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HomeMy WebLinkAbout1996-008522 - deck PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 BUILDING Permit Number: Crystal Bay, Minnesota 55323 008822 Date Issued: (612) 473-7357 1 1/01/96 SITE ADDRESS: 820 OLD CRYSTAL BAY RD S LSV P . I . N . 04-117-23-4:3-0008 DESCRIPTION: DECK Building Permit Type SF-ADO/REMODEL Building Work TypP DECK UBC Occupancy R-3 Construction Type VN Zoning RR-iB Cenc,u-4,. Code 434 ALT . RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $11 , SOD Base Fee $187 . 25 Plan Review 5121 . 71 Surcharge Total Fee , .4,314 . / 1 CONTRACTOR: Appl c a.nt - ST . LIC . OWNER: J . Q W000WORKING 17885584 2001C860 HUST GPORGF 12244 278TH AAE N 8'20 OLD URY I L BAY RD S ZIMMERMAN MN 55398 ORONO MN 55356 (R12) 788-5584 (612)475-2054 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY HF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. dir p1 ' , APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR" CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ^Q ADDRESS OR LEGAL: .off d = = I di si _ • A S PID: 0 4—1 ( 7 .?-3 4- 3 oc>o 8 DESCRIPTION OF WORK: L4) a- tic" ZONING REVIEW BY: c:M(l,,,,, -._ DATE APPROVED: 1 o ZZ-q b BUILDING REVIEW BY: 6 ,,4, ,.....„ DATE APPROVED: to - Z i . 4 6 FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes t7' No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes ' No WATER CONNECTION INVESTIGATION-FEE Yes No '— PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: ( -1 Q Fire Department: (fC.tvcJ 14,L Post Office: Cc 3 CAt,I: School District: OI^ot/Qt..) Lot Area: Sq.ft. Nc Cts* *Acres Width 3 2 3-1/4.4 Depth r)C Survey Submitted: Yes ,( No Date of Survey: Y- b 7 b Proposed Setbacks: Front (Lake): 13C%' Right Side: 70' t Rear (Street): Z(t' Left Side: 2. S7' L Adjacent Structures: /4-/74 c(4-43t9 Wetland: Ail iil Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: /11.* By: 10 t! Zoning File: # Resolution: # Resolution Date: V v Shoreland District: _. Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): 26 BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: '// i Sq Footage $ Per Sq Ftg Basement x = 1st Floor x _ 2nd Floor x = Garage x = x = TOTAL 6,0 Estimated Construction Value: $ +(), SZ00 Inspections Required: Work Requiring Separate Permits: SitePlumbing Fire • Hardcover Removal Mechanical Water Connection & Footing Septic Sewer Connection X Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) of Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS(TO BE NOTED ON PERMIT): 27 CITY OF ORONO 6124730510 10/18/96 14:43 :02/93 N0:869 Total Fee: $ /41' 17 Date Received: Entered By: P, Permit#: _ 62S,2 CITY OF ORONO - BUILDING PERMIT APPLICATION MI information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: _ 2x) Ow BA`s- (2-P ZIP: SS 3 NAME OF OWNER: _ c-kE p-CC 6 (L) T-. PHONE: (home) Li i S c -2 }S1-I (work) 3 _! `t 3 6. o MAILING ADDRESS: V e CITY: -4 c� ZIP: __S-Y7.> CONTRACTOR: ' 'w t->0 � �' �S PHONE: . )(e-s S5 L� CONTACT PERSON:j µms, s,r-1 MOBILE/PAGER: ce-t c't 2`t MAILING ADDRESS: t 2 `-f H z 7'67"we-_rte) CITY: 21 vnrvkr:- v ZIP: STATE LICENSE: # 7v — 1 o ARCIUTECT/EN GINEER: / 1z- =E i+t e— PHONE: Z`�G -2_ LI MAILING ADDRESS: S"3 EA `1 r":s r9:9 CITY: S1 . PAL.t__ZIP: , ILL NAME: w n-0 c �c REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/AlterationLand Alteration PROPOSED WORK(describe in detail): ClEvIAL.DvE F "Up troc=v-- c ruz_ - t . 