HomeMy WebLinkAbout1995-007380 - deck/storage room �ERMIT
CIT� OF ORONO PERMIT TYPE:
42750 Kelley Parkway- P.O. Box 66
Crystal Bay, Minnesota 55323 Permit Number:
(612) 473-7357 Date�ssued: - _ - _
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY: --.. � " '`~
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APPLI NUPERMITE SIGNATURE ISSUED BY:SIGNATURE ������,
~ , CITY OF ORONO - B�ILDING PEI2MIT APPLICATION
4 Date Received:
Total Fee: $ ' ' Approved:
Date
' Permit�: '�' '`. y'
,
Entered By: � '
BEFORE PL�N 1�vIEW WILL B$ STARTED
AT•T• INgpgMp,TIpN MDST BE SIIBl''�I�D IN F�' osed)
(See Check-off List Encl -----
--___�---
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------------------------------------ -
_____---- �y�Eg or CONTRACTOR,�
�gg p,PpLICANT IS� (circle one __-
----
, •e s
�C� . ZIP:
JOB SITE A�DR�SS: ���� � (work3
� pgpNE: (home)
` � � z
NAME OF OWN�: � 1�'� � � ��YZY1��._ ZIP:
MAILING ADDRESS:
I U-��—'C��i� e,c-�. 1�7^e�s ►c� . cz�:
' PsoxE: �3�� ����
I/�,�� r,-N i�i.�.�r �-�m5►� �� � ..-_
CONZ'RACTOR= ZZP: ���3�
� ��, c,v,e_s cr. • cz�: t;'Yli►�y�lZv�l�c�.
h+SATLING ADDRESS: \
STATS LICENSE: � �(`��� ����
� �o k�l A;Inf' `17►'�S�VZ��'��'1� PHONE:
ARCHITECT/ENGINEERs �'��j x-�'�
MAILING ADDRSSS: � �U � S c��
GYf,' CITY: ZIP:
, �� � ��,. RBGISTRATION �
NAME: �%'�C
Structure Move _
Addition Accessory —
TYPE OF WORR• New — Renovate Land Alteration__
Demo . Remodel/Alteration_�_
'� , S � �C�;'�, I,�-n(.�1`"` G'�.,�-�: .
PROPOSF.D WORK (describe in detail) : ��-��
STORISS:�_ s4• FEET OF EACH FLOOR:
� GABp,GS STAIZS s ATT. DET. _
NO. OF B�R�M�: �
NSTRIIC'PI�N O�IIATION (eaccluding Ia-nd) = $ � "�� �--�"""
ESTIMATED CO ,,.
Z for a building permit and I acknowledge that the �
I hereby aPP Y � ,,n
above is complete and accurete�i�haandhw th thelStatelBuild n�`a���.��
ordinances and codes of th y lan.
understand this is not a permit and work is not to start with�ut -�. k
that the work will be in accordance with th approved p
�
J �J�/�' � DATE: `/�
(� � � � � l..� �,
APPLICANT�S SIGNA�= r
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5�' ia�� �� �`� � � C ITY of ORON�
�
. �
a�.. �����.� �,,.:
�'�'�,i Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offices
} �;`, �
� On the North Shore of Lake Minnetonka
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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 wi3. I 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 ar Iicense.
3. The information may be shared with other iocal , 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`�
data on yourself.
6. Your full namP is req�iired to process this apt•Iicatian or
permit.
' � � � ,��'r ��r� .
First idd e Last
%3�% r� �c. .
Address �
�� G��� ' S��3S
City State Zip
�=r3�-��n��
Phone
I u rstand my rights as s ated above.
� '
�? ��� �� , ,� r
Si a�ture
,'
BUILDING&ZONING—473-7357 • ADbiL'YISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
�
�.p4 RIGHTS OF SIIBJECTS �F DATA
Subdivision L Type of da�- The rights ction�viduals on whom the data is
stored or to be stored shell be as set forth in th�s 5e An.individual asked to
gubd, Z, Information required
to be given in�ivi�uaL
u 1 rivate or confidential data concerning �gm 1 hin the collecti g state agencY,
S PP Y P
purpose and intended use of the req tem;d (b) whether he ma� refuse or is legally
political subdivision, or statewide sys }rnown consequence arising from his
required to supply the requested date; (c) any
1 in or refusing to supply private or confidederal law to reaeive the data.1tThis.
supp y g state or f �vesti ative data,
other penons or entities authorized by
requirement shall not apply when an individual is esked to supply g
pursusnt to section 13.B2, subdivision 5, to a law enforcement officer.
The commissioner of revenue ma lace the notice reauired under this
subdivision in the individuel income tax or oropertV tax re und instructions instead o
on those orms. � - -- .
