HomeMy WebLinkAbout1996-007900 - deck PE�RMIT
� rCITY OF ORONO PERMIT TYPE:
�750 Kelley Parkway- P.O. Box 66 Permit Number: ``'���-'�'�#''�i'
� t;rystal Bay, Minnesota 55323 `-'�-�`'���-'�-'
j612)473-7357 Date Issued: �_����:^;��f,�_
SITE ADDRESS:
1�°��; E=i�±�-�it��:�� t=`-I' i��
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: — r����,�. �.�:c��;�_. — OWNER:
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� APPLICANT P MITEE SIGNATURE ISSUED BY:SIGNATURE
� CHECb OFF LIST FORE USE ONLY F PERl�IITS
FOR OFFI
�DDP1E�5 OFcLEG:�i.: 1555"� F3oN�s °"`� �—PID'
DESCRIP'ITO\ OF ���OR.F�: fJcU�
ZO\�G REti�ZV BY: � DATE �,PPROVID: c/• 3'�- °'�
BL�II.DL\G RE'��tiV BY: DATE APPROVED: `l - 3 0- 56 .
FEES TO BE C�L�RGED:
l�fisc. Fe�s Calculated Bv:
PE�ti1IT YzS �� �o
v- �,ro SEtiVER CO��CTION
PL.�N REVIE�V Yes �� `To �IATER C�N��ECI'ION
STr1TE SL�RCH.-�RGE 1'zS r p�Rg FEE
INVESTIG:�TIO�+ FEE Z'�S �i0 � S� �SPECITON
S�C _.�eS vo
Numoer of S�C Uni�s _
OTHER (sPe�uY)
~ ~ Shore!and District : �i-CS
ZO`�G CHEC�i LIST Zonins Discric:: l 2- 1/g —
'Past : e: �ool�u-ict:
Fire Departmen�: -
Q� Deoth
Loc?�rea: Sa.n. Acre
Survey Suomicted: Yes �
�to Da[e of Survey: �'����
Proposed Secbacks: � '
�.;rn�t �Lal:e): Z l3 1- Riguc Side: � �C� S
i �
Rz-sr (Screec): /t� l i� Len Side: � s
Adjaceac Structures: � �A U� «etland: /(f�i4
Building Heieht: Dei. Hgt. N �
Peak Hgt. —
�vQ, Sezback: d •��`
Bluif Secback: /���" �� Coverage: N��
Existing Proposed
Hardcove:: �-�5' �y p
75-?50' `-1 u
250-�00' �_
�00-I000' __ ,
Hardcover Variance Required: Yes �o �-- Date oi Council rs,pproval: __ .
G���o: Star"i ?.ppr Dace: By: Co cil �pproval Dace:
Se��ic: Stari �ppr Da[e:
By:
Resoiucio : = Rrs lucion Date:
ZoninQ File: _ ,�-
RE�ti ' (� a )-
� 26
BL�.DL`rG RE«��' CHEC� LIST � �
LBG �• 3 CO`tSTRtiCTIO`I TYPE:
Sq Foocase 5 Per Sa F�g =
Base�ent � _
1st Floor t =
2r.d Fioor x =
Gara�e � _
r C
TOT:�L
Estimated Construction VaIue:
S S 0��"='
Inspections Required• �Vor�: Requirin� Sep�rate Permlts'
� P!umoin� Fire
Si�e Wacer Connection
Hardcover Removal �zC�"�c�
Sepcic Sewer Conneccion
_�C Foocins Lawn Irrigacion
D�Framin� Fireplace p�er
(viasonry)
Insulation �f' � Well (Sta[e Permi�)
Wall Board Electrical (State Pe:mit)
� Final GradinglFillin�
Ocher __�_
�y�,�,S (�t HOUSE):
______-
--------------------- DATE:
REVIEW BY OTHERS:
Access: Eziscing �_
New �_
Access Approvai: Date
By:
_�-� TO BE NOTED ONPERti1I1�:
REi��1A.RKS (
27
' Total Fee: $ DateReceived:
. Date Approved:
Entered By: Permit#:
CITY OF ORONO - BUILDING PERNIIT APPLICATION
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL
BESTARTED
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: /��� l� a� � � 1 a �`�'� � d ►Z�:
NAME OF OWNER: � !p�r r- � t►�. S� � �.t� PHONE: (home) �/ ��— ����
— ,� �work)
MAILING ADDRESS: �`� 5 � � ��i �"cs+� �CITY: ZIP:
CONTRACTOR: p L a +� �� ` � �-U � t��_PHONE: g' �� � � C� 5'�I
� MOBILE PHONE/PAGER:
MAILINGADDRESS: Q.� Q�,, �:��'fi CITY:�� c.r�Q ZII':�2 Q
STATE LICENSE: #�O p 0 d ��� �
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY� Z��
NAME: REGISTRATION #
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe indetail): ���, r
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excludingland): $ Q�d C� d _
I hereby apply for a bulding 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.
