HomeMy WebLinkAbout1993-005152 - deck 1 PERMIT
CITY OF ORONO PERMIT TYPE:
2750 KelleyParkway • P.O. Box 815 00-51-525 LD �`��'
Y Permit Number:
Orono, Minnesota 55356-0815 Date Issued: t)-5/21/9-3-
(612) 473-7357
SITE ADDRESS: TOGO
_
CH
P . I . N. 17-117-23-31-001
jDESCRIPTION:
1t->X20 DEC-w:
Building Permit Type SF-ADD/REMODEL
Building Work Type DECK
UBC: Occupancy 83 R-3
Construction Type VN
Zoning LR-1C:
CITY tir urs N.
crMA..r- GFF4 c
REMARKS: 13."3.11010000 f�
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FEE SUMMARY: f:_'20000,0 #
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VALE SAT I E:iN $2110000
L'1 r;,r'# s.
E+ctSe Fac RE T /, "Illy.,
Plan Review $29. 2.5 #2734361 E0011 W11 Tjfl :j"
Total Fee $75.25
CONTRACTOR: OWNER: - Applicant. -
MCM I LLAN DOUGLAS
3780 TOGO RD
ORONO MN SS391
471- :7C.
tESIIE I �hY "PUIrT , PERMIS �JiU .TL► MAKE TK „IALI' RV1ENTS
'w-JP EG I IED AND AGREES TC Db ALL-..",WORK IN TR I,CT W14PL1 ��`T AL
L_ 0 1N0 3RD I NAND E5 AND S- UT,�N DF P�I�VNESQTA S I�I I� ��� F��I EN' S. J
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APPLI T/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��
CITY OF ORONO - BUILDING PERMIT APPLICATION c�
Total Fee: $ / ` '.�; Date Received:
Date Approved:
Entered By:
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
------------------------------------I.,-----------------------------------------
THE APPLICANT IS: (circle one) OWNE or CONTRACTOR
JOB SITE ADDRESS: 5 � (� ZIP:
(work) "WW9
NAME OF OWNER: 1 �C�v��.C!+"� jt .. 1C r^� 1 L-L-p r•1 PHONE: (home)y7/
MAILING ADDRESS: , CITY:11JyZ_P1 ZIP: G5 3r7.
CONTRACTOR: NG!^� L PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: I PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition .�X Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : C' T' x 'T• DECK W(71-1
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
C�
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 0 �tiJ .�-
I 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 will be in accordance with the approved plan.
PPLICANT'S SIGNATURE: I ac s� Q �" ^ DATE: ►�
CITYof ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
-OOn 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 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 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 be shared with 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 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
IC-HAF-L. f"C !M I L-L ACJ
First Middle Last
�� 4C 0,
Address
t-i�j-?- 3?
City State Zip
Z4 7l
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513,0.4 RIGHTS OF SUBJECTS OF DATA
Subdivision L Type of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
to be given individual' An•individual asked to
Sbd. 2. Information required
supply private or confidential data concerning himself shall be informed aaen e
purpose and intended use of the requested data within the collecting or is legally
political subdivision, or statewide system; (b) whether he may
required to supply
the requested data; (carising from his
) any known consequence
supplying or refusing to supply private or confidential data; and (d) the identity
other persons or entities authorized by state or federal law to receive the data. This_
requirement shall not appy
1 when an individual is asked to supply investigative data,
pursuant to section 13.82law enforcement officer.
