HomeMy WebLinkAbout1995-007037 (building- deck) PER�IT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 t� __ , _
Crystal Bay, Minnesota 55323 Permit Number. `_ -
Date Issued: - -`•� -�-�
(612)473-7357 - - :,M;r
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER_: - , ,- _ �. ,w=��;;_ -
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A ANT%PERMITEE SIG TURE ISSUED BY:SIGNATURE
. � CITY OF aRONO = BliZ�DING PERMIT APPLICATION
Total Fee: $ f,,��.<�'�/ - --- Date Received:
Date P.pproved:
Entered By: � �',�,/ r-,
Permittt: �(����
AT•T• INFORMATION MIIST BE SIIBMIT'�� IN FIILI� BEFORE PI,AN REVIE�n1 WILL BS STARTED
(See Check-off List Enclosed)
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------�-----------------------------------------
THE APPLICANT IS: (circle one) �OWNEF� or CONTRACTOR
. _ , -
-- _---- �
JOB SITE ADDRSSS: ? ��� � I � �' � ,L_L_� C� I���-__C� ��:: ZIP: ��-� � �� �
(work)
N�ME OF OWNER: ��_� • �u� �C�c� '�� PHONE: (home) ��� � C� ��-�.
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MAIZ,ING ADDR.ESS: 5 Z3 ( �S G� �6�c,�F' CITY: �+Cs Y\ (� ZIP: -��->-- � I
CONZ'R�CTOR: � L �- f^ PHONE: �� � � �� =� 7.�
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: �
ARCHITECT/ENGINEER: PHONE:
:+�AII.ING ADDRBSS: CITY: ZIP:
Z,J�: RSGISTRATION u
TYPE OF WORR: New� Addition Accessory Structure Move
Demo Remodel./Alteration Renovate Land Alteration
�
PROPOSED WORR (describe in detail) : � ���- t�
►
STORIBS: SQ. FEBT OF EACH FI,OOR:
NO. OF BEDROOMS: GARAGE STI�LLS: ATT. DET.
- ->
ESTIMATED CONSTRQCTION VAI�IIATION (eacluding Iand) : $
-:> �; O Ci , `=.�
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 accor�3ance with the approved plan. •
// � _
, �� �,:�� c, DATE: E�' � �� ���
APPLICANT S SIGNATDRE: �t '
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� ���x � r �K:�, .:� �ITY o� OROloT�
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„j,.'� �� �'� �>- Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
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Tr�&� ';`�*���
r "#'� On the North Shore of Lake Minnetonka
:�: , � s
DATA PRNACY ADVISORY
In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of
data", we would Iike 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 supp�y data, but refusal may require that
the City deny the permit ar license.
3. The information may be shared with other Iocal , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or Iicense reasires Council action
to approve, some information may become public.
5. You have certain rights ander M.S. 13.04 to review pri�a��
data on yourself.
6. Yaur full name is required to process this apr,licatica or
permit.
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First Middle Last
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Address
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City State Zip
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Phone
I understand my righ as stated above.
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Signature /
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BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS —473-7359
ASSESSI�YG
513.04 RIGHTS OF SIIB.TECTS OF DATA
Subdivision L Type of data- The rights e tion�viduels on whom the data is
stored or to be stored shall be as set forth u► th�s S An.individuel asked to
Subd, 2. Information �
to be given in�vi�uaL
su 1 rivate or confidential data concerning �gmW hin the collecti g state agen Y�
PP Y P
purpose and intended use of the req em;d �b� `,yhether he may refuse or lfromhis
political subdivision, or statewide sys �own consequence arising
required to supply the requested date; (c) any
1 in or refusing to supply private or confzdederal law to receive the data.1tThis.
supp y g state or f
other persons or entities authorized by 1 investigative data,
requirement shall not apply when an indt�vla law en orcementuo f icer.
pursuant to section 13.82, subdivision �,
The commissioner of revenue ma lace the notice reauired under this
subdivision in the individual income tax or propertv tax re und instructions instead o
on those orm5. - "
Subd. 3. Access
to c�ata by in�viduel• Upon request to e responsible
authority, an individual shall be informed whether h r vateeor confident al.e Upon his
individuels, and whether it is classified as public, p ublic dgtg on
e to him and, if he desires, shall
further request, an individual who is the subject of stored private or
individuals shall be shown the data N'itho of an�Y ��ta, p,f ter an individual hes been
�e informed of the content end meaning the data need not be ciisclosed to
shown the private data end informed of its meaninS� ursuant to this section is
him for six months thereafter unless a diSPute or aetion p
� rivate or public data uQon request by
e
pending or additional data on the i e� olf the p� been collected or create ' the
responsible authority shall provide copi The res onsible authority may require
the individuel subject of te g���'costs of making, certifying, and compiling the
requesting person to pay th _
copies. ssible, with any request
The resoonsible authority shall comply immediatesYoff he date of the request,
made pursuant to this subdivision, or within five day
excluding Saturdays, Sundays and legal holidays, if immediate complis.nce is not
ossible. If he cannot comply with the request within that time, he shall so infvor h the
lndividual, and may ha�e ar► gdditional five dBYs Within which to comply
and le al holidays.
