HomeMy WebLinkAbout1994-006730 - deck over kitchen . PERMIT
� CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 _
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date Issued: _
SITE ADDRESS:
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DESCRIPTION:
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APP NT PERMITEE SIGNATURE ISSUED BY:SIGNATUR '"�r-��
' � � CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ �/, � `7 Date Received:
Date Approved:
Fntered By: ,('� Permit n: �� �/J,��
ALI, INFORMATION MIIST BE SIIBMITTED IN FIILL BEFOR.E PI,AN REVIEW WILI� BB STARTED
( See Check-aff List Enclosed)
----------------------------------------------------
THE APPI�ICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRSSS: t� �: �` '{ �c:� � � ,"_`� . t�� {_ ZIP: `> `� ;`� L..
(work) �{7 2. -- 7 i` 4
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NAI� OF OWNER• �"'l � ` � �� ,.J L- �,��; F�.�_^_ PH�NE: (home) , �_�t;- ��� �1 ��
MATLING ADDRESS: �� �-� :: �. � CITY: ZIP:
CONTRACTOR: �..--� ---= r'�- --1�� PHON$:
�iAILING ADDRESS: `�� •�.. - � CIZ'Y: ZIP:
STATS I,ICENSE: 7
ARCHITECT/ENGINEER: : y-� �= _� �- ' PHONE:
MAILING ADDRSSS: CITY: ZIP:
N�: RBGIS�`RATION �
TYPE OF WORK: r��----..� Addition Accessory Struciure Move
Demo .oael/A�.teration �(— Renovate Land Aiteration
_---.'`
PROPOSED woxx (aescribe in aetail) : �\ � �\ "t �� -( � . - � 4� � -
� � �,
� x , � � � . k � �� � j l.� �- .� �- �
S
STORIES: SQ. FEST OF EACH FLOOR:
NO. OF BEDROOMS= GARAGE STAI,.LS: ATT. DET.
� � �� F:�c _:
F.STIMATED CONSTRIICTION VALIIATION (eacluding land) : $
I hereby apoly for a building permit and I acknowledge that the information
above is complete and accurate; that the work wil.l 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 wiil be in accordance wit t,he approved plan. •
�
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A.PPLICANT'S SIGNATORE: � T �--- ' DATE: � 1 / � �
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� S r r�` - � CITY of ORONO
, �,�, � �
� �tt Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
b f.1.'..�.:
4Ykd ' 1
�'�"��`'�"°�`�� On the North Shore of Lake Minnetonka
_.� • s
DATA PRNACY 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 �irocess the permit or
license.
4. If your requested permit or license requires Councii. action
to approve, some information may become public.
5. You have certain rights sr.der M.S. 13.04 �o review pri�a��
data on yourself.
E. Your full name is requirect to process this applica�icn or
permit.
�� � � �` �� � G�-� .� _.
First Middle Last
�
�C."_� t ��c'.-�L �' -�z� ' � L —
Address
[ ` � l.,
;; �, ��;���i � 'S
City State Zip
, I� l� - 7 ' `��'
�;
Phone
I understand my right�. as stated above.
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Lc�._- -
Signature
BUILD[NG&ZONING—473-7357 • ADMIN[STRATION&FIVA.tiCE —473-7358 • PUBLIC WORKS —473-7359
ASSESSING
—--- --- —- �
51.3.04 RIGHTS OF SII&TECTS OF DATA
Subdivision L Type of da�- The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section. An.individual asked to
Subd. 2. Information r��
to be given in�ividuaL
u 1 rivate or confidential data concernin atgmW hin the collecti g state gency,
S PP Y P
purpose and intended use of the requested
tem; (b) whether he may refuse or is legally
political subdivision, or statewide sys �c� any �own consequence arising from his
required to supply the requested date.; gnd (d) the identity of
supplying or refusing to supply private or confidential data;
er ersons or entities authorized by state or federal law to receive the data. This_
oth P wher► an individual is asked to supply investigative data,
requirement shall not app1Y to a law enforcement officer.
pursuant to section 13.82, subdivision �,
The commissioner of revenue mav plfl�� tgX re�und instQuctionsunsieadho5
subdivision in the individual income tax or pr��e v
on those orms. --
Subd. 3. Access
to �ata by ����- Upon request to a responsible
authorit , an individuel shaIl be informed Wh bli� h rivateeor confident al.e UP4n tus
y ublic data on
individuaLs, and v++hether it is classified as p �
e to him and, if he desires, shall
further request, an individual who is the subject of stored private or
individwals shall be shown the date withou�fan�y ��ta. �,fter an individuel has been
�e informed of the content and meaning the data need not be �isclosed to
shown the private data and informed of its meanin$► u�uant to this section is
him for six months thereafter unless a dispute or action p
� rivate or public data upon request by
e
ending or additional data on Lhe indiv�if�h P� been collected or create ' the
� P require
responsible authority shall provide copie ilin the
the individual subject of te ac��'�os h of mak ng,l certi yingy and comp g
requesting person to pa.y th _
copies. y ssible, with any request
The responsible authority shall comQly immediatel , if po
• a if immediate compliance is not
made pursuant to this subdivision, or with ll�ive'days of the date of the requ�hQ
excluding Saturda}�s, Sundays and legal � with the
ossible. If he cannot camply with the request within that time, he shall so inform
P and may have sr► additional five days within which to comply
individual, �d le al holidays.
