HomeMy WebLinkAbout1993 - 005645 - deck PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: BUILDING
Orono, Minnesota 55356-0815 _;0 W
(612) 473-7357 Date Issued: _ -f
SITE ADDRESS: 1
1770 WE• i FARM RD
JB
.fj_,7 i
DESCRIPTION:
DE C:<:
Building Permit Type '_:F=--ADD. F:EMOD :i_
Building Work TyC:::-• i_F :e:•
USC: Orrupancy CITY OF itsrte(!!
_ OF vl�vltil
Construction Type d'N FINANCE OFFICE
13 i,J.t%V!frlfuv A
0.1 11_IT 171a00
1350100000
01G Nf 111.15
122220
V.1. L71fl V.V
CHECK Ti. 290U.15
lJ
RECEIPT—THANK Y :,
#:•'1?hilt! rY! ! rafl} T+f'ri
YI .L lL•VV CON ItV.I !A. •LL
1Y/r.if/r
REMARKS:
FEE SUMMARY:
VALUATION $16, 000
ee $171 . 00
Elan Review
Surcharge :t, ,_ j,C}
T f_l t. -7,9 1 . t l
CONTRACTOR: — Applicant — OWNER:
i i*..II'ES ILI-i) ENT INC 1q32296E BRACKEN WILL
1 E22. THE STRAND 1770 WEST FARM RD
r INr ETONKr MN S _:4!•5 LONG LAKE MN tis:_:s;_
6.12) ''i=:2-7'i66 476-160:-:
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREE:: TO DO ALL WORK I rJ STRICT COMPLIANCE WITH A _L CITY"Y OF
ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
4
r CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ 0 ' 1,5 Date Received: ,t`
Date Approved:
Entered By: ' C,r
Permit#:
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
(See Check-off List Enclosed)
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: 1/ 770 Wes 1
1Fecryri e4ad_ ZIP:
(work) 33
NAME OF OWNER: OJ ILL ( /1/AT e.t.a # /Q� �/t) PHONE: (home) gx." cf
ADDRESS: 7 1z`�/14Y/7? led CITY: �,[� ZIP:
NAILING � 7 / /�
:ONTRACTOR: /APF'S�t0///idu jeIt/`/SPS r/V c". PHONE: f 3 )9 G�
{AILING ADDRESS: p / s6'7 Jr CITY: HA9 y,./2//9 ZIP: '5�-3�I
(`) 7()/(;
STATE LICENSE: # 4 O ,, //
ARCHITECT/ENGINEER: �J / PHONE:
MAILING ADDRESS: CITY: ZIP:
MAME: REGISTRATION #
becA
'YPE OF WORK: New Addition X Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : /ALI;iv: 1L,'t_u /Ise/j r!3'N7. �k/Sf/,‘)
U
STORIES: SQ. FEET OF EACH FLOOR: 47//j x r'O CjY/4/
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
Ow_
STIMATED CONSTRUCTION VALUATION (excluding land) : $ /Y",, /)n7
hereby apply for a building permit and I acknowledge that the information
cove is complete and accurate; that the work will be in conformance with the
rdinances and codes of the City and with the State Building Code; that I
nderstand this is not a permit and work is not to start without a permit; and
hat the work will be in accordance with the approved plan.
DATE: /e �% R3
�PLICANT'S SIGNATURE: 1���..
CHECK OFF LIST FOR ISSUANCE OF PERMITS
- FOR OFFICE USE ONLY
ADDRESS OR LEGAL: , '/'/ 6i :r( . „ , / e/ PID: ''
DESCRIPTION OF WORK: ��-''
ZONING REVIEW BY: 1/ ( h ,..-- DATE APPROVED: (0 - (8-5 3
BUILDING REVIEW BY: �,i'LDATE APPROVED: (0 - 1. -53
FEES
TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes L - No SEWER CONNECTION
STATE SURCHARGE Yes No WATER CONNECTION
INVESTIGATION FEE Yes No — PARK FEE
SAC Yes No L SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: C-12.- b4
r--
Fire Department:/ Post Of .ice h o ict:
Lot Area: , IF idth: D t :
Survey Submitted: Yes x No Date of Survey: (0.-/6- &-G.
