HomeMy WebLinkAbout1994-006432 - deck T PERMIT
CITY OF ORONO ` PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number:
Crystal Bay, Minnesota 55323 �;E_%��.�?�.{;�=;
(612) 473-7357 Date Issued: --
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SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT�PEFMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO - BOIZDING PERMIT APPLICATION
Total Fee• $ `�(,%• J 5 Date Received:
Date Approved:
Entered By:��� ;` ° Permit�: (���3.�
A�L INFORMATION MIIST BE SIIBMITTSD IN FDLL BEFORE PLAN REVIEW WILI, B$ STARTED
(See Check-aff List Enclosed)
----------------------------------------------------------------------------
T� APPLICANT IS: (circle one) tOWNER or CONTRACTOR
., . ,�. _, -�_ ZIP:
JOB SITE ADDR$SS: -� . . ,`�
(work)
� PHONE: (home) '.� .
, . .
NAME OF OWNER: ��' �-' �
. �
MAII,ING ADDRESS: - • ' �,i�r� ' ,.' - �s � . •�Tp� , �
. ,
CONTRACTOR: ;�''�� , , ' PHONE:
MATI�ING ADDRESS: CITY: ZIP:
STATS LICENSE: �
�RCHITECT/ENGSNE�R: .. PHONE:
MATZING ADDRSSS: CI�'X: ZIP:
g�: R.BGISTRI�TION �
TYPE OF WORR: New Addition Accessory Struczure Move
Demo Remodel/Alteration Renovate '?•�` Land Alteration
. � � � � .�
PROPOSED WORR (describe a.n detail) • o� ^ � �
�� , , .2. ,f�� j�.:� :�F_ �.' _ . � , . .,.�,.: ��
i ' '
�'l �l , rt��i, * . � , � , .�A� � . .
STORISS: SQ. FEBT OF EACH FLOOR:
NO. OF B$DROOMS: G�G$ STAI.ZS: ATT. DET.
. ..
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $
I hereby apply for a building permit and I acknowledge that the information
a�ove 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
snderstand this is not a permit and work is not to start without a permit; and
that the work wiI 1 be in accordance with the approved plan. •
C'' �
APPI�ICANT'S SIGNATIIRE: c� �� �%'L.c�c-��.. DATE: i� Z.3 �
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� ��� CITY of ORONO
- °.,�}'.i��:�,Y!..
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
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 in=�rmatior, i7C:: �'.=�Zi=rt �d?�. � r'�= ����� t� dAtermir.e VOtlr
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 Iocal , state or
federal agencies to the extent necessary to grocess the permit or
3.icense.
4. If your requested permit or Iicense requires Councii action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review prica��
data on yourself.
6. Your full namP is required to process this applicaticn or
permit.
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First Midd3e Last
Address
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..;'//'� i% ;�-'�? �� /'; /Ci� `' �' :J`
City State Zip
'/�7� . -�
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P:�one
I understand my rights as stated above.
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Signature '� '
„Z�ri.-l�+r� /�i l
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-�359
ASSESSING
�.� �Gg� �g �gTECTS OF DATA
Subdivision L Type of da�8- The rights of individuels on whom the data is
stored or to be stored shall be as set forth in this section.
Subd. 2. Information required
to be given in�v��`L An.individuel esked to
� su 1 rivate or confidentiel data concernina �amWi hin the collecti g state gency,
PP Y P
purpose and intended use of the requested
tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys �c� gny �own consequence arising from his
required to supply the requested data;
su lying or refusing to supply private or confidentiel date; and (d) the identity o
PP state or federal law to receive the data. This_
other persons or entities authori2ed by �vesti ative date,
requirement shall not apply when an individual is asked to supply g
pursuent to section 13.82, subciivi�icn �, ta a law enforcement officer.
The commissioner of revenue ma lert tgX re°und i�tauctionsui steadhos
subdivision in the individual income tax or r�
on those orms. - - -- - .
