HomeMy WebLinkAbout1995 - 007410 - patio around pool _
PERMIT
CITY OF ORONO PERMIT TYPE:
2750 ?Hey Parkway- P.O. Box 66 Permit Number:
CiystatBay, Minnesota 55323 Date Issued:
(6'12) 473-7357
SITE ADDRESS:
.J-L3
DESCRIPTION:
Suildin
REMARKS:
FEE SUMMARY:
1LN
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CONTRACTOR: - OWNER:
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tlINNEKTrl REUTREMENTS ,
I •11. 441- 92)
APP !CANT PERMITEE SIGNATURE .2 ISSUED BY:SIGNATURE
•
CITY OF ORONO - BUILDING PERMIT APPLICATION
5�
Tot'sl Fee: $ Date Received: 7 ; 5 '),)
� J�• �
Date Approved: j
Entered By: ' (3 Permit �� �D
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: 2(001 Ral, 011.0,-"0 ZIP: SS 351
(work) Sao - gy77
NAME OF OWNER:--iDcwsd O.Aa.,ar PHONE: (home) 47/- 93S-0
MAILING ADDRESS: (o g 0 -5l&J CITY: iav'^4„ ZIP: 39
CONTRACTOR: eo-i l `` -if PHONE: X702 -11//g
MAILING ADDRESS: "i 5 3 fh�, 2•. CITY: ''w-& ZIP: 3
STATE LICENSE: # 0 o O
ARCHITECT/ENGINEER: ,.. PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate / Land Alteration
PROPOSED WORK (describe in detail) : R � o - 7 5 Cft.o 1.--41
t3- \MSAraik "SpO Vi-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ) Lf tjoo
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: q/L(�J
_, _
.,
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} CITY of ORONO
CITY Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
OF
ORONO On 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
( O I W ) 1 "/-�-
�
Address
'L JA,-„, z , : .s--5-.3 ,
City State Zip
47 I - 9 3,-0
Phone
I unders-tand • right - S stated above.
I
0.4001112
Signa - re /
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS-473-7359
ASSESSING
S1.3.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. Type of data. The rights e of
i dividuals on whom the data is
stored or to be stored shall be as set forth in this
Subd. 2. Information required to be given individual' An.individual asked to
•
supply private or confidential data concerning
data himself the be
inform dtate agency,
PP y
purpose and intended use of the requested (b) whether he may refuse or is legally
political subdivision, or statewide system;
required to supply the requested data; (c) any known consequence arising from his
l private or confidential data; and (d) the identity of
su
other persons or refusing itoe supply y state or federal law to receive the data. This
requirementqua entities apply when anorized individual is asked to supply investigative data,
shall not to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue may place the re notice
i stre uired u ndsteader his
01
subdivision in the individual income tax or property
on those orms.
Subd. 3. Access to data by
individuaL Upon request to a responsible
authority, an individual shall be informed whether
ublir he is theprivate subjectr o nt storedf Upon his
individuals, and whether it is classified as p
further request, an individual who is the subject of stored private or public data on
n
individuals shall be shown the data without anytcharge. After to him anad, ifhe desires, shall
individual has been
Se informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning, ursuant to this section is
him for six months thereafter unless a dispute or action p
pending or additional data on the individual has been
enr pule c datocted rupreare created.
bye
P grequire the
responsible authority shall provide copies of the private may ilio the
the individual subject of the actualhe .costsh of making,e lcertifying, and compiling requesting person to pay
copies. ssible, with any request
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or within five days i of the immediate ofpthe request
u not
excluding Saturdays, Sundays and legal holidays,
if ossible. If he cannot comply with the request within that time, he shall so inform
the
P have an additional five days within which to comply
individual, and may el holidays.
request, excluding Saturdays, Sundays and legal
Subd. 4. Procedure when data is not accurate or complete. An individual mayo
contest the accuracy or completeness of public ornr waiting te data
toncerning a himself.
To
uth
exercise this right, an individual shall notify ishall
describing the nature of the disagreement. Ihe responsible in omplete and attempt to
days either: (a) correct the data found to be inaccurate or named by
notify past recipients of inaccurate or incomplete data,
a,believesincluding recipients
s
the individual; or (b) notify the individual thatBement correct.s
Data in dispute shall be disclosed only if the individual's statement of disagr t 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 US ONLY
ADDRESS OR LEGAL: C . : �:,.j, t./fi Q PID:
DESCRIPTION OF WORK: , •c, A911'-43
ZOtiLNG REVIEW BY: C2-44e°~-
DATE APPROVED: (0 y - ti s
BUILDLNG REVIEW BY: DATE APPROVED: Ai Id
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes ✓ No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes r/ No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONLNG CHECK LIST Zoning District: t:-/! .t /3 Shoreland District : '-
Fire Department: ;'Post O e: / , 'cho Distniet
Lot Area: Sq.ft. 6,0 O Air -cres 1.3 ? Depth
Now—
Survey Submitted: Yes No Date of Survey: 7-
Proposed Setbacks:
Fr-em (Lake): 2-'1' Right Side:
Rear (Street): Left Side:
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75' s�� 1` g•s `7c
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes & No Date of Council Approval: e it(-c
Grading.: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File: # '2,cH O Resolution: # Resolution Date: Qi i V y�
REMARKS (in house):
26
BLThDL\G REVIEW' CHECK LIST
UBC: Al//i CONSTRUCTION TYPE:
Sq Footage S Per Sq Fcg
Basement x =
1st Floor x =
2nd Floor x =
Garage x __
X
TOTAL
A.'
Estimated Construction Value: $ `1
Inspections Required: Work Requiring Separate Permits:
Site Water Connection Plumbing Fire
oc Hardcover Removal Mechanical
Septic Sewer Connection
Footing Lawn Irrigation
Framing Fireplace -
(Masonry) Other
Insulation Well (State Permit)
Wall Board (Mfg.) -
Final
Grading/Filling Electrical (State Permit)
Other
REMARKS (Lti HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
27
RATE TIME
CITY OF ORONO CALLED IN W-51675-
INSPECTION NOTICE, ( 0 SCHEDULED u95 /1?:)
�O
PERMIT NO. COMPLETED f y
ADDRESS OVC,(I
OWNER ( E7-2 �NTR. e 02.7 -
TELEPHONE NO. - 'Y'/l,7
DESCRIPTION ,� -e
14, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 W :m. 12 WATER HOOK-UP 17 SITE INSPECTION
Q4:412, 14 SEWER HOOK-UP 06 PROGRESS
I., 0 i MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
CC
O
CC
0
ti
CC
Q
W
W
CC
)XORK SATISFACTORY:PROCEED )(PROJECT COMPLETE
C ❑CORRECT WORK&PROCEED C1 ISSUE CERTIFICATE OF OCCUPANCY
O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
UO BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
11STOP ORDER POSTED.CALL INSPECTOR C CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in ction 24 hours in advance.473-7357
Owner/Contractor site
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice