HomeMy WebLinkAbout1994-006176 - replace deck PERMIT .
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CITY OF ORONO �* PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 =;;��i�.r T;���
Orono, Minnesota 55356-0815 Permit Number: _
Date Issued: -:3`_�'�`'''
(612) 473-7357 , ' iiF,r��,�;/�=ttE
SITE ADDRESS: ' �
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: -�- .nr.��E i��;;t. - OWNER:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING pERMIT A.PPLICATION
'?'ctal Fee• $ �`�' �, Date Received:
� Date Approved:
Entered By: � --��'-ti' /
Permit�: (�� � ��
ALL INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WII.I� B$ STAR�ED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: �� � � � � R ZIP: C; � 3S b
(work)
NAME OF OWNER- � ►er - -� " ('_ PHONE: (home) 1 �5 "�1 ��
MATZ,ING ADDR.ESS: CITY: ZIP:
`:� r�.,.,
CONTRACTOR: L�L� I�PTIU� —"� ; PHON$: --� ', �f
MAII,ING ADDRSSS: �. (� �,x ��� CITY: Lh�G �f�kE ZIP: .-`�� `� j�, •�
STATS LICENSE: $ -._.._ _
ARCHITECT/ENGINEER: �{��i� ��. A���=c'_ PHONE:
MAILING ADDRBSS: CITY: ZIP:
N�: R.BGISTRATION �
TYPE OF WORR: New Addition Accessory Struciure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) :�� r�c;�� c�A K�nk,.c� �x«� c%l�
�
�-��; �� �-r�,��,�� �� �,\�� �a.����-- �_<�:; �- �.l� � �-�.e
��c�_�.�,;. ��,.� �.��• �-l.� 5��-tie s.�� _ ��x/6 = !9� s�,.
STORIES: SQ. FEST OF EACH FLOOR:
NO. OF BgDROOMS: C:ARAG$ STAI�LS: ATT. DET.
� '
- y��� �f.
ESTIMATED CONSTRIICTION VALUATION (eacluding Iand) : $
� 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
that the work wil 1 be in accor, ance wi the approved plan.
2 �' �
APPLICANT`S SIGNATIIRE- ,u� . DATE: �.,� 't � (���`/
. � � - CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAI�: 3��5 S ( XT1--t- /�e Y V PID:
DESCRIPTION OF WORK: �L-��
� ----------------- ----------------------�---
--------------------- -- --
ZONING REVIEW BY: DATE APPROVED: �'�6 '�J
BIIII.DING REVIEW BY:
���-- DATS APPROVED: � -�G � � y
--------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes f No SEWER CONNECTION
STATE SURCHARGE Yes c/ No WATER CONNECTION
INVESTIGATION FEE Yes Not� PARK FEE
SAC Yes No �� SITE INSPECTION
Number of SAC Units OTHER (specif y)
----------------6---
-------------------------------g- •
ZONING CHECR LIST Zonin District ��-1
Fire Department• (��uc, (lt-K.t� Post Office: l��C+a�c,� Schoo� District: �/LetiU
Lot Area: /'(/v C�� �L Depth:
Survey Submitted: Yes� No Date of Survey: pnr I=���
Proposed Setbacks:
�� (Lake) : S'�0` '� Right Side: JU�(fl�
1�-r (Street) : `�06 ` �' Lef t Side: /(��/�
Adjacent Structures: � � WetJ.and: <lU � �'
Buil.ding Height: Def . Hgt. N�� Peak Hgt.
Avg. Setback: /Uf� 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: C c' Approval. Date:
Septic: Staff Approval Date• BY�
Zoning Fi�e:# R s ut'on # : R sol�ution Date:
�F.H(ARK$ (in house) :
BOILDING REVIEW CHECR LIST . .
