HomeMy WebLinkAbout1992-004732 - deck - - -
. � . . PERMIT
� CITY OF ORONO ;� ` QERMIT TYPE: �;:�������:��;
1335 Brown Rd. South • P.O. Box 66 Permit Number: �:t�_?
_�.f,_
Crystal Bay, Minnesota 55323 r Date Issued: E'�%���'%�'_���
(612) 473-7357 �
SITE ADDRESS:
;75 F��fi1G�t=��� �;;� I��
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DESCRIPTION:
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FEE SUMMARY: �:::=���;;=�'lf;�� k
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CONTRACTOR: OWNER: - �'F'�'�. ��=t}��� -
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PP ICANT-PERMITE SIG TURE ISSUED BY:SIGNATURE �
' -� ' CHECR OFF LIST FOR ISSIIANCE OF PERMITS
FOR OFFICE USE OI3I,Y
ADDRESS OR LEGAL: ��]S FCRNI�AC-E RoAD PID=
DBSCRIPTION OF WORR: (� �-K
----------------------------------------------
ZONING REVIEW BY: DATS APPROVED: /D -Z1-52-
BIIILDING REVIEW BY: � l�C�-- DATS APPROVED: � D - Z I- y Z
-----------------
FEES TO BE CHARGF.D: Misc. Fees Calculated By:
PERMIT Yes � No
PLAN REVIEW Yes� No SEWER CONNECTION
STATE SURCAARGE Yes�� No WATER CONNECTION
INVESTIGATION FEE Yes No �/ PARR FEE
SAC Yes No �/ SITE INSPECTION
Number of SAC Units OTHER (specify)
------------------------
--------------------------------------------
ZONING CHECR LIST Zoning District: �Q-l�
Fire Department: WA��_o4� Post Office: u�AyZo4Tr9 Schoo� District: /�1/��.
Lot Area: 43,750� ,�c.,�.t Width: 17 S' Depth: Z SD J
Survey Submitted: Yes X No Date of Survey: $'-Ze -y�z
Proposed Setbacks:
�
Front (�k�) : N Right Side: -SG t
Rear (Stxe.e�t) : �i0 �� Left Side: !D �J ��'
Adjacent Structures: �9-��`� Wetland: N�ia-
Building Height: Def. Hgt. p� /t/��_ Peak Hgt.
Avg. Setback• Lot Covera
xisting Propose
Hardcover: 0-75 '
75-250%
250-500 '
500-100 '
Hardcover Var ance Re uired• es N e o Council Approva].:
Grading: Sta f Approv 1 Da e: By: C uncil Approva� Date:
/
Septic: Sta f Approva Da e: T_ By=
Zoning Fi]. :� R solutio # : esoJ.ution Date:
REMARRS ( n honse) : ,.
� , �
BOILDING REVIEW CHECR LIST . -
DgC: g� �Z-3 CONSTRIICTION TYPE �__
Sq Footage $ Per Sq Ftg
Basement X =
lst Floor X -
2nd Floor X =
Garage X -
�.,�c,t,C Z z �l x g.o o =
o, � 0
TOTAL r 7�.r1'�
00
$stimated Construction value: $ /,�] �2 —
Inspections Required: Work Requiring Separate Permits:
Site � Plumbing Grading/FilJ.ing
�Footing Mechanical. Fire
Framing Septic Water Connection
Insulation Fireplace Sewer Connection
WaJ.l. Board (Masonry) Lawn Irrigation
�Fina 1 (Mf g.) Other
Other Wel� (State Permit)
Electrical (State Permit)
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REMARRS (IN HOIISE) :
-------------------------------------------------------------------------
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval.: Date BY=
-----------------------------------------------------------------
REirlARRS (TO BE NOTED ON PERMIT) :
J � •
� CITY OF ORONO - BUIZDING P�RMIT APPLICATION
Total Fee: $ Date Received:
Date P_pprove8:
Entered By: � permitp: � � J�-
ALL INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WII.L Bg STARTED
(See Check-off List Enclosed)
--------------------------------------------------------------------------------
T� APPLICANT IS: (circle one) OWNER or CONTRACTOR
� . j'��� -t—�f�`'i C�(��'' /'`�C� ��' . z zp: ���-�-��l �
JOB SITE ADDRBSS.
