HomeMy WebLinkAbout1995 - 007152 - deck PERMIT
C RONO PERMIT TYPE:
2750 Kelley Parkway - P.O. Box 66
Permit Number:
Crystal Bay, Minnesota 55323
Date Issued:
(612) 473-7357 /
SITE ADDRESS:
DESCRIPTION:
DEC.K
RR
• -
'•
-7., • •
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REMARKS:
FEE SUMMARY:
22
CONTRACTOR: OWNER: — -
1 r.:%, VILI.t4:1 DR S
SPECIF- ID AND 71kri ',0:JRK IN STRICI C.ONEPLIANCE NITH ILL. CITY U:
OR12-10 (AO SUILOING REQUI3EMEN -S .
APPLICANT.PERMITEE SIGNATURE ( ISSUED BY:SIGNATURE
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ _57 ,? Date Received: /7/3J9„5
Date Approved:
Entered By: -GA 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: //t6 ,J///o'"'J ) ..Sc'`4 '1,, ZIP:
(work) 887- 3-3 23
NAME OF OWNER: 7 <// /l/ <z� :5 �` /is° 'J PHONE: (home) y76 z 8CoTr-
MAILING ADDRESS:
/1.L0 vL. CITY: 0rc1^/c? ZIP:
CONTRACTOR: „5:, ,/ -t' PHONE:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: SSIF 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) : 42)D Sc.,
STORIES: / SQ. FEET OF EACH FLOOR: 70 .S /41-
NO.
NO. OF BEDROOMS: ,J /A- GARAGE STALLS: ATT. /04- DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /O00
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: 7/// /f's
ippirli."111.1111F
c
ti
46.� � CITY of ORONO
l
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
.///L--,-- ./la -. SC) ` 5
Address
City State Zip
y? - Ze_.)G?- YI87-3S-73
Phone
I understand my rights as stated above.
.e.---.17,-E-C=3 :_....Z/71._ _
Signature
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
51.3.04 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. An_individual asked to
Subd. 2. Information required to be given individual
private•
or confidential data concerning himselfthin the e inform dtate agency,
supply requested data
purpose and intended use of the req system; (b) whether he may refuse or is
le ly
political subdivision, or statewide known consequence arising
req
the requested data; (c) any consequence
(d) the g from ofhis
supplyingplto supply to supply private or confidential data;
or refusing y state or federal law to receive the data. This
requirementotqr persons a entities authorized
an individual is asked to supply investigative data,
shall not apply to a law enforcement officer.
pursuant to section 13.82, subdivision 5,
The
commissioner of revenue may place the notice
i reaauired under
this
d o
subdivision in the individual income tax or property
on those orms.
divi�. Upon request to a responsible
Subd.an Acct to data by
an individual shall be informed whether he
is the subject
confid f stored
Upon his
authority, al. data on
individuals, and whether it is classified as public, P
the to atifo hep desires, shall
individualsfurther request,shall an individualsthe whoa is
any chargeto himprand,ane di es has been
shall be shown data of that data. After an in
Be informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning,
pursuant to this section is
him for six months thereafter unless a disputen request he
or additional data on the individual has been collected or created. e
pending provide copies of the private or public data upon
the
by
responsible individual subjectity shall responsible The authority may requirein the
the of the actualhe .costs of making, certifying, and compiling requesting person to pay request
copies, immediately, if possible, with any q
The responsible authority shall comply sof the date of the request,
made pursuant to this subdivision, or within five holidays,�f immediate compliance is not
g Sundays and legal
excluding Saturdays, request within that time, he shall so inform the
1 with the with the
possible. , and cannot complyfive days within which to comply
individual, may have an additional
legal holidays•
request, excluding
Saturdays, Sundays g
to or complete. An individual may
Subd. 4. Procedure when data is not accurate data concerning himself. To
contest the accuracy or completeness of public or privatethe responsible To
right, an individual shall notify in writing within 30
describingxeccibe this disagreement. The responsible authorityshall
the nature of the
to
days
either: (a) correct the data found to be inaccurate ior incomplete
nc mpleg recipients and attempt by
notify past recipients of inaccurate or incomplete + disagreement is
individual; or (b) notify the individual that he Sieves the
datadisagr e correct.
the if the individual's Data in dispute shall be disclosed only pursuant to the
included with the disclosed data. appealed
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
ADDRESS OR LEGAL: ///37 (A- 11106%., 42 5 ° PID:
DESCRIPTION OF WORK: (3EOL
ZONING REVIEW BY: � '• DATE APPROVED: -7- 19 - 95-
e
BUILDING REVIEW BY: Jr& DATE APPROVED: -1- (`'t
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 PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
ZONING CHECK LIST Zoning District: gde-" \a.
Fire Department: L L. Post Office: CC- School District: bft '17
Lot Area: 0.'0 Cv-V Width: -- Depth: --
Survey Submitted: Yes .0.. No Date of Survey: oN Fiv4 '3-23-a%
Proposed Setbacks: /„;�
Front (L-an) : ,a14 Right Side: ( #J,
Rear (S'et) : 230 ' Left Side: L% /0
Adjacent Structures: 22 ' Wetland: /i/0
Building Height: Def . Hgt. /j//A Peak Hgt.
Avg. Setback: Lot Coverag= :
•isting oposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Vari- ce Requ' red: es No Date of ouncil Approval:
Grading: Staff Approval **ate: :y: Cou cil Approval Date:
Septic: Staff Approval D=te: By:
Zoning File: . Re •lut'on Re- olution Date:
REMARKS (is house) :
BUILDING REVIEW CHECK LIST
UBC: R •3
CONSTRUCTION TYPE: \(/J
Sq Footage $ Per Sq Ftg
Basement x =_
1st Floor x
2nd Floor x
Garage x
x =
TOTAL
Estimated Construction Value: $ 1, lf. 00
ga
Inspections Required: Work Requiring Separate Permits:
SitePlumbing Grading/Filling
JC Footing Mechanical Fire
Framing __Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
pc_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) :
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SPECIAL NOTE
TACHED SHEET
8" MAX. RISER 9" MIN. TREAD /Hs (.Jilla,-) 73, S
64' MIN. HEADROOM
FOR____
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AT LEAST ONE HANDRAIL REQUIRED
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DATE TIME
CITY OF ORONOCALLED IN
INSPECTION NOTICE 1(9,L SCHEDULED -S efit
PERMIT NO. C`�"PLETED
ADDRESS W( I CT
Dr. 5 .
OWNER (nit, Pi eiS QV` CONTR. 2
TELEPHONE NO. se 7- 3
E DESCRIPTION `Dec-Y
W oOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
• 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 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
14.1 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:
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WORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
CC CJ CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
CZ LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
O BEFORE COVERING PERMANEfVT--�
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN `
INSPECTOR WILL RETURN
C CITATION ISSUED
CISTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contract o s
Inspector.
White Copyllnspector's File Canary Copy/Site Notice