HomeMy WebLinkAbout1999-010529 - deck i
PERMIT
CIT,Y OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Bt_i I --'�I `3
Crystal Bay, Minnesota 55323 Permit Number: � 10'r—; 4
(612) 473-7357 Date Issued: ;_;c i
SITE ADDRESS:
S�. ;i�i=Ft li_A T R
I . N . . 3.3-1
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER:
TRUF F t;LA ;R
THE UNDERSIGNED HEREBY RE-QUESTS PERMISSION O $'`�AV(E THE REAL I PREMEt4TS3
SPECIFIED AND AGREES TO DO ALL WORK I I N STRICT CbMPLIMCE WITH ALL =�37` ,QF
ORONO fiDlt�lAf CE`�� AND ` TAIyE OF1ltl IE: t TA' BUILDING CODE RE41JIREMEN�w
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: $ IW5-26 Date Received:
Entered By: �,4A Permit#: za 19T
CITY OF ORONO - BUILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
I
JOB SITE ADDRESS: Ibc 7-r�44�1�:1f r-�;� ZIP: X5356
NAME OF OWNER: Wke_ PHONE: (home) 4rN-!�37;z
(work) 93/,-G1172
MAILING ADDRESS: 160 Tryopa�),, 1 wG;� CITY: Orn.,,n ZIP: a5 3S6
CONTRACTOR: we,,�e PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: W PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detail): AX;jn j Aer
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ UCC7e
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.
APPLICANT'S SIGNATURE: DATE:
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
Sec.13.04 RIGHTS OF SUBJECTS 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 section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting 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 entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue may place the notice required under this subdivision in the individual income tax or nrooerty tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the
subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the 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 shown the private data and informed of its meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with
the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the 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.
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 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(available upon request)to review private data on yourself.
6. Your full name is required to process this application or permit.
First Middle Last
Address
AU)
1�' ) L
City State Zip Phone
I understand my rights as stated above.
Sig cure
6
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: 160 T Q i FirALA 'mA 1(—
PID:
DESCRIPTION OF WORK: Q ECS
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ZONING REVIEW BY: DATE APPROVED: O s-Zr 9g
BUILDING REVIEW BY: ,,,_ DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ti No
PLAN REVIEW Yes io- No SEWER CONNECTION
STATE SURCHARGE Yes I/ No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
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ZONING CHECKLIST Zoning District:/ 44-16
Fire Department: Post Office: C, C+�` School District: GL)
Lot Area: Sq.ft. A_ �;Fi zi�Acres Width Depth
Survey Submitted: Yes y1 No Date of Survey: Qn; =/LA=
Proposed Setbacks: f
Front (Lake): 118 t Right Side: 521 �
Rear (Street): 'ZCA; i 4- Left Side: C z oC `4
Adjacent Structures: Wetland: /V 1A,
Building Height: Def. Hgt. /V ill- Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No Date of Council Approval:
REMARKS (in house):
7
BUILDING REVIEW CHECK LIST
UBC: 3 CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ y,VUp
Inspections Required: `York Requiring Separate Permits:
S ite 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):
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REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
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REMARKS (TO BE NOTED ON PERMIT):
8
shy„�EcKI.vG
6"x 6"PosT
GUARDRAIUS
36" MIN. t-;EICFjr -
4" MAX. OPENINGS %s'��ANCHOR RDS
2x6
G1�ADE
qx4 POST
Zx4 ON EDGE
21.2 5PINDLE (6"0,,-,)
2 x'-I ON E,D G E
5(yx5'/2 MISLED DECKING T I2"pl coNcRE'rE
FooTiA)
2 00FRAMING,
,u" Reu- .�v
ORONO COPY
3'-6 q'- 11 cf'-a" - �z'-o " 6''x6'' POST-,FPL-,5
Ti1K SECTIOM STiZUCT1 KALLY
ABLE To SUvpoZT A Fv I uRE-
3-SE�ISo�u aog"
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SPECIAL NOTE
S:-E ATTfkCf IED S!-BEET
FO 14/-+n(I>2AIL
CODE REQUIREMENTS
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FLAS"ING ABOVE LED6-E-9130AZD
ala"x 4" LA& SOLTS a'-0" N1,Q1)V LEVEL
SDIST HAA)CTEJ�S CA JT) LEVE)Z
S0IST- IZ,, O.G. STAIRS
8"MAX. RAISER 9" MIN. TREA4D
"r 6'-i " MiN. �jEADROC?1V9
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a CITY OF ORONO AT LEAsi ON i�ArDl�Ali REQUIRED
BUILAIP iT PLAN REVIEW GUA,R`;,�,q;(_ GPFN SfD'S
INSPEcTOn �O�G-
D •`:_ Z PERMIT NO.
AVF�SLF, ITED � R FF0
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i ' ±ii CORECTCNS AS NOTED;
/40 L,
;:LVED- co aECT&�ESU&NUT D�uo, 'UI,U �S3S6
T;..:..,corm--c:a;e`c, ;our;rtormation.NI work shat!be dote 404_ 73,�
in _: ;a:ce w h al cipplicab!e buiiding and zening code.
Ric :nl. ir,c!.rci!ng items not speoitica!!y acted in:his review.
KEEP THIS PLAN SET ON SITE AT ALL TWES
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Ro� , ` NDEPENDI,N' ' Al-PIZATSALS
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Real Estate Appraisals/Consulting
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0 APPROVED Q ecK
❑ APPROVED WITH REVISIONS
❑ MAPP 011E
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66.19 Boyd Avenue, Fdcn Prniric, N inneauln 55346, (612)937-992.9 (Fax)937-1445
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CITY OF ORONO CALLEDIN �+
INSPECTION NOTIE SCHEDULED
PERMIT NO. �a �� COMPLETED
ADDRESS AP 0 _7",tUX
T
OWNER WaO(4, CONTR.
TELEPHONE NO.
DESCRIPTION d1Z
1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
H 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
� L7+ct 1 OI$* O r= l`p-0 l.L? 64"
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Uj ❑WORK SATISFACTORY:PROCEED E) PROJECT COMPLETE
RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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
OwnerlContract n i .
Inspector.
White Copyllnspectoes File Canary Copy/Site Notice
,
CITY OF ORONO / CALLED INE ,3TIMVS
INSPECTION NOTICE SCHEDULED f 00
PERMIT NO. AW COMPLETED
ADDRESS ZLI]�Li
OWNER � CONTR.
�T
TELEPHONE NO. " q
DESCRIPTION U...tz
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
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O
O
O
W
cc
Q
2
W
Z
LU
LLJ OR'SATISFACTORY:PROCEED ROJECT COMPLETE
cc W ❑CORREG WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q 0CORRECT V� KCALL FOR REINSPECTION TEMPORARY
0
BEFORE Ca
❑CORRECT UNSAF., PERMANENT
INSPECTOR WI2LNDITION WITHIN HOURS. p PHOTO TAKEN
`ETURN
❑STOP ORDER POSTED.G., INSPECTOR 0 CITATION ISSUED
❑INSPECTION REOUIRD.CALL�O ARRANGE ACCESS.
Call for thnext inspection 24 hours in advance. (952) 249-4600
OwnerlContra n site:
Inspector.
White Coispector's File Canary Copy/Site Notice