HomeMy WebLinkAbout1994-006080 - porch under deck , ' PERMIT
" �ITY OF ORONO PERMIT TYPE: �;��_����.�:aF�
275� Kelley Parkway • P.O. Box 815 Permit Number:
,Orono, Minnesota 55356-0815 �'�}�='`-''='{'
(612) 473-7357 � Date Issued: E:�;i;�f�:���.
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: ;�;�L,,-;;. `" ;i" ,;;i''�
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CONTRACTOR: OWNER: — ��_��?. ;r���/f'(,(t?. --
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
' ~ � CITY OF ORONO - BIIIZDING PERMIT APPLICATION
Total Fee: $ �— ' = Date Received:
Date Approved:
Entered By: ' %�,
Permi t�: �p D g'�
ALL INFORMATION MIIST B$ SIIBMIT'�� IN FDLI. BEFORE PLAN REVIEW WILL B$ STARTED
(See Check-aff List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) OWNER�r CONTRACTOR
JOB SITE ADDRSSS: j ? �f� � ���iL�' L �� . ZIP: ,}_��...FG•��
(work) �'�s--�:�c���
N�ME OF OWNER: �7;�-► ��✓n ��, ;r;�a� �y���i'Z� PH�NE: (home) =i";'r-r%�".�r.,
MAII�ING ADDRESS: ��.�c� _�P;=2�s�Ls� t'�. CITY: �.��-,,���:� ZIP: �;��.�z"�f�
CONTRACTOR: S�t V�1 � PHONE:
MATLING ADDRESS: CSTY: ZIP:
STATS LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MATLING ADDRBSS: CITY: ZIP:
N�: RBGISTRATION u
TYPE OF WORR: New Addition Accessory Struczure Move
Demo Remodel/Alteration Renovate j�_ Land Alteration
PROPOSF.D WORR (describe in detail) : �/��t' ��-�� �'-�'�7�'�' :�'���v>>��� ���' ��=�
� r, . � ���i�<< :.� ���"� ���� �%;��,^� (ii J���
STORIES: SQ. FEBT OF EACH FLOOR: _
NO. OF BSDROOMS: GARAG$ ST�iLI,S: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ i� l�E> `"�
I hereby apply for a building permit and 2 acknvwledge 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 will be in accordance with the approved plan.
,
APPLICANT'S SIGNATDRE: �,�% ,���',��,,,,. DATE: �;� ����
�
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 Zike 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 Iicense.
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 private
data on yourself.
6. Yrur full name is required to process this applicatian or
permit.
��:��;� � l'�',a�.�f�'i��
First Middle Last
,,,,/<� `O G . �/�/ZL:t-G-' �L-!i��.
Address
G�/c'_/��.��� /?,'/'' -�y-�J�lG`f
City State Zip
�`7/- r>�=;�'.�
Phone
I understand my rights as stated above.
/�t��C� ��%' ���'���--'
Signature �
BUILDING&ZON(NG-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING _
.
� �
�.04 RIGHTS OF SIIBJF.CTS OF DATA � �
gubdivision L Type of data- The rights of individuels on whom the data is �
stored or to be stored shall be as set forth in this section.
. Subd. 2. Information r� t� � ��� ����1" An.individuel asked to
- � supply private or confidentiel data conc�ed d amwithin the collect g state agency,
purpose and intended use of the reques
(b) whether he may refuse or is legally
political subdivision, or statewide system; �own consequence arising from his
required to supply the requested date; (c) any
supplying or refusing to supply private or confidentiel dats; end (d) the identity of
other persons or entities authorized by state or federal law to re� in este at ve da a
requirement shall not apply when en individual is asked to supply g
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue or rolert tax re�und instructionsuinsteadh�s
subdivision in the individual income tax
on those orms. _ - . _-- - -
Subd. 3. Access to �ata by individuel• Upon request to e responsible �
authority, an individual shall be informed whether h�VBteeor eonfidential.e Upon his
individuals; and whether it is classified es public, p
further request, an individuel who is the subject of Se to himrlandeif heudesiresa shall
individuels shall be shown the data without any ahat'g
6e informed of the content and meaning of that �tthe data need not be c�isclosed to
shown the private data end informed of its meanin8, ursuant to this section is
him for six months thereafter unless a disPute or action p
, pending or additionel data on the individual has been �ublic datarucrnarequest by
responsible authsub'ect ofp the d data.l�The hresponsibler authority ma� require the
the individuel ] certif n and compiling the
requesting person to pay the actuel costs of making, Yi g�
copies. immediately, if possible, with any request
The responsible authority shall comply of the date of the request,
made pursuant to this subdivision, or within five days
excluding Saturdays, Sundays and legal holidays, if immediate compliance is not
possible. If he cannot comply with the request within�i��ntlW�ch tohcomplY w�h the
individuel, and re1ey have an additional �ve days
request, exeludirig Saturdeys, Sundays snd legal holideys.
Subd. 4. Procedin'e when datn is not accurate or eemplete. An ind�mSd�. To
contest the accuracy or comQleteness�of public or private da t�eo��P�ible authority
exercise this right, an individual shell notify in writing
describing the nature of the disagree d to be inaccura e ori ncomQlete and att pt to
days either: (a) correct the date foun
notify past recipients of inaccurate or incomplete data, including recipients named by
the individuel; or (b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed oniy if the individual's statement of disagreement is
• included with the �isclosed data. ealed ursuant to the
' The determinatian of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
• _ CHECK OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFFICE USE ONLY
ADDRSSS OR LEGAL: c� � - A � PID:
DESCRIPTION OF WORR: S'�i����'1 ' �� <' ' i ���
-------------------- --- -------- ------------------_------ --- ---------------
ZONING REVIEW BY: DATE APPRO`7ED 5 /� r��-�
BIIII,DING REVIEW BY: DAT$ APPROVED: � ��
---------------
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 PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units 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: C�
Rear (Street) : l C,� Left Side: � i�
Adjacent Structures: Wetland:
BuiJ.ding 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 ApprovaJ.:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval. Date: By:
Zoning File: # Resolution # : Reso].ution Date:
REMARKS (in house) :
BQILDING REVIEW CHECR LIST ` .
IIgC- � - 3 �8 CONSTRIICTION TYPE: V �
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X - ,
x =
TOTAL ���
Estimated Construction Value: $ ��C/�
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Grading/FilJ.ing
Mechanical. Fire
Footing Water Connection
,�Framing Septic
Insu].ation Fireplace Sewer Connection
Wa1J. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other WeIJ� (State Permit)
Electrical (State Permit)
-------------------------------------------------
RF.MARKS (IN HOIISE) :
---------------------------------------------------
REVIEW BY OTHEIZS: DATE:
Access: Existing New
Access Approval: Date BY=
-----------------------------------------------
�jF.MARRS (TO BE NOTED ON PERMIT) :
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� DATE TIME
CITY OF ORONO CALLED IN �'�>.�
INSPECTION NOTICE SCHEDULED - �'S� �3'���-�
PERMIT NO._ ��� COMPLETED N �N
ADDRESS � -� '7"D ,rJ�`i�.c c� �� ��'
OWNER C�.��r ��i CONTR.
TELEPHONE NO. `�=��5 ' �� ,�(� S� /.:)
� DESCRIPTION l 5 E�� i'Z�-�.-��'� ' � �,5 '�'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/F�LLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL � 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 COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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d �GVORK SATISFACTORY:PROCEED PROJECT COMPIETE
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� ❑ CORflECT WORK 8 PROCEED f l ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r- pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ction 24 hours in advance.473�73�J7
OwnerlContractorprr�ite:
Inspector. � � -
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