�J . �.
(work)
NAME OF OWNER: �� ��� trU l � �� PHONE: (home) � i �1���
IKAILING ADDR.ESS: � ( �-f�-/ �� , (.� �� /Vc�; CITY: � LL�-�{(f� ZIP: �-�� _� �
cox�c�rox: � � `� ''�5 C%�' P$orrE: l '��������,
N..AII�ING ADDRESS: CIZ'Y: ZIP:
STATS LIGENSE: �
ARCHI�ECT/ENGZNEE�tt: PHONE:
MATLING ADDRBSS: CITY: ZIP:
g�: R.BGI S TR1�TI ON �
TYPE OF WORR: New Addition /� Accessory Structure Move
Demo Resnodei/Alteration Renovate Land Alteration
PROPOSF.D WORK (describe in detail) : �L�
STORIES: SQ. FEBT OF EACH FLOOR:
NO_ OF BHDROOMS: G�GS STAI.LS: ATT. DET.
ESTI�SATED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ "���V� y ,�
I hereby apply for a buiZding permit and I acknowl.edge 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 pproved plan. �
� , ,� � � � �� `' �
APPLICANT'S SI6NATIIRE: � DATE: .,v l C'
_ . � , .
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.��� ' :�` �� C ITY of OR�i��
�: .��K-
� � � �� ` Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
f
� - � � On the North Shore of Lake Minnetonka
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 f rom 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 wil.l 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 license.
3. The information may be shared with other local , 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�a�e
data on yourself.
6. Your ful.l name is required to process this applicatian or
permit.
� � iL�
� � , '��. �J� �
�
First Mi dIe !' Last
�� ��� ��' ���� ,
�
Address
f r �, � � �� l�� a` �
City State Zip
6� � , 7 �
Phone
I derstand y ri ts as, tated above.
Signature .
BUILDING&ZOVItiG-473-7357 • ADMINISTRATION&FINANCE-473-7358 • PUBLIC WORKS -473-7359
�SSESSiti G
-- --- • • � 4 • �
�.p4 RIGHTS OF SIIBJEC'� OF DATA
Subdivision 1. Type of data- The rights of individu8ls 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 in���l' An.individual asked to
� � supply private or confidential data conc�ean�gmwi�in the collecting state gency,
purpose and intended use of the reques
political subdivision, or statewide aa ge�c� an�y�oWnrconsequence aris ng from his
required to supply the requested �
supplying or refusing to supply private or confidential data; and (d) the identity o
other persons or entities authorized bYdi 8dua1 iseaskedlto svpplyeinvest gat ve da a
requirement shall not apply when an in
pursuant to section 13.82, subdivision �, to a law enforcement officer.
The commissioner of revenue or propertv tax re�und instr�ucteonsu nsteadho5
subdivision in the individual income tax
on those orms. - -- -
Subd. 3. Access to �ata b3' i����' Upon request to a responsible �
authority, an individuel shall be informed whether h=�gteeor confident alre UPon �
individuels, and whether it is classified as public, p ublic data on
further request, an individusl who is the subjecc�ge to�mriAvnat�e if he desires, shall
individuels shall be shown the date witho ofan�y t �ta. After an individual hes been
�e informed of the content 8nd meaning the data need not be disclosed to
shown the private data and informed of its meaning, u�uant to this section is
him for six months thereafter unless a dispute or action p
, � pending or additional data on the individual hes been �blic datarupang equest by
responsible authority shall provide copies of the private or p
the individual subject of the �tg• �h of making,l cert fyingy and c mPiling the
requesting person to pay the actual cos
copies. ssible, with any request
The responsible authority shall comply immediately, if po
made pursuant to this subdivision, or �th lidays,aif Simmediateg compliance eisunot
excluding Saturdays, Sundays and leg
possible. If he cannot comply with the request within that time, he shall so in�orth the
individuel, and may hsve sn additional five days within which to comply
request, excluding Saturdays, SundaYS and legal holidays-
Subd. 4. Proced'�e �►hen �ata is not accu�Le or complete. An indu���. To
contest the accuracy or completeness of public orinri�i� the�responslble authority
exercise this right, an individual shall notify �ible authority shall within 30
describing the nature of the disagreement. The respo
days either: (a) correct the data found�com lete dataeincludingreec pients namedt by
notify past recipients of inaccurate or P
the individuel; or (b) notify the individuel 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. e�ed �suant to the
' The determination of the responsible authority may be aPP p
provisions of the administrative procedure act relating to contested cases.