t� �� by ����. Upon request to a responsible
Subd. 3. Access
authority, an individual shall be informed Wh ublic pr vateeor confident al.e Upon his
individusls, and M►hether it is classified as p � ublic data on
e to him and, if he desires, shall
further request, an individusl who is the subject of stored private orvidual has been
individuels shall be shown the data witho of�hat da a• After an indi
�e informed of the content end meaning the data need not be c�isclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action p
� endin or additional data on the individual h� ate or public dataruponarequest by
• p g• require the
responsible authority shall provide copies of the p n g ilin the
the individuel subject of �e ac��'�os h of making,l aert f �nl �y�d comp g
requesting person to pay t - re uest
copies. immediately, if possible, with any 9
The responsible authority shall comply S of the date of the request,
made pursuant to this subdivision, or within five day
excluding Saturdays, Sundays and legal holi�a thinithat�t meahe shall so nfo m the
possible. If he cannot comply with the request Within wnich to comply with the
individual, and maY ha�e ar► additional five days
request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Proced�u'e �►hen data is not ac�urate or complete. An individual maY
contest the accuracy or comQleteness of public or private data concerning himself. To
ht an individuel shall notify in writing the responsible authority
exercise this rig �
describing the nature of the disagreement. The�r�P�e or in omplete and att pt to
days either: (a) correct the data found to be ina
notify past recipients of inaccurate or incomplete�e bel evesdthe datalto be correct
the individual; or (b) notify the individual that eement is
Data in dispute shall be disclosed only if the individual's statement of �a� t to the
• included with the c�isclosed data. be BPpe�ed pui'suar►
' The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
CgECK OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
ADDR$SS OR LEGAL: Z 7 7� C./4 S� �D�N'-± 1� PID:
DESCRIPTION OF WORR: L 1 (S �1�
ZONING REVIEW BY:-- --- --------------DATE APPROVED: �j `�y'C1y
�
BIIILDING REVIEW BY:
DATE APPROVED: �'�Y'�X
------------------- ------
FEES TO BE CHARGED: Misc. Fees Calculated 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 Ti,IST r�'?i'` �i"`�i v`': _
Fire Departmen
Post Office � Sc oo Dis�ict:
Lot Area: Widt : ept :
Survey Submitted: Yes� No Date of Survey: Z�l5 ���
Proposed Setbacks : ��.
F�orr� (Lake) : /�D' t Right Side: 7�
�e�r—( street) : �V//-} Left side:_ z5`� �S�
Adjacent Structures: ��u`t'�=� Wetland: /��i�
Buil.ding Height: Def . Hgt. /U �f�- Peak Hgt. ��i�
Avg. Setback: (� 6= �e/L s� n= ��SP Lot Coverage: i✓I'�-
Existing Proposed
Hardcover: 0-75 '
75-2:�� ' _..�L��
250-500 '
500-1000 '
Hardcover Variance Required: Yes NoO� Date of Council Approva�:
Grading: Staff App oval Da _ Council Approva]� Date:
Septic: Staff Ap r val. D te: Y=
Zoning File:# Reso ution Resolution Date:
REMARRS (in h use :
BIIILDING REVIEW CHECK LIST
IIBC: Q -3 CONSTRIICTION TYPE: �,I�
Sq Footage $ Per Sq Ftg
Basement X -
lst F�oor X -
2nd Fl.00r X -
Garage X -
X —
TOTAL
oa-
Estimated Construction Va7.ue: $ 2, S�°
Inspections Re�,;red: Work Requiring Separate Permits:
Site � Plumbing Grading/Fil�ing
-�Footing Mechanica� Fire
Framing _ Septic Water Connection
Insulation �'ireplace Sewer C�n�ection
WaI.� Board (Masonry) Lawn Irrigation
�Final. (Mfg.) Other
Other Wel7. (State Permit)
Electrical (State Permit)
------------------------------------------------
F�F.MARTC$ (IN HOIISE) :
-------------------------------------------------------------
RL�7IEW BY OTHEEtS: DATE:
Access : Existing New
Access Approva�: Date BY=
--------------------------------------------------------
REM.ARRS (TO BE NOTED ON PERMIT) :
�
�T ����
. 9 '_�t c^'�
. F �� ������ � _ _-
HARDCOV�R CALCULATION WORKSHEET L
,.—-T-_
SETBACK ZONE; �CIRCLE ONE) �-��`"��75-250'�50-500' S00-1000'
�---- - _.
EXISTING HARDCOVER IN ZONE
--------------------------
„
A� HOUSE S5 X 3 � _ � ��� S� F� 2C�.35
���� N�j_ LENGTH WIDTH
N w � -��1 � 3� x 4 = � 4�3 S.F, ��r �
"�IU C_ ��TZ� /
� �
� x � _ �-D s.F, 3Zo
• X = S, F�
X = S, F�
B� GARAGE G� X �� _ __��� S�F� 3�2
C� D R I VE AW Y _�-_�__ 1 . =__=_��'-1 ^ S�F�
X = S�F,
/ `� �
D� $ID ALK � n X = ��-J S�F , ��
�
__--- ___ �-�'"
_ _ - S� F�
�
I �— x .3 = s.F, 3 y
E. �ATIO�
ECK
X = S�F.
