL[C WORKS—473-7359
ASSESSING
` � - ► .
s�t 9'�•� �a T! . � .
5l3.Q4 RIGFI'T5 OF SIIB��i� t3� i+�y•�
S
ubdivision L Type of ��- The rights °ti�viduals on whom the data is
• stored or to be stored shall be as set forth in th�s 5�° An.individuel esked to
to be given individusl-
gubd, Z, Information requzred �ms� Sh� be informed of: (a) the
� ' supply private or confidential data concerning
• tb) whether he ma� refvse or is legallY
ur ose and intended use of the requested date within the collecting state agenc ,
P p or statewide system, uence arising from tus
political subdivision, �own conseq
required to supply the requested dat8; (c) �Y
or refusing to supplp private or confideae���o��e1ve the �data.itT�
supplying state or fe
other persans or entities authorized by p 1 �vestigative data,
requirement shall not apply when en lndtola law en orcement offlcer.
pursuant tc section 13.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
su
bdivision in the individual income tax or ro�ertV tax re und instructions instead o
on those orms. • - -— � - .
t� �� by ����, Upon request to a responsible
Subd. 3. Access n his - .
thorit an individuel shail be informed whe buc h r vateeor confidentiaLe Upo g on
au y' ublic data on
individusls; ead wheih�r it is classified as p �
data without any ahai'ge ta 1�m �� if he desires, shall .
turther request, an individuel who is the subject of stored private ar��u� � been
individuels shall be shown the of that data• After an ind�
�e informed of the content end meaning the data need not be disclosed io
shown the private dats and informed of Its u���BC�on pursuant to this section is
him for six months therde�afton����u� � been� collected or created. The
pending or additionat rivate or public data upon request by
' resDonsible authority shall provide copies of the p require the
the individual subjs_t of the data. The responsibl cQf�f�nity���ompiling the
the actusl costs of making, Yi g'
requesting person to pay -
copies. y if ssible, with any request
The respansible �uthority shall comQly immediatel , P�
de ursusnt to this subdivision, or within five days of the date of the request,
mg p g��ys and legal holidays, if immediate complianae is not
excluding Saturdays,
0
ssible. If he cannot comply with the request �t�within which tohcomPly f o th th`
individuel, and may �Ve �Sundays end legal holidays.
request, excluding Saturdays,
te or complete- � ��m �. To
Subd. 4. Procedure when data is not accsaa o��le authority
contest the accurecY or completenes.s�of public orlprilv�ai� theon�g
ht, an indivzdual stsall notify :�
exercise this rig eemenL The respensible euthoi t �a 8t pt to
describing the nature of the disagi'
days either: (a) correct the data found to be inae��gei,°�udingpecipients named by
notify past recipients of inaceurate or incomP
the individuel, or (b) notify the individusl ��du�,�st8temen of disagreement is .
if the indi
Data in dispute she]1 be disclosed only � �t to the
• included with the disclosed data• �ible authority may be aQPeeled purs
' The determination of the respo to contested cases.
provisions of the administ�'ative procsdure act relating
V
DATE �9 TIME
CITY OF ORONO CALLED IN ����`
INSPECTION NOT,I E SCHEDULED � ''`�
PERMIT NO. COMPLETED �� T
ADDRESS ���� � '
OWNER��.dL-�o-�—x-� CONTR. 7'G�-
TELEPHONE NO. �7� ' ��' �� C� ��� ' I`J�/�f�
� DESCRIPTION N�'--��2--
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMIN 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125''WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FIN`AL/'
Q OWNER/CONTRACTOR TO MEEf YOU:_YES Y NO
Z /�
� COMMENTS:
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d WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE
W
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W ,
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContra�" e• �
Inspector.
White Copyllnspector's Ffle Ca�ary CopylSite Notice
✓
DA E�j TIME
CITY OF ORONO CALLED IN � � `� �' ��
INSPECTION NOTICE SCHEDULED l a'lr�-9� �
PERMIT NO. � � COMP ETED tl ' oG�I.1
ADDRESS J`��
OWNER CONTR.
