HomeMy WebLinkAbout1993-005536 - re-do ftgs for deck PEI�MIT
, E�I`TY OF ORONO PEFiMIT TYPE: -
2750 Kelley Parkway • P.O. Box 815 �'`�"``���,'���"�
Orono, Minnesota 55356-0815 Permit Number: i fi;�,._r,��
(612) 473-7357 Date Issued: f i y.i i x G/__�:�:
^9�"� ADDRESS:
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)ESCRIPTION:
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REMARKS:
FEE SUMIVIARY: i
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CONTRACTOR: -- �=�i=i=� i�==�i:_ — � ; . i_;.f_ .OWNER: __ _ _
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APPL T/PER EE SIGNATURE ISSUED BY:SIGNATURE
.
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, � CITY OF ORONO - BIIIZDING PER�LIT APPZIC�iTION
Total Fee: $ �7• S v Date Received:
- Date A�proved:
Entered By: - q ' - - � �C�
Pe�nit a: �
A�L INFORMATION MIIST B$ SIIBMITTSD IN FIILI� BEFORE PI�AN REDIEW WII.L B$ STP'R�D
(See Check-off List Enc].osed)
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THE APpLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: ZIP:
(work)
NAI�4: OF OWNER: /�Gsti�� -�✓ PHONE: (home) ���^ ��G�
:�ILING ADDRESS: n � c3O � ��-� �/.�� ��: �� .�1 ZIP:
�i� y73 �s� � /
�ONTRACTOR: PHONE:�/ � ' T Y� G
�zix� p,nnx$ss: ��� r��7 3 u �,/ ci�: ��y ziP: 5.�3 ��'
;�TATS LICENSE: � �� �� _
ARCHITECT/ENGINEER: PHONE:
`�.AILING ADDRSSS: CITY: ZIP:
��: RBGISTFtATION a
,"YPE OF WORR: New Additicn Accessory Structure Move
Demo Re�nodel/Alteration Renovate Land Alteration
?ROPOSF.D WORR (describe in detail) : ^ � ` �
��-� .�� � ��'��. ,�'�/d
�TORI$S: SQ. FEBT OF EACH FLOOR:
�O. OF BBDROOMS: GARAGB ST�lLLS: ATT. DET.
7.ST2I�SATED CONSTRIICTION VALIIATION (esclnd i.n J land) ' $
� �
: hereby apply for a building permit and I acknowl dge that the information
bove is complete and accurate; that the work will be in conformance with the
�dinances and codes of the City and with the State Buil.ding Code; that I
-:derstand this is not a permit and work is not to start without a permit; and
:zat the work will be in accordance with the approv plan. .
. � DATE: � < �/ �7�
.?'PLIC,ANT'S SIGNAZ'QRE: _..
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C ITY of ORON
Post Office Box 66•Crystal Bay,Mianesota 55323•Municipal Offices
. �
� _ v a. 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 Pereq ire
license from the City of Orono or any of its departments may
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 license.
3. The information may b ent neces aryhto processcthe pe it or
federal agencies to the ext
license.
4. If your requested permit or license requires Counci3 action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�a�e
data on yourself.
6. Your full name is required to process this applicatian or
permit.
G� � �J 4` X
First
Middle Last
— �
A dress �
� �–
6
ity State Zip
Pho e �
I understand my rights as stated above.
S ature � -
BUILDING&ZONING—473-7357 • ADMINISTRATION�FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
. .� �
. 513.04 RIGHTS OF SIIBJ�'.C� �F DATA ' .
gubdivision L Z�iPe
of data. The rights of individuals on whom the data is �,
stored or to be stored shell be as set forth in this section. An ����u� �ked to
Subd. 2. Informaticn required
to be given indivi�uaL
� ' su 1 private or confidential data concerning 8m i�the collec�ting state agency, .
PP Y uested da
purpose and intended use cf the req from his
(b) whether he ma� refuse or is leg Y
political subdivision, or statewide system; �oWn consequence arising
required to supply the requested date; (�) �Y �d (d) the identity of
" in or refusing to supply private or confidentiel data;
supply' g state or federal lew to rice�Yethg�ve da a
other persons or entities autWheneanbndividual is esked to supp y
requirement shall not apply
pursuant to seciion 13.8?, subdivision �, to a law enforcement office:. d �aer this
The commissioner�u�income tax or pro�ertV tgX re�und u�str�uctions instead o
subdivision in the in�ivi -
on those orms. . • - --- �� - .
