HomeMy WebLinkAbout1995-007372 - deck � PERMIT �
� ClTY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66
� Crystal Bay, Minnesota 55323 Permit Number: __ __s_ .__
(612)473-7357 Date Issued: �:::i;:�i:�
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SITE ADDRESS:
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DESCRIPTION:
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REMARKS: �� : . . _� .*
FEE SUMMARY:
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CONTRACTOR: OWNER: -- . - T : ^._�.,-;�_. --
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AP UCANT�P MITEE SIGNATURE ISSUED BY:SIGNATURE
Total Fee: � J �� ��I DateReceived: ��/��>/���-
Date Approved:
Entered Bv: �-�� Permit#: �_1 i '�
CITY OF ORONO - BUILDING PERMIT APPLICATION
ALL INFOR'�IATION viUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW`VILL
BE STARTED
------------------------------------------------------------------------------------------------------------------
THE APPLIC��iT IS: (circle one) OWNE R CONTRACTOR
JOB SITE :�DDRESS: :�� 3n C���.i� v�Cw P��e ZIP: S�S 3% I
NAIVIE OF OW7tER: ����tw L- p�u�i�:C�. Yfi.SG�#�?�-�-�c PHOi�iE: (home) 1/�/— '�j/ y 3
-,� (work) S�3 7— 2�%
NIAILINGADDRESS: 22-3o QCc.u���ew l��c�.c� CITY: � c� ZIP: �'r�3��
CONTRACTOR: PHONE:
1�10BILE PHONE/PAGER:
�14ILIlVTG ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
l�1AILING�DDRESS: CITY: ZIP:
v�v�: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe indetail):_��i��
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIlVIATED CONSTRUCTION VALUATION(escluding land): $ �f v�
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 Ciry
and with the State Buildin� 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.
APPLIC��1T'S SIGNATURE: DATE: g`/�--�9 �
NOTE! Parade �Homes events equire separate permit approval by Police Deparhnent and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
CHEC� �� LI� �F�RE USE ONLyOF PERtiIITS
FOR
' � PID:
:�DDRESS OR LEG:�L: Z23a L3AY`�«—''" �
DESCRIPTIO\ OF «'OR�� �-�-
ZO`�G RE«�V B�: �, � DATE APPROVED: �r � 2+-5�
BtiII.DL1G RE«`V BY:
�- � DATE APPROVED: 9 - 2�S5
FEES TO BE CH.�RGED: Misc. Fees Calculated By:
PER�IIT YzS `� �o
PL��'� RE`ZE�� Yes � tiTo SEWER CO�t�+�ECTION
� y a tiVA'I�R COi�I�tECTION
ST�TE SL�CH�RGE YzS f. p�gK FEE
INVESTIG:�TIO�i FEE YzS �o
S�C Yes No � S� INSPECTION
tiumber of S�,C Unics OTHER (specify)-_r_- _
--------------------
-------- ------
ZO\L�G CHECh LIST Zonin� District: L/L'� �- Shoreland District : �S
P osc Office: S oo D}'��ric�
Fire Department: �'� —`
� ��d� � Depth
LocArea: Sq.n. cres
Survev Submicted: Yes �
�,�o Date of Survey: �- �2"�'S
Proposed Se:backs:
Fron[ lL�e)� C-�v � "� Ri�nt Side: W �
Re:.- (Screecl: 13�
��' Leit Side: (b �
Adjacea� Structures: /4�%�-�*''�� Weciand: N���
G4 Peak Hgt. !