Subd. 3. Access to �ata by
����. LTpon request to a responsible
authorit , an individual shall be informed wh b�C h r vateeor confident al.e Upon his
y ublic data on
individuels, and whether it is clessified as p � F
e to him and, if he desires, shall
further request, an individuel who is the subject of stored private orvidual has been
individuals shall be shown the data witho of�hat da a• After an ind�
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its mea�in8� u�uant to this section is
him for six months thereafter unless e d�spute or action P �ta u n request by
endin or additional data on the individuel has 8te or p blic ed or �eated. The
� P g• rovide copies of the p uire the
responsible authority shall p ilin the
the individual subject of the data•
The responsible�Q=�f°nity�a comp g
requesting person to pay the actual costs of making, Yi g�
copies. immediately, if possible, with any reQuest
The responsible authority shall comply
made ursuant to this subdivision, or within five days of the date of the request,
P and le al holidays, if immediate compliance is not
excluding Saturdays, SundaYs g with the
ossible. If he cannot comply with the request within that time, he shall so inform t e
P hsve en additionel five days within which to comply
individual, and may �d le al holidays.
request, excluding Saturdays, Sur►daYS g
Subd. 4. P�
dure when data is not accurate or complete. An individual may
or completeness of public or private data concer�n�lb e au hority
contest the accuracy in writing the resp
exercise this right, an individual shall notify
describing the nature of the disagreement. The responsible euthority shall within 30
dg either: (a) correct the data found to be iete dataeincludingree�pi�� namedtby
�
notify past recipients of inaccurate or incomp �
the individusl; or (b) notify the individual that he believes the data to beementcis
Data in dispute shall be disclosed only if the individual's statement of �8� t to the
• included with the disclosed data• � aPPe8led pursuan
� The determination of the responsible authority may
provisions of the administrative procedure act relating to contested cases•
CHECK OFF LIST FOR ISSIIANCE OF PERMITS
- FOR OFFICE USE ONLY
� � , I , �._:� � , ��� PID: ��� -,'�i'-�� � .� -3 C'�G ! :�..
ADDRESS OR LEGAI,: I 7� �-�-� ti.`�--� �
DESGRIPTION OF WORR: � � � ,5��-�--� ��'"' _
-L��-----�------------------
-------------------
ZONING REVIEW BY: DATE APPROVED: c1•ZS 'S �
BIIII.DING REVIEW BY: DAT$ APPROVED: -r'7 ' Z 5 --�'iS
------------- ------------
FEES TO BE CHARGED- Misc. Fees Ca�cul.ated 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 Zoning District: �/ - _
Fire Department• 1 st �i �• _ School. District:
` / �
Lot Area: W • I Depth:
Survey Submitted: Yes� No Date of Survey: p,.� �='�c�c%
Proposed Setbacks :
F-�orrt (Lake) • (70' ± Right Side: ��� U
.�e�a� ( Street) • i`' �!� Lef t Side: SS" �v
Adjacent Structures: !�%T7�clfZ%� Wetland: N/A
Buil.ding Height: Def. Hgt. �- ��- Peak Hgt. — _
Avg. Setback: C� -(�- Lot Coverage: N ��
Existing Proposed
Hardcover: 0-75 '
75-250 ' I Z.�'S�° /s•v���
250-500 '
500-1000 '
Hardcover Variance Required: Yes No � Date of Council ApprovaJ�:
Grading: Staff Approval Date: — By: � Council Approval� Date:
Septic: Staff Approva7. Date: — BY=
Zoning File•# -- Resolution # : `— Resolution Date:
REMARKS (in house) : ,
BIIILDING REVIEW CHECR LIST
pBC: �L.- 3 CONSTRIICTION TYPE: �(/�1 ~ �
Sq Footage $ Per Sq Ftg
Basement x -
lst F�oor X -
2nd Floor x -
Garage X -
x =
TOTAL
Esta_mated Construction Val�ue: $ Z`1, Sao`'4
Inspections Required: Work Requiring Separate Permits:
Site P�umbing Grading/FiJ��.ing
�Footing Mechanica� Fire
_�cFraming Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Lawn Irrigation
� Final (Mfg.) Other
Other Well (State Permit)
�E�ectrical (State Permit)
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REMARRS (IN HOIISE) :
----------------------------------------------------------------------------
REVIEW BY OTHEF2S: DATE:
Access: Existing New
Access Approval: Date By=
-------------------------------------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
� - Z ��-ys-
. ' ' HARDCOVER CALCULATION WORKSHEET
SETBACK ZONE: (CIRCLE OivE) 0-75' 75-250' 25-500' S00-10(}0'
E�STItii'G HARDCOVER IN ZONE ,�� = I I(p('� S.F.
A. House �Q z
L.cngth �dth •
. ZZ z — lDIZ s.F.
,¢ x 3 p X , = 7Zo s.F.
� z �� _ /�Z S.F.
B. Garage NO� �AJCL U i�El� �ilJ ��f� �-S = S.F.
g x _�.�� = 8�_— s.F.
C. Driveway = S.F.
- z
,/ z I � = S.F.
D. Sidewalk Y z I'� X •S = � S.F.
�
CtrCi����a � z ll � — T�Od S.F.
E. -�'���� S.F.
z —
�� z = 3p S.F.
F. Landscape = Z�j S.F.
Underlain 1 � z , _
z _ �� S.F.
By Piastic Z�
S.F.
