HomeMy WebLinkAbout1993-005039 (Deck) PEI�MIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ��t���"�����'
q)dH�ii7_��
Orono, Minnesota 55356-0815 Date Issued: {_��,�eB�����:;
(612) 473-7357
SITE ADDRESS: �
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FEE SUMMARY: �����':i,��Lt� �
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CONTRACTOR: ��1�1��'i' AF'�'��r����'_:
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APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
. ,
CITY OF ORONO - BIIILDING PERMIT APPZICATION
Total Fee: $ �, �� Date Received:
Date Approved:
Entered By:��'�� Permit�: ����
AT•T• INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PI,2�N REVIEW WILI� B$ STARTF•D
(See Check-off List Enclosed)
� APPLICANT IS: (circle one) OWNER r CONTRACTOR
JOB SITE ADDRRSS: e��:J�/ t1'V I� ZIP: �'�� I
�� (work) -.
x� oF owN�x: C{�;°�.�t.Q..S� �.(�� ��{��� P$orrE: �home) �l'7��
.��lAZLZNG ADDRESS: I�� (a'.i�C�!I � - CITY:� (j�Gt. ZIP: C�J'cJ�I
CONTR�CTOR: �� PHONE:
�=tATI.ING ADDRSSS: CITY: ZIP:
STATS I.ICENSE: �
.ARCHITECT/ENGINEER: Iv IA' PH�NE:
1�ATT•ING ADDRSSS: CITY: •ZIP:
ATAI�a R$GISTRATION �
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteratian
PROPOSED WORR (describe in detail) : (.1"1���X � � I / X �'' ���C f� �
rPr� � n-� �,��n�
STORIBS:�r� SQ. FEBT OF EAC� FZOOR: LI CaC� CA
NO. OF B�ROOMS:�� GARAGE STALLS: ATT.� DET.
. �c��n �-C_c�nC�e{� -�r+ee --
ESTII�SATED CONSTRIICTION VALIIATIOA (eaclnding land) : $ �
I hereby apply for a building permit and I acknawledge that the informatian
above is complete and accurate; that the work will be in conforman�e 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 wiI.I be in a rdance with the approved plan. •
,'
� `� . �
APPI�IC�NT'S SIGNA DATE.
CITY of OIZ��O
Post Office Box 66•Crystal Bay,Minnesota 5b323•Municipal Offices
9
� - � � 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
Iicense 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 wiI]. be used to determine your
qualification for the permit or Iicense 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 Zocal, 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].ic.
5. You have certain rights under M.S. 13.04 to review pri�at�
data on yourself.
6. Yaur full name is required to process this apFlicatian or
permit.
��Y�PS �d-- La S� /-t` �f�1�P�
First Middle Last
I��� A�r(�� S1-
Address
(,�.�� �z�� Vvt.�� ����i �
City State Zip
u-��� -u��3 �
Phone �
I understand my rights as stated above.
�
�
i a e •
BUILDING&ZONING-473-7357 • ADMINISTRATION&FINANCE-473-7358 � PUBLIC WORKS-473-7359
ASSESSING
�.04 RIGHTS OF SIIBJECTS OF DATA �
Subdivision L Type of date- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
- to be given individusl• An.individuel asked to
Subd. 2. Information required
� ' supply private or confidentisl data concernina BmWi�n� collecting stat agency,
purpose and intended use cf the requested
political subdivision, or statewide system; (b) whether he ma� refuse or is legally
required to supply the requested dat8; (c) any known consequence arising from his
supplying or refusing to supply private or confidentiel data; and (d) the identity of
other persons or entities authorized by state or federal lew to receive the data. This_
requirement shall not apply
when an individusl is asked to supply investigative data,
pursuant to section 13.82, subdivision 5, to a law snforcement officer.
The commissioner of revenue ma oleTt tax re°una u structionsuinsteadho5
subdivision in the inoividual income tax �r r
on those orms. . . --- - - .