IIBC• 2'3 CONSTRDCTION TYP$: �/U
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd F�oor X -
Garage X -
X -
TOTAL
er�
8stimated Construction Value: $ �� �
Inspections Rem,;red: Work Requiring S�parate Permi.ts:
Site P�umbing Grading/Filling
Footing Mechanical. Fire
�Framing Septic Water Connection
InsuJ�ation Fireplace Sewer Connection
WaJ�I. Board (Masonry) Lawn Irrigation
O�Final (Mfg.) Other
Other Wel�. (State Permit)
Electrical (State Permit)
-----------------------------------------
REMARRS (IN HOIISE) :
------------------------------------------
REVIEW BY OT�ERS: DATE:
Access : Existing New
Access Approva�: Date By�
--------------------------------------
RF.I�ARKS (TO BE NOTED ON PERMIT) : �
�-..,. �
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���3.�� CITY of 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 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 agencies to the extent necessary to �,rocess the permit or
license.
4. If your requested permit or license requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 �o review pri�a��
data on yourself.
6. Yaur ful.I name is required to process this apglicaticn or
permit.
�, , I :�.:,., �..__���
Fi st � Middle Last �q,/�1�
.- ��K�
�i�S � ��.,C�.«�, , �` t L�a�v�sc.a�.r��
Address � c�. (3c'x 5-a�S
��. �.c�.,..�-�. �`�11.� S S �y � ��,�,1 k�� /`1�� �s�"�
City State Zip
� �3� �C1 �S �S �O -a�y �
Phone
I unders nd my rights s stated above.�
� ��.
�-- � � `l ��
S ' tur
�
_---�-�=--_-_. .
BUILDING&ZONING—473-7357 • ADMINISTRATION&F1tiANCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSING
�_ -
�.� �G� Og �g,7BCTS OF DATA �
Subdivision L T`yPe of da�8- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section. An.individuel asked to �
gubd, Z. information r�d
to be given in�viduaL
� � u 1 rivate or confidential data concernina �8m�i�in the collect g state agency,
s pP Y P uested
purpose and intended use of the req tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys �own consequence arising from his
required to supply the requested data; (c) any
in or refusing to supply private or confidentiel data; and (d) the identity of
supply g state or federal law to recenveste at ve da e
other persons or entities authorized by
requirement shall not apply when an individuel is esked to supply 6
pursuant to section 13.62, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma 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 date bY in���' UPon request to e responsible
uthorit , an individusl shall be informed Wh ublic h r vateeor confident al.e Upon his
e y ified as p � P ublic data on
individuels, and whether it is class
�ta without any charge to him and, if he desires, shall
further request, an individusl who is the subject of stored private orviduel hes been
individuels shall be shown th of that data• After an indi
�e informed of the content and meaning the data need not be ciisclosed to
�hown the priv�an��he�s�fte°�e�°a id�'�SPuteo�r 8etion pu�uant to this section is
him for six m n request by
endin or additional data on the individue1 hes been collected or created. Q
- P g ublic data uP° re4uire the
' responsible authority shall provide copies of the private or p
The responsible authority maY �in the
the individual subject of the �t8• certif n and comp g
requesting person to pay the actual costs of making, Yi g'
copies. 1 immedietely, it possible, with any re9uest
The responsible authority sha]1 comp y
made pursuant to this subdivision, or within five days of the date of the reques ,
Saturdays, Sundays Snd legal holidays, if immediate compliance is not
excluding • with the
ossible. If he cannot comply with the request withi withintwtuch toh omply form t e
p hsve an additional �ve �Ys
individuel, and maY �d le al holidays.
request, excluding Saturdays, Sur►daYs g
te or complete. An individual mgY
Subd. 4. Proced�a'e �►hen data is not a�8 ivate data concerning himself. To
contest the accuracy or comQleteness of public or p the respcnsible authority
exercise this right, an individuel shall notify in writing
The responsible authority shall within 3 0
describing the nature of the disagreement. lete and attempt to
days either: (s) correct the data found to be inaccurate or incomPeci ients named by
notify past recipients of inaccurate or incomplete data, including P
the individusl, or (b) notify the individual that he ��elis�ate entof disagreement is
Data in dispute shall be disclosed only if the individu
• included with the �isclosed data. � BQpeeled pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases-
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Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
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White Copyllnspector's Flle Canary CopylSite Notice
� ATE TIME
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Z L BD. 12 WATER HOOK-UP 34 TREE REMOVAL
05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
h 0 MO—SITE 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
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
OwnedContr n ' e:
Inspector.
White CopyAnspecto�'s File Canary Copy/Site Notkx