, subdivision 5, to a l
nder tis
The commissioner of revenue ma lert tax reound uLstruo ctie the ntice req2,,L!,i,r. edu nsteadhof
subdivision in the individual income tax or co
on those forms. --
Subd. 3. Access to data by individuaL Upon request to a responsible
authority, an individuals be informed whether he vateesubject of stored data on
or confidential. Upon his
individuals, and whether it is classified as public, p public or data on
further request, an individual who is the subjecc�ge to hired mrlande if hdesires, shall
individuals shall be shown the data withoutof an t data. After an individual has been
Be informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its dismeaning,
pursuant to this section is
him for six months thereafter unless aP
pending or additional data on the indiviiduth hasate or collected blie data rupon request by
The responsible authority shall provide copies o P require the
the individual subject oftthe he actual.costs of making, certifying, and may
the
requesting person to pay
copies. immediately, if possible, with any request
The responsible authority shall comply i the date of the request,
made pursuant to this subdivision, or within five days
of of the to compliance is not
excluding Saturdays, Sundays and legal holidays,
if possible. If he cannot comply with the regio etthin that which to comply mply with the
individual, and may have an additional days
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when dataf blie or private datnot aecte or ura lconcerning himself. Tete. An individual o
contest the accuracy or completeness P in writing the responsible authority
exercise this right, an individual shall notify responsible authority shall within 30
describing the nature of the disagreement. The respo to
days either. (s) correct the data found to inaccurate
eincl dingPrecipientsenamed by
notify past recipients of inaccurate or in P
letthe individual; or (b) notify the individual that he believes the data to be correct.
Data in dispute shall be disclosed only if the individual's statement of disagreement is
• included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority be
cases.
provisions of the administrative procedure act relating to
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ,3 ? ze U /e rrG"// PID:. � .7,3 31 00
DESCRIPTION OF WORK:
--------------------- - - --------------------------
ZONING REVIEW BY: DATE APPROVED:
BUILDING REVIEW BY: DATE APPROVED:
---------------------- ----------------------------------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes-� No SEWER CONNECTION
STATE SURCHARGE Yes i-� No WATER CONNECTION
INVESTIGATION FEE Yes No PARR FEE
SAC Yes Nom/ SITE INSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECK LIST Zoning District:
Fire Department: Altz-1--if Post Officer School District: rN,ouA.ri
Lot Area: 'RDy ;FA 1-'r' Width: 2 / Depth:- /SOS
Survey Submitted: Yes No-4<1 Date of Survey:
Proposed Setbacks:
Front (4.a4sa-) : ^/64 Right Side: � i
Rear (Street) : $'b 1+ Left SideX/W/ 2. 6
Adjacent Structures: A-TT7le Wetland:
Building Height: Def. I Peak Hgt.
Avg. Setback: Lo Cover e:
E ist'ng ropose
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Vari nce Requir
B d: Y s N Dade of Council Approval:
/ Approval Date:
Grading: Sta f Approval D te: Y= Council pp
Septic: Sta f Approval D te: BY=
Zoning Fil :# Re olutio #: Resolution Date:
REMARKS ( 'n house) :
r
BUILDING REVIEW CHECK LIST
UBC: kSt 2- 3 CONSTRUCTION TYPE _
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x
2nd Floor x =
Garage x =
X =
TOTAL
Estimated Construction Value: $ Zi0C)0 °=
Inspections Required: work Requiring Separate Permits:
Site Plumbing Grading/Filling
&Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
Fina 1 (Mf g.) Other
OtherWell (State Permit)
Electrical (State Permit)
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REMARKS (IN HOUSE) :
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
ATE TIME
CITY OF ORONO CALLED IN �s
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED 9 -5 b '
ADDRESS
OWNER CONTR.
TELEPHONE NO.
IPTION �
01 FOOTING ✓ 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
Uj 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 0 ALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q FINA 13 METER SET/TURN ON 17 SITE INSPECTION
� EMO—SITE 14 SEWER HOOK-UP 06 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
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS-
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WL WORK SATISFACTORY:PROCEED KFPROJECTCOMPLETE
"CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN
INSPECTOR WILL RETURN
ElSTOP 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 one:
Inspector.
White Copy/Inspector's lie Canary�qpy��g tice
HDut'L
24 X 36 PRINTED ON NO. 1000H CLEARPRINT
N,4A L
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SPECIAL NOTE,
rz—
SEE ATTACI-y;'�D SHEET
FOR _44�4W iC
CODE REQUIREMENTS
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