A�� to �� by ����. Upon request to a responsible
Subd. 3. �
authority, an individuel shall be informed whether h�vateeor confidentiaLe UPon his
individuels; ar►d whether it is classified 8s public, p ublic data on
further request, an individual who is the subject of e t�e�mri���he �res, shall
individuels shell be shown the data witho of�hat datga. After an individuel has been
�e informed of the content and meaning t� �� need not be disclosed to
shown the private deta er►d informed of its u���acUon pursuant to this section is
him for six months thereafter unless a �P
, � pending or additionat data on the individuh h� a�eQr pub���.�ruponarequest by
responsible authority shall provide copies ef P �ible authority may require the
the individual subject ofthe actual�costs of ma�1a'ng, certifY�ng► �d comp�ing the
requesting person to pay -
copies. immediately, if pessible, with anY request
The responsible authority shall comply � of the date of the request,
made pursuant to this subdivision, or �t�aa e ��immediate compliance is not
excluding Saturdays, Sur►daYs and legel Ys�
possible. If he eannot comply with the req�et �t wi�n�y��h tohcomPlY wi h the
individuel, and maY have sn additional YS
request, excluding Saturde.ys, 3undaYS and Iegel holidays•
Subd. 4. Prxedtu'e when data is not accurate or eomplete- An ���� may
himself. To
contest the accuracy or completeness�of public or private � the�nresponsible authority
exercise this right, an inaividual shall notify in writing
describing the nature of the disagreemenL T11e responsible euthority shall within 30
days either: (a) correet the data found,teom ete dataeincluciing reec pie ts nameat by
notify past recipients of inaccurate or in P
the individusl; or (b) notify the individuel in��d ��statementof disagreement is
Data in dispute shall be disclosed only if
• included with the diselosed dats. ��ed ��t to the
' The determination of the responsible authority may be aPP P
provisions of the administ�'etive procsdure act relating to contested cases.
. .--.
CHECR OFF I�IST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: �o��J C� ��O I° ��• PID:�'n - I I7� �'� � I �C�C2 I
D$SCRIPTION OF WORK: Z:�v�a
-------------------- -�------=----------------------------------------
ZONING REVIEW BY: r,� DATE APPROVEU: � ' �' ��
BIIILDING REVIEW BY: DATE APPROVED: � -�' ��
--------
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 �' PARR FEE
SAC � Yes No �`i SITE INSPECTION
Ntunber of SAC IInits OTHER (specify)
----------------------------------------g---------_-----�-----------
ZONING CHEQC LIST Zonin District �R'1
Fire Department: (,oN�(�rC.� Post Office: [ 1�4i°{zz,�4T�4 School District: pRANO
Lot Area: Zo�u70s� �� - ��6��Width: !00' Depth: z-�� Av� �-
Survey Submitted: Yes �C No Date of Survey: 32 S'S �
Proposed Setbacks: �
Front (�k�-: /ll�/� Right Side: ��
Rear (-S�re�e�) : f 3� � Lef t Side: 3� � '�
Adjacent Structures: I�"mqU�-� Wetland: p,f�1A
Bui�ding Height: Def. Hgt. �t/ (�' P k H�-
Avg. Setback:
�Lot Cov rage: �`�
E sting Prop sed
Hardcover: 0-75'
75-250 '
250-500 '
500-1000 ' �----
Hardcover Varian Requi ed: es N Da of Counc'1 Approval: �
Grading: Staff proval ate: By: Council pproval. Date:
Septi c: Staf f A proval D te: BI�-
Zoning File:� es �ution �: Resolu ion Date:
RF.MARKS (in h nse) : ,
,.-. . _
BIIILDING REVIEW CHECR LIST
IIgC: �6LS �--,j CONSTRIICTION TYPE: �
Sq Footage $ Per Sq Ftg
Basement x =
lst Fl.00r X =
2nd Fl.00r x =
Garage X -
�L'�IL �Z� x ��o c� _
TOTAL
Estimated Construc�ion Value: $ l J 7�D
Inspections Required: Work Requiring Separate Permits:
. Site � P�umbing Grading/Fi].I.ing
�Footing Mechanica� Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wa].l Board (Masonry) Lawn Irrigation
�Final (Mf g.) Other
Other Wel 1 (State Permit)
Electrical (State Permit)
-------------------------------------------------------------------------------
E�F.MARRS (IN HOII$L) : _
-------------------------------------------------------------------------------
RL�'VIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY=
REMARRS (TO BE NOTED ON PERMIT) :
� ' � J
FRAN . CARQARELLE 0� Land Surveyor
� , , , ���
(612) 941-3031 �-� � ��r� Eden Prairie, MN 55344
��r��t i�a��e �� ��tri��� .