S I� !� O j ��
� F� LANDSCAPE O X � _ �- � S�F�
AREAS
UNDERLAIN
BY X = S, F�
PLASTIC�
SHEETING
X = S�F�
� ���� � il� ��� X = S�F�
�� � � � 0�
G� O ER X � �/� _ /��( , S� F� �
------------- 3y��
TOTAL HARDCOVER IN ZONE - �"C>� � S�F� �
TOTAL PROPERTY AREA IN ZONE - -- � ���F� � f 5��1 ZS
�_ : B ._ x 100 = � 2� ��
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_ � T���S � O�CHE� ,] APPRO'�'�C AS SUBMITTED
."�il Structural Members Must Be Approved APPROVEzL WITH CORRECTIONS AS NOTED
� � NOT APPROVED - CORRECT & RESUBMIT
`���ood Of Natural Resistance To Decay Or `���
�f ate �(pp _ se comments are for your information. All work sha!i be onF
� JC /2 C c 0�`►� ;. IcaGle buildin & zoning �ode `�+
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M��,� ax8 F��� CIT� ��' �I�t����, ��:::
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4x�- SN�P"�,��
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,2 XI� PLRKk e�ATE _ l �4 y PERMIT NO.
-s�+v���� C'�eors � APPRO'vE� AS SUBMITTED
�' APPROV�fl WITH CORREC'!'IONB AS NOTED
�l NOT APPROVED — CORRECT & RE5UBMiT
CC 2 O�.inJ t) �E V E L �ese comments are for ypur inforrpation. All wark shall be dona
� fufl campiiance with all applicat,!e buiiding & zonin� c�od2 re
� ulrements includin�; items not specificalJy noted in thi6 rp��i�u.
�ni p v1 C c1-J KEEP THIS PLAN SET JN �i�� /',T ALL T"I�A�.�i.
�
'P�:.t o� '��u-rv�,y - .
for •W�'Zie. :. b�^s
o! Lot I31 and half o.' :�t I3C., Sprin� Fark �
. -_ � }lennepi� county, riirm��s�;;,�. 0116��o r � . P .
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,�1 �;�=r't;���F:� WITH REV�SIONS � . .,,. ?°' , '�°•
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BY �
DATE _9���(-5�f
,�Pv� i� �c '
Certiti� •,�� of Surwr*y:
I rc�•^}�- cprtifv that Lhis le a true and co�-rPct re re�Antt_*
„ior of a su�ey
o: Lt,� bo�;r.dariAs of. Lot 131., and the No�thnastP.-1;� 1�� of Lot 13C, Sprir:� rAr•k,
ir.t•ludir.� t::nt prirt o!' Iake Sho�A Av�r.ue, nck vacat�d, anc? a t�r.�� o:, t}:�
'o^roeite side of a�2d av�nuQ, nll lying betvesr. tr:e Ivorth�Yst�rl� �=r,� c; 'c:,
1+�1 ext�rded l;ortr�,•�st�rl� to the s}-.ore of Ifike J�iiriTlet.OLtkr� e:.c; t.!�e ;:�out!-�,.�esterly
1i.^,� c:' �}.� "�orthea�L�rl}' 1�2 0!' Lot 13C!, !+xt�n���C 2rorth�.�c�t���l� to :..i:^ 1•:i;:r.�-
t�'ika ; rr.�•' o" th� .locntion of all tui]cin�s L}-:��rPor., Fr.� r,ii v; :i; 1- �ncro,.C�._
m�r,ta, j r r��• , !rcrl o,� az: Fe.id l,:.nd.
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Gordor. P. Coffin PrF , . , t_�F4
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o • Iror. markar Lonp Lakp, Miru�eaota
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DATE TIME
CITY OF ORONO CALLED IN �v -� - y y
INSPECTION NOTICE r� SCHEDULED IV -��/ �� ��
PERMIT NO. �G y-3 COMPLETED � 3°: 3�
ADDRESS � �_� C"l,��-ce �' /�G�
OWNER t- CONTR. "'�
TELEPHONE NO. ���— rI�� �
� DESCRIPTION ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANOS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q
Z 5 FINAL 14 SEWER HOOK-UO 06 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
J
� 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
� COMM NTS:
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O�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING 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 spection 24 hours in advance.473-7357
OwnerlContr on s t :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE T�ME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED I'B-`� C9�
PERMIT NO. b y�2 COMPLETED �_ �
ADDRESS �,7� �S� ��! ��
OWNER C-��C �S�^� CONTR.
TELEPHONE NO. `{� � -��2
� DESCRIPTION
� 01 FOOTIN(3 11 MECHANICAL RI 16 EXCAV/GRADINO/FILLINd
y 02 FRAMING 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
� �INAL �,�� 14 SEWER HOOK-UO 06 PROGRESS
J 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER FiEMOVAL
J 10 PLUMBINO FINAL 36 FOUNDATION HEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W
� ] CORRECT WORK 8 PROCEED �_ ISSUE CERTIFICATE OF OCCUPANCY
W
OO � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �, pH0T0 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.473-73�J7
OwnerlContr or n i :
Inspector. �-
White Copyllnspector's File Canary CopyfSite Notice