Buildin� HeiQh�: Def. Hgc. /'V � _
:�vg. Secback: �/ ��"
Bluff Secbacic: '— Lot Coverage:
E;cisting Proposed
Hardcover: �-���
75-250' 1 e��t
250-�00' /�•�/
�00-1000'
Hardcover Variance Required: Yes Vo � Dace oT Councii Approval: _
Grading: Staii �pproval Da�e: ^� By: Council �pproval Date:
Se�tic: Staff .�.pProval Date: Bv�
Zoning File: ��_�
Resolu�ion: ; '—� Resolution Da[e: �
��,�g�,S (in house):
26
BL�.DL\G RE`�`�' CHEC� LIST
L�c: !z- � co�srxuc�o�r �E: �1w1
Sq Fooca�e 5 Per Sq F�;
Basement L =
lst Floor � —
2nd Floor c —
GaraQe c �,.,
�G'CK 9 L-� x i v. c�� _ �i��'
TOT:�L
�
Estimated Construction Value: � � �' `J �
Inspections Required: �Vork Requiring Separate Permits:
Si[e PlumbinQ Fire
Hardcover Removal �iechanical 1Va[er Connection
_� Footin� Sepcic Sewer Connection
_��.'_ Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well (State Permit)
� Final Grading,/Filling Elec[rical (State Permi[)
Other
REI�I�RKS (I:�i HOtiSE):
-------------------------
REVIE`V BY OTHERS: DATE:
Access: Existing �eW
Access Approval: Date BY�
- -------------
RE��IARKS (TO BE NOTED ON PERiYfIT�:
27
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CITY of ORONO
,.� l,'�• ,� .tunkspal otF�es
r$,�" . .a c� Post O�ce Box 66
,� •� '`:Y .�. �j~' Cr}stal Ba},�finnesota 55323-0066
�9kESH�4�
DATA PRIVACY ADVISORY
In accordance «�ith '�1.5. 13.04, Subd. ?. "Riahts of subjects or data", we would like to
inform you that your request ior a p�rmit or license from the Ciry of Orono or any of its
departments may require ��ou to furnish certain pri`�ate or confidential information.
You are notified that:
l. The information ��ou furnish will be used to determine your qualification for the
permit or license requested.
2. You may refuse to supply data, but refusal ma�� require that the City deny the
pennit or license.
3. The information may be shared ��ith other local, state or federal a�encies to the
extent necessary to process �rce pe:Iilit 02' I1Cer�se.
4. If ��our requested permit or license requires Council action to approve, some
information may becam� puolic.
�. You ha��e cerain ri�hts under M.S. 13.04 lsee fo�lo«�inR paQe) to review private
data on yourself.
6. Your full name is required to process this application or permit.
PLEASE PRL'�TT
a 7 � ���'Z�"� � '�'' �.. �-�1►7�c.�
First �Siddle Last
�� 3cv t3 v ; �I �.� �
Address
lil)�t uZ�.�� I"�� 5 i��'� (t 'z� �7�-�1/`1-�
Citv State Z:p Phone
I understand my riahts as stated above.
SiQ a r
TEI.EPHO^IE-473-7357� F�J{-�373-�I O
10
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subdivision l. Type of data. The rights of individual 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 individual. An individual asked to supply
private or confidential data concerning hunself shall be informed of: (a) the purpose and
intended use of the requested data within the collecting state agency, political subdivision, or
statewide system; (b) whether he may refuse or is leQally required to supply the requested data;
(c) any known consequence arising from his supplying or refusing to supply private or
confidential data; and (d) the identity of other persons or entities authorized by state or federal
law to receive the data. This requirement shall not apply when an individual is asked to supply
investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mav place the notice required under this subdivision in the
individual income tax or ro ert tax refund instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority, an
individual shall be informed whether he is the subject of stored data on individuals, and whether
it is classified as public, private or confidential. Upon his further request, an individual who
is the subject of stored private or public data on individuals shall be shown the data without any
charge to him and, if he desires, shall be informed of the content and meaning of that data.
After an individual has been shown the private data and informed of its meaning, the data need
not be disclosed to him for six months thereafter unless a dispute or action pursuant to this
section is pending or additional data on the individual has been collected or created. The
responsible authority shall provide copies of the private or public data upon request by the
individual subject of the data. The responsible authoriry may require the requesting person to
pay the actual costs of making, certifying, and compiling the copies.
The responsible authority shall comply immediately, if possible, with any request made
pursuant to this subdivision, or within five days of the date of the request, excluding Saturdays,
Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with
the request within that time, he shall so inform the individual, and may have an additional five
days within which to comply with the request, excluding Saturdays, Sundays and legal holidays.
