HomeMy WebLinkAbout1993-005384 - repair existing deck PEI�MIT
CITY OF ORONO � � ' PERMIT TYPE:
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2750 Kelley Parkway • P.O. Box 815 Permit Number: ;�-.
Orono, Minnesota 55356-0815 "`-}�'�'='�
(612) 473-7357 Date Issued: �}�7,::y;;f��:�;
SITE ADDRESS:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: — :=�F���I i����+. — �-: . L I C: .OWNER:
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PP�ICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�Qyl/>
. �
, CITY OF ORONO•-- BijIZDING PERMIT APPLIC�,TION
Total Fee• $ �I` �7 Date Received:
Date P.Dproved:
Entered By: ' �"" . � �j�� •
Peanit Q:
ALZ INFORMATION MIIST B$ SIIBMITT� IN FIILI� BEFORE PI.AN REVIEW WII.L BB STARTED
(See Check-aff List Enclosed)
-----------------------------------------------------------
TgE A,ppyICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE 14DDRSSS: �a�0 5��� ` -�D�.tSL _ l't�ri.� ZIP: 5536�
(work)
NAI�: OF OWNER:�aW'� w�x 1�1� PHONE: (home)
:+iAILING ADDR.ESS: 13`}� ��- T��- CITY: �J�.a'''`�o ZIP: SS3�`'�
CONTRACTOR: e�� '�' ��a S C.a.D vr�c�r ��• PHONE: �"y 1-y 1 1 �
�lAIZIxG ADDRESS:3153 �,�ue.d.."'� �••a+-� CIZ'I': �ow+� ZIP: SS36''�
STATS LICENSE: � b0oo g99")
ARCHITECT/ENGINEER: Ji�lO'�rt�. PHONE:
MAIZING ADDRBSS: CITY: ZIP:
�� RSGISTR�TIOR u
_ �e�aw���k .�..
rYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteratian
�ROPOSF.D WORK (describe i.n detail) : �
'TORSES: SQ. FEBT OF EACH FL�OR:
!r'O. OF B�DROOMS: GAR�GB STAI.LS: ATT. DET.
�STIlIlRATED CONSTRIICTION VALIIATION (ezclnding land) - $ �09 S.Ov �
= hereby apply for a building permit and I acknowledge that the information
.:bove is complete and accurate; that the work will be in conformance with the
:rdinances and codes of the City and with the State Building Code; that I
::nderstand this is nat a permit and worlt is not to start without a permit; and
:hat the work will be in accordance with the approved plan. .
.
PPI,ICANT'S SIGNA2'QRE: DATE: 7/o��o�93
�
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CITY of OR4
Post Office Box 66•Crystal Bay.Minnesota 55323•Municipal Offices
, ,
� . � � On the North Shore of Lake Minnetonka
DATA PRNACY 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
license 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 wiI.l 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 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 license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review pri�atL
data on yourself.
6. Your full name is required to process this application or
permit.
` p g � d� .
�' � 1.�4/�a Last
First Middle
.
'� 31 S 3 {�.h �e.a.�' l-c�-- —
Address
�o w�.� ��+► . S53b
City State Zip
�{� �. – �-1 ! 1 $
Phone
I under d my rights as a�ted above.
S re �
BUILDING&ZONING—473-7357 • ADMINISTFtATION&FIN.INCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
------- � _,
� _ -• c
. 513.04 RIGH75 OF SIIBJECTS OF DATA '
gubdivision L Z`YPe
of data. The rights of individusls on whom the data is a
stored or to be stored shall be es set forth in this section.
� . Subd. 2. Information required to be given in�ividuaL An.individual esked to
- • su piy private or confidentiel data concernin�gmWithin the collec�ting state agency, .
P
purpose and intended use of the requested
olitical subdivision, or ststewide system; (b) whether he ma� refuse �r from his
P the requested date; (c) any lrncwn consequence arising
required to supply to su 1 rivate or confidentiel data; and (d) the identity of
� supplying or refusing PP Y P
other persons or entities authorized by steau$olr�e�ke �o s pply e�Veth g�ve data
requirement shall not apply when an indivi
pursuant to section 13.82, subdivision �, to e law enforcement office:.
