HomeMy WebLinkAbout1993 - 005172 - deck addition PERMIT
CITY OF ORONO PERMIT TYPE: P.:WI DIN=;
2750 Kelley Parkway • P.O. Box 815 Permit Number: 00172
Orono, Minnesota 55356-0815 Date Issued:
(612) 473-7357 (_,r.r i_;/
SITE ADDRESS:
93c, 12J ILD;•-QRST TR
P . I . N . : 07-117-73-'7'1-0005
DESCRIPTION:
DLC. ADDITION
F3u i l rl i ng Permit Type SF-ADO/REMODEL
Ri•{i iding Work Type }Fi..K
UB(_ Or c upani y 88 R-3
Cns_ rwticr Type VN
Zoning I R- i B':
CI n fl1
41 f f V! ORONO
f ziAeL C tfL: CF
REMARKS: _ 000 Vf , ICF
i�"�i.7.e `uvvv r
:
01 6LNr IJ.'-r
.00
j•�::01f1i}rl 0
1 Vsll 1lfL�VVV
1 SERV 40.95
FEE SUMMARY: .a cu:.vvvvv
_ 00000'
VALUATION $•-�, 700 01 GE 1.55
CHECK Tit L05•GV
Fee $63 . 00 lCL L•L1f 1 1 nnern f VV
Plan Review $4(_), ' 5 #274720 Cvv.i ROI T09:3;
Surcharge 4 $ilei s 06/03/9
Total Fee $10. _i0
CONTRACTOR: Q1(rVF - Applicant -
ROBERT
9` °=t JILDH4)S'-T TR
ORONO= MN 553E=4
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO O MAKE THE REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DI' ALL WORK:: IN STRICT COMPLIANCE WIiH ALL CITY OF
ORONO ORDINANCES AND aTATE OF MINNESOTA BUILDING CODE iDE R'E{.1Q#,IR'ECMEN T':= .
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ ;;'5 Date Received: )
Date Approved:
Entered By: ' (/
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: 9 Iv, poi r Ti .tZIP: f",5 36 y
(work)
NAME OF OWNER: / �e,Eit go /CA-VA4 �.�
- PHONE: (home) %77- 32
MAILING ADDRESS: /% j /v/lehejr✓l" r. CITY: aleH4'2 ZIP: 5-5-"36/
CONTRACTOR: G hvlc it PHONE: y72.- J .f
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
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) : /1447%,9,11 el/ dire",
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3'7c'c GG
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: /1;(---ret 3' E������-� DATE: ,�//....!/ ,3
•
CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: ��l �.t' �C � /.� PID: 7 G_;
DESCRIPTION OF WORK:
ZONING REVIEW BY: O� DATE APPROVED: 5- - 2..D
a
� �/t . ' S 3
BUILDING REVIEW BY: ,G(l DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes (.-. No
PLAN REVIEW Yes (/ No SEWER CONNECTION
STATE SURCHARGE Yes v No WATER CONNECTION
INVESTIGATION FEE Yes No ' PARK FEE
SAC Yes No v SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: L2-/6
Fire Department: Altovnezi Post Office: 4,,,,a School District: /2lwv.•-�
Lot Area: 35, 50c, Width: Depth:
Survey Submitted: Yes A No Date of Survey:
Proposed Setbacks:
Fit (Lake) : /?O f Right Side: 1'Y '
Rea-r- (Street) : A444 Left Side: `tO )i. C J—
Adjacent Structures: /4r7OC ( I Wetland: /We
Building Height: Def. Hgt. Peak Hgt.
Avg. Setback: O. Pe,- sire IJP -cc.J Lot Coverage: /1/0
Existing Proposed
Hardcover: 0-75 '
•
75-250 ' 22.41
250-500 '
500-1000 '
Hardcover Variance Required: Yes No / Date of Council Approval:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: By:
Zoning File:# Resolution #: Resolution Date:
REMARKS (in house) :
BUILDING REVIEW CHECK LIST
UBC: e'3 CONSTRUCTION TYPE .---g12:)---
Sq Footage $ Per Sq Ftg
Basement x =
1st Floor x =
2nd Floor x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ 37 00
oP
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Grading/Filling
Footing Mechanical Fire
FramingSeptic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
d.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) :
A
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.
