HomeMy WebLinkAbout1995-00731 - deck PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66 Permit Number: C;I I T I F-I T N.i
Crystal Bay, Minnesota 55323 Date Issued: C-i 7
(612) 473-7357
SITE ADDRESS:
ER
44
DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
e
$
ONTRACTOR: OWNER:
40
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THE UNDERSIGNED HEREBY REQUESTS
PERM.ISSION TO MAKE THE REAL "INP�13STEM ENTS
SPECIFIED AND AGREES. TO DOALL, VQRK' 14 STRICT COMPLIANCE W,IT14-A'4,,L 'CIT,Y 00
I 0pCOQ
ORONO ORDINANCES AND STATt MINNESOTA BUILDING COIE RE WkMEOTS3.
APP,4ANT/PERMITEE SIGNATURE j ty ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
,ff
Total Fee: $ Date Received:
(D "✓�' 1 S
7�• 02 _�
Entered By:
Date Approved:
1 �
Permit#: 7 3f
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
-------------------------------------------------------------
THE APPLICANT IS: (cir�,c/le one) OWNER
OWNER or CONTRACTOR
JOB SITE ADDRESS: 3 3 % v" �i""y� �� ZIP: 4
(work)
NAME OF OWNER:
PHONE: (home) V7
�,
MAILING ADDRESS: _� 3 Q IN J�'1 CITY: ZIP: J 3 SY
CONTRACTOR: i�"�`-- PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
Nom: REGISTRATION n
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : G� — U ^ X d v
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ �0(?" r�-b
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 inac ordance with the approved plan.
APPLICANT'S SIGNATURE: ,�'" DATE:" �
I A
CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
O -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.
First Middle Last
�i
Ad ess
ity State Zip
X13- 3 C/3
Phone
I under tand my rights as stated above.
4, A
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
513.04 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. An.individual asked to
to be given individuaL
Subd. 2. Information required ncerning himself shall be informed of: (a) the
supply private or confidential data co
b whether he may refuse or is legally
and intended use of the requested d)a within the collecting state agencr�,
purpose tem; ( from
P olitical subdivision, or statewide at known consequence arising
required to supply the requested data; (c) �Y and (d) the identity of
supplying or refusing to supply private or confidential data;
ons or entities authorized by state or federal law to ricenvest gat ve data,
e the data. This
other pens 1 when an individual is asked to supply
requirement shall not
apply to a law enforcement officer.
pursuant to section 13.82, subdivision 59
lired under
iu
The commissioner of revenue ma lace tax re°urid instructions instead
hos
subdivision in the individual income tax or ro art
onthose orms. —
Upon request to a responsible
Subd. 30 Access subject
to data by individual•
an individual shall be informed whether h r VBteeor confidential.e Upon his
authority, ified as pub , p public data on
individuals, and whether it is clanthe if he desires, shall
further request, an individual who to witfioutiany charge to himriande or p
individuals shall be shown the data of that 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 titanir
r action pursuant to this section is
him for six months thereafter unless a P n request by
or additional data on the individual has been
public dataupon
req The
pending provide copies of the private require the
responsible authority shall p compiling the
The responsible authority may
the individual subject of the data• certif n and comp g
requesting person to pay the actual costs of making, Yi g'
copies. 1 immediately, if possible, with any request
The responsible authority shall comp y of the date of the request,
made pursuant to this subdivision, or with idafive days
immediate compliance is not
oli
excluding Saturdays, Sundays and legal
e. If he cannot comply with the request within that time, he shall so inform the
the
possibl have an additional five days within which to comply
individual, and may Sunda and legal holidays.
request, excluding Saturdays, Ys
to or complete. An individual may
Subd. 4. Procedure when data is not aecura himself. To
contest the accuracy or completeness of public or private data conceonsible authority
ht an individual shall notify in writing the resp
exercise this rig , The responsible authority shall within 30
describing the nature of the disagreement.
