HomeMy WebLinkAbout1991-003928 - deck PFRMIT'
CITY OF ORONO ' ' PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 6E Permit Number: �'�-'�-?��'���`'`'
iF{i.�_,,,:.�
Crystal Bay, Minnesota 55323 Date Issued: �;.�;�i,f_�j
(612) 473-7357
SITE ADDRESS:
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REMARKS:
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CONTRACTOR: --- ��:�F�� i��;�t. -- OWNER:
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APPLICANT PERMI SIGNATURE ISSUED BY:SIGNATURE ����1
" CITY OF ORONO - BI,iILDI.?IG PER1�iIT APPLICATION
Total Fee: $ /6 �� 5 S Date Received: �-02�� 9�
Date Approved: �" � '�/
Ent�red By: � Permit#: �� ;,t- �
AT•T• INFORMATION MIIST BE SIIBMITTED IN FIJLL BEFORE PLAN REVIB'W i�TILL B$ STARTED
(See Check-off List Enclosed)
--------------------------------------------- -==-_�-- ------------------------
THE APPLICANT IS: (circle one) OWNER o ONTRACTOR ,'
� �`
JOB SI7'R ADDRESS: �"�� �_��� �.����/I� ��� %/► . ZIP:
(work)
NA1KE OF OWNER:��-/'�/ � ���4 r� /�'�I a i�i�►E�'�U PHONE: (home) � ?� .3/� �
�-
MAILING ADDRESS:����� ��j `� ��„ f �i�� CITY: 'f'�. � r ZIP: ��j�-�S �
^`-r E
CONTRACTOR: �� (�, �'� V P f� S d'�'1 PHONE: �j „�� '��_��.,=
t � �.
MAILING ADDRESS:��.�_; /'I'�����ti i' C1'�� CITY: � (/��, ��r_ �, ZIP: SS� ��
TYPE OF WORK: New Addition� Accessory Structure Move
Demo Remode�/Alteration Renovate Land Alteration
r � �
PROPOSED WORR (describe in detail) :��y�� ' ��� ��"t
STORIES:_� SQ. FEET OF EACH FLOOR: �(�� -
ivG. c71F �EDFc�iO1K5: G�itA�E S2�Y.LS: HTfi. L�:T•-
$STIMATED CONSTROCTION VALIIATION (egcluding land) : $ '��
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 accordance with the approved plan.
, � C.
APPLICANT'S SIGNATORE: ,v1 �-w � DATE: '" ..�
i'
� CHSCR OFF LI��T FGR ISSIIANCE OF PSRMITS -
FOR OFFICE USE ONLY
ADDRESS OR LEGAL: '��(DU (�f �GL/ PID: � I '/��'°� 3 7� �U/,j
DESCRIPTION OF WORR: ��-e-�`'""
-------------------------�----------------------------------------------------
ZONING REVIEW BY: � DATE APPROVED:�� � '`'( �
BDILDING REVIEW BY: l'� G" ,,._ DATS APPROVED: I�' "� - � �
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes � 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: /v �C— Post Office: � ��= School District: /L��L
Lot Area: �i��� Width: Depth:
Survey Submitted: Yes r�, No Date of Survey: -7 - i l� `�w
Proposed Setbacks: , ;
Front (-�rerk�) : ��i(;� 'fi Right Side: �l�t 0�
Rear (Street) : ( �"c: �� Left Side: N�/�-
Adjacent Structures : �T��=-� C� Wetland: h-�//�.
Building Height: Def. Hgt. /L'(�} Peak Hgt. /V��<4
Avg. Setback: ,�" //f Lot Coverage: i����
Existing Proposed
u�rdcev�r; n-?5 ' -
75-250 '
250-500 '
500-1000 '
Hardcover Variance Re uired: Yes N Da e of Co ncil Approval:
Grading: Staff Appr val Date: By: Counc 1 Approval Date:
Septic: Staff App val Date: Y:
Zoning File:# � Res utio #: Res lution Date:
r
� •
RBMARRS (in house) :
BDILDING R�VIEW CHECK LIST . , � � `
i�gC: s�,;� f?- � CONSTRIICTION TYPE: ��!�
Sq Footage $ Per Sq Ftg
Basement x =
lst Floor X -
2nd Floor X = �
Garage X -
x =
TOTAL
Bstimated Construction Value: $ �3 �Z-�o"`-'
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
J Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry} Other
�Final (Mfg. ) Well State Permit
Other Electrical (State Permit)
REMARRS (IN HODS$) :
-------------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
-------------------------------------------------------------------------------
REMARRS (TO BE NOT� ON PERMIT) :
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.� �'������"�� � ' ._ .
� ��t���! CITY of ORONO
��
Post Office Box 66•Crystal Bay,Minneaota 55323•Municipal Offices
•
s - s � 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 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
license.
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 pri�at�
data on yourself.
6. Your ful.l name is required to process this applicatian or
permit.
�..;; �"�'`�' i�'"� r� l�'1 �``Cc Ct
First Middle Last
�, � � , i
� � -� R� � � ��� �oi
Address
�G %; r��/ / �ii / i� /'7'�/ ' � �� -�S/ /
City State Zip
`� � � �-.�1 �
Phone
I understand my rights as stated above.
