HomeMy WebLinkAbout1991-003808 - replace deck �'ERMIT y
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1335 Brown Rd. South • P.O. Box 66 Permit Number: ='`-��°��`'�=�
Crystal Bay, Minnesota 55323 Date Issued: `-`'�`�� �' _`�
(612) 473-7357
SITE ADDRESS:
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r,I PLICANT ERMITEESIGNATURE ISSUEDBY:SIGNATURE
� ��
CHECR OFF LIST FOR ISSIIANCE OF PBRMITS
FOR OFFICE USE ONLY
ADDRESS OR LEGAZ: � ��N�-¢J/���• PID: ��//7--�.� `�'J C�O/�
DESCRIPTION OF WORR: ���� ��e�
-----------------------------------------------------------------------------
ZONING REVIEW BY: DATE APPROVED:
BIIILDING REVIEW BY: ���. DATE APPROVED: '7 - fl -ci(
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 Zoning District: ,�,� �-/ �
T�l�r
Fire Department: L G- . Post Office: '���- School District: ����
� Lot Area: �,y7 S� Width: SO Depth: 1 Z�i • S
�.
Survey Submitted: Yes� No Date of Survey: 5�-1 S��i I
Proposed Setbacks : $?�'�` i
Front (Lake) : /V �-�Side: � �• 3
Rear ( Street) : 32� Left Side: N��
Ad jacent structures : A-T77gCF�e� wetland: /(/��
Building Height: Def. Hgt. /(/f�- Peak Hgt. /(J�14
Avg. Setback: /V G� Lot Coverage: /(/�/�
Existing Proposed
Hardcover: 0-75 ' "
75-250 '
250-500 '
500-I000 '
Hardcover Variance Required: Yes No Date of Council Approval:
Grading: Staff Approval Da e: Council Approval Date:
Septic: Staff Approval D te: B
Zoning File:# Resol ion #: Resolution Date:
R$MARRS (in house) :
�' �
BDILDING REVZEW CHECX LIST
IIBC: �� � 1STRIICTION TYPE: /` ' 3
Sq Footage $ Per Sq Ftg
Basement X -
lst Floor X -
2nd Floor X -
Garage X -
�u�c 3Z� x S.00 = ?� ���
TOTAL
Estimated Construction Value: $ Z.5-��
Inspections Required: Work Requiring Separate Permits:
Site Plumbing Grading/Filling
�Footing Mechanical Fire
�Framing Septic Water Connection
Insulation Fireplace Sewer Connection
Wall Board (Masonry) Other
—+�Final (Mfg. ) Well State Permit
Electrical (State Permit)
---Other----------------------------------------------------------------------�
REMARRS (IN HOQS$) :
------------------------------------------------
REVIEW BY OTHERS: DATE:
Access : Existing New
Access Approval: Date BY�
-----------------------------------------
REMARRS (TO BE NOTED ON PERMIT) :
( �
,CITY OF ORONO - BIIIZDING PER��IT APPLICATION
(�' -
Total Fee : $ �'�--���;� Date Received: - � � �'� � / �
" �
Date Approved: - �
Entered By: �� ' � .
�� Permit#: � '���� ��
AT•7• INFORMATION MDST BE SIIBMITTED IN FiTLI, BEFORE PLAN REVIBW WILL B$ STARTED
(See Check-off List Enclosed )
------------------------------- ---- - --------------------------------------
THE APPLICANT IS: (circle one) r CONTRACTOR
JOB SITE ADDRESS: :? U� 1�/ 11V �71 V � l V � ZIP: '� ��� /
(work)
NAME OF OWNER: � x-C r" �J `% l�r I (�C�'�l �C��j�✓f�i �"l PHONE: (home) �"���.- � :a�'�l�
MAILING ADDRESS: � (�� L fi��'t ��w�1 �U�.cz�: � z� �. zzP: �j`3`� J
CONTRACTOR: PHONE:
MAILING ADDRESS: CITY: ZIP:
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration� Renovate Land Alteration
PROPOSED WORR (describe in detail) : 1��—���„��✓L- Ir;�t��� �:�'=� � �'^���Cl�
_-�- ,�i. �� �1�,. -�- ;� �� "C'
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTROCTION VALIIATION (egcluding land) : $ q�� • � �
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
that the work will be in accordance with the approved plan.
� �� ,+
A.PPLICANT'S SIGNATORE: L�!°t'/� - DATE: �-� ' ` �/ _
� i _
� _ . / - I �a�--�
����'��������� �� ����.����s �������� � � �
���
���pproved Adc�ressns St�ali Be Displaye¢, � �� y�, � � : �oo�-�n� P�s-f-
� l��inly Visible And Legible Fro �,Q��� Q ��o �
>t�eet Frontin�The Property ��U � �,e�'Q ,�0 � }.� � �,{ ►
�����,� ��v�'� 4�q�' � ��Q G K 'e� y
� �`Gets �C�� att � s+air5 a�^c� fA��l�'� Qvi �f 1�0 (oc��F.,
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IMPORTANT "ESSAGE
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TO ,� � , J A.M.
