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HomeMy WebLinkAbout1998-010939 - deck , PERMIT - CITY OF ORONO � PERMIT TYPE: �;;!�!_:;?�,��� 2750 Kelley Parkway- P.O. Box 66 ;� -yrV;:;:�, Crystal Bay, Minnesota 55323 Permit Number: �j,.�; �'_ _ � (612)433-7357 Date Issued: : �!�_f�f'-�-� SITE ADDRESS: ��4 s a:�. '•��!.�i�ei-�i�`1t,lf jj t'j }lih: . S 1ti ='?�—' ��_ _,- ...._—(tt:�.:' , DESCRIPTION: 3:�'t.��. 'y%1}. .I.'_i rt 1l'� i'�:�?;��1{l.I�. .�.'_�°Y,:' ='l'—i-�?.s!!_i r�''t.��'{�ji1%.�, _�=�f= 1�:��.i�9'� W��'t 1'G': � j'��F:.j �i'i:t'. '_ .. I_,e�5�;.�Cs.�S"EF'j� j1;"'.i . ._.{_ . _ _ �'. � _ . . , . .._ �'j:S REMARKS: FEE SUMMARY: �.{. . . ,�...�iF� � ���{�v 7',+_: :fi_jt�[ " — .'} ._.._ . �� '—` i _:1} ti_+��Y �isi :.•i'.,::`. '�fF� _=1'F=1—f%+l''��� _..__._._._ ��.�.���i .� :�3.1 , .._� g� — _ . .t I CONTRACTOR: — �������1 = �����t� — -�� . !?� .OWNER• p �-i;�����#i�i�i_C i��Ii��'��T�ti�'t_�I:�;�.� ��.�.:=;;�Ir�i;i ;�ii;.f's�'�i'I' 3'i':1';�if`v�? �,r `•wi�:Iti�I•-•� i?,_'t_i�If�;`� :`r�i7� :�`�f t� ��i ui �`� :� _�;it'.ai-;h;;�'.it=1Ci :i�,` s �� c c _�`,_' ?��'`�_L� `v�-t1_;.��t' ��f+? _`i';Y.s''s,. =%hf_tif�:i !'.I� - - - - - t;�=.f�::`.f ��_`��_�'::,�_}; ,— � . : ,�-- . F � —�. - -:-• —--#^',�j�� j _ _ T� ��p���i f�. �'f�..h-, Tt�E t3�����i; I�a��t� I��-SFE�Y r��t��,�- : �-�-�:. �`�>_��. }:� - 1'�-� r��-�E' � '�-'-:;-"� ___ : :_i-.�„� �!". �1=�' �i� ,� y '" ! .i. t . ...€_ +A�_:-s.a�: s s.t M (f'a� � t f s1 I-�T t�#at_:� '� 4.... - :• ; � 4;�-- ,� ��_: . ... ...__,� • . • � .�.� - --�., .. � _. . __ — , - ,� ,� � Et �^ `!-tt _. ... _. , V_ '-, . • ' :- ;�.. :•lt��lt,.r :t�ll�: �=:(33�.,�tT�,it, t._L._. h_._.- -. ._.. .,�� . ,-. t . � � ��� �'" ; : €«;�;`i_i:°.I�_# t_ t-�°���t - . _ . � � _ �'� � �� �� APPLICANT PERMITEE SIGNA URE ISSUED BY:SIG ATURE � Total Fee: $ �$g���° Date Received: Entered By: Permit#: l��3� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: p�l/ y ,S�i_.'���r� /��L, Z�� NAME OF OWNER: „%�,�j��� , os-- PHONE: (home) y�S��64/ (work) y�� ?�4'/ MAILING ADDRESS: 71�d/ %�1.5�y� CITY: , /`�'l�,�I�cZIP: ✓�'� 'CONTRACTOR: ONE: y�� ^?�yd/ CONTACT PERSON: / MOBILE/PAGER: 7p'/ 7y/� MAILING ADDRESS: 7�'/ /y �� CITY:,�l�i���%,�y ZIP: ✓���7'�.y STATE LICENSE: # a ,� 7G � ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME; REGISTRATION# TYPE OF WORK: N�w � Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detai�: �C!/�� 1��,�'� STORIES: SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ESTIMATED CONSTRUCTI4N YALUATIQN (excluding land): $ ���:� ^ I hereby apply for a building permit and I acknowledge that the information above is cQmplete and accurate; that the work will be in conformance with the ordinances and codes of the C,ity 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 SIGNATURE: DATE: ���'� �l� NOTE! Parade of Homes events require separate permit approval by Police Department and City Counci160 days prior to the event. Non permitted events will not be allowed. 5 i Sec.13.04 RIGHTS OF SUBdECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this secrion. Subd.2. Information required to be given individual. M'u�di��idual uked to suppl}•private or co�dendal data concerning himself shall be informed of: (a)the purpose and inte�ded use of the requested data within the colleccin¢state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or enriries authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply im�estigati�•e data, pursuan[to section 13.82, subdivision 5, to a taw enforcement o�cer. The commissioner of revenue mav olace the norice reauired under this subdivision in the individual income tax or nrocertv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upoe request to a resporisible authoriry,amindividual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidendal. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown thz data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been show�n the pri��ate data and informed of its meaning,the data need not be , disclosed tn him for six months thereafter unless a disputg oc aepon pursuant co this secrioA is pending or additional da[a on[he individual has been collected or created. The responsible authoriry shall provide copies of the pri�ate or piiblic data upon request by the individual subject of the data. The responsible auttiarriry may require the requesting person to pay the actu�l costs of making,certifying,and compiling the copies. ' The responsible suthoriry shall comply immediately,if possible,u idt any.iequest made•pursuant to this subdivision,or within five days bf the date of the request,excluding Satu�days,Sundays and legal holidays.if immediate comp[iance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may ha�•e an addidonal five days within which to comply with the request, excluding Saturdays,Sundays