��
Signatur
BUILDING&ZONING-473-7357 • ADMIN[STRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
ASSESSING
513.04 RIGHTS OF SIIBJECTS OF DATA
Subdivision 1. Type of dat�- The rights e ti n�viduals on whom the data is
stored or to be stored shall be as set forth in th�s S An.individual esked to
Subd. 2. Information required
to be given individuel-
� u 1 rivate or confioentiel data concerning �gmWi hin the collecti g state agen Y�
s PP Y P uested da
purpose and intended use of the req tQm' �b� Whether he ma� refuse or is legally
political subdivision, or statewide sys �oWn consequence arising from his
required to supply the requested datg; (c) any
1 in or refusing to supply private or confideae� agw to receive the data.1tTtiis-
supp y g state or fe 1 investigative data,
other persons or entities authorized by
requirement shall not apply when an indt�viaia en orcementuof flcer.
pursuant to section 13.82, subdivision 5,
The commissioner of revenue ma lace the notice re uired under this
subdivision in the individual income tax or ro ert tax re und instructions instead o
on those orms. � --- - .
Subd. 3. Access to �ata by
����, Upon request to a responsible
authorit , an individusl shall be informed whe b c h r vateeor confident al.e Upon his
y ublic data on
individuels, and whether it is classified as p � P
dat8 without any charge to him and, if he desires, shall
further request, an individ�h who is the subject of stored private or
individuels shall be shown of that data. After an individuel has been
�e informed of the content and meaning the data need not be �isclosed tc
shown the private data end informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action P �ta u n request by
endin or additional data on the individual h� gteQor pubu�ed or �eHted. The
• p g require the
responsible authority shall provide copies of the p n g �in the
the individual subject of th BC��'co � of mak ng,l cert f �nl,y�d �omp g
requesting person to pay the _
copies. y if ssible, with any re9uest
The responsible authority shall comply immediatel , Po
made ursuant to this subdivision, or within ag e �f Slmmediategtcompliance eisu not
P and legal holi ys,
excluding Saturdays, SundgY�With the request within that time, he shall so in�orth the
possible. If he cannot comply within which to comply
individu8l, and may have an additio� i v�daYS��.
reques t, excludin g Saturdays, SundaYS g
te or complete. An individuel may
Subd. 4. Procedia'e when data � ublic o�p ivate data concerning himself. To
contest the accuracy or completeness of p in �,it�g the responsible authority
exercise this right, an individual shall notify
describing the nature of the disagreement. The responsible authol t �a att Pt to
days either: (a) correct the data found to be lete dataeincludingrecipients named by
notify past recipients of inaccurate or incomp
the individuel; or (b) notify the individual t��dusl'slstatemen tof disagreement is
�f the indi
Data in dispute shall be disclosed only �
• included with the disclosed dats• ealed ursuant to the
' The determination trative rrocedure a t relating to contes ed cases• •
provisions of the admin�s P
Certificate of Survey C',
��
for� Lar�ry E . ��arLineau �;°:.�
i ri Lo t 3 , f3 1 ock 1 , Cli i ��pewa T I� i rcl Acld i C i on Z
Ilenne�� in Co�inCy , hlinnesota �
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� _DAj.��� TIME„
CITY OF ORONO CALLED IN y �S �''
INSPECTION NOTICE SCHEDULED "� �� �n
PERMIT N0. � COMPLETED � �
ADDRESS C-�t-c� ��ti-�-
OWNER �✓�--�`���� � CONTR. -a
/
TELEPHONE N0. :���' /I� ��
� DE TION
� Ot FOOTING � 11 MECHANICALRI 16 WELLTESTPUMP
Q 0 MING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS
� 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAI 23 SE TIC FINAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENT :
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d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W
� CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlCon�i�r,o�site:
Inspector. U�t/1�
White Copyllnspector's File Canary CopylSite NoNce
DAT TIME
CITY OF ORONO CALLED IN `�� `'D�°i�
INSPECTION NOTICE y� SCHEDULED "a7 - �
PERMIT NO. �'j�� ° COMPLETED � �
ADDRESS ���� C��-`�'(J2-u''-r�-i� �-�- °
OWNER���ll��c��-� CONTR.�J �-yi-<1_c�--�
TELEPHONE NO. � �� � �� � �� -7
� �/
� DESCRIPTION Q C;/'�
l� 01 FOOTING 11 MECHANICAL RI 16 WELITEST PUMP
� 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y
03 INSULATION 24/25'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q AL 13 METER SET/TURN ON 17 SITE INSPECTION
� 07 O—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
� ��_ �, -(. � � S
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Q
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d �WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W
� ❑ CORRECT WORK 8 PROCEED Ci ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Con r on ite:
Inspector. �-
White Copyllnspector File Canary Copy/Site Notice
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DATE �� ' Z rA/ PERMIT NO. I --'-'"-'-"--' � SGALE: � APPROVED BY: DRAWN BY
' ❑ APPROVED AS SUBMlTi'ED ; ' � ' �� '--� '7? ' ° �
� ' DATE: REVISED �
�APPROVEryD WITH CORRECTIONS AS NOTED ; ,, :
'� NOT APPROVED — CORRECT & RESUBMIT � ' � , . � • T, �"
i 'hese comments are for you� informi+tion. All werk shall be donr � `I� ` �I � � —
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