HomeMy WebLinkAbout1992-004772 - deck PF,,R1yIIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �'`�}E'�'����'
PermitNumber: t:iiyr'�.;;�;�
Crystal Bay, Minnesota 55323 Date Issued: i i ;�i��i�=�i
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
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FEE SUMMARY:
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CONTRACTOR: OWNER: — ���°F�� �.��a E�� ��-
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APPLICANT.'PERMITEE SIGNATUR ISSUED BY:SIGNATURE ���
. • , �
CITY OF ORONO - BDILDING PERI�LIT APPLICATION
Total r ee: $ / �r �� � _ Date Received: �� �""� '
_ � �
Date Approved: /j ' `i.;1
Entered By: � �� �\ �� �/��
—T' Permit v: '�-
AT•T• INFORMATION MIIST BE SUBMITT� IN O WII,L BB STARTED
(See Check-off List Enclosed)
------------------------------------ ---------------------------------------
THE APPLICANT IS: (circle one) OWNE or CONTRACTOR
Jos si� �D�zsss: Z.(t�e� C��C� (�? - 1�-/� zzP: S � 3� I
(work)
NAME OF OWNER• � �Cl� `../vW''v 'e� PHONE: (home)
r�zixc �Dx�ss: Z(o Ce � C�r�-S� (� t (Z� cz�: w►�`�� �� zzP: ���`� I
CONTFtACTOR: � C ��� `��t�.vk)�Q�-( PHONE: Y7 �'��E�
MATLING ADDRESS: ZCe4� C�S°C-� �� ' CIZ'Y: W�Z�-� ZIP: S� � (
STATS LICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDR$SS: CITY: ZIP:
N�: RSGISTRATION �
TYPE OF WORR: New Addition Accessory Structure � Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSF.D WORR (describe in detail) : � — ��X �, ��"�
STORIBS: SQ. FEBT aF EACH FLOOR:
NO. OF B$DROOMS: GARAGB STAI.LS: ATT. DET.
ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ � �Q QU
I hereby apply for a building permit and I acknowledge that the information
abone is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City aad with the State Building Code; that I
understand this is not a permit and work is not to start without a permit; and
�hat the work wiI 1 be in accordance with the approved plan. �
APPLICANT'S SIGNATDRE: ' J .� � DATE: ` U��`� Z
. ' ' ' CHECR OFF LIST FJR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: Z�-�S �/4�-S� Po�nr T I�OY4� _PID=
D$SCRIPTION OF WORR: ►�J eLK -
--------------------- ---- --------
ZONING REVIEW BY: DAT$ APPROVSD: //' 3 -`�'2.
BIIILDING REVIEW BY: DATE APPROVED: / / '� "��--
---------------
FEES TO B$ CHARGED: Misc. Fees Calculated By:
�
PLANIREVIEW Yes�� No SEWER CONNECTION
STATE SURCHARGE Yes ��o WATER CONNECTION
INVESTIGATION FEE Yes �/ No PARR FEE
SAC Yes No G� SITE INSPECTION
Number of SAC IInits OTHER (specify}
----------------------------------------------�-----------
ZONING CHECR LIST Zoning District: � � � _
Fire Department: ww�n�c� Post Office: w�z�►-awSchool District: � � _
Lot Area: t i��su ch r 2 U� Width: (,D ' Depth: � 9�'l � AVI�
Survey Submitted: Yes X No Date of Survey: S-l�O-�( O
Proposed Setbacks: �
Fr�nrt (Lake) : �� Right Side:S"-j/
�ear—(street) : Lef t side: /v `�' � �
Adjacent Structures: /�7'�� Wetland: /✓��
Building Height: Def. Hgt. /l/�f� Peak Hgt.
Avg. Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75 ' 15�, l� �`�' S
�s-2so � �S � �-l7, b`'l o
250-500'
500-1000 ' �
Hardcover Variance Required: Yes DC No Date of Couricil Approval: �/-� "L� `� t
Grading: Staff Approval Date: � ��- By: Council Approval Date:
Septic: Staff Approval. Date: QJ �/+ BY- �
Zoning Fil.e:#�3 I57 D Resolution #: Z �13�f Resolution Date: �{- �2 -52-
�F.NIARK$ (in house) : '
BDILDING RL�7IEW CHECR LIST ' ' � � � •
IIgC. �g (2-.3 CONSTRIICTION TYPE:�--
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X =
Garage X -
2S� X �-OO =
TOTAL
o�
Bsti_mated Construction Value: $ �-, c���
Inspections Required: Work Requiring Separate Permits:
Site � Pl.umbing Grading/Fil].ing
Footing Mechanical Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
WaI�I. Board (Masonry) Lawn Irrigation
�Final (Mfg.) Other
Other Well (State Permit)
Electrical (State Permit)
-------------------------------------------------------------------
�LT�IARKS (IN HOIISE) :
------------------------------------------------------------------------
REVIEW BY OTHEFtS: DATE:
Access: Existing New
Access Approval: Date BY=
----------------------
--------------------------------_------_--------
REM�F2RS (TO BE NOTSD ON PERMIT) : (-}�q2�p C�o.� �L (L-a.1'�^-��'4'�S �-� � ��'� P�PI�
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��-�-Y'`' �'i ` `� �'°`'� Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
•
� _ � � 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 Iike to inform you that your request for a permit or
I.icense 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 Iicense requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or Iicense.