Proposed Setbacks: /
Front tLake') : 4/ 70 Right Side: ID
Rear ( et) : 3O O t 't' Left Side: Z2 011'
Adjacent Structures: ArrrAC-416.0 Wetland: /V fii
Building Height: Def. Hgt. 4 -eak Hgt. A
IIAvg. Setback: Lot Cov-rage:
Existing Prop.sed
Hardcover: 0-7 '
75-25 '► '
250-500 '
500-1010 '
Hardcover Var ance R=•uired: Ye- N. Dat- of Council •pproval:
Grading: Staf Approv-1 Date: By: Council App .oval Date:
Septic: Staff Approval Date: By
Zoning File:# Resol tion Resolution 'ate:
REMARKS (in . .use) :
1
BUILDING REVIEW CHECK LIST
v
UBC: I3 CONSTRUCTION TYPE: VA)
Sq Footage $ Per Sq Ftg
Basement x = .
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ I (,) D C J O00
,
Inspections Required: Work Requiring Separate Permits:
Site ' Plumbing Grading/Filling
p( Footing Mechanical Fire
ac Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
O-Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
REMARKS (IN HOUSE) :
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT) :
4 •
- iik,
---::'-----; ' :: ---- - CITY of OIIONO
z,.
C[ � Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
On the North Shore of Lake Minnetonka
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of
of
data", we would like to inform you that your request for a permit
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, or or
federal agencies to the extent necessary to process the permit
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. /
e
First
Middle Last
74r02 ,-du ,& s4 •
Address
0./r4 fJPl L y , . SS 30
City / r1
S ate Zip
6 0 -s. ' -X 7.5
Phone
i understand my rights as stated above.
cs—
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358
• PUBLIC WORKS—473-7359
ASSESSING
s
,t
513.04 RIGHT 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.
Subd. 2. Information required
to be given individuaL An.individual asked to
•
supply private or confidential data concerning himself shall be informed of: agency,
) the
purpose and intended use of the requested data
whether he within e may refuse or is legally
political subdivision, or statewide system; arising from his
required to supply the requested data; (c) any known consequences
and (d) the identity ofs
supplying or refusing to supply private or confidential data;
other persons or entities authorized by state or federal law to receive the data. This_
requirement shall not apply when an individual enforcementw officenvestigative data,
pursuant to section 13.82, subdivision 5,
to The commissioner of revenue may opertV tax reound inseaucteonsunsteadhol
is
subdivision in the individual income tax or r
on those orms. —
Subd. 3. Access to data by individual- Upon request to a responsible
authority, an individual shall be informed whether he is the subject ont f stored
Upon his
data on
individuals, and whether it is classified as public, P r public data on
further request, an individual who is the subject of s to red plriavnate ifhe desires, shall
individuals shall be shown the data withoutanycharget data. After an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning,
him for six months thereafter unless a dispute his been collected tion pursuant
or his sedctio is
pending or additional data on the individual data upon request he
by
responsible authority shall provide copies of the private or publicrequire the
the individual subject of the actual. The costs of making,le certifying,,and may
the
requesting person to pay
copies. ssible, with any request
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or within
li five
daysi of the
teate compliance of the risequest
not
excluding Saturdays, Sundays and legal
possible. If he cannot comply with the request
within ithin which shall so
with the
rm the
individual, and may have an additional
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
right, an individual shall notify in writing the responsible authority
deeccithis disagreement. The responsible authority shall within 30
describbe ing the nature of the or
to
days either: (a) correct the data found lncom o be inaccurate Tete dataincluding neer pients namedattempt
by
notify past recipients of inaccurate or Peves theta to be
the individual; or (b) notify the individual that e invidual'slstatementof disagreementcis
Data in dispute shall be disclosed only if
the• included with the disclosed data.
