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HomeMy WebLinkAbout1995-007185 - 9x20 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: ... . _ . .. _' . . i"�i`.. ._ �s't F_ :..: ': �.: : _ ': ....' .. ... _. .._. . � . .. . . . . ... ... . ... ... .�i_�.. . DESCRIPTION: i .;. . _, .`_:. .: :. .#.,S ,r_ ... ... . :i=.. y '�;'� rf C ... . . .::,.. . . ,- . _ _... .._. ..._. ...__.. ._ r:�?.i!. _. _i1.!�!`� ��i.'. .. � , ;-'=': .`L�.,,•�'�•, `•`—�#_� _ _ _'i:-°�?� : .''. _ _,.t_::y�•#.:.�..a j� ,,, _ '_ _ ':! . .. . . ,T�-'__ , . . -- � "'i:fii�i V.R L'i_ SJ,tFt'!�V . .� _' —{i�7� !^t.'tl��� L.'FTi 14.rt.. y— — !}�fiY � t�..�t.- �'1'ti' j:� �� _...x_s .L��_ .. .. . � . ' ... REMARKS: - , - ��t� .. --. r VV -- ' r j i ' ' . __.. �?! FEE SUMMARY: '��i ''`"=" .".. _.�.-`;'.`. . . �..._11.r'= 1 i�_. . .-. _ _ _ °--. r•.-_- - - �.-. � :-:-• ..� :.._ ;� ;:- S.=ti.�.._ ...,.., r_ . ..... 'Y; :..{�+� .a.' . .._.'-�! w%.{..�i . . _. .._.. _3�!:'� _ i�i (�:�j�� , .vT..:i.�, _ - ...._"...M.... _;'.. CONTRACTOR: OWNER: - _ _. . -_ - " ..:.�. ������t3....;=._ - � - :;�.;°._-;`[ �=::-..-._ .._..". .._, �,._ : .,.� T _ ; v1�.. , :..,. _ - - -: : i ;_..._ :_.;::�.,��', . .:. ?. ...;.: : ...�:�.'--_. . i ___ _ ___. � _ ._. .. ,_ _. _. ._ ._ . . < , `�'• '°i`-=:'�:� '> _.�—, �:�: - ' . s . i"�"f S ." . . _ �: ._ - - .- r : _ _ . :,._._ F s` _._ _" � . ?_� t-._. _ ": � :..3 _� ��' .._. . . . . . ? _. , ._, . _ _. _ _ - r..` . ._{. .. _ . _.. < i i.i �: .- 7 •; ,�s ._ . '� ' ' : �` � �� • • ' `'- — �'s � ' _ � , : : , . : . . . . L . .. . .. _.. _ . __� . . -.. . _.., . . . _ . ._' ,._ _ _ .. ._._ .. . . . � . � �y �,, � •i�V�2�q/Y/ � APPLICAN ;PE IGNATURE ISSUED BY:SIGNATURE •'• ' " CITY OF ORONO - BIIILDING PERMIT APPLICATION Total Fee: $ Date Received: � �=� `� ���'�� i Date r�pproved:�� � �� �% � �' � Entered By: � �-�' �, � �'` -� Permit tt: , �� AI�L INFORMATION MIIST B$ SIIBMITTSD IN FULL BEFORE �'LAN REVIEW WII'I' B$ STARTED ( See Check-off List Enclosed} ----------------------- - --------------------------------------- THE APPLICANT IS: (circle one) OWNER or CONTRACTOR Jos sz� x�Dxsss:�Sf�c� {�i�•.F si �-•v,s L.�,�s� .l'�1��►u� zzP: S S 3 b y (work) N� OF OWNER-�/��?'L�S ��k-- PHONE: (home) �'� ���� MAIZING ADDRESS: Sa-w�{ CITY: ZIP: CONTRACTOR: �_� ��� F PHONE: MAILING ADDR.ESS: CITY: ZIP: STAZ'S I.ICENSE: � ARCHITECT/ENGINEEF2: S�� � PHONE: MAIZING ADDR$SS: CITY: ZIP: N�: R$GISTRATION T TYPE OF WORR: New� Addition Accessory Strnczure� Move Demo Remo el/Alteration Renovate Land Alteration I � PROPOSED WORR (describe in detail) : AV� � 9 X� �V �pc� �H �rD�. O � t?���tl� E`�2t�ct�il�� ��L' � STORSES: SQ. FEBT OF EACH FLOOR: ':O. OF BEDROOMS: GARA�S STALLS: ATT. DET. ESTIMATED CONSTRIICTION VALUATION (eacluding I.and) : $ �5� ' L� 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 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 �nat the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: 'L DATE: ��� ` � � t;�,� �"�+Y.,. 1",��� ,w ��� �9. � ��� � �i��� O� ����� � � ,����;���� ����:. Hw��ge'�' Y�_�,.. �. � � "`"�" Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices • � - v � 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 3ike 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 suppl.y data, but refusal may require that the City deny the permit or 3icense. 3. The information may be shared with other Iocal , state or federal agencies to the extent necessary to grocess the permit or license. 4. If your requested permit or Iicense requires Counci� action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 �o review pri�a�� data on yourself. E. Yaur full name is required to process this apr,lica�icn or permit. ���t�s ����,e �u�-.z ,� First Middle Last �''�� ����7-- r���e.