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 requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review privat�
data on yourself.
6. Your full name is required to process this applicatian or
permit.
'l�`2k�rJ`e-� (�!�i�6t�-`Q-S �.�OwkJ
First Middle Last
Z(� CP S� C04 3� F��� �
Address
GJ✓�-�Z.!�-�`1't� 1''�'.,✓ 'S� '�� �
City State Zip
'-C� C�--��Uc�
P:�one
I understand my rights as stated above.
Signature
BUILDIVG&ZOVIVG-473-7357 • AD'.1tINISTRATION&FItiANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
�.0.4 RIGHTS OF SIIBJEC'I5 OF DATA
Subdivision L Type of data- The rights of individuals on whom the data is
stored or to be stored shall be ss set forth in this section.
Subd, 2. Information required to be giv� ����L An.individual esked to
� " supply private or confidentiel data concera a amwi�in the collecting state agency,
purpose and intended use of the request
political subdivision, or statewide system; (b) whether he ma� refuse or is legally
1 the requested date; (c) any known consequence arising from his
required to supp y rivate or confidentiel data; end (d) the identity of
supplying or refusing to supply p
other persons or entities authorized by sVBdu� �e�kedlto supplyein est gat ve data,
requirement shall not apply when en indi
pursuant to section 13.B2, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place tax re�und instQuctionsu nsteadhoS
subdivision in the individuel income tax or oro�ertv
on those orms. . - --- -
Subd. 3. Access to �aia bY in���' Upon request to a responsible �
authority, an individuel shall be informed whether h=�gteeor confident al.e UPon tus
individuals, and whether it is classified as public, p ublic data on
further request, an individusl who is the subject of Se to himrlandeif he desires, shall
individuels shall be shown the data witho Ofan�y ��tg. After an individual hes been
�e informed of the content and meaning t� �tg need not be c�isclosed Lo
shown the private data and informed of its meaning, ��uant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additional data on the indivif�e h� g e or pu lic dataruponarequest by
responsible authority shall provide copies o P require the
the individual subject of the data. The responsible�Q=�f�nity�a compiling the
requesting person to pay the actual costs of making,
Yi g�
copies. immediately, if possible, with any request
The responsible authority she]1 comQly of the date of the request,
made pursuant to this subdivisi�olnd le al tholidays, if�immediate c�mpliance is not
excluding Saturdays, Sundays g
possible. If he cannot comply with the request within that time, he shall so in�or h the
have an additional five daYS wittun Wh�ch to comply
individual, and maY �d le al holidays.
request, excluding Saturdays, SundaYs g
Subd. 4. Procedure �►hen data is not acctu'ste or complete. An individual maY
himself. To
contest the accuracy or completeness of public oinri��tthe�resporLslble authority
exercise this right, an individusl shall notify
describing the nature of the disagreement beTnac�p°e ore n omplete end att pt to
days either: (a) correct the data found to
notify past recipients of ineccurate or inugmP�t he belie esdthe datalto be correct
the individuel, or (b) notify the individ eement is
Data in dispute shall be disclosed only if the individual's statement of disagr
• included with the �isclosed dats. � 8ppe�led pursuant to the
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases.
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rny Legal Description Z �Q tt `3 -� ��dC�,., a / � •
Lot 13b, Spring Park f� ro ��, � �/ V
, This survey sho�rs the location of a� l existing buildings
, and visible "hardcover" in relation to the boundaries of �p
� the above described property. It does not purport to show N
any other lmprovenents or encroachments, p
���
t---�
Date : 9-7-82� 5-16-90 rev. �''t'�° �-��• 1 hereby certify that this survey was prepared y���' -� �� �-
Scale: I" = 20' '_7!//f.;.•; under my direct supervision and that 1 am a dul �¢yis� _� �� �-
• : lron marker found �� ered land surveyor under the la►�s of the State f� h�1nn� --; -� � ,�
o : Iron marker set sota. � �� =r, � �
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_ COfFIN 6 GRONBERG, INC. '� '� "� m �7 � -���
Bearings shown are to an < �
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J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
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J 10 PLUMBING FINAL 23 SEPTIC FINAL
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DATEr� TIME
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Call for the next inspection 24 hours in advance.473-7357
Owner/Contractor o
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White Copyllnspector's File Canary CopylSite Notice