HomeMy WebLinkAbout1991-003783 - deck , PERMIT
�CITV OF ORONO PERMIT TYPE: �;�j���,��,��,
1335 Brown Rd. South • P.O. Box 66 Permit Number: `?t�����'��•=
Crystal Bay, Minnesota 55323 Date Issued: `-;�;.�•�-'r=;�
(612) 473-7357
SITE ADDRESS:
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DESCRIPTION:
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FEESUMMARY. .:tL4L1f 1. !illl!!• ••_
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� CONTRACTOR: 01�VNER= -� ��'�'� ��=�}�{� `-
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AP IC P RMITEESIGNATURE I SU BY SIGNATURE
' � ' CHECR OFF LIST FOR ISSDANCE OF PERMITS
� . FOR OFFICE USE ONLY
ADDRESS OR LEGAL DESCRIPTION: '��'���� C��t'.�/�i.� ' ���/�,� � G oF�-//'1�-2 3 �-_��'���%
TYPE OF WORR: ��� =� �' �—
ZONING REVIEW BY: DAT$ APPROVED: �,.r � ��OIT
Zoning District: c-2 ' 1 �j Lot Area: Z f�0o�
Fire Dept. h✓1.���p Width: t��� Depth: ; �`� �
Post Of f ice: yVw.,,�.�Q Proposed Setbacks: �
Front: � �, !-r R.Side: b 6 ��`
Zoning File: # /V�� Rear: '")t '� L.Side: {gS'+ �
�
Counci 1 Approval Date: Ad jacent Structures:� °��f�
Resolution # : Lake: /�f/9 Wetland: S� �+ p
w �
�
Hardcover: Existing�: l� Proposed$: (� � �`1 p
Grading: Staff Approval Date: Council Approval Date: N i
�
Septic: Staff Approval Date: By: �
�
BIIILDING REVIEW BY: _ DATE APPROVFD: �'J� I
��� �
IIBC: ��� ��� CONSTROCTIQN TYPE: �
BLDG SIZE: H. O'�'- L. W. '
SAC CHARGE RSQIIIRSD: Yes No
Sq. Footage: Estimated Construction Value Z �� ^
lst Floor x =
2nd Floor x =
��efi _3_L`d ST �' x � = Z j 5-r��
x =
Garage x =
TOTAL x =
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
Framing Well Water Connection �
Insulation Septic Sewer Connection
Wall Board Fireplace Other
�Final �
Fireplace
REVIBW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARRS TO BS NOTED ON PERMIT: '
• CITY OF ORONO - BOILDING PERMIT APPLICATION �� / �����
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n 3- �
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Total Fee: $ �. � �' � Date Received: -
Date Approved:
Permit#: 3���3 Project#:
Building Permit Application Requirements:
1. Building permit application - to be filled out completely and signed
2. 2 sets of construction plans to include the following:
a) Floor plans ;
b) Footing and foundation plan;
c) Elevations (of all sides) ;
d) wa31 sections and cross sections;
e) Details - stairs and any special connections.
3. Certificate of survey with location of existing and proposed
structures including hardcover calculations and grading and drainage
plans as required.
4. Energy calculations - form provided.
5. Septic report and design if required.
ABOVE INFORMATION MDST BE SIIBMITT� IN FOLL BBFORI3 PLAN REVIEW WZLL BE STARTED
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one� OWNER or CONTRACTOR
JOB SITE ADDR$SS ��_G�,Z C�/�i�� /4�,/�, ZIP: �`j��
�ROPffitTY IDENTIFICATION NO. : L��,- l 11 - � -.3 �C��3�
J1 /C� ��� / (work) � - �'
NAME OF OWNER:�,L/�i��- 'I ���/✓�v—�--�v PHONE: (home) -
MAILING ADDRESS: J���� C�-/,C,�,�� �(�, CITY: /�'1��l�lJ� ZIP:��
CONTRACTOR: ,�r�� ��_ PHONE:
MAILING ADDRESS: CITY: ZIP:
ARCHITECT: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition� Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
PROPOSSD IISE (describe in detail) : Gd/��.�,�;��'�/c`�J C�, /� �� /x��,
�i- ' � ;��/` TC ,�=�.;�' �`/"- � �CISi/f��i ��,�-�-=-���-
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAG$ STALLS: ATT. DET.
ESTIA�TED CONSTRIICTION VALOATION (excluding land) : $s����
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 ac ordance wi h the approved plan.
APPLIEANT'S SIGNATQRE: � DAq*g;, r �
� (Plea e li �t e reverse side of this form)
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�;��°a��k'�,�''�'� :;_� Post Office �3Ox 66•Crystal Bay,Minnesota 55323•Municipal Offices
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DATA__PRIVl�1CY__ADVI SORY
In accordance with M.S. 15.165, "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:
l. 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 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 public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself .
6. Your full name, and date of birth are required to process
this application or permit.
.�L�=���_� ��,�-i� -�.�'/�S�
First Middle Last '`
��S �.�/.��C�� �l/�=� . . _ _ __._ _- --._
Address
/�'JO�,� �n,� _ _- .�a4�� __.__ ._-----�-
_. . ___. __. --.-- .- ---
City State Zip
L Q
/ /—�v __._..--__------_.__. .._
Phone
I understand my rights as stated above.
-_ . __ ._
Signat re �
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BIJILDING&ZONING—473�357 • ADMINISTRA'Tl &FINANCE—473-7358 ° PUBLIC WORKS—473-7359
ASSESSING
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HARDCOVER CALCULATION WORKSHEET � ,
Setback Zone: (circle one) 0-75' 75-250' LY250-500' S00-1000' -
_ _ Existing Hardcover S = Total Existinq Hardcover x I00 � '
Existinq Hardcover in Zone Lot Area Within Zone
a. House ��,�.. x -,�_ a �� �-r s.f. = s f. x 100 t � , '�--5
Q , � � ,�,__. 8
s.f.
length width
Additional Hardcover to be added in zone:
X a 3.f.
' X a s�f. Item Lenqth x Width a TOTAL s.f.
X a S.f. � , ; X o 3.f. �
�
X Q 3.f• --�-�r K`° ` X , 1 — Q 9.f.
b. Garage x = s.f. X = s.f.
�
� -. a,_
c. Driveway , _'"� x = s.f, X =
—r--- —; s.f.
x s � S.f. I ) TOTAL S.F. TO BE ADDED _ ' (2)
`��
d. Sidewalk , " � x ` � � , a ! �- " Existing Hardcover to be Removed, if any:
�r-� s.f.
�
x a s.f. Item Lenqth x Width = TOTAL s.f.
x = s,f, X = s.f,
J �
e. Patio/ � �y ' "� x �
x = — s.f. s.f.
Deck
X g s.f. X � s.f. �
f. Landscape _ x � l> � �"` s.f. X - s.f. �
areas �
. ,
underlain -- x i� � . _� s.f. TOTAL S.F, TO BE REMOVED �3)
by plastic
sheeting x � s.f. Final Hardcover Proposal: �
' x a S.f. [Line (1) + Line (2) -Line (3) ) _
� f. Other _ , x _ j = 1 s.f. � + . ` ,
- l a '',s.f. f4)
. , � Existing To be Added To be Removed Final
t_f
. . . � X , s i .--w S.f.
Proposed Hardcover 8 =
X a t _. ,._...:3.f.
rA\ 4
I P. ' . 1I��.
TOTAL EXISTING HARDCOVER IN ZONE _ '"��. � Line (4) x 100 = S'f' x 100 = 1�.;�,g > (
� -�--. s.f. (1)
Line (1) , s.f. , !�V
HARDCOVER CALCULATION WORKSHEET
Setback Zone: (circle one) 0-75' 75-250' 250-500' S00�1000'
Existing FTardcover fl = Total Existinq Hardcover x I00
Existinq Hardcover in Zone Lot Area Within Zone
8. HOuse g a = S'f' X 100 a
s.f. s.f. $
2ength width
Additional Hardcover to be added in zone;
X = 9.f.
' X a g�f. Item Lenqth x Width a TOTAL s.f.
x s s.f. X a s.f. '
x a s.f. X � s.f.
b. Garage x = s.f. X a s.f.
c. Driveway x e s,g, x a s.p.
X e � S�f. I ) TOTAL S.F. TO BE ADDED (2)
`�%
d. Sidewalk x e S.f. Existing Hardcover to be Removed, if any:
X a g,f. Item Lenqth x Width = TOTAL s.f.
X � 3.f. X � S,f.
e. Patio/ x � s.f. X � s.f.
Deck
x m s.f. X = s.f.
f. Landscape x � s,g, X = s.f.
. areas �
underlain x . s.f. TOTAL S.F. TO BE REMO�IED
by plastic (3�
sheeting x e g.f, Final Hardcover Proposal: '
' x n S.f. (Line (1) + Line (2) -Line (3) ) _
� f. Other x = s.f, t + ' ] � s.f. (4)
. Existing To be Added To be Removed Final
x m s.f.
Proposed Hardcover 8 = � �
X � s.f.
��� TOTAL EXISTING HARDC�VER IN ZONE = Line (4) x I00 = - 5'f' x 100 = _ $ l r�•
� s.f. (1) Line (1) s.f. !i'V
i . ��
: _ : �IIAT�D�R ��TGINE]E��� C O. ,IN C . �
ENGI NEERS AND SURVEYORS �
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'l`�E HE�2EDY CESZTIFY THAT Tx15 1S A TRUE ANO C�R�� REPRESENTATION •OF A SUQYEY OF THE 80UNpAt2lE5 OF TME
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