The determination of the responsible authority appealed pursuant to the
too contestedpcases.
provisions of the administrative procedure act relating
• 9
CITY OF ORONO ., ,
o . SITE PLAN _____ GRAGING4' , �.
APPROVED 4. 1 00 1� `4%.y
�
r t 1E. Q:(A...
t�(Y
DATE_: -- I d-`g- "5 —
; * e i / ) I' e
14
at.o,� = gyp./1- 77,7 w
°'D.
is9.7 ..ZA 0 /
M Propose
6 o Bs.y g 1 a, ink-7
1- 4- 'Dec',
p° . o a•OW
� .
OG ,IMS' 'bit. 4\t° N /
i/ ?z.2 ''90,7 N ,��
;2Ni
2.3. 24 h' 16-4 . :i
.,
6-4.14 C2.4 a.• }
y¢ 6z 3. 06
4-6.4,7' , .,
o Denotes Iron Monument
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation = pi, a
1000.01 Denotes Proposed Elevation Proposed Garage Floor Elevation = ,e.,‘
- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation = 83.0
I hereby certify that this is a true and correct representation of a survey of the boundaries of:
Lot 17 and the north 104.72 feet of Lot 16, Block 1 , THE FARM AT LONG LAKE ,
according to the plat thereof on file or of record in the office of the Registrar
of Titles.
And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from
or on said land. As surveyed by me this 16th d.y of June 19 . '
7
4 it / , :� id
Thomas S. Bergquist
/� Registered Land Surveyor, Minn. Lic. No. 7725
•
/ , 7 iao.
CERTIFICATE OF SURVEY
O�`,�• f0+6�,0
• __.•� + SATHRE-,ER60UIST, INC. mats for
w IRV a •!fIAMTWAYZATASVO. • WAYZATA,MNO!•1 BRUCE BREN HOMES
TttI1MON[Nt.47S.er•s /O - 13
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DATE TIME
CITY OF ORONO CALLED IN — _ 7-3 `3. e_x_>�Y1
INSPECTION NOTICE SCHEDULED /1-,5-9 3 /- .J1);0,,7
PERMIT NO. (5. 4 COMPLETED
ADDRESS �/ 2 /6/_.
OWNER t4 aCZ-eik CONTR.
TELEPHONE NO. 9J,e -
E DE TION e
OOT 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
W
CC
O
CC
O
U.
W
CC
W
W
CC
W L WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
(..) BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
r CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contr r site:
Inspector. - AM)
White Copy/Inspector%File Canary Copy/Site Notice
IIATE TIME
CITY OF ORONO CALLED IN f !/5'3
INSPECTION NOTIC SCHEDULED i 7/5-3 V ` 3r
PERMIT NO. _ S COM LETED
ADDRESS
OWNER( CONTR.
TELEPHONE NO. 6/.5,2-2.96 C_
DESCRIPTION .r-lGde-)
W I a 11 MECHANICAL RI 16 WELL TEST PUMP
02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
O •r, ON 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
CC
W
CC
0
O
W
cC
W
W
CC
• O SATISFACTORY:PROCEED PROJECT COMPLETE
CC
W ❑CO RECT WORK&PROCEED L/C7 ISSUE CERTIFICATE OF OCCUPANCY
O ❑CO RECT WORK,CALL FOR REINSPECTION TEMPORARY
BE ORE COVERING
✓ PERMANENT
❑C RECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
NSPECTOR WILL RETURN
❑
r CITATION ISSUED
STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the -xt inspection 24 hours in advance.473-7357
Owner/C•, t �;t•� • on .ite:
Inspector. IP
White Copy/Inspector's -le Canary Copy/Site Notice