TELEPHONENO. T75- ��O�I
':, � DESCRIPTION `
' � 01 FOOTING 11 ME HANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECH NICAL FINAL 18 EXCAVIGRADING/FILLING
y 03 INSULATION 24125 WO D BURNER/FIREPLACE 19 LAKESHORENUETLANDS
Z�D. 12 WATER OOK-UP 34 TREE REMOVAL
Q 5 FINA 13 METER ET(fURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER�IOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC 1�AAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC F1NAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
�
W
��
QI
�
W
� '�
�
W WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� �CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REINSPECTION I TEMPORARY
V BEFORECOVERING I PERMANENT"��
CORRECT UNSAFE CONDITION WITHIN H�URS. p pHOTO TAKEN
INSPECTOR WILL RETURN i
❑STOP ORDER POSTED.CALL INSPECTOR � �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACC�S.
� Call for the next inspection 24 hours in advance.473-7357
O er/Contr r�a�site:
Ins tor v
�
� White Copyllnspect ►'s File Canary Copy/Site Notice
I
,
C� ✓
DATE TIME
CITY OF ORONO CALLED IN s s�
INSPECTION NOT CE SCHEDULED /r�/�8/4� 9�3 v
PERMIT NO. 3 COMPLETED �[ 4
ADDRESS � '
OWNER CONTR.
TELEPHONE NO. , �?5-/�,��
� D ION �J� -j/��./ ..fl
� 01 FOOTIN 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICALFINAL 18 EXCAVIGRADINGIFILLING
4j 031NSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOYAL
Q 05 FINAL 13 METBR SETITUAN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEW&R HOOK-UP O6 PROGRESS
� 07 DEMO—FINAI 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPT�C INSTALL 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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0
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� RK SATISFACTORY:PROCEED I ❑PROJECT COMPLETE
W �RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECT�ON TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL HETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectioh 24 hours in advance.473-7357
� OwnedCoMra ite: ;
Inspector:
i
Whlte CapyA Flk Cenary CoPYISib Notbs
648175 +�
,
� CERTI � CATE OF SURVEY FOR
J ROME T . . Pl�,llL,sor� Q �p�
OF � q - O �
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❑ �PF'ROVEU 1NITF1 REVISI�NS
C�.UISn�'E'RO ~ �n���
EZY ----- �4
DA I"G_ f� •2�• ��-----
• : Iron Mar!:e~ i�unci LEGAL DE>CR1Pl�I0N,,° '�
o : Iron Ma;�';�r ;el; ' -
I..nl-. 9, `?lock 1 , �lel:�ber Fli l ls ` �
Rear_ i.nc�s shown a..r.� to TIZis survey sho�•�s the location oF an existing hous� in re.lation
an zssi�iaecl. ci.attim. to the boundaries' oE tl�e' 'above descri_heci 'nro�erty. It C10P_S not
, pur_port to show anv other improvements or encroachments .
f �.
` , 1 h�reby certi(y lhat �his survey was prepare�l b�� n�e or iu��ier my direct super- . uATE 10-4-�t1
1 � � � , ,
� ' � visic�n, and that 1 ii��a�1�.ily rr�;isit�rc�1 Civil l:n�;in4�er�in�i Lan�1 Surv��ycir imd��r —
�� � �� 6 thc I��ws tif lhc Stalr u! Minncsuta. � . .
, �' � � SCALG Ir'�-��
E � ;� _
M��rk S. Cronbrr�; Min�sota L,icins�bcr 12755 � lou Nv. 91- 3S�
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RAIL, Q�CKS STAIRS� PORCNES
SpEC�p�,,, NOTE GUAR� HE�G All Structural Members st Be Approved
SHEET 36•M�OF,E�y�N S Woad Of Naturai Resista e To Decay Or
SEE AT�C�D�'
FOR M N V' Tr�ated Wood.
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K�Ef� T�-!!� r tAfd ,�E7" Q� 5#TE AT ALL TIMES.
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'f NC�T AP°�OVED — CORRECT & RESUBMIT �ISS �f�cYL/�✓ �� '�
l"hes� cornmer.t>ar�fcr yo��r infcrrnation. All work shall be dort! �
dn fu'I ccsmpN2nce �.:it7 ati ap�l!cable bu�Iding & zoning code ti• �4 ii /�„
�ulf.eme�ts inciu fir;;.;iems not sT�cificalfy noted in this reViL►� �
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;he�� comr.ients ar.� fer yeur ir�;ormation. All wo�k shall be dOn/
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