da either: (a) correct the data found to be inaccurate includingree�iPients nsmedt to
by
days
notify past recipients of inaccurate or incomplete ,
the individual; or (b) notify the individual that dual'he sisstatemen eves the data
disagreement is
Data in dispute shall be disclosed only if the individual's to the
included with the disclosed data. be appealed pursuant
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
CHECK OFF LIST,FOR ISSUANCE OF PERMITS
/ FOR OFFICE USE ONLY �f
ADDRESS OR LEGAL: 3 3 U Kd PID: 3 ` !I - 3
DESCRIPTION OF WORK: X
---------- --- -------------------
ZONING REVIEW BY: - DATE APPROVED:
-
BUILDING REVIEW BY: DATE APPROVED: 6- & Ct,S
----------------------- ---------
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 CHECK LIST Zoning District: 0-2-)G
Fire Department: VW
Post fic S oo '�istrict:
__--
Lot Area: idt e
Survey Submitted: Yes DC No Date of Survey: qN t=�t l-i�{ - �O
Proposed Setbacks :
Front (fie.) : Right Side: 490
Rear (Stsaet) • N !� Left Side:
Adjacent Structures : /4X779cffWetland: /V lA
Building Height: Def . Hgt. IP k Hgt.
Avg. Setback: Lo Cov rage:
Existi Prop sed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Variance equired: Ye N Da e of Council Approval:
Grading: Staff Ap roval Date By: Council Ap roval Date:
Septic: Staff Ap roval Date: B
Zoning File: # Res ution # : Resoluti n Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
DBC:
-?j CONSTRUCTION TYPE: Aj s
Sq Footage $ Per Sq Ftg
Basement x
1st Floor x
2nd Floor x -
Garage x
C x P 0,o 0
TOTAL
dc.0
Estimated Construction Value: $ y
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
pCFooting Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
to--Final (Mfg.) Other
OtherWell (State Permit)
Electrical (State Permit)
---------------------------------------------------
REMARKS (IN' HODSE) :
----------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
------------------------------------------------
REMARKS (TO BE NOTED ON PERMIT) :
ORONO copx
SPECIAL NOTE
SEE ATTACHED SHEET
GUARDRAILS FOR �itt-�d r4 ►`-
_ 36_ " MIN_. HEIGHT CODE RE^QUIREvAENTS
MX.- OPENINGS
-------------- —-w+�E�l-Num[►.�—rt't� --- --- - -----.ST�A1 RJB'
30(t `�`�� GliP�dE 8" MAX. RISER 9" MITR`AD
- - - 6'-.;Y' MIN. HEADR•. 100
AT LEAST ONE i4ANDRiHAUL -
- - GUARDRAIL OPEN SIDES
- -- --- -- - -- --- _ - ---- -G. o
Z � (o � fei
1
r '
CITU 014 ORION
DATE I; � -�� PERMIT NO.
_ --A V-E-D ArJ JBIVrFi-O-- -- — --- - --._ ._
APPROVED WITH CORRECTIONS AS NOTED
_ _ - - -- --- _ -- --- ---------—?' - SOTAPD�IED =COQ.R.ESt1SA44 -------_------ --
fheee comments are for your information. All work shall Me dA
.P tell compliance with ail applicable building & zoning oof
----- -----—----- ---- --Ti er+ds Incl uding nernt not spbeiricany nomidin It a tls
(CFP THIS PLAN SET :)N SITF AT 41.1. TlMvN
POGRAMC
UMI
ORONO COPY rOf VEL VMW M. HUs.
ANIS !TEM OAS BEEN
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. $tales li nch=IM ft.
Date: January
GGRDON R. COFFIN, CO.
Area of Fill=24tA0 Sgon. _ TA
x.55 Acres 'Qo --
- CITY OF ORONa
Volume of Fi11= oC CU_ `sda. PLAN. GRADIN RLR
area of Fil]?175 $q.
M=0.0G4 .cre;e " PPRO
in b�etlanda
-APPROVED REVISIONS>
_- SAFP VFX
gY C�
gxs�
t/
DATE TIME
CITY OF ORONO CALLED IN .�- 9` 3da rri
INSPECTION NOTICE SCHEDULED s
PERMIT N0. .3/ COMPLETED _
7` M
ADDRESS ` d
OWNER 0�CONTR.
TELEPHONE NO.
DESCRIPTION g-'r1_A&'dv
14 OOTING 11 MECHANICAL RI 18 EXCA RADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
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
Z
COMMENTS:
W
C
cc
J
O
ac
O
W
W
Q
Z
W
W
cc
j
d ' �IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
cc ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O) BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract si
Inspector. \
White Copylinspector's File Canary Copy/Site Notice