and legal holidays. Subd.4. Prceedure when data is not accurate'or complete, �,an individual t�ay contest th�accaracy or completeness of public or priva0e data concernin�himself. To exercise this right,an individual shall notify in wriring the Eesponsible authoriry describing the naNre of the disagreeme�. The responsible authoriry shall witt►in 30 days either. (a)correct dte dara found m be inaccurate or incomplete and attempt to notify past recipients of inaccurdte,or u�compleoe d�ta,including recipien[s named b�-the indi�idual;or(b)notify the individual ihat he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreemtnt is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY 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 Ciry of Orono or anv of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you fumish will be used to determine your qualification for the permit or license requested. 2. You may refuse t�q supply data, �ut refusal may require that the City deny the permit or license. 3. The information may be sh�red wittr other local, 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(available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. /��fz�/� [��!�C��l�� .��i First Middle Last �d4/ /�i'.5�� -- Addre . I .eG� �//�Ls� �.�-�- S3��� �3��7��� i State Zip Phone I understand my rights as stated above: • .�i�li��'��/ .�i����� - Signature 6 , CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS ORLEGAL: .;;`; � �-� :�c,�c �����,ti, �;�.�� PID: DESCRIPTION OF WORK: --------------------------------------- �-------------------------------------------------------------------------- �--- ZO'�ING REVIEW BY: "�, �'C����: DATE APPROVED: BLZLDING REVIEW BY: ' �' ��(��,.e� DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes X No PLA�' REVIEW Yes�_ No SEWER CONNECTION STA:'E SURCHARGE Yes X No WATERCONNECTION IN`��STIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ------------------------------------------------------------------------------------------------------------------------ ZO�iING CHECK LIST Zoning District: Fire Department: Post Office: School District: L,ot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear (Street): Left Side: Adjacent Structures: Wetland: Building Heiaht: Def. Hgt. Peal:Hgt. Lot Coverage: Grading: Staff Approval Date: �� _ By: Council Approval Date: Septic: Staff Approval Date: i� By: Zoning File: # Resgl'ution: # Resolution Date: Shoreland District: �/ Avo. Setback: Bluff Setback: Lot Coverage: � Existing Proposed Hardcover: 0-75' 75- 50' 25 -500' 5 0-1000' Hardcover Variance Required: Yes No Date of Council Approval: RE�IARKS (in house): 7 J BUILDING REVIEW CHECK LIST ,� ,, UBC: � �� - CONSTRUCTION TYPE: ..�— Sq Footage �, Per Sq Ftg Basement x = lst Floor x = 2nd Floor x = Garage x = R = TOTAL �/ �1 �/ Estimated Construction Value: $ �=� �C����� Inspections Required: `Vork Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection �_Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) � Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): ------------------------------------------------------------------------------------------------------------------------ REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: ------------------------------------------------------------------------------------------------------------------------ REMARKS (TO BE NOTED ON PERMIT): 8 Cu_T—=�=�-1�'��-� 1��44 fU=DOhaHLL� �:=0hl-�TF'I_Ic=TIOr! IIlC F �=r= �_�� �,� � � ��' � _�. ___.......___ _ �v � - - ------_.. � �, �. �� �� � 1 i �`�.'{ / � ` , � - �J I/ � �, � � ' ` -� OR0�0 ' � -�-- COP11 ! ���� �� � . � �- ��� ��. -� � �- ,� ! �. �:� i � �'�- `� ., �' �, `�'� ,;� ,. k ��-� � %���. f*:,' � i` I �� � � � M, � f• _ r�0 �� �� �� '`fi ; ! '" � ' � � � � •� ,� '' �+, � �j � I ``4' �y�J �I ., � Q ^^-- �-��-.r�--...�.-.�....�.�.. .`�* . �\ �� � `r I � �-� � ` �� `�� CiTY 0 F Q R O NO � ��' �----- , � BUiLD �RMIT Pl..AN REVIEW � j,� '�'Q ,r � � QI X� k � �INSPECT � � � � ry�DATE � PERMIT NO. t -_.. ' � � ,�APP D AS SUBMlTTEp --�► ' -�. ❑ APPROVED WITH CORRECl'IONS A$NOT�D ' �� C7 (v'OT APPROL��D---C�FiR�CT&RESUBMIT ?l� �l.�.tl� ( w ('����hes�comments are fo!your inlormation.All work shall ba d� ; � � � ir� f4'�� compliance vi�th aq applicable buiiding and zorting co� � � Req�rremen,s including i!ems not specificaliy.noted in this re�.•ie � C� K�EP THIS PLAN SET ON S1TE AT ALL TiMES� � �� � �, � � � l � � t � .,, .�_ -�.�,�+r 9r l"jf1( �' � , � ; 1�_ tl � � � `\ � r � �_--__- �1 -_� � . . - � / �'-.____..___ _..___�..__._"�"� --�_ . ._._._.. _. ...___"___ / 1 r Oi=T-��-�-1'�'��-� 1��44 I°li_LiOh IHLL� i=0f!'-�TF'I_IrT I 0f! I f!t= F'.t=i�. G=i� _ ��- -- - r--.----�_...._ f � • S Q � � � � � � � � � � r ry� ..._... '7��j�� � ��l�� D � \,\� � o���o caPY . _ _ . � � _ TOTHL F'.�_��