request, excluding Saturdays, SundaYS g
Subd. 4. Procediu'e n►hen data is not acc�sate or complete. An individual may
ublic or private data concerning himself. To
contest the accuracy or comQleteness of p the responsible authority
exercise this right, an individual stzall notify in writing
describing the nature of the disagreement. Tnacciu�Pa e or incompleLe and at pt to
days either: (a) correct the data found to be i
notify past recipients of inaccurate or incomple te rie believesdthe dataito be cor ect
the individusl; or (b) notify the individual tha eement is
Data in dispute shall be discl ta d only if the individual's statement of �8� t to the
• included with the disclosed da ealed pcu'suan
' The determination of the responsible authority may be app
provisions of the administrative procedure act relating to contested cases•
CHECR OFF LIST FOR ISSIIANCE OF PERMITS
� FOR OFF7CE USE ONLY
ADDRESS OR LEGAL: �2 3 � C/�5�" C�'��� PID'
DESCRIPTION OF WORR: '/.,L-L'r.�k- _
--------------------- -- ---------------
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ZONING REVIEW BY: DATE APPROVED: G '7 -SS
BIIILDING REVIEW BY: DATE APPROVED: 6�7 -"�s
---------------------- -------
FEES TO BE CHARGF.D� Misc. Fees CaJ�culated By:
PERMIT Yes C/ 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 CHECR LIST Zoning District: L� ' ( �
Fire Department: /►ti Post Office• W Schoo� District:�
Lot Area: 31 ZO y Width: � Depth: 3� � �' /4-�
Survey Submitted: Yes o< No Date of Survey: 1 l �2 ��l 3
Proposed Setbacks: � ► N
Front (Lake) : /`�5 --� Ri ght Side: 1(�
Rear ( Street) : ^� �� Lef t Side: � � �
Adjacent Structures : I����D Wetland: �/�
Building Height: Def . Hgt. /1/�� Peak Hgt. /J�+�
Avg. Setback: �-� Lot Coverage:
O . �-
Existing Proposed �_gy
/ r'✓Lt�r �w„r � S£S�� 1-
Hardcover: 0-75 ' W(G z8o�,� .f36�! ! �Y°Dm "' �Z'��°
�5-250 � � 22.�°7�
250-500 ' /��G N��
500-1000 '
Hardcover Variance Required: Yes No� Date of Council Approval.:
Grading: Staff Approval. te: By: Coun ' ApprovaJ� Date:__
Septic: Staff ApprovaJ. te: BY�
Zoning File:# R olution # : Res l.ution Date:
�
REMARKS (in hous .
BIIILDING RL�7IEW CHECR LIST , � �
IIBC: /� `� CONSTRIICTION TYPE:_�/J
Sq Footage $ Per Sq Ftg
Basement x =
lst Fl.00r x =
2nd Fl.00r x =
Garage x =
x =
TOTAL
Estimated Construction Value: $ �,n�v�
Inspections Reqnired: Work Requiring Separate Permits:
Site Plumbing Grading/FilJ�ing
�'ooting Mechanical Fire
�Framing Septic Water Connection
Insul.ation Fireplace Sewer Connection
Wall. Board (Masonry) Lawn Irrigation
p�.Final (Mfg.) Other
Other Wel� (State Permit)
Electrical. (State Permit)
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REMARRS (IN HOUSE) :
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REVIEW BY OTHEF2S: DATE:
Access: Existing New
Access Approval.: Date By:
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REi�sARRS (TO BE NOTED ON PERMIT) :
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!'�d�PEC7'�Ft - oanwN er
"' SCALE�/ �� _ , APPROVED BY:
71FT@ � - � � PEI2MIT NO. �,,.w,,..,,. Q
OATE� REVISED
--r� APPROVi�J AS �L►6MITTE�
i=� APPROVED tNtTH COR�ECTIONB AS NOTEp
fvOT APr ROVEQ — C�RRECT & RESUBPv1iT
+ho�e comments are for ycur informatio�. Alf work shall be E?�r,.�
� i�rti compliance with ali aAp�icable �JU�IfIg ac E01i1h{! CX1A: r� DRAWING NUMBER
<--�'nants inclu:f�ng items not 5pectfically noted in t���s �:�.-`.,
•=F' TI-{��; l�; ��,; � r �i,� C,�{C C+T ��:.� r•�/{`��
DATE
TIMt
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CALLED IN ���� J'��
CITY OF ORONO SCHEDULED � �
� ,,
INSPECTION NOTIC coMP�ETEo
PERMIT NO. �} �— �'2 �
ADDRESS 3 �3 �
CONTR.
pWNER ��
7ELEPHONE NO.
�: DESCRIPT►ON �� 18 EXCAV/GRADING/FILLING
� 11 MECHANICAL RI 19 �p,KESHORE/WET�NDS
W �OOTING 13 MECHANIGAL FINAL
24/25 WO��BURNER/FIREPU�CE 34 TREE REMOVAL
� p2 FRAMING 17 SITE INSPECTION
Q �
� 03 INSUl1>TION 12 WqTER HOOK-UP �g pROGRESS
� 04 WALL BD.
Z 14 SEWER HOOK-UP 21 COMPLAINT
Q 05 FINAL 27 SEpTIC MAINT. 22 FOLLOW-�P
� 07 DEMO-SITE �5 SEPTIC INSTALL. 35 HARD COVER REMOVAL
-� 07 DEMO-FINAL
W pg PLUMBING RI
23 SEPTIC FINAL 36 FOUNDATION/REMOVA
Z 10 PLUMBWG FINAL YES_NO
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Q pWNERICONTRACTOR TO MEET Y� �—
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� COMMENTS:
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W CALL FOR REINSPECTION --_PERMqNENT r+C � �
p ,',CORRECT WORK, � � �
O BEFORECOVERING HOURS. - pHOTOTAKEN tTa ��
CORRECT UNSAFE CONDIT�ON W�THIN� - CITATION ISSUED ,�,�����_� �
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INSPECTOR W ILL RE7URN - --.___.___---_....
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;1 STOP ORDER POSTED.CALL INSPECTOR 1 I �
�1 INSPECTION REQUIRED.CALL7�ARRANGE ACGESS. ( r , I ,I 'il � : y - �
�n ection 24 hours in advance.473-7357 � �
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