�-�s ,� �� A�ddress ,���.u� �� �S3 G� City State Zip �7� �� � � Phone I understand my rights as stated above. Si ature BUILD1tiG&ZOMNG—473-7357 • ADMIlVISTRATION&FI:VANCE —473-7358 • PUBLIC WORKS —473-7359 ASSESSIti G � 51.3.04 RIGHTS OF SIIBJF-CTS OF DATA Subdivision L Type of date- The rights of individuals on whom the data is stored or to be stored shall be es set forth in this section. Subd. 2. Information requi� to be given in�n��' An.individual asked to su 1 private or confidential data concernina amWl�in the collect ng state agencY, PP y uested purpose and intended use of the re9 tem; (b) whether he may refuse or fromh�is political subdivision, or statewide sys �own consequence arising required to supply the requested dat8; (�) gnY �d (d) the identity of supplying or refusing to supply private or confidentiel data; other ersons or entities authorized by state or federal law to receive the data. This. P when an individual is esked to supply investigative data, requirement shall not apply to a law enforcement officer. pursuant to section 13.82, subdivision �, The commissioner of revenue mav Dla��V taX re°una instr�uctionsunsteadhos subdivision in the individual income tax or Rr• � on those orms. -- ����y Llpon request to a resp�nsible Subd. 3. A�� tO �� by authority, an individusl shall be informed whether h=i�gteeor confident al.e Upon his individuels, and whether it is classified as public, p ublic data on e to him and, if he desires, shall further request, an individual who is the subject of stored private orvidual hes been individuels shall be shown the date withou�f�h ��ta. Af ter an indi 6e informed of the content and meaning the data need not be �isclosed t� shown the private data snd informed of its meaning, uMuant to this section is him for six months thereafter unless a dispute or action p endin or additional data on the individuel h� a eeor Publ c datarupon request by � p g• require the responsible authority shall provide copies of the p � �d compiling the the individual subject of rie gc��•�o� of mpa�ang�1�Q8t f �ngy may requesting person to pay t - re uesi copies. immediatelY, if possible, with any 9 The responsible authority shall comply made pursuant to this subdivision, or withi lide e �f Simmediateat ompliance eisu not excluding Saturdays, Sundays and legal ho ys� ossible. If he cannot comply with the request within that time, he shall so infVor h the p h eve s n a d d i t i o n a l f i v e de}�s within which to comply individual, and may �d le al holidays• request, excluding Satur d a y s, S u n d e Y s g te or complete. An individual may Subd. 4. Proce d�e w h e n d a t a i s n o t a�a ivate data concerning h i m s e 1 f. T o contest the accuracy or completeness of public or p the res onsible authority exercise this right, an individuel shall notify in writing P describing the nature of the disagreement. Tngc�P�e 1�bCenCflmPlete and att pt to days either: (a) correct the data f ound to be i notify past recipients of inaccurate or incomp�t he belie esdthe datalto be cor ect the individusl; or {b) notify the individual t eement is Data in dispute shall be discl t8 d only if the individual's statement of �8� t to the • included with the disclosed da � appeg1ed pursuan � The determination of the responsible authority may provisions of the administrative procedure act relating to contested cases. . t � • � -- -- � � 0 0 � CQPI� Certificste of Surv"eY for James u. mn8o8k° of Lot 4, Block 1, Forest Az-m8 �� d��y ���� Hennepin County, kinne�ota �r.y r., �r.^. ..�''f^���J' o O`'� . �" ^ .,�".� .� �, -P i' ... y`�.{�� r� 'K� '.�.j t�`:"�� b. 9� J 4 h � ��y��'J{ 93 -1a� / . ��j ��' a , �,, ' , � �.