The commissioner of revenue mav pletLv taX re°una i�tQuctions�nsteadhos
subdivision.in the individual inecme tax �r �r��
on those orms. . - -�— -� - ,
U on request to e responsible
Subd. 3. � Acc�ss to data by ��ri��' P
euthority, an individusl shall be informed�h��� hpr vg eeor confidential.e Up�n his
individuels, and whether it is c1assified p � ublic data on
further request, an individusl who is the subject of se to �mri��if he desires, shall
individuels shall be shown the data withou�fen�y��g. �ter an individuel hes be�n
�e i n formed of the content end meaning t he data need not be �sclosed to
shown the private data and informed of its u�e�BC�on p���t to this section is
him for six months thereafter unless B �p n request by
� ending or additicnal data on Lhe individu e h� 8 e or public datarupoeated. The
• p rovide copies of th p require the
responsible authority shall p The respcnsible authority may
the individuel subject of the data. cartif 'n and comptling the
requesting person to pay the actual costs of making, S'i g�
copies. ssible, with any re9uest
The responsible authority she]l comply immediatelY, i� P°
made pursuant to this subdivision, or within five days of the date of the request,
Sundays and legal holidays, if immediate compliar�ce is not
excluding Saturdays, With the request within that time, he shall so inf�orth the
possible. If he cannot comply within wtuch to comply
individuel, and mey hsve en 8dditiona1 five days . ;
and le al holidsys-
request, excluding Seturdays, SundaYS g
Subd. 4. Proced�a'e when data is not ac�c�ate or complete. An ind���, To
contest the accuracy or completene,ss�of public or private data concerning
the responsible authority
exercise this right, a� ln���� eemenL tThe resP°��e authority shall within 30
describing the nature of the disagr
days either. (a) correct the data found to bTe inae a�aei°�u�gpe�c Pl.ents namedtby
notify psst recipients of inaceurate or inco ap
the individusl; or (b) notify the individu8l ��du�,��tementof disagreem nt is�
Data in dispute shall be disclosed only it the
• included with the �isclosed dats• � BQpesled pursuant to the �
' The determination of the responsible authority to contested cases.
provisions of the administrative procedure act relating
` CHECK OFF. LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: � �" .-��� /-�Llc.!''�-; PID: ��_//") -�.3 j, ,._' GO � '�
� -� ✓t � M�
. � � t ��+ �' � � c�� �X ��
DESCRIPTION OF WORR. �' �' �z�-,C��-C� ��' �=�' �,� "-
----------- ------- ------------
------------,2�3
ZONING REVIEW BY= DATE APPROVF�D: �
BIIILDING RLVIEW BY:
DATS APPROVED: �-L �
-------------------
FEES TO BE CHARGED• 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 Units OTHER (specify)
--------------------
ZONING CHECR Z�IST Zo ing District:
Fire Depar nt:
Post Offic : S ho 1 District:
Lot Area: Width: De th:
Survey Submi ted: Yes No+_ Date of Survey:
Proposed Set cks:
Front ( e) : Rig t Side:
Rear (S e t) : Lef Side:
Adjacen St uctures : ' W tland:
Building Hei ht: ef. Hgt. Peak Hgt.
Avg. Setback Lot C verage:
Existin ` Pr posed
Hardcover: 0 75 '
75- 50 '
250� 00 '
500-� 00 '
Hardcover V iance Requ re : Yes o Date of Cou cil Approval:__
Grading: St f Approval a e:
gy; Counci ApprovaJ. Date:
Septic: Sta f Approval. D t : By'
Zoning File:# solution Reso ution Date:
REM�FtKS (in house) :
BIIILDING REVIEW CHECK LIST � , . �
IIgC. �`tf �L. -3 CONSTRIICTION T'YPE: —�_
Sq Footage $ Per Sq Ftg
Basement X = ,
lst Fl.00r X —
2nd Fl.00r X =
Garage X —
x =
TOTAL
00 `
Esti_mated Construction Value: $ 1!� O 0 "^
Inspections Reqnired: Work Reqniring Separate Permitss
Site � P�umbing Grading/Fill.ing
Footing Mechanical. Fire
�_Framing Septic Water Connection
Insu�.ation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
�Final (Mf g.) Other
Other We 1 J. (State Permit)
Electrical (State Permit)
---------------------------------------------------------------------
REM�FtRS (IN HOIISE) :
---------------------------------------------------------------------
RL�TIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
REMARRS (TO BE NOTLD ON PERMIT)--- /VO �--�--��e� ���v �L�P�'�_
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE. scHEou�Eo � "�"`�3 l o:v�
PERMIT NO. -�-��`f COMPLETED � `'�
ADDRESS ___ I Z`{� S�P�'vU C� G�L
OWNER s:-.� S�.-n+ CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: � � �-+2-�
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� C7 CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L' PHOTO TAKEN
INSPECTOR WILL REfURN
f J STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto,r o ite:
Inspector. � �� -���
�
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN 1�
INSPECTION NOTI E. [, SCHEDULED -�-�/�3 // �D�'
PERMIT NO.�=�`/ COMPLETED �_ K
ADDRESS /� �� �.�/ '
OWNEI�1�����Pit/ CONTR. l -�'� �
TELEPHONE NO. �7..? - '�//�'
� DESCRIPTION /_2�
�U 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
02 FRAMiNQ� 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
Q 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FIN 13 METER SET/TURN ON 17 SITE INSPECTION
h 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED [- ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR RE�N3PECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. --, pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
_ ❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.47�73�J7
OwnedContr s te:
Inspector.
White Copyllnspecto s File Canary CopylSite Notice