Survey For Charles & Lisa '�larren Baok 336Page�� �ile 6I23
1230 Arbor Avenue
Orono, riN,
���_ �������� � � � � S �EQ����o
����ed Addresses Shall Be Displayed,
�t�`nIy Visible And Legible From The
Fronting The Property
. • �� i S�,S
�. � 3!�� � Fencc
� ` _ — — '� R-�
Z�" '�'` .
/ �. ' �l ,t, ^
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/- : — � M � ' ��
Q �T � d' � N p�.
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G��� K. - � ` /
. t91, � "�
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� 51�� �L�y� (���D1�9G PLAN
�,��,�t��,�Of i-��
sca le: 1"=40 ' � ';zm���,�������� �'�Ji�V�� ���fB�6�NS
� Denotes Iron Mon. Found ❑ [�$��s��'��;�
- . _ . . , 4'� ��-��� -
� � t�ATE - -�3
I h�roby artry that tfih It a trw and mnG rapnwntatbn al a wnyr d tlr boundti�s d Lot s 8 a n d 4, H 1 oC , L�'S ADD IT IO N
TO CRYSTAL BAY �
F�uwpin CauM�.Miinew/a ar�d tM tocaion d aA bu an �i � ��ox►+' a any.on e�e�,d.
Su,ve,,.,bym.,�, 25th ,.,,d biarch _„93 .
`� Frank R. Cardarelie
c+ato Ro� nr� ��na
______________ ' �C.`4S[�N'�1C1 ��7`1�1C.
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DECK PLAN LAYOUT _ � PII?R
�i�i s PEL'dY'ok� EYT13N DI's D
DAYE����� PERi'AT'!' RlO.�__�j,;, TO FROS7'
L[Nli
!� , APPRO��D P� SU�P,�I`���?
;'�APPROVED WITFI �:�J�t�E�d e��lS �aS NOTED
� NOT APi,�OVE� — CCR^F(;! & RESU�MIT CONCR�TE PI�R SUPPOI2T
`hese cornments are for pour irficrmation. All work shall be done
^ full compiiance with aft applic:abl� buifd(ng & zoning cod� r0•
c::•�>raents inciud�ng items no�i specifically noted in thls revi�w
14E�P THIS PLAN SET ON SITE AT A�.L TIM�fi
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E,XISTINC� dCC� SGtTONs mp�y.�� F4tew� 5������ ���
6'r't���l t.OGfAT�DN" �eT(�2r0�, �LLQ SEE e�6'T"f'AC��� ��f��'Y
e,���l��a� � Q� to��R�n.irv�e0 on� ��Te: �,��_�AN�R�11'l DETAILS
I�T FCbTINC, !NS/OCc�tGIU
✓ - - ----- C�DE R����REM�N7'S �c�ni.i, u�°- t�-o
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. C3 COMPLETED
ADDRESS j Z 3 � TTlL"X)�— rS t- .
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION�l� G�'�'-�i�--
Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
Q 03 INSULATION 24/25 WOOD BURNEWFIREPL4CE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
_ 05 INAL 14 SEWER HOOK-UP 06 PROGRESS
j�07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V FORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATIOfd ISSUED
�STOP ORDER POSTED.CALL INSPECTaR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the n ion 24 hours in advance.473-7357
Owner/Cont r on e-
Inspector
White CopyMspector's File Canary Copy/Site Notice
�
� DATE TIME
CITY OF ORONO CALLED IN .5 � /�-�
INSPECTION NOTICE SCHEDULED S-�/ !8� �
PERMIT N0. �D.�f COMPLETED til �1
ADDRESS I�3C� �r,(f-o+� ��.
OWNER C I.�G:�rf«r/ CONTR. -�
TELEPHONE NO._ �Z�� �S I�
� DESCRIPTION GU�v
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 NG 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z, 04 WALL BD. 12 WATER HOOK•UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlfURN ON 17 SITE INSPECTION
� 07 DEMO-SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO-FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. ?2 FOLLOW-UP
J 10 PLUMBiNG FINAL 23 SEPTIC FINAL
� OWNFJi/CONTRACTOR TO MEET YOU:_YES_NO
��,, COMMENT •
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� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALLYO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance.473-7357
OwnerlContra n s e:
Inspector. -
White Copy/lnspector's Flle Canary CopylSite Notice