HomeMy WebLinkAbout1994-006207 - deck - PERMIT � T
` CIT�( OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Permit Number: ; i �r-
Orono, Minnesota 55356-0815 ^"'��`"�.�`:�'��"�
Date Issued: ;-.,;-;;_:::,:;;:
(612) 473-7357 - '�• �_ _
SITE ADDRESS:
�_ .� ._ �.=��`Y=_ ;;�s� �;;d^"f
:: , � - _:.. ,..,.:._
DESCRIPTION:�. '. ._ . .__. ...
;- �
-;z , �=�,_,, - __�.. . ;_. �;;', �y�;_�, ; ,
...��?.7���:� ,_ . _-. .?!1: � F��°�' .�3 f�?�:_! .__:��+,�'!,_t
�r E��, t i��i_��{V }�S_i I:�.: _ `r i:�F,�; r_i L.i_..!'.,
._'!�(� _;_i=I¢�=�:�'s"p t_`: i"t'.;
E '
t,t=i:t�;�.;�i�i;+.1`_;;?"; ��..r -`}:;° , i\f
_.__��('1?1�'�a il;�:�.:...'
••7jL .�� i;�ii.Ai!!
l:1 I 1' Vi iJl�il!�V
' " 'hqii'Z ii�'-7�'�
� 1.%..'^Y!'71(LL V7 ! 1�L
1i-'1�'1VV1Il�V �T
VA VL� 2VVaL�V
f'+i::i=�}�}f}f1i! +`f
1+-'+-'�%1 V='YVV n
L�J. ULltf 1 L�aL�:k
...... .i:ii}i}fHl '+
i c.•:�t.i i�_�v vv !T
i%i �i.i '�.G��
_ • =--c. _. _ ::_�
1���Lll\ !L
REMARKS: �- ��--- -_:��:z�;�� ���<<,�
lt+L4L11 7 1!l7T7Tl1 1 VV
... .. .__ .. .:_!° t1f,d T ti j a:L.
f}'tiJV.•,VJL% L•�V.L !�!'1 I 11•L!
..'?i C JL•,ry
l,!f J.v.'f!'T
FEE SUMMARY:
. . .." '' ' ' _ '.. . . :1 �:F;_
,':�:i'=.j: i-:::`� • T=�.`_!_- !_5!_f
!—��:�:i� ��+�-i'��ti' 3:; _ , •�},�
i
'•y �•,:,_= .�.—,— .�_f� :_,_
. .�
=�v,: �! !�t `?t= :�..r :�.--f
E�_.4 _i f_.^ _ --___.---�! =�T,�c
CONTRACTOR: OWNER:
"' �--i L���� I 1 i �i'}'!S�. ....
.___i 1 �'�.: ' . � _ _{!'i,��•��i3
. .'_� _�'1��- � {�`E-. �''y
� . �. �,'--r-.. � � t� ; �.1- .��t?? 'j"' : �.�'j;,' : ^ "._ , ,�. . i..1 f _�TS _
..i}ai^ !._�;�.I� f�-',-�;:,_ ;�,. .:{_� . �3.:�. ..,.__. C .. _t..._ � _. . ._i. . _. _<!:_.., . �_� i`�+-3�.__ ��.,__ {li�.:�".._ i�i � ..� . ._� ..__t i i _
, . i .;.-- , . .
— ie- � f 7 : E �t f £ � . ; v r �, � t �s�i �- i . . �;;�.-
� � q 4. �
L i ��'; i,.`?-�4_?.�.�'��i!����' ; �i; =:t � _� ." .... . ' . ! .-. �_�1.t�._�.3� tti�E.� ._ ._.'�`.. . .`__ ,_ _. ._ _.' . . . �
� . `
_ = r �� �,
. . _ _ ---. . . _ . . .... _ : s ,
� ` _` __
APPUCANT%PERMITEE SIGN RE UED BY:SIGNATURE
- �
CITY OF ORONO - BUIZDING PER�LIT APPLICATION
Total Fee• $ ;';�,�. �S Date Received: � �D 1 �
Date Approved:
Entered By:��1
Permit�: �.�c, 7
AZ�L INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILI� B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
THE APPLICANT IS: (circle one) �`OWNER or CONTRACTOR
JOB SITE ADDRBSS: `�(O�o� l� ct � � {�( �c�/ ZIP: S�� 3 y�
(work) �/�3 i3 �.��
N� OF OWNER• �ir ;`_ �� �- � eT'�'c--� PHONE: (home) �/��� ��; 7�1=
2dAILING ADDRESS: 7�(�, S �f��.. c :�_� P �i�C CITY: �7�,�_� ;t1 ZIP: �S�S��(
CONTRACTOR: j E{--vLA
PHONS: �A-t•� �
MAIZING ADDRBSS: � ,4��.� CITY: S .4 v� -f' ZIP: S �} �.�, -�
STATS I.ICENSE: �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRBSS: CITY: ZIP:
1,7�: RSGISTRATION n
TYPE OF WORR: New��y� Addition � Accessory Strncture Move
Demo Remodel./Alteration Renovate Land Alteration
PROPOSED WORK (describe in detail) : �� C° �
STORIESd SQ. FE$T OF EACH FLOOR:
NO. OF BEDROOMS: GARA�S STALLS: ATT. DET.