Subd. 4. Procedure when data is not accurate or complete. An individual may
contest the accuracy or completeness of public or private data concerning himself. To exercise
this right, an individual shall notify in writing the responsible authority describing the nature of
the disagreement. The responsible authority shall within 30 days either: (a) correct the data
found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or
incomplete data, including recipients named by the individual; or (b) notify the individual that
he believes the data to be correct. Data in dispute shall be disclosed only if the individual's
statement of disagreement is included with the disclosed data.
The determination of the responsible authority may be appealed pursuant to the provisions
of the administrative procedure act relating to contested cases.
11
� . HARDCOVER CAI.CULATION WOR "
� SETB�CK ZOiV'E: (CIRCLE ONE) 0-75' 75-250' 250-500'�� 500-1000'
. EYISTL�iG H�RDCO ^R Lti ZONE
.-�. House /, x _ Z7�,f7 = ��.� S.F.
Leneth W�d�
Zi— z ' � _ � S.F.
Scrr.cn P�rc(�-i 1 Z- x IS•7 = $ s.F. �
R = S.F.
B. Garaee j �� 5 z Z 1- , �— = 3 LY S.F.
C. Driveway �L �� x .�O = Q �Z- S.F.
Gr�,v�� ,�►'�U��c'�j— 7 U z /O = 70 o S.F.
D. Sidewalk %i z _ 3 = ��S S.F.
z = S.F.
E. Patio/Deck x = _ S.F.
x = S.F.
F. Landscape /(o x � _ /Z�' S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - �'7� S.F. A
TOTAL PROPLRTY AREA IN ZONE - S.F. B
p / p - B o 0 x100 = _L�%
PROPOSED HARDCOVER IN ZONE
A. House �t .6 z 2�• (� _ _1.L .� S.F.
Length W idth
Z "L z "7 =
��L� S.F.
5, �%.r�;- l�Z z I ►L— _ !$Sl S.F.
z = S.F.
B. Garage / `�� 5 z 2 L . Z, = 3 2 Z S.F.
C. Driveway yd�,b z �-O =
9' 3Z s.F.
z = S.F.
D. Sidewalk �� z `� _ �() � S.F.
R = S.F.
E. Patio/Deck �f z r Z = 9 b S.F.
y z S = z a S.F.
F. Landscape /6 z � _ _�� S.F.
Underlain z = S.F.
By Plastic z = S.F.
Or Fabric
G. Other z = S.F.
TOTAL HARDCOVER IN ZONE - 3��7b S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A �,;87b - B �o,�.� x ioo = /8.4 �'�
14
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CERTIFICATE OF SURVEY FOR : R d�- "��r' ����^'
t��'; �,�
P r� ' _`,�_�`�wsS��S
JEFF SCHNECK CI ,�P�� �,'`• , ' '
Ih WALLACE ' S ADDITION TO MINNETONKA BEAC i '�4�41 '�� �'� `}-�i�"
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HENNEP I N COUNTY , MI NNESOTA i-:�� __��� �,�'w'''-----�_`
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LEGAL DESCRIPl-ION OF PREMISES SURVEYED :
Lots 40 & 41 , Block 3 , Wallace ' s Addition to
Minnetonka Beach
• : denotes iron marker found
o : denotes iron marker set
Bearings shown are based upon an assumed datum .
Lot.�tea = 20�4S0 �,J's.Ff,
This survey intends to show the boundaries of the
above described property , and the location of the
existing house and deck thereo� � - It .-dbe5�n�t `
purport to show any other improvements or encroachments .
, I hereby certify that this sur��ey wis �repared b�� me��r under mv dirert sup�r- �A i�E
� ' 1 � '
� � vision, and that I am a duly registered Ci��il Engineer and Land Surveyor under �" �2" ys"
�� the laws of the State ��f Minnesota.
"� SCALE
` �.._ .30�
����' ��-��-*-'�� '
Mark S. Gronberg Minnesota License Number 12757 l�ti��o. . '
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