7-7:712 L11, 4S C-i 1. STORIES: SQ.FEET OF EACH FLOOR: _ NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 Scv 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: 4��% I -;, DATE: LL22-1`l 1 NOTE/ Parade of HDmes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. CITY OF 0ti0wO i 6124730510 10/18/96 14:43 5 :03/03 N0:369 Sec.11.134 RIGHTS OF SUBJECTS OF DATA Subd, I. Type of data, The rights of individual/on whets the data is stored of to be itoreo shall be as se:forth in this section. Subd;Z. antertoatiots required to be civets iadividaat. Ali individual asked to supply private or confidential data concerning himself shall be lntotrrad of: (a)the purpose and intended use of the requested dant withtn the collecting hate agency,politica!subdivision, or statewide system; (b)whether he may refuse or is legally required to supply the requested data.(c)any known consequerce arising from his supplying or refusing*supply private or uuafidentiat date:and(d)the iderniry of other persons or entities authorized by state or federal law to receive the data. This requirement shatl not eppiy when an individual is asked to supply investigative data, pursuant to section 13.12. subdivision.I. to a law enforcement officer, laspagnissi ns of teeepce mai alae .he ronce segu;;rg.Q ands.(hi e¢diyisier. 'rs the :ndiv;dual income.tee ^oto. °t? Jr! lageastions instead of en those Cuero, Subd 3. Access to data by individual. Upon request to is-eapansitt'e authority,an individual shall be informed whether he is die subject of stored data on individuals,and whether It is classified as public, private or confidential. Upon his further request.an individual who is the subject of stored private or public dao an individuals shall be shown the data without my c;narge to hen and,if he desires,shell be informed of the content and meanies or that data. After an individual has been shown the private data and informed of its meaning,the data need rust be disclosed to him for six mantis thereafter unless a dispute or action pursuant to this section is pending or additionai data or.the individual has been collected or created.! The responsible authority shall provide copies of the private or public data upon request by the individual subject of the tiara. The responsible authority may require the requesting per son to pay tete actual costs of making,cervi±ring, and compiling the copies. The responsible authi:riry shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays 2nd legal holidays,if immediate-compliance is not possible. :flu cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays. Sundays and legal holidays, Subd.4. Procedure when data Is not accurate or complete. An individual may cortesi the accuracy or completeness of public or psivete data concerning himself, To exercise this right,an individual shalt notify in writing the responsible authority describing the nature of the dfsa.greetnent. The responsible authority shall within 31)days either: (a)correct the data fond to he inaccurate or incomplete and attempt to notify past reseiplents of inaccurate or incomplete data, including recipients named by the individual:or(b)notify the cxtividua; that he believe*the data to be correct, Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. "tine determination of the responsible authority may he appealed pursuant to the provisions of the administrative procedure set relating to i2onteitad cases. IMTA egivACY 6DYISORY 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 informaton. 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 pub!lc. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name ;s required to process this application or permit. First Middle Last Address S`5-3 9e3 C & s86� State Zip Phone City 1 understand my rights as stated above. ...IC ��.