G. Other x
� � S.F. A
TOTAL HARDCOVER IN ZONE - 3 Spp S.F. B
TOTAL PROPE TY AREA IN ZONE B �N z 100 = 12,1 �°
A '
PROPOSED HARDCOVER IN ZONE _ �' S.F.
A. House x
Lcngch Width S.F.
z S.F.
z S.F.
x —
_ � S.F.
B. Gara�e X --'
_ � S.F.
C. Driveway x _ S.F.
R
q, _ 3 z s.F.
D. Sidewalk �`J� X = S.F.
z
� 2�� �v�a� = O s.F.
E. Patio/Deck �5 I���� z = S.F.
x
— L�� S.F.
F. Landscape �f� z _ S.F.
Underlain x S.F.
By Plastic z =
S.F.
G. Other z �
/(7/2 S.F. A
TOTAL HARDCOVER IN ZONE - �,� �J�i _ S.F. B
TOTAL PROPERTY AREA IN ZONE B 3 x loo — � y 3 %
A /�/Z — .
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Certificate of Survey for � �
William Sexton
" of Lot 2, alock t , GREEN TREES ON TANAGER I,AKE
Hennepin County, Minnesota � ;' o
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%�=- - -- --- -- — —588�33_SO"E 353.�1 ;� ��� ' � c�•.
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a � �--- � . . ' �t ' � Deck-ReMove �c�s�inlG
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L ; . ��'�—* _-`'� " = b10y
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i O�a�nast t i' ..'�'� R=?o���� `�� � ..
S �f�Y��r E�s�►a�Nf �� i� �'�� -0� �;\� �� ii•' �'� � .
i , i o3 i��� � ,y�,a'' N z � .
� /S��` A� �,�� .\'� � 96" �� l� �� i
--- ------ --•---------� '� p' ` '. �' � '� �.� _ �] I
,_ /'v � � �� ��. 'S c�. i_� `-1 �
� $86'33'so E� /-lS.4� ----.. ' '�I���` �" .• � �� �9 q �� � °� A
� � 7 ��j ;O '�
1 �� o?\ � �-�j, / � � ! '�3 T� ,;'�
1 - . ,.1 . � � , . ��\ � - . >- �� ' i '�'? ",3 �,�
; i_ � ��, ; � � / ,E � . 4� �,-p r�'�
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,♦ 4�7j, �w, �� �S � ,� . � . •o
I hereby certify that this is a true and correct ' R:so.00°p� ' �' � ' ' - ' �`'
representation of a survey of the boundaries of �� bz�z "�� � -y ' �� �
Lot 2, Block 1, GREEN TREES ON TANAGCR LAKE, and �� ��, � �'�"
the location of all existing buildings, if any, .. � � ' �r � '�!- "'�`'�
. thereon. It does no�t purport to show any other � Dutlot g } �' ?:' �
improvements or encroachments. . � � '=_' �
' Scale: 1 inch 0 fee`t •
COFF[N & GRONBERG, INC. Date : May 4, 9 7 _ �
.. .. � ,iy ;
..�/�'/��/� _ �Z.n'J',�.r� . ,._..� �" ' _ �
/
DATE TIME
CITY OF ORONO CALLED IN �d/� �JJ
INSPECTION NOTICE SCHEDULED �s �•dv
PERMIT NO. d co PLETED � T
ADDRESS/��� -�l�it e��c
OWN ER CONTR. ..Gc.�22�
TELEPHONE NO. ���� -.3-Z�-Z-
� DESC$l�TION .�<'�'�i�un�
� 1 FOOT� 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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 MEEf YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED G PROJECTCOMPLETE
W C CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
'-' CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-73�J7
OwnerlContracto s�t�:
Inspector. U
White Copyllnspector's Fil Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLEO IN /h/��/4'��"
INSPECTION NO CF SCHEDULED i�/i.�/9.5" /%�'U �
PERMIT NO. %� ��? COMPLETED �. �
ADDRESS i���.5 ; �.e�v��s-;�.�_� ��
OWNER��'1J��.v� CONTR. ����iJ
TELEPHONE NO. �3=�- ���'i
� D_ES�#t1PTION ��c��..'
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� �.�OOTIN�. 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� CORRECT V1�ORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�'CORRECT UNSAFE CONDITION WITHIN HOURS. ,� pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance.473-73�J7
OwnerlCont on s te:
Inspector.
White Copylinspector's File Canary CopylSite Notice
p� D�A�T.E � TIME
CITY OF ORONO CALLED IN Z,��
INSPECTION NOTICE SCHEDULED 1�� 3 � �
PERMIT NO. �3�'�' COMPLETED �' c��
ADDRESS �/�I.S� �� T��- ��
OWNER�vyn L���'�/� CONTR. ��Lt ��L ��''c ,
TELEPHONE NO. �3-S ' � ��y
� DESCR. IPTION
� 1 F TING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q G 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
T 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
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�
J
O
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W
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� WORK SATISFACTOFIY:PROCEED �, PROJECT COMPLETE
W G CORRECT WORK&PROCEED �.- ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. _ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice