HomeMy WebLinkAbout1997-008990 - deck � PERMIT
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: ; '��-
Crystal Bay, Minnesota 55323 - - -
(612) 473-7357 Date Issued: : -
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: -- = ,- _ - .. �. . _ -��
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APPLICANT/PERMIT SIGNATURE � ISSUED BY:SIGNATURE
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Total Fee: S f /� � ���� DateReceived:
� � DateApproved:
Entered B��: ( Permit�: � i �'
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CITY OF OROvO - BU�II..DL�G PERl�IIT APPLICATION
�LL Pi 1FOR�1�iTION I�IL''ST BE SUB�IITTED IN FULL BEFORE PL�r REVIE`V`VII.L
BE ST:�RTED
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THE :�PPLIC:��iT IS: (circle one) �_�, O�VNER,�OR CONTRACTOR
.JOB si-rE �DD�ss: a '�1�� ► , ����r.� .� w��;� z�: 5s3�� ►
���IE OF O«'�,�R: �xi�H� 11�'�t��� PHONE: (home) � �I� �S 1��.�
(work) ��� ' 3:�y �
�I�ILL�G:�DDRESS: �y(QC� �� � [ �J CITY: (;�Y , �� ZIP: `-. ^� .
CONTR�.CTOR: PHONE:
�IpBILE PHOv�/PAGER:
�IALL�tG ADDRESS: CITY: Z�:
STr�TE LICE�tSE: #
:�RC��ITECT/ENGINEER: PHO�tE:
`I�ILI`G�DDRESS: CITY: Z��
��`,�: REGISTRATION #
TYPE OF WORK: New Addition �ccessory Structure
Move Remodel/Alteration Land Alt�rarion
PROPOSED WORK(describe indetail): i�t c;.� ; �, �L } �" �' k- c�� l�����-�`�� —
c��, �:_;� � ��� ;-� _��t�.� << �-�
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STORIES: SQ. FEET OF E�CH FLOOR:
�10. OF BEDROO�IS: G�RAGE ST�,I.LS: ATT. DET.
EST
LtiL�TED CONSTRLTCTIO�V:�LUATION(escluding land): � ��fi--P�-t�� ���•��
I hereby appl�� for a bu:ldin� permi� and I acknowledae that the information above is complece
and accura�e; that the work will be in conformance with the ordinances and codes ot �he Citv
and with the State Building Code; that I understand this is not a permit and work is not to start
�vi�hout a permit; and that the work will be in accordance with the approved plan.
:�PPLIC��T'S SIG��TURE: I �t.v,�. 1y I � DATE: S� t� I�1'�
�VOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days przor to the event. Non-permiited events will not be allowed.
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Sec.13.0-i RIGH'TS OF SUBJECTS OF DATA
Subd. 1. Type of data. The righ�s of individual on whom rhe data is stored or to be stored shall be as sec forth in this secaon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data concerning himself shall
be informed of: (a) the purpose and intended use of the requested dara wi[hin the collecang'state agency, polidcal subdivision,or srarewide sysum:
(b)whe�her he may refuse or is legally required to supply che requested data;(c)any lmown consequence arising from his supplying or refusing to suppty
pnva�e or conndendal data;and(d)che idend[y of o[her persons or entides authorized by state or federal law to teceive the dara. Ihis requirement shall
no[apply when an individual is asked to supply invesdgadve dan, pursuant to secdon 13.82, subdivision�, ro a law eaiorcement officer.
The commissoner of revenue mav Iace [he nonce reauired unde� this subdivision in the individual income raz or orooem taz refur.d
ins�rucrions instead oP on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible auehoriry,an individual shall be informed whecher he is[he subject
of stored data on individuals, and whether ic is classiFied as puolic, priva[e or contidential. Upon his fur[her request, an individual who is the subjecc
ot stored pnva[e or public dara on individuals shall be shown�he data wichou[any charge to him and, if he desires, shall be informed of rhe conten�
and meaning of that data. After an individual has been shown[he pnva�e data and inYormed or'i[s meaning, che dara need not be disclosed ro him for
six monchs thereafter uriless a dispute or action pursuant to this secnon is pending or addidonal da[a on the individual has been collected or creaced.
The responsible authoriry shall provide copies of the private or public data upon request by che individual subject oT[he data. The responsibfe au[horiry
may require che requesting penon ro pay the accual costs of making, cernryin¢, and compiling the copies.
The responsible authority shall comply immediately, if possible, with any reques[made pursuanc ro[his subdivision, or wirhin five days of
the da[e of che request,excluding Saturdays,Sundays and legal holidays, if immediate compliance is noc possible. If he canno�comply wi[h che requesz
wi[hin eha[ame,he shall so inform the individual,and may have an addiaonal Five days within which to comply wi[h the requesc,excluding Sarurdays,
Sundays and leeal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may conces[the accuracy or comple[eness of pub(ic or priva[e
data concerning himself. To exercise this right,an individual shail noafy in wricing che responsible authority describing[he na[ure of[he disagreemenc.
The responsible auchonry shall within 30 days eicher. (a)correcc the data found to be inaccurate or incomplete and attempt co nodfy past recipienes of
inaccurate or incomplete data, including recipients named by �he individual; or(b) notify the individual thac he beiieves the data to be correct. Data
in dispu[e shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data.
Tne determinadon of[he responsiole auchoriry may be appealed pursuan[to the provisions of the administradve procedure act reladng to
contested cases.
DATA PRIVACY :�DVISORY
In accordance wich M.S. 13.04, Subd. 2, "Riahts 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 depanments may require you to furnish certain private or
confidential information.
You are notified that:
1. The information you furnish will be used to deternune your qualification for the permit or license requested.
2. You may refuse ro 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 exten[ necessary to process
the permit or license.
4. If your requested pernut or license requires Council action to approve, some informa[ion may become
public.
j. You have cercain rights under M.S. 13.04 (available upon request) to review priva�e da�a on yourself.
6. Your full name is required to process this application or permit.
.`��.�S��v �l�� ����� t-�4� i�l Z.�L
Fiac vtiddle
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Ciry Sta[e Zip Phone
I understand my rights as stated above.
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signacu�e
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" � ' HARDCOVER CALCULATION WORKSHEET `���,q ;9+� �����
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SETBACK ZONE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
EXISTING HARDCOVER IN ZONE
A. House 'i� x � = S.F.
Len;th W idth
� t1. � x !� = c:� '� s.F.
�,� ' R = S.F.
r !� � R = S.F.
i
B. Garage x = S.F.
C. Driveway x = S.F.
; x = S.F.
D. Sidewalk x = S.F.
R = 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.
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
p — B x 100 = 1 %
PROPOSED HARDCOVER IN ZOiVE
A. House x � ' � � _ ` S.F.
Length Width
x = :: ,. S.F.
x — S.F.
R = S.F.
B. Garage x = S.F.
� C. Driveway w x = S.F.
� ,` ,�� x = � � S.F.
� D. Sidewalk x � _ • S.F.
R = S.F.
�
�' E. Patio/Deck z = _:,�< S.F.
; R — S.F.
F. Landscape z = S.F.
Underlain x = S.F.
By Plastic x = S.F.
G. Ocher x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
p ' — B x 100 = , %
13
�
' ' HARDCOVER CALCULATION WORKSHEET ����� ��� �� ��
*t� .�.'MN�� Y ��X .3
�=_"Y, ft �`�
SETBACK ZO�IE: (CIRCLE ONE) 0-75' 75-250' 250-500' S00-1000'
E�CISTING HARDCOVER IN ZONE '
A. House x = S.F.
Len�th Width
X = S.F.
R = S.F.
X = 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.
G. Other x = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A — B x 100 = %
PROPOSED HARDCOVER IN ZONE
A. House x = S.F.
Length W idth
. i R — S.F.
R = S.F.
x = S.F.
B. Garage x = S.F.
C. Driveway x = S.F.
x = S.F.
D. Sidewalk x = S.F.
z = S.F.
E. Patio/Deck z = S.F.
x = S.F.
F. Landscape x = S.F.
Underlain z = S.F.
By Plastic z = S.F.
G. Other z = S.F.
TOTAL HARDCOVER IN ZONE - S.F. A
TOTAL PROPERTY AREA IN ZONE - S.F. B
A � , — B x 100 = %
13
Design Works (R), Knox Lumber, # 217, Phone # 933-1046 �� �
L ��
Tue May 06 17:54:44 1997
Plan ID: CQ4597 ���� ,�� �������,�
Deck Layout ���3�t +,��� ��€� ���F�
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'' 1V07 �t;�P�OVED --- Ct�r`�,''�'6 �. i�`-�4^li�iP,r;Y
i i � R": s ^ �t�2,�cmmmshts a�e tor i��r :n'c rrw i����. ",'1 �,�,�i. +'..�:�t.� �x...
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-'Ul; CD:"<]¢„�ttCc Jri2 i ti - c _? i� �� u t�r.,�'t;�y f+";+L4, :
3��e ��!.1,�; �3..,' �. „-. ��::Sil@.^,t9 ifi::�..ii�� �i�Sl� .'. Rn ���G9i.� fFCt'0c� iil �i'�.� t";�3�'�+i��
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�- ° � 42" MI�! i�rosi �ooting�
��i'Af��
8" MA�. RlSC� n" Mlt�. TREAD
6�_$„ t��1��i. F�r:4�JP.C�OI•A
AT LEAST Q`.E �-i�'�i��.A��. F,CQUiR�D
GUAt?��2Al� OPEN SiDES
See the Specification Sheet for More Details
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• CHECK OFF LIST FOR ISSU��iCE OF PER1`�1ITS
FOR OFFICE USE ONLY
�DDRESS OR LEG�I.: �.`t�C� ��v."".,. =y ��,;:-..
PID:
DFSCRIPTION OF WORK: R'���-��
ZONTivG REVIEW BY: � � ����'�._.. DATE APPROVED: 5'-t 6 �`i 7
BUII�DING REY�tiV BY: �0 1,�. _ DATE APPROVED: S-1 b `�7
- -------------------------
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERR'�1IT Yes t/' No
PL�'�1 REVIEW Yes ✓' No SEWER CON'iVECTION
STATE SURCHARGE Yes f No WATER CONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITE INSPECTION
Number of SAC Units OTHER (specify)
-----------------------------
ZO1'Itii TG CHECK LIST Zoning Districc: G.k'-��- Shoreland District :
Fire Department: r'YlU V�VL) Post Office: �'�`�'i��� School District: v.:i_���'uK�
Lot,�.r'ea: Sq.ft. I�'��� �� Acres :`; � Width i uU . �Z Depth 1 �`1•`�y ���C
Survey Submitted: Yes � No Date of Survey: Or� �� �-^�-
Proposed Se[backs: ;
Front (�): �� {' Right Side: Z�t � �`
�
Rear (S�trcct): `t� � Left Side: 3�� �=
?�djacent Struccures: r�}T'T��-��..=� Wetland: eti �d�
Buildin� Height: Def. Hgt. p"U�i(� Peak H�t.
Av�. Setback: �"�1 1�� Bluff Setback: �-- Lot Coverage: t ��� ��`
Existin� Proposed
5
Hardcover: 0-75'
75-250'
250-500' =-�`'�° � � '�
500-1000'
Hardcover Variance Required: Yes __ No �_ Date of Council Approval:
Grading: Staff ?.pproval Date: By: Council Approval Date:
Septic: Staff Approval Date: BY�
��� Resolution Date:
Zoaing File: # Resolution: #
1�ARKS (in house):
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BL�DPI tG REVIE`V CHECK LIST
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��; �Z-3 co�rs�ucTTo�v �E: �N
Sq Foota�e � Per Sq Ft�
Basement R —
1 st Floor C —
2nd Floor R —
Garage r —
C -
TOT?+L
Estimated Construction Value: S S �'"�`'`� � --
Inspections Required: `�'ork Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Vtechanical Water Conneccion
x Footing Septic Sewer Connection
_� Framing Fireplace Lawn Irrigation
Insula[ion (Masonry) Other
Wall Board (Mf�.) Well (State Permit)
_� Final Grading/Filling Electrical (State Permi[)
Other
REMARKS (I.�1 HOUSE):
- ------------- --
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date BY�
REyIARKS (TO BE NOTED ON PER�'�IIT):
27
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �' � 'y 7 ���t'
PERMIT NO. '��`i%=
COMPLETED
ADDRESS zy b d �" r�y ��v�
OWNER �'►'1tEtI�L CONTR. C�wN��`
TELEPHONE NO.
� DESCRIPTION
� �FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIWNG
� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 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 COMPIAINT
J
W 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 2$CEDAR SHINGLES 36 FOUNDATION REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�� WORK SATISFACTORY:PROCEED
PROJECT COMPLETE
W f CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� i=1 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
lli INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
Owner/Contract n i :
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
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