. a�
ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ - G �C7 '
I hereby apply for a building permit and I acknowledge that the information
above is complete and accurate; that the wor3c 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 accordance with the approved plan. �
APPLICANT'S SI6NA �� � DATE: � c� �
�
CITY of ORO�TO
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
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 wiZl 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 l.icense.
3. The information may be shared with other iocal , state or
federal agencies to the extent necessary to process the permit or
license.
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 �o rev�ew pri�a��
data on yourself.
6. Your full name is required to process this apFlicatiaza o�
permit.
�_�.: � � ��� a v�f�� � e� �r 2
First Middle Last
� ��(
�J�[� s i3,�� s �� P
Address
1��-� � l a , � 1�^� �L `��3 S� —
City` State Zip
'-�7� ��r ��
Phone
I understand my rights as stated above.
Si ture
BUILDING&ZONING—473-7357 • ADMINISTRATION&FI�ANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSIN G
.
�.� �G� �g �g�gCTS OF DATA
Subdivision 1. 'I`ype of data- 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 requir�d to be given in�v��• An.individual 8sked to
� su 1 private or confidential data concera a8tam 1 hin the collecti g state agency,
PP Y
ptirpose and intended use of the requeste
(b) whether he ma� refuse or is legally
political subdivision, or statewide syste�c� 8ny �own consequence arising from his
required to supply the requested dat8;
su plying or refusing to suppiy private or confidential date; snd (d) tt�� identity o
P state or federal law to receive the data. This.
other persons or entities suthorized by investi ative data,
requirement shall not apply when an indtola law enforcementuofficer. g
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lertV taX re�und instructionsui steadhos
subdivision in the individual income tax or r•
on those orms. — -
Subd. 3. Access
to �ata by in�ivi�ual- Upon request to a responsible
authority, an individuel shall be informed whether h r vateeor confidentie.l.e UPon Yus
individuals, and whether it is classified as public, p ublic data on
e to him and, if he desires, shall
f urther request, an individual Who is the subject of stored private or
individuels shall be shown the data witho of�hat da a• After an individual hes been
�e informed of the content and meaning the data need not be �sclosed to
shown the private data and informed of i�s ute o�action pursuant to this section is
him for six months thereafter unless a P
� ending or additional data on the individual has g Q or P�i�dgtaru�ngrequest by
� P require the
responsible authority sfiall provide copies o t e p ilin the
the individual subject of te g���'�os h of mak ng,l �Qrt fYingyg�d �omp g
requesting person to pay th - re uest
copies. immediately, if possible, with any q
The responsible authority shall comQly S of the date of the request,
made pursuant to this subdivision, or within five �f immediate compliance is not
excluding Saturdays, SundaYs and legal holideys,
within which to comply with the
P
ossible. If he cannot comply with the request �thin that time, he shall so inform t e
individual, and gay hsve an additio� le � holidays.