�. Signature Ti, �! n �a D C9/d0/10 MMC/ as . !,;:...,p,1,, t;eY;F. TO: +BL7 ... i'��,� '' ;J�'; r� Plat of Survey _ •'`::" :• for G. Michael DeLessepa 4/2.5 in the Northeast 1/4 of Section 9-117-23, • 152.50 • and Lot 27, Auditor's Subdivision No. 229 ...... .2.4' 1 1 -. fi N ElfiTiJ►4 DEAL ILI X ((p -o nnsni County, Minnesota N ��. r 8 AZTaTcilE>D ��`�21 <� ,c,` f b ! v: 36 1 3• ,.-a• mi,r, 6001c \. 1 ,. .. . . • i2. %; v �y ib 3 b.. (0 ap W sl I nt of sE' Soul-1., kno. of SE ./4 kr, $.<« ^ ' -or Sae 4-111-23� of Sae- 4-in z3 �*e •cf- I S 14 ,orna.e -) ii. ,;ts -' CO .Stc.4-117-23 qq 9D.` 9 . -: • - - - it490110!_, ,.a � 0 --- 412.5 4 15 /4 cor,iLr Nor}k Iina of NEY4 i 4A— 'i) ' 0 SQL..9-11 7-23 of Sac-.9-Iii-2_3 „. �� l a /'1 :. --. , O Q. We.sl' lin&of NEY4. 41 - c o of Sts-.9-n1-z3 -- a s I a - •• tz.f O • '190 0' - 1 33” 133" Certificate of Survey: I hereby certify that this is a true and correct representation of a survey of the boundaries of (A) That part of the Northwest quarter of the Northeast quarter of Section 9, Township 117 North, Range 23 West of the 5th Principal N-ecid.ian, described as follows : Beginning at the Northwest corner of said Northeast quarter of Sec- tion 9; thence F:tst 990 fent along the North line of said Northeast ouarter of Section 9; thence South parallel with the Wcust tine of said Northeast quarter of Section 9 a distance of 165 feet; thence West, parallel with said , North lino to sr.id West line; thence North to the point o}' bef;inning; end (B) Lot 27, Auditor's Subdivision Number 2.29, Hennepin County, Minnesota, and the location of the existing house thereon. It does not purport to show other improvements or encroachments. For purposes o'' this survey, the North and South lines of Lot 27 have been assumed to ,sc.! exactly 412.5 feet, and the Fast, and West lines of Lot 27 have been assumed to be exactly 15f'.4 feet; no correr.' !o'c , have boor made for inaccuracies in the nudi tor's-subdivision plat. . • ,.. ...ek ..ept_____4(4., Scale: 1" = 10O' Gordon R. Coffin g. No. 6064 • Date : 4-8-76 Land Surveyor and Planner . o Iron marker Long Lake, Minnesota • • • I . b Gqyti3e, 0 ( 1 1!;D 330:1 33', ' :2 - 23 33'6 Ovi- 2619 301 (r)I-1 tie I 14.'6 31 *7) r s D TE/j� TIME CITY OF ORONO CALLED IN // INSPECTION NO ICE SCHEDULED // /3/�& PERMIT NO. NOTICE Z COMPLETED ADDRESS v [ , OWNER_ Z >7e,-6,e. A TELEPHONE NO. DESCRIPTION 4.4 1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG .4( G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS Q 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-UO 06 PROGRESS 1` 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT ' 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP 1.14 = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q. cc O a tc O W cc W W WORK SATISFACTORY:PROCEED C PROJECT COMPLETE W CC 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i spection 24 hours in advance.473-7357 Owner/Contra si Inspector. White Copyllnspector's File Canary Copy/Site Notice D/A/TE /,nME) CITY OF ORONO CALLED IN // 'r �� INSPECTION NOTICESCHEDULED / PERMIT NO. �S zpLET ADDRESS JC7 � � OL1J. OWNER :1 CONT 6C ✓ TELEPHONE NO. U S DESC ION L Cr- FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG ING 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 Z 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS F' 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 • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: �] cc Lu j1©�E.S 1/LLtti )0& U1 cd - A lbol-6v — +J rO wcS 144 LA used c, C.o pt.Ue e- <-4)24411 uf, pctrexie CC Q a W W 0r d ❑WORK SATISFACTORY:PROCEED W E PROJECT COMPLETE CC LI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ePrCORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor vitt Inspector. 419110. White Copyllnspector's File Canary Copy/Site Notice