' ='�� TIME I , -� �r P.M.
DATE
,. WHILE Y/O�U WERE OUT
M �� C�.-���- �%L� ���-�Z.�
OF
Area Code �J� — �,�ic�C%
& Exchange
TELEPHONED PLEASE CALL X
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOD URGENT
RE7URNED YOUR CALL
Message � ,/ „ �
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^'�- ��x� Post Office Box 66•Crystal Bay, Minneaota 55323•Municipal Officea
;,��': � ��s�
� - �g �> On the North Shore of Lake Minnetonka
DATA PRIVACY 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
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 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 ].icense.
3. The information may be shared with other iocal , state or
federal agencies to the extent necessary to process the permit or
�icense.
4. If your requested permit or Iicense requires Council action
to approve, some information may become publ.ic.
5. You have certain rights under M.S. 13.04 �o review priva��
data on yourself.
6. Your full name is required to process this application or
permit.
�
�",�l/'�'�C;,"'' � � �b'1 �'L�' ��� � � �� ���� ��
First Middle Last .
55��� � /�� � ��.� �l�1�' _
Address
��� � � �,� .��;�3�'l I
City State Zip
��7.�- 3� � �
Phone
I understand my rights as stated above.
`��� �� �
Signature
BUILDING&ZONI[YG—473-7357 • ADMIlY1STRAT[ON& FINANCE—473-7358 � PUBLIC WORKS—473-7359
ASSESSING
��
513.04 RIGHTS OF S��CTS OF DATA
Subdivision 1. Type of dat�- 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 r�d
to be given in�n��' An.individuBl asked to
su ly private or confidential data concernindg tgm� hin the collect ng state agencY,
PP uested
purpose and intended use of the re9 tem; (b) whether he ma� refuse or is legally
political subdivision, or statewide sys known consequence arising from his
required to supply the requested date; (c) any
su 1 ing or refusing to supply private or confidentiel data; end (d) the identity of
PP Y
other persons or entities authorized by staau��e8skedlto supplyinvest gat ve data,
requirement shall not apply when an indivi
pursuant to section 13.82, subdivision 5, to a law enforcement officer.
The commissioner of revenue mg lert tgX re°und instructeonsunsteadhos
subdivision in the individuel income tax or r��
on those orms. . -- - .
Subd. 3.
Access to �ata by individual- UPon request to a responsible
authority, an individusl shall be informed Wh blic pr vateeor confident al.e Upon his
individuels, and whether it is classified as p � ublic data on
e to him and, if he desires, shell
further request, an individuel who is the subject of stored private or
individuels shall be shown the data withou�t anh ��ta. After an individual hes been
�e informed of the content and meaning the data need not be �isclosed to
shown the private data end informed of its meaning, ��ugnt to this section is
him for six months thereafter unless a dispute or action p
� ending or additional data on the individual h� gte or pu lic datarupongrequest by
P require the
responsible authority shall pcovide copies The res onsible authority may
the individu8l subject oftrie actusl•costs of making, certifying, and compiling the
requesting person to pay -
copies. if ssible, with any request
The responsible authority shall comQly immediately, Po
made pursuant to this subdivision, or Wlt� lida e �f Simmediateat ompliance eisu not
excluding Saturda5�s, Sundays and legal ho ys�
ossible. If he cannot comply with the request �thinNittuntW�ch toh omplynw�h the
P have an additional five y5
individual, and may �d le al holidays.
request, excluding Saturdays, SundaYs g
Subd. 4. Proced�u'e �►hen data is not accu:'a
te or complete. An individual may
contest the accuracy or completeness of public oinrl�iting tthe�r sponslb e au hor ty
exercise this right, an individual stie.11 notify
describing the neture of the disagreement. Tnacc�u'�g e or in omplete and at pt to
days either: (a) correct the data f ound to be
notify past recipients of inaccurate ar incomplet he believesdthe datalto be correcL.
the individual; or (b) notify the individual tha eement is
Data in dispute shall be disclosed only if the individual's statement of �g� to the
• included with the disclosed data• ealed ursuant
' The determination t ative rrocedure a t relating to contes ed cases.
provisions of the admin�s P
� DATE TIME
CITY OF ORONO CALLED IN �� --j�%� `�
INSPECTION NOT�CE SCHEDULED �'�.3 `I '�-��
PERMIT NO. �(� � `� COMPLETED �_ �
ADDRESS �y,.��>��� �-�����"'��--'
OWNER 7/��-�z--���� 'ryz�c_,�-' CONTR.
TELEPHONE NO. y �'� _ ����
� DESCRIPTION ���- �-'lC-'
� 1 FOOTING 3 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAI FINAL 18 EXCAVIGRADINGIFILLING
� 03 INSULATION 24125 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORAECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORE COVEFING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �' GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContract n�i�e:
Inspector. U
White Copylinspector's File Canary CopylSlte Notice