�
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-���3 �� ����� W od Of Natural Resistance To Decay Or
/►� �u� l�« Tr ated Wood.
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1a full comvlla^Ce Wi1h 8il u�'���{C�ibiN i�71ii��;1L; ��< ZCfl�ilg �7C19 P6•
r�i,irem�„ts includinf; items not �pec{fic�lly noted in thi reviaw
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DATE TIME
CITY OF ORONO CALLED IN �C�%3�l`���
INSPECTION NOTICE SCHEDULED j' -�Z- � 3 d
PERMIT NO. �7-.3 Z- COMPLETED ��L
ADDRESS ���I`> ��-C-�:°.C��-C4'���,'.�
OWNER `��_-� ����. �. CONTR.
TELEPHONE N0. � '�i�'�L� - ,`1��'��
� �TION ����-�
� 01 FOOTIN� 11 MECHANICALRI 16WELLTESTPUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
O
Z 04 WALL BD. 12 WATEF HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAIhT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED : PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR '- CITATION ISSUED
17 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContra on i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
D TE TIME
CITY OF ORONO CALLED IN // ✓ ���" � � ���L�✓�-�
INSPECTION NOTICE SCHEDULED � �'il� "���Z- r'1
PERMIT NO. y��' °Z' COMPLETED '�v' � �-�
ADDRESS _ ��S ��i�c�L�� �.. /C�
OWNER �,�Cz t� �-�Ji-c--,�C% CONTR.
TELEPHONENO. l� 7� - ,�� ��
� DESCRIPTION �� C�.
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
� 04 D. 12 WATER HOOK-UP 34 TREE REMOVAL
Z
05�' 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
Q
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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�WORK SATISFACTORY:PROCEED _ PROJECT COMPLETE
W
W f I CORRECT WORK 8 PROCEED !, ISSUE CERTIFICATE OF OCCUPANCY
O Ll CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �- pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContractor sit •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
54617d
, a �: � .. ....__._..c «,....,._..a-rw..,.w.„�.y,�. 1
�� �� Certificate of Survey for
"��� Mar�� ��nndFputte
� 1 �_. � �.a � , , CIT� CF O�R��'�
in the NE/4 , SE/, , Section 36- 118-23 DC 51TEPLAN ����
Hennepin County , Minnesota --- GRA�)i;�,a �1_Fa�� �
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99.18 - 57.37 -- 60. 33.0�0 �
- , 589�59'W 250,00 ,
I
33 i 4-c,
LE_GAL DESCRIPTION OF PREMISES SURVEYED :
The ._�,�st 250 . 00 feet of the South 17S . 00. feet of the North 350 . 00 feet of the
'J�rtheast Quarter of tt�e Southeast Quarter of Section 36 , Township 118 Nortl� ,
`�anqe 23 West of the 5th Principal Meridian .
This survey intends to show the boundaries of the above descri. bed property ,
and the location of an existing house thereon . It does not purport to show
any other improvements or encroachments .
o : Iron marker set
• : Iron marker found
Qearings shown are hased upon an assumed daturri .
A ; , � � � I herehy certify th�t this survey was prepared by me c�r under my direct suprr- nn�rr: $-Zp-92
� vision, and that I am a duly registered Civil Engineer and Land Surveyor un�ler
�`� the laws c�f thr State of Minnesc�ta.
\. a �c ni.� �,���,
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M,�rk S. Cr�mb��r�; Minnesut�� l,i��nsc N�ui bcr 12755 I�>is ,ti�ci 9Z-381/