41.‘.4--*7.- ME/i/it CWAAJ
First Middle Last
�9 9 I /J,%.t J/ In
Address
Dist /6A-',-/ Xi-26Y
City State Zip
V72- 32 ,f
Phone
I understand my rights as stated above.
/4iu4-, 1 .29-1,--z-e,---_
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
S13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision 1. 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 tames thin telf he be
informed
state agency,
of: (a) the
purpose and intended use of the requested
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
q private or confidential data; and (d) the identity of
su
other persons or refusing ieto supply ral
. This
other or entities authorized by staorise85kedlto supplyto invest gative data,
requirement shall not apply when an individual
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma •lace the notice re•uired under this
subdivision in the individual income tax or •rooertV tax re and instructions instead o
on those orms.
---
Subd. 3. Access to data by
individual. Upon request to a responsible
authority, an individual shall be informed as
iesubject of or confidential.e ed Upon his
data ono
individuals, and whether it is classified public, private public data on
further request, an individual who is the subject of stored private or
individuals shall be shown the data without e to him and, if he desires, shallof that data. After an 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, ul•suant to this section is
him for six months thereafter unless a dispute or action p
pending or additional data on the individual
has been
eenr pule e datocted rupre request bye
mayrequire the
responsible authority shall provide copies ofthep
the individual subject ofthe ache tual costs of me aking,lcee rt certifying, compiling the
requesting person to pay
copies. possible, with any request
The responsible authority shall comply immediately, if
made pursuant to this subdivision, or within five
df si of the immediate compliance request,is not
excluding Saturdays, Sundays and legal holidays, with the
possible. If he cannot comply with the request within that time, he shall so inform the
within which to comply
individual, and may have an additional legaldholidaYs•
request, excluding Saturdays, Sundays
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 r writing lethe respynshall ible thin authority
30
describing the nature of the disagreement. Thep incomplete and attempt to
days either: ci correct
inacthe curate orta dto be incomplete data,including or ecipients named by
notifyhepastvrecipients
the individual; or (b) notify the individual that he believes the data to be els
Data in dispute shall be disclosed only if the individual's statement of disagreement
• included with the disclosed data. be appealed pursuant to the
The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
low
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CITY OF � ,ur i
K SITE PLAN .---_ 6 ,,V...•! ;(: PL../4, __ ,
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DATE �-_ -_ '_: __ ._ __ _ —
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WILDHURST f s�cee � ;,fy���
TRAIL
I hereby certify that this is a true and correct representation of a survey of File No.
the bounJarie$of the above described land and of the location of all buildings, 373 —
C
DEMARS •GABRIEL if any, thereon, and all visible encroachments, it any, from or on said land.
t /S�ND SURVEYORS, INC. Book — Page
As surveyed by me thi f, day o t.),.. .ep June _ 19�
3030 Harbor Lane No. I Z(08-44,
Plymouth MN 85441V.
t' ,...+.� ��+' \ tr..r
D•TE. TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED r- /D =.3 b
PERMIT NO. SI '7 -Z COMPLETED l.(
ADDRESS 7
OWN ER C z}atsz CONTR.
TELEPHONE NO. 4-7‘7.z - I V
DESCRIPTION ����J
LU 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 2 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
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
a
O
CC
O
W
CC
W
LU
CC
O
2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. n PHOTO TAKEN
INSPECTOR WILL RETURN
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 n s te:
Inspector.
White Copy/Inspector's F Ie Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN 4 -/!v"93
INSPECTION NOTICE SCHEDULED 6—/7 9"-3
PERMIT NO. _171Z , COMPLETED •
ADDRESS 91 GC1 C��L 1 Atka /
OWNER t'L (11?- �,- CONTR.
TELEPHONE NO.
'/7� -3,2_397
DESCRIPTION
FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
• 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
IL 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
Lu LAS (macC {CC '
(Jc oc 6444
cc
d
cc
z
tt
j
Ful
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED 7, ISSUE CERTIFICATE OF OCCUPANCY
CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Li PHOTO TAKEN
INSPECTOR WILL RETURN
E'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 o\site:
Inspector.
White Copy/Inspector' File Canary Copy/Site Notice