�� o , ., , . �° � i .('� . ' S 2\ A � . � � ^M � � '�a 6� i ,� � i �� `,�,, y J 11 / � o .... CI�� u� ���0�0 � i �. �i SITE PLAN — G�ADIN - �N � � � a ' " a x �?3- ;,�pp�OVED ;�� a �o � qppFiOVED VV1TH RcVIS10' S �_` � DISAPP�O � �� ��� �Y ' ,' �1"r— M� Q'G i DATC [� -r 3 -��' .>��_ ��, �� y \ V ' i� 'i � .�� � -Z� � �y�, � CITY OF OR ING PLAN 6r ..�-_ � S1TE PLAN l�AD M �� °9 i✓ G �.o� � APPROVEC ^ '�.V!ciONS:: �St ❑ APPR�QVED `Nl�f l -�r�S � � DISAPP �Uv�' �, .. v t Q � _._._ -- _� � _ hP - "2.''1 �, � ATE___---- :-_�_ ,�. , ��r, � ni;� t =�' ��� ��';,;?:r. � ��:=�� ����� ;��.,,L y� j here�y certifq -- ;; �;;;'� � . `�r's �' :' that thie ia a tz1:e ar.d • .•.-; ,,� tation of a ���. � =:;3 :��'"' , correct represen �:;�.�� �.,..;:� >�.:. .-� aurvey of the �oundaries of Lot 4� Elock 1, Farest A-"�s, a�d tre location buildin s if an the:ecn. I� ao�'s not Furport to s:^.ow of all exlating 3 � y� other imprvvements or encroach�xnts. _ GOP.T�C�; R. COF�''I'' CU. , T};C. ���-�-��� /�'..�h�Li�P..c Gorrica n. Coffin Rsg. �Nc. �4 9cale : 1" = 5�' }�rk S. 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'� [-`_•l�����..�. ��ii►.i. •• � '� �C�t-��� ��.��"_""��--��"�,���, I� [�����■����i � � r=_���»��.--- s��r��r:a�ur� �.!�na�����i���u■��i����� i�•al/���C►7lnN��■�N■Ki�qi'ii�i�ir!i�l� ��� u ■�l1 . s�■_rl t�C�lC�1;r�■�f�������H�����.�;���'9 _ '�����Y���it���� �rf�:���f�l:�t�taN�:'iHn■N�������►_� . �Nn�n�N�� �����tic:r.��r����a�������;������u� ��■■��N��u��n� ���.�e���.--�r►-.��������r���u�� ��-�:�::i�■•���■�nt��r. ■���n���u , �-���c�:��N��� �,��� ���u��w�nm�tr.���r.a��r.������ rm��� •• .�u■N�=;i � ., , , ; ����:�c•��uu�� a�u��■nm�,�w���u - �.x�a�.r� �r.�����im�,�awm� �., ���r..�-�����►::� •'����u������u u�n��ww�n�����.�. �_ -- �- �. �. CHECR OFF LIST FOR ISSIIANCE OF PERMITS '� FOR OFFICE USE ONLY �� � � PID: ADDRESS OR LE�AL: ,�'�' /-'�"��� �`'� � DESCRIPTION OF WORR: �U� ---------- --- -------------------- • ZONING REVIEW BY• DATE APPROVED ��7- Z�(-5S BIIILDING REVIEW BY: (�/�o� DATE APPROVED: �" �'`�"``5� --------------- -------- FEES TO BE CHARGED• Misc. Fees Calculated By: PERMIT Yes �/�No PLAN REVIEW Yes ✓' No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ---------------------------- ZONING CHECR LIST Zoni g District: Fire Department• Pos Off ' ce • Schoo� District: Lot Area: Wid h: Depth: Survey Submitted: Yes�_ No Date of Survey: I b -�3'Fl3 Proposed Setbacks : � ► + ��; Front (La}Fe) : N�/� Right Side: J J S _ Rear ( S�treet) : �✓�� Lef t Side: &� � � N � Adjacent Structures : I'+- Wetland: ���' Building Height: Def . Hgt. Peak gt. Avg. Setback: Lot over e: Exist' ng P opos Hardcover: 0-75 ' 75-250 ' 250-500 ' 500-1000 ' t�° � ��� Hardcover Variance R ired: Yes No Dat of Council Approval. : Grading: Staff Appr v I. Date: By: C uncil Approval. Date: Septic: Staff Appr v Date• BY- Zoning File: # so�ution # ' � Reso�ution Date: REMARRS (in ho e) : BIIIZDING REVIEW CHECK LIST f . IIgC. �- ?j CONSTRIICTION TYPE: u/_ Sq Footage $ Per Sq Ftg Basement X - lst FJ�oor X - 2nd Floor X - Garage X - Q.c.�.k r c� x '2� x Zo��C � �.o o = TOTAL e� Estimated Construction VaJ.ue: $ 2� o 0 0 — , Inspections Rem,;red: Work Requiring Separate Permits: Site P�umbing Grading/Fil�ing �Footing Mechanical Fire _�Framing Septic Water Connection Insulation Firepl.ace Sewer Connection Wall Board (Masonry) Lawn Irrigation p� Fina]. (Mf g.) Other Other Wel 1 (State Permit) Electrical (State Permit) ----------------------------------------------- REMARKS (IN HOIISE) : ------------------------------------------------- REVIEW BY OTHERS: DATE: Access : Existing New Access Approval : Date BY= -------------------------------------------- REMARRS (TO BE NOTED ON PERMIT) :