APPLICANT'S SIGNATURE: � DATE: �-- � � � ��
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
9
Sec.13.04 RIGHTS OF S[JBJECTS OF DATA
Subd. 1. 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 confidendal data conceming himself shall
be informed of: (a)the purpose and intended use of the requestecl data within the collecdng'srate agency,political subdivision,or statewide system;
(b)whether he may refuse or is legally required to supply the cequested data;(c)any Imown consequence arising fmm his supplying or refusing to supply �
private or confidential data;and(d)the identiry of other persons or entiaes 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 propertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual s6a11 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 hirn 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 secuon 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 authority
may require the requesting person to pay the actual costs of making, cerrifying, 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 fegal 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 authoriry 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 admuustrative procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like 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 will be used to determine your qualification for the permit or license 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 pernut or license.
4. If your requested pemrit or license requires Council action to approve, some information may become
public.
5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
� e� � --�b � � � � d � S
First Middle Last
� �„ k ��t
�
Address
��e � c�. �c. � i� � �S3y29 `�� �.� C� ��
C�h, State Zip Phone
I understand my rights as state above.
�\
� ✓
Signature
� . HARDCOVER CALCULATION WORKSHEET
. SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
' EXISTING HARDCOVER IN ZONE � � _
A. House x — S.F.
Length Width
� �. x = _ S.F.
R = S.F.
R = S.F.
B. Garage z = S.F.
C. Driveway x = �� ��_ S.F.
x = S.F.
D. Sidewalk x = S.F.
x — S.F.
E. Patio/Deck x = S.F.
x — S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
o` = f � � � S.F.
G. Ot eg x
TOTAL HARDCOVER IN ZONE - � r,�, � � (n. S.F. A
TOTAL PROPERTY AREA IN ZONE - > � �9. ""''; '�S.F. B
���, r� '� x 100 = ~`� I`'�
A � �, <. � — B �l�=�f-�°�_-g %
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Leng[h Width
R — S.F.
x = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway _ x = S.F.
R = S.F.
D. Sidewalk x = S.F.
x — S.F.
E. Patio/Deck x = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain x = S.F.
By Plastic x = S.F.
Or Fabric
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A — B x 100 = %
14
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DATE TIME
CITY OF ORONO CALLED IN `>/�l%<
INSPECTION NOT CE SCHEDULED -�' 7�" ��� 3�
PERMIT NO. ��� C%'C COMPLETER
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ADDRESS � -�>''�' �'—L� ` �/
OWNER���.���-1�-�c2c> CONTR. �i'������%
TELEPHONE NO. � �� ,� -����7
� DESCRIP-I�ON _���
01 FOOTIN� j 11 MECHANICAL RI 18IXCAV/GRADINCi/FIWNO
� G 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z pq yyq�,�gp, 12 WATER HOOK-UP 17 SITE INSPECTION
� p5 FIN/\L 14 SEWER HOOK-UO 06 PROGRESS
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�^ 07 DEM4-SITE 27 SEPTIC MAINT. 21 COMPLAINT
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W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBINO FINAL 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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