request, excluding Saturdays, SundaYS g
Subd. 4. Proced�u'e when �atg is not accurate or complete. An individual may
contest the accuracy or completeness of public or private data concerning himself. To
ht an individu8l shall notify in writing the responsible authority
exercise this rig � lete and attempt to
describing the nature of the disagreement. Tnac�Pfl e i�b�en�tm�ity shall within 3
days either: (a) correct the data found to be i
notify past recipients of inaccurate or incomple t he believesdthe rdatalto be cor ect
the individusl; or {b) notify the individual tha eement is
Data in dispute shall be disclosed oniy if the individusl's statement of �a� t to the
• included with the disclosed data. be aPpe�ied pl.lrsuan
� The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
�tr - CHECK OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE ONLY
A.DDR.ESS OR LEGAL: ��f y D/��0"1�4 �hl � PID:
D$SCRIPTI ON OF WORR: }�-�'�-� '�'��- — +���-�- D�` �'c T�.D�" !� V R-"`-'r�O s P�Crc
-------------------- ------------------------
-------------- --
ZONING REVIEW BY: DATE APPROVED: /V/t9` _
BIII7�DING RL�TIEW BY: �_ DAT$ APPROVED: /Z'2�- 7 Y
-----------------------• -------
FEES TO BE CHARGED• Misc. Fees CaJ�culated By:
PERMIT Yes ✓No
PLAN REVIEW Yes cl No SEWER CONNECTION
STATE SURCHARGE Yes L/No WATER CONNECTION
INVESTIGATION FEE Yes No (�- PARK FEE
SAC Yes No ✓ SITE INSPECTION
Number of SAC Units OTHER ( specif y)
--------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department• Post ffice : SchooJ. District:
Lot Area : Wi th: epth:
Survey Sub ' tted : Yes N Date of S vey:
Proposed S t acks :
Front ( ke) : Right Si e:
Rear ( St eet) : Left Si e:
Adja ent tructures : Wetl nd:
BuiJ.ding eight: Def . H t. Pe k Hgt.
Avg. Set ck: ot Cover ge:
Exis ing Propose
Hardcove : 0-75 '
75-250 '
50-500 '
5 0-1000 '
Hardcove Variance R q ire : Yes No Date of Counci7� ApprovaJ� :
Grading: Staff Approv Da e: By: ouncil Approva]. Date:
Septic: taff Approval Dat : BY=
Zoning ' le• # R solution � : Resolution Date:
�F.I�tARKS (in honse) :
BQILDING REVIEW CHECR LIST � ��
UBC• /`3 CONSTRIICTION TYPR: 1(N
Sq Footage $ Per Sq Ftg
Basement x -
lst Fl.00r x -
2nd Floor x =
Garage X -
x =
TOTAL
$sti_mated Construction Value: $ ( 0��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/FiJ.J�ing
Footing MechanicaJ� Fire
�Framing Septic Water Connection
Insulation FirepJ.ace Sewer Connection
_�Wa�l Board (Masonry) Lawn Irrigation
pLFinal (Mfg.) Other
Other We 1 J� (State Permi t)
�E�ectrica]. (State Permit)
-----------------------------------------------------------------------------
REMARRS (IN HOIISE) :
-----------------------------------------------------------------------------
REVIEW BY OT�ftS: DATE:
Access : Existing New
Access Approval : Date BY=
----------------------------------------------------------------------
F�F.MARRS (TO BE NOTED ON PERMIT) :
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DATE TIME
CITY OF ORONO CALLED IN 1-��
INSPECTION NOTICE /�l 3� SCHEDULED ' �i 5 •���'
PERMIT NO. `� 1 COMPLETED l� `
ADDRESS '��� �� L- 'C'-c� '
OWNER��.a�c��/ CONTR.
TELEPHONE NO. '�7C� � `� � `�3 l� cj _�� �'f
� DESCRIPTION �e��.�Pn-�
lL 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 WAL__D. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� O-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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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d WORK SATISFACTORY:PROCEED �OJECT COMPLETE
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� � CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the nex inspection 24 hours in advance.473-7357
OwnerlContra on e-
�
Inspector. L �
White Copyllnspector's F'e Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED w � ,°J /-3�yS
INSPECTION NOTICE � �J,� SCHEDULED f - �/ 9% 3 O
PERMIT NO. COMPLETED N "1
ADDRESS �a'� ��'�"��� ��—
OWNER .4/�+'..a�,.-eni CONTR. �
TELEPHONE NO. �� �/7-3" 7656 � ;,J�
� DESCRIPTION
� 01 FOOTING ii MECHANICALRI 18EXCAV/GRADING/FIWNG
�Q 02 FRAM NCa 13 MECHANICAL FINAL 19 LAI�SHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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= 05 FINAL 14 SEWER HOOK•UO O6 PROGRESS
~ 07 DEM�SITE 27 SEPTIC MAINT. 21 COMPLAINT
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� 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� I�WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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� I' CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
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� �-, CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. - pHOTOTAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR
� CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the t in ection 24 hours in advance.473-7557
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