request, excludin Saturdays, Sur►daYS g
te or complete. An individual may
Subd. 4. Procedtu'e �►hen data is not acc�a i�ate data concerning himself. To
contest the accuracy or completeness of public or p the responsible authority
exercise this right, an individuel shell notify in writing
describing the nature of the disagreement. The�r�P°e or inc mplet and att pt to
days either: (a) correct the data found to be ina
notify past recipients of inaccurate or incomple te�e believesdthe datai to be correct
the individuel; or (b) notify the individual tha eement is
Data in dispute shall be disclosed only if the individual's statement of �a� t to the
• included with the �isclosed data. be BPPea1ed pursuan
� The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
• • • - CHECR OFF LIST FOR ISSIIANCE OF PERMITS
, � _ - FOR OFFICE USE ONLY
�
ADDRESS OR LEGAL: ydtClS ��ys/�� �`� PID:
DESCRIPTION OF WORR: �
--------------���5----------
---------- -- ------------------- • ,r
ZONING REVIEW BY: � DATE APPROVED �a �
BIIILDING REVIEW BY: DATS APPROVED: b' Z�` � 1
------------------ -----
FEES TO BE CHARGED• Misc. Fees Ca�culated By:
PERMIT Yes � No
PLAN REVIEW Yes ✓ No SEWER CONNECTION
STATE SURCHARGE Yes-Z��No WATER CONNECTION
INVESTIGATION FEE Yes No�� PARR FEE
SAC Yes No—�/ SITE INSPECTION
Number of SAC Units OTHER {specify)
---------------------------------
------------------------
ZONING CHECR LIST Zoning District: ✓��-`"��
Fire Department:
/�/ v Post G �� Schoo� District:
Lot Area: � ��-- Width: Depth:
Survey Submitted: Yes� No Date of Survey: v� LC�
�--z3 -8-�
Proposed Setbacks: 23 � �
Front (� : /v�� Right Side: �
� � �
Rear (S��t) : � Lef t Side: / 6 -�- �
Adjacent Structures: /'��u�� Wetland: ���
Bui l.ding Hei ght: Def . Hgt. � . /�-- Peak Hgt.
Avg. Setback: Lot Covera e:
Existing Proposed
Hardcover: 0-75 '
75-250 '
250-500 '
500-1000 '
Hardcover Varian e Requi ed: Yes No Date of C unci� Approval:
Grading: Staff A proval. D te: By. Coun ' � Approva� Date:
Septic: Staff Ap roval Date• BY=
Zoning File• # Res utio # • Reso ution Date:
REMARRS (in house :
BIIII,DING RE`7IEW CHECR LIST �_ " .
�gC. 2-3 CONSTRIICTION TYPE: �I►'" -
Sq Footage $ Per Sq Ftg
Basement X -
lst F]�oor X -
2nd Fl.00r X -
G rage X -
� $S S� r X (c9_OJ = Fr,S�
TOTAL
Estimated Construction Value: $ 8,�4�°�
Inspec.-tions Required: Work Requiring Separate Per�ts:
Site Plumbing Grading/Fil.�ing
Footing Mechanical. Fire
�Framing Septic Water Ccnnection
�t Insulation FirepJ�ace Sewer Connection
WaJ.I. Board (M�sonry) Lawn Irrigation
O�Final. (Mfg.) Other
Other Well (State Permitj
Electrical (State Permit)
------------------------------------------------
REMARRS (IN HOIISE) :
-----------------------------------------------
REVIEW BY OTHF�RS: DATE:
Access : Existing New
A�cess Approva�: Date BY=
--------------------------------------------
��T�[ARKS (TO BE NOTED ON PE�2MIT) :
DATE TIME
CITY OF ORONO CALLED IN
INSPECTIO��IC SCHEDULED `�
PERMIT NCX�� ` � � COMPLETED
ADDRESS �r �
OWNE CONTR.
TELEPHONE NO.
� DESCRIPTION �`e
L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
05 14 SEWER HOOK-UP O6 PROGRESS
� 07 O-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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
a
�
O
�
W
�
Q
ti
Z
w
�
W
�
�
d ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W
� C CORRECT WORK R PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS.
INSPECTOR W1LL RETURN �7 PHOTO TAKEN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next in 24 hours in advance.47 73�J7
OwnerlContr tor n te:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
/ ,
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT,ICE SCHEDULED �D`�1�
PERMIT N0. ��;-,'C' "7 COMPLE ED /� i/
ADDRESS ���
OWN ER CONTR.
TELEPHONE NO.
� DE CRIPTION �Y-GC�
� 01 FOO 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
� l�S a o2 a r - o� G,u
o �w. �O S� .aUi� �� � c�'^" �
� b re ' �v��r
0
�
W
�
Q
�
z
w
�
W
�
�
d L;WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� �CORRECT WORK 8 PROCEED f ISSUE CERTIFICATE OF OCCUPANCY
W
O CI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C' PHOTO TAKEN
INSPECTOR WILL RETURN
f" CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor it
Inspector. ' J •
White Copyllnspector's File Canary CopylSite Notice