Subd. 3. -
Access to �ata by in�vid�aL UPon request to a responsible
authority, an individuel shall be informed wh b�c h r vateeor confidential.e �3Pon �
individusls, an d w he t h e r i t i s c l a s s i f i e d a s p � P u b l i c d a t a o n
�harge to him and, if he desires, shall
further request, an individual who is tbe subject ot stored priva te o r
individuels shall be shown the data witho of�that data• ASter an individuel hes be�n
6e informed of the content and meaning the data need not be �sclosed to
shown the private data snd informed of its uL��BcUon pursuant to this section is
him for six months thereafter unless a �P n request by
� ndin or additional data on Lhe imdividu�l h� 8te or p blic datarupoeated. Th�
� Pe g rovide copies of the p
responsible authority shall p onsible authority may require the
the individusl subject oft�e actuel.co ts ° m�g' ��rt�nng' �d comp�g the
requesting person to pay -
copies. ssible with any request
onsible authority shall comply immediatelY, i� P° '
The resp or within five days of the date of the request,
mac3e pursuant to this subdivision, ho���� � immediate compliance is not
excluding Saturdays, Sundays and legal
ossible. If he cannot comply with the request within that time, he shall s iin�orth the
hsve an additional five days N►ithin Wh��h to comp y
individuel, and m8Y S��� �d legal holid8ys•
request, excluding Saturdays,
te or complete. An individuel maY
Subd. 4. Proced�u'e when data is not a�a i�ate data concerning himsel�• To
contest the accuracy or completeness�of public or p �e r�o�ble authority
exercise this right, en individuel shall notify � ��e authority shall within 30
describing the nature of the disagreemenL �e r�° leLe and attempt to
days either: (8) correct the data found to be inacaui'ate or incom Te� ients named by
t recipients of inaccurate er inaemPlete data, including P
notify pas eement is
the individual3 or (b) notify the indi�� ���du���tementofdis8gr correc .
Data in dispute shall be disclosed only
• included with the disclosed data• esled ursuant to the
' The determination of the responsible authority �p�t�ed cases.
provisions of the administrative procedure act relating
" ` � � CHECK OFF LIST FOR ISSIIANCE OF PERMITS
• � ' � ' FOR OFFICE USE ONI,Y
.
ADDRESS OR LEGAL: pID=
DESCRIPTION OF WORKs '
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ZONING REVIL�fn7 BY: DATE APPROVED:
BIIILDING REVIEW BY: DATB APPROVED:
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FEES TO BE CHARGF.D: Misc. Fees Calculated By:
PERMIT Yes No � �
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC � Yes No SITE INSPECTION
Number of SAC IInits OTHER (specify)
--------------------------------------------
ZONING CHECR LIST Zoning District:
Fire Department: _ Post Office: School District:
Lot Area: Width: Depth:
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: �
Front (Lake) : Right Side:
Rear (Street) : Left Side:
. Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance Required: Yes No Date of Council Approval:_
Grading: Staff Approval Date: By: Council. Approval Date:
Septi c: S taf f Approva]. Date: By�
Zoning File:� Resolution �: Resolution Date:
REMARKS (in honse) : .
BIIII.DING REVIEW CHECR LIST - � 4
. ♦ V • �
. ' .. s
�C: CONSTRIICTION TYPE:
Sq Footage $ Per Sq Ftg
Basement X - •
lst Floor X -
2nd Floor X -
Garage X -
x =
TOTAL
$sti_mated Construction Value: $
Inspections Required: Work Reqniring Separate Permits:
Site ' Plumbing Grading/Fil�ing
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa1.1 Board (Masonry) Lawn Irrigation
Fina 1 (Mf g.) Other
Other Well (State Permit)
Electrica]. (State Permit)
------------------------------------
REM�tRS (IN HOIISB) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
-----Access Approval---Date------------------By-------------------------------
gII�EtRS (TO BE N07.BD ON PERMIT) :
D� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED /O -� � �3a
PERMIT NO. _�9 COMPLETED t,� u •
ADDRESS a -3 „- ,
OWNER CONTR.
TELEPHONE NO.
�
� D IPTION
� 01 FOOTI 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GFiADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 19 LAKESHOREMIETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
� 07 UEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOWUP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contra r ite•
Inspector. -
wn�te